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OCCURRENCE REPORTING REQUIREMENTS

Overview of Occurrence Categories. 14 Occurrence Categories:Spinal Cord InjuriesMalfunction/Misuse of EquipmentLife Threatening Transfusion Errors or ReactionsLife-Threatening Complications of Anesthesia. Overview of Occurrence Categories. BurnsBrain InjuriesDiverted DrugsDeath. Overview of

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OCCURRENCE REPORTING REQUIREMENTS

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    1. OCCURRENCE REPORTING REQUIREMENTS Presented by: Lesa Boom, Occurrence Investigator, Colorado Department of Health & Environment, Health Facilities and Emergency Medical Services Division Theresa Bradbury, Criminal Investigator, Colorado Office of the Attorney General, Medicaid Fraud Control Unit

    2. Overview of Occurrence Categories 14 Occurrence Categories: Spinal Cord Injuries Malfunction/Misuse of Equipment Life Threatening Transfusion Errors or Reactions Life-Threatening Complications of Anesthesia

    3. Overview of Occurrence Categories Burns Brain Injuries Diverted Drugs Death

    4. Overview of Occurrence Categories Missing Persons Misappropriation of Property Neglect

    5. Overview of Occurrence Categories Physical Abuse Sexual Abuse Verbal Abuse

    6. Physical Abuse Elements Two elements needed for reporting (1) Intent or knowingly or recklessly (2) Bodily injury and/or unreasonable confinement or restraint a. Bodily injury includes pain

    7. Sexual Abuse Elements Three elements needed (1) Knowingly (2) Consent not given (3) Sexual intrusion or penetration, or touching intimate parts or the clothing covering intimate parts or,….

    8. Verbal Abuse Elements Three elements needed (1) Knowingly (2) Threat or Physical Action (3) Fear of imminent, serious bodily injury

    9. Reporting LTC Occurrences to HFEMSD Occurrences of physical, sexual, or verbal abuse and misappropriation of property: Must be reported to the Department within 24 hours All other occurrences are reportable to the Department by the end of the following business day

    10. Reporting Occurrences to Law Enforcement Occurrence Reporting Statutes: Colorado Revised Statutes (CRS) 25-1-124 CRS 25-1-124 (8) Requirement to report to law enforcement

    11. Reporting Occurrences to Law Enforcement CRS 125-1-124 (8) “(8) In addition to the report to the department for an occurrence described in paragraph (d) of the subsection (2) of this section, the occurrence shall be reported to a law enforcement agency.”

    12. WHAT TO REPORT When reporting to law enforcement, report only the allegation and facts Do not tell law enforcement “I am reporting this incident because the Health Department requires me to report.” Document the case number, date, time, and name of person whom you reported the incident to

    13. Response from Law Enforcement Once the allegation and facts have been reported to law enforcement, it is the determination of the law enforcement agency as to how to respond. A facility should never tell law enforcement they do not need to “come out” – that is a decision the law enforcement agency must make.

    14. Lack of Response from Law Enforcement If you placed a call to your local agency and received no response: Call back and ask to speak with the Supervisor Report the incident again Follow the Chain of Command Contact the Medicaid Fraud Control Unit

    15. CONTACT US Theresa K. Bradbury, Criminal Investigator, Medicaid Fraud Control Unit, Colorado Office of the Attorney General 1525 Sherman Street, Denver, CO 80203 303-866-5484 (Direct Line) 1-866-858-7486 (Facsimile) t.bradbury@state.co.us

    16. CONTACT US Lesa Boom, Occurrence Investigator, Colorado Department of Public Health and Environment, Health Facilities & Emergency Medical Services Division 303-692-2895 (Direct Line) 303-753-0139 (Facsimile) lesa.boom@state.co.us

    17. CONTACT US Sue Neff, Occurrence Intake Coordinator, Colorado Department of Public Health and Environment, Health Facilities & Emergency Medical Services Division 303-692-2826 (Direct Line) 303-753-0139 (Facsimile)

    18. CONTACT US Sharon Haney, Program Manager, Colorado Department of Public Health and Environment, Health Facilities & Emergency Medical Services Division 303-692-2830 (Direct Line)

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