REPORTING
Chapter 395 F.S. currently requires reporting of the following types of incidents to the Agency by hospitals and ambulatory surgical centers at this time. They must also report any injuries of which they are aware occurring through any health care service, which would include nursing homes, home health organizations, doctors' offices, dentists' offices, or any other purveyor of health care service. Additionally, Chapter 641.55 requires similar reporting of patient injury incidents by HMOs. The patient injury incidents are reported through two different types of reporting mechanisms:
The facility Annual Report -- must reflect all adverse incidents according to statutory definition, which occur in the facility in the course of a calendar year, due in to the Agency, Risk Management & Patient Safety Program, after the first of each year for the previous year; and
The Code 15 Report -- reports in detail and analyzes each serious patient injury, as defined by statute, and due in to the Agency, Risk Management & Patient Safety Program, within 15 days from the time of the occurrence of the injury.
*On-Line Reporting of Code 15 Reports *On-Line Reporting of Annual Reports *Get a Logon and/or Password [93.5kb .doc] |
| Reporting Forms and Information | |
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Code 15 Report Form
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Annual
Report Instructions [36kb .pdf] |
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Code 15 Report
Form - |
Contacts-
Risk Management Program Staff [205kb .pdf] |
| Code
15 Extension Form [87kb .doc] |
Annual
Report Form |
| * Computerized template in Word format. | |
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Updated January 31, 2011
