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Reporting to Executive Leadership: – Generate periodic reports summarizing incident trends, corrective actions taken, and recommendations for further improvements.
5. IT and Records Management Teams • Data Integrity: –
Ensure that all incident reports, investigation logs, and corrective action documentation are securely stored in the centralized digital record system.
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System Support: – Maintain and update the Incident Management System to guarantee accessibility and ease of use for all staff. • Automated Alerts: – Configure the system to generate alerts for overdue incident reports or pending follow-up actions.
6. External Regulatory Liaison •
Communication with External Agencies: –
Designated by the Compliance Team, this individual communicates with external agencies (TennCare, Adult Protective Services, local law enforcement) regarding incidents as required by law.
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Documentation Sharing: –
Ensure that all external incident reports, investigation findings, and corrective action plans are provided to regulatory bodies in a timely manner.
h. Communication and Documentation Standards
Clear communication and meticulous documentation are essential components of the incident reporting process:
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Standardized Forms and Protocols: –
The Incident Report Form, Direct Observation Logs, and Investigation Report Templates are standardized across the organization to ensure uniformity.
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Timeliness: –
Every incident report must be submitted within the prescribed timelines (immediately for severe incidents and within 24 hours for moderate cases).
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Digital Record-Keeping: –
All incident reports and supporting documents are maintained in the Secure Electronic Incident Management System (SEIMS) with robust version control and backup procedures.
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Confidentiality:
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