Identifying and Responding to Member Incidents Clause Samples

Identifying and Responding to Member Incidents. The PO shall develop and maintain an incident management system, which manages incidents occurring at the member and provider levels, in order to assure member health and safety, reduce member incident risks, and enable development of strategies to prevent future incident occurrences. The incident management system shall include policies and procedures to ensure that: The PO IDT staff inform members/legal decision makers (and involved family and other unpaid caregivers, as appropriate) about abuse, neglect, and exploitation protections, at the initial assessment upon member enrollment or at the initial comprehensive assessment, and at each annual comprehensive assessment thereafter. Completion of this task shall be documented in the member record. PO members/legal decision makers (and involved family and other unpaid caregivers, as appropriate) are informed of the process used to report member incidents. PO staff and providers are trained in identifying, responding to, documenting, and reporting member incidents. Completion of training for PO staff shall be documentedand provided upon request to DHS. Completion of training for providers shall be documented in the PO’s provider file. Contracted providers must report member incidents to designated PO staff no later than one (1) business day after the incident was discovered; Effective steps are taken immediately to prevent further harm to or by the affected member(s); Incidents wherein the member is a victim of a potential violation of the law are reported to local law enforcement authorities. Incidents where the member is suspected of violating the law are reported to local law enforcement, to the extent required by law; Incidents meeting criteria in Wis. Stat. §§ 46.90(4) or 55.043(1m) are reported in accordance with the applicable statute to the appropriate authority; the PO is not responsible for or a substitute for Adult Protective Service investigations; The PO, within three (3) calendar days of learning of the incident, notifies the member/legal decision maker of the incident, unless the member/legal decision maker reported the incident to the PO, the PO has within that time determined that the report was unfounded or unsubstantiated, or unless the legal decision maker is a subject of the investigation; The PO has designated staff to conduct incident investigations who: