Initial Incident Report definition

Initial Incident Report. Each initial incident report filed by a PASSE HCBS provider must contain the following information: 1. Date of the incident 2. Detailed description of the accident/injury 3. Time of the incident 4. Location of incident 5. Persons involved in the incident 6. Other agencies contacted regarding incident, and the name of the individual in the agency that was contacted 7. Whether the guardian was notified of the incident and time of notification, 8. Whether the police were involved, and if so, a detailed description of their involvement 9. Any action taken by Provider or staff of Provider, both at the time of the incident and subsequent to the incident 10. Any expected follow-up 11. Name of person that prepared the report When applicable, the PASSE HCBS provider shall notify the parent or legal guardian of the beneficiary any time an incident report is submitted.

Examples of Initial Incident Report in a sentence

  • The Initial Incident Response phase will be completed upon delivery of the Initial Incident Report.

  • Service Provider shall use good faith efforts to provide the Initial Incident Report within one business day after discovery (lithe Incident, and to provide a root cause analysis within one week after discovery of the Incident.

Related to Initial Incident Report

  • Critical incident means an occurrence or set of events inconsistent with the routine operation of the facility, or the routine care of a consumer. Critical incidents specifically include but are not necessarily limited to the following: adverse drug events; self-destructive behavior; deaths and injuries to consumers, staff and visitors; medication errors; consumers that are absent without leave (AWOL); neglect or abuse of a consumer; fire; unauthorized disclosure of information; damage to or theft of property belonging to a consumers or the facility; other unexpected occurrences; or events potentially subject to litigation. A critical incident may involve multiple individuals or results.

  • Unusual Incident means those incidents involving serious illness or accidents, death of an individual, injury or illness of an individual requiring inpatient or emergency hospitalization, suicide attempts, a fire requiring the services of a fire department, or any incident requiring abuse investigation.

  • Incident Report means a written report of any injury, accident, acts of physical aggression, or unusual incident involving an individual.

  • Cyber incident means actions taken through the use of computer networks that result in a compromise or an actual or potentially adverse effect on an information system and/or the information residing therein.

  • Privacy Incident means a violation or imminent threat of violation of security policies, acceptable use policies, or standard security practices, involving the breach of Personally Identifiable Information (PII), whether in electronic or paper format.