Incident Reporting

Florida law requires all HMOs in the state to report serious or adverse incidents to the HMO and the Agency for Health Care Administration (AHCA) within 15 days of the occurrence. These incidents are also to be analyzed internally to minimize the risk of injury and adverse incidents to members, and continuously improve the quality and safety of care. Health Options requires the provider’s assistance in obtaining the information to be reported. The report must include the following information:

Patient’s name, date of birth, sex, physical finding or diagnoses, and if hospitalized, locating information, admission time and date, and the facility’s name.

A clear and concise description of the incident including time, date, exact location, and coding elements as needed, based on ICD-9-CM.

Whether or not a physician was called, and if so, a brief statement of the physician’s  recommendations as to the medical treatment, if any.

A listing of all persons known to be involved directly in the incident, including witnesses, with locating information for each person listed