Cmpliance and Mnitring - Reprtable Incident Decisin Prcess February 2017 Reprtable Incident Decisin Prcess Standard 18(4) f the Supprtive Living Accmmdatin Standards and Lng-Term Care Accmmdatin Standards states: Any incident within the supprtive living r lng-term care accmmdatin r its grunds in which the safety r security f a resident is breached must be dcumented and reprted t the directr alng with the actins taken t address the incident r remedy the breach, as the case may be. Standard 19.4 f the Cntinuing Care Health Service Standards states: Reprtable incidents must be reprted in accrdance with the prcess and guidelines set ut by Alberta Health. Belw are dcuments t help determine if an incident is reprtable Health Funded Operatrs and Hme Care Prviders: If the accmmdatin r services receives funding frm Alberta Health Services: Reprtable Incidents are t be submitted t Alberta Health within tw business days by the peratr/cntracted service prvider. Using the submit feature n the frm allws yu t send infrmatin t asal@gv.ab.ca and reprtable.incidents@albertahealthservices.ca simultaneusly. Please ensure that additinal ntificatins are cmpleted as per existing zne prcesses. Identifiable resident health and persnal infrmatin is nt t be included n the frm. If this frm is being requested fr disclsure t a third party, please cntact Cntinuing Care Standards and Licensing at asal@gv.ab.ca. If yu have reasn t believe that this incident meets the definitin f abuse under the Prtectin fr Persns in Care Act please call 1-888-357-9339 t reprt. There is a reprtable incident frm fr yur use, which can be fund at: http://www.health.alberta.ca/services/cntinuing-care-frms.html. Please select Health Funded after pening the frm t display all f the available fields. Ntes fr Hme Care: Hme care prviders are nly respnsible fr reprting incidents that have ccurred as a result f the services that they are ffering. When prviding services in a supprtive living accmmdatin, the peratr f the accmmdatin is respnsible fr reprting incidents regarding the accmmdatin itself r as a result f the services prvided by their emplyees. Nn-Health Funded Operatrs: Reprtable Incidents are t be submitted t Alberta Health within tw business days by the peratr/cntracted service prvider. Using the submit feature n the frm will allw yu t send infrmatin t asal@gv.ab.ca. Identifiable resident health and persnal infrmatin is nt t be included n the frm. If this frm is being requested fr disclsure t a third party, please cntact Cntinuing Care Standards and Licensing at asal@gv.ab.ca. If yu have reasn t believe that this incident meets the definitin f abuse under the Prtectin fr Persns in Care Act please call 1-888-357-9339 t reprt. There is a reprtable incident frm fr yur use, which can be fund at: http://www.health.alberta.ca/services/cntinuing-care-frms.html. Please select Nn-Health Funded after pening the frm t display all f the available fields. 2016 2017 Gvernment f Alberta Page 1
Cmpliance and Mnitring Reprtable Incident Decisin Prcess February 2017 2016 2017 Gvernment f Alberta Page 2
Cmpliance and Mnitring Reprtable Incident Decisin Prcess February 2017 Health funded reprtable incident examples Resident Death r Serius Harm Resident/Client Unaccunted fr Unplanned Activatin f Cntingency Plan Extensive Damage t the Accmmdatin Examples f reprtable incidents may include, but is nt limited t: Errr r Omissins Resident absence Lss f utilities Services affected Falls* (witnessed & unwitnessed) Medicatin Errrs (unsecured medicatins being ingested, missed medicatins, wrng client/dsage/medicatin/rute/time) Risk agreement r care plan nt adhered t Chking Burns, scalding Ingestin f chemicals/txins Sharps injury Unexpected death Unexplained resident absence Abnrmal extended absence f a resident Elpement Pwer Gas Water Telephne Service Breakdwn f Essential Equipment Lss f heating Lss f service Lss f elevatr Fld (water main break, sprinkler system failure) Damage t sectin f Assault r Aggressin Self-harm Aggressive behaviur t thers Sexual Assault Attempted suicide Equipment r technlgy failure Failure f dr alarms, ram alerts, r wanderguard Staff Disruptin Evacuatin Strike Site islatin Shrtage Full/Partial Relcatin Fld Fire Gas leak Overall damage Accmmdatin, Grunds, Equipment in disrepair/unsafe Equipment malfunctin Operatr errr (in use f ) Ice r snw that has nt been remved Injury due t disrepair Tripping hazards Errr r missin f persnnel Failure f daily accunting systems Failure f site security Severe Weather Trnad Summer r winter strms Excessive Heat Unsafe cnditins *Fall: unintentinally cming t rest n the grund, flr r ther lwer level (definitin as per Alberta Health Services plicy) Rf leak/cllapse Damage t sectin f 2016 2017 Gvernment f Alberta Page 3
Cmpliance and Mnitring Reprtable Incident Decisin Prcess February 2017 2016 2017 Gvernment f Alberta Page 4
Cmpliance and Mnitring Reprtable Incident Decisin Prcess February 2017 Nn-health funded reprtable incident examples Resident Death r Serius Harm Resident/Client Unaccunted fr Unplanned Activatin f Cntingency Plan Extensive Damage t the Accmmdatin Examples f reprtable incidents may include, but is nt limited t: Errr r Omissins Resident absence Lss f utilities Services affected Medicatin Errr Burns, scalding Ingestin f chemicals/txins Unexplained resident absence Abnrmal extended absence f a resident Elpement Pwer Gas Water Telephne Service Breakdwn f Essential Equipment Fld (water main break, sprinkler system failure) Damage t sectin f Lss f heating Lss f service Lss f elevatr Accmmdatin, Grunds, Equipment in disrepair r unsafe Ice r snw that has nt been remved Injury due t disrepair f accmmdatin r Tripping hazards Equipment r technlgy failure Failure f dr alarms, ram alerts, r wanderguard Errr r missin f persnnel Staff Disruptin Evacuatin Strike Site islatin Shrtage Full/Partial Severe Weather Relcatin Fld Fire Gas leak Overall damage Unsafe cnditins Failure f daily accunting systems Failure f site security Trnad Summer r winter strms Excessive Heat Rf leak/cllapse Damage t sectin f 2016 2017 Gvernment f Alberta Page 5