Trish Vidal, Program Administrator
Risk Management and Patient Safety
Tel: (850) 412-3731
Fax: (850) 922-2217
The Agency for Health Care Administration administers serious patient injury reporting, tracking, trending and problem resolution programs in hospitals, ambulatory surgical centers, assisted living facilities, nursing homes and certain HMOs as directed by Florida Statutes.
(IMPORTANT: A User ID and Password from AHCA are required to submit an Adverse Incident Report.)
(IMPORTANT: No faxed reports will be accepted.)
(IMPORTANT: This system may time out after 20 minutes if the online reporting is not complete.)