Reference Affiliate Agreement, K.A.R. 64 P& P 002; 006; 007; 011; KDADS AIR Policy Cowley County CDDO Incident Report Form is the reporting “Critical mechanism affiliates are to use to report Critical Incident and suspected Abuse, Neglect and Exploitation to the Cowley County CDDO. Reporting Critical Incidents: Reporting of information is to according to the instruction on the most current Critical Incident Report” form. “CDDO Each report is to be a report for an individual person. Group reports or location reports are not acceptable. If an incident involves two or more consumers a report is completed for each consumer. Follow up reporting is expected as it occurs Questions may be or additional follow-up may be requested by the CDDO if determined necessary. This does not replace the KDADS required reporting in the AIR system by provider or TCM. Notation that the incident has been reported in AIR is recommended. Prompt response to any questions from the CDDO or other oversight staff is expected. If a person is served by more than one agency it is expected that the agencies and TCM will communicate with each other regarding reporting of the incident and the follow-up. TCM is typically the responsible reporter but two reports on an incident in this situation may occur one from the TCM and one from the provider. Two reports is better than none. A reporting of the facts of the incident as they are known and without other names others are involved. Provide complete information but as brief as possible. Some situations will require more explanation and more follow-up than others. The types of incidents to be reported are listed by category on the form with some additional requirements listed in the footer of the form related to staff injury and other potentially news worthy events that may occur.
Reference Affiliate Agreement, K.A.R. 64 P& P 002; 006; 007; 011; KDADS AIR Policy Cowley County CDDO “Critical Incident Report Form is the reporting mechanism affiliates are to use to report Critical Incident and suspected Abuse, Neglect and Exploitation to the Cowley County CDDO. Reporting Critical Incidents: Reporting of information is to according to the instruction on the most current “CDDO Critical Incident Report” form. Each report is to be a report for an individual person. Group reports or location reports are not acceptable. If an incident involves two or more consumers a report is completed for each consumer. Follow up reporting is expected as it occurs Questions may be or additional follow-up may be requested by the CDDO if determined necessary. This does not replace the KDADS required reporting in the AIR system by provider or TCM. Notation that the incident has been reported in AIR is recommended. Prompt response to any questions from the CDDO or other oversight staff is expected. If a person is served by more than one agency it is expected that the agencies and TCM will communicate with each other regarding reporting of the incident and the follow-up. TCM is typically the responsible reporter but two reports on an incident in this situation may occur one from the TCM and one from the provider. Two reports is better than none. A reporting of the facts of the incident as they are known and without other names others are involved. Provide complete information but as brief as possible. Some situations will require more explanation and more follow-up than others. The types of incidents to be reported are listed by category on the form with some additional requirements listed in the footer of the form related to staff injury and other potentially news worthy events that may occur.
Cowley-County-CDDO-Affiliate-CI-ANE-Protoco1.docx