Health and Welfare Meghan Torres March 6, 2020 Ron DeSantis - - PowerPoint PPT Presentation

Health and Welfare

Meghan Torres March 6, 2020

Ron DeSantis Governor Barbara Palmer Director

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• Incident Reporting Requirements
• Reporting Abuse, Neglect, and

Exploitation

• Follow-Up Actions
• Case Management

Activities

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• Florida Administrative Code,

65G-2.010 (5) Incident Reporting

• iBudget Handbook
• Outlined on IR Form

Incident Reporting

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• Definitions can be found in
• Florida Administrative Code, 65G-2.010 (5)
• The Incident Reporting Form
• The Incident Reporting Form instructions

All information is on the APD website

https://apd.myflorida.com/providers/incident-reporting/

Incident Categories

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• Unexpected Resident/Client Death
• Sexual Misconduct
• Missing Child/Incompetent Adult
• Life-Threatening Injury/Illness
• Media Involvement
• Violent Crime Arrest
• Covered Person Arrest
• Verified Abuse Report

Critical Incidents

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• Expected Resident/Client Death
• Altercation
• Client Injury
• Non-Violent Arrest
• Missing Competent Adult
• Suicide Attempt
• Baker Act
• ER/Hospitalization

Reportable Incidents

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• Reporting Time Frames
• Critical incidents within 1 hour to

APD

• Reportable incidents within 1

business day to APD

Incident Reporting Requirements

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• Reporting responsibility rests with the party

that has firsthand knowledge of the incident

• The WSC should submit an incident in the absence
• f a provider or if not submitted by the provider.
• The reporting party is responsible for informing

the legal representative (when one exists).

• The WSC should confirm the legal representative is

aware of the incident and actions surrounding the incident.

Incident Reporting Requirements

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I was notified that Oliver had an altercation on his school bus this morning

• n the way to the ADT. He became upset on the bus and was verbally

abusive towards the aide and bus driver. Oliver then started to hit the bus driver with his fist and struck the bus driver on his chest and leg. He then proceeded to do the same to the aide. Oliver then attempted to jump off the bus through the back-emergency exit door. The sheriff's office was contacted, and Oliver was arrested and charged with Battery.

• 1. Is this a Critical or a Reportable incident?
• 2. What is the specific reporting category?
• 3. When should this be reported?

Incident Definition Activity

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On February 25, Joy went to the hospital for a fever and not feeling well. Joy was informed that she has the flu and pneumonia by the ER doctor.

1. Is this a Critical or a Reportable incident? 2. What is the specific reporting category? 3. When should this be reported?

Incident Definition Activity

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• Any action to mitigate the current situation and

actions taken to prevent reoccurrence of a similar incident

• Coordinate service changes, if needed or

requested

• Follow up with the provider or family to ensure

the individual is healthy and safe

Follow-Up Actions

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• Document all actions in a follow-up incident

report to APD.

• Follow-up reports are due within 5 business days
• f the incident and should be attached on page 2
• f the incident reporting form submitted.
• When submitting the follow-up report, both the
• riginal Incident Report page and page 2 should be

submitted.

Follow-Up Actions

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• The Centers for Medicare & Medicaid Services

(CMS) tracks each state’s incident reporting process and abuse investigation process.

• The focus is on timely reporting of incidents,

follow-up activities, and taking steps to mitigate future incidents.

• Ensuring compliance with reporting and follow-up

is a responsibility shared by WSCs, providers, and APD.

CMS Reporting Requirements

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• Review any relevant documents before each

visit with the person, including Incident Reports.

• Understand the individual’s specific risk

factors

• Significant health and safety concerns should be

communicated to the APD Regional Office.

• When in doubt, communicate
• Always document your conversations and

efforts in your case notes

Case Management Activities

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• Ask the person about any potential incidents

since your last contact.

• Have frequent conversations about abuse,

neglect, and exploitation (ANE) and how to report them.

• Encourage the person to report instances of

abuse against themselves OR if they witness ANE against someone else.

Case Management Activities

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• Chapter 39.201 and Chapter

415.1034 Florida Statute

• You are a mandatory reporter of

suspected abuse

• Failure to report is a crime

Abuse Reporting Requirements

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• Reporting suspected abuse, neglect, and/or

exploitation

• DCF Abuse Hotline
• Call: 1-800-962-2873
• Online: https://reportabuse.dcf.state.fl.us/
• Call the police department
• For emergencies, call 911

How to Report Suspected Abuse

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Trevor lives in a group home. During your face-to-face visit, you notice Trevor has a large bruise on his left eye and is limping. You ask Trevor what happened, and his response is “I cannot tell you.”

What do you do?

Incident Activity

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Questions?