New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 8 - EMPLOYEE ABUSE REGISTRY › Section 8.370.8.9 - INCIDENT MANAGEMENT SYSTEM INTAKE

Current through Register Vol. 35, No. 13, July 16, 2024
The authority has established an incident management system
				  for receipt, tracking and processing of complaints. Complaints may be reported
				  to the authority's incident management system using the authority website's
				  on-line form completion utility, by telephone using a toll free number,
				  facsimile, U.S. mail, email, or in-person. The method of reporting preferred by
				  the authority is on-line form completion via the authority's website,
				  http://dhi.health.state.nm.us/elibrary/ironline/ir.php. The toll free telephone
				  line is staffed by the authority during normal business hours and a message
				  system is available for reporting complaints during non-business hours.
A.
Incident report form
.
				Complaints of suspected abuse, neglect or exploitation will be reported by
				providers on the department's incident report form if possible. This form and
				instructions for completing and filing the form are available at the
				department's website or may be obtained from the department by calling the toll
				free number 800-752-8649 or 800-4456242 or by mailing a request to the incident
				management bureau, division of health improvement, health care
				authority.
B.
Reportable
				intake information.
Reports of suspected abuse, neglect or exploitation
				made to the authority by persons who do not have access to, or are unable to
				use, the authority's current incident report form shall provide as specific a
				description of the incident or situation as possible, and shall contain the
				following information where applicable:
(1)
				the location, date and time or shift of the incident;
(2) the name, age and gender, address and
				telephone number of the person the reporter suspects to have been abused,
				neglected, or exploited, and the name, address and telephone number of the
				guardian or health care decision maker for such person, if
				applicable;
(3) the names,
				addresses, phone numbers and other identifying information of the providers who
				provide services to the person the reporter suspects to have been abused,
				neglected, or exploited;
(4) the
				names, addresses, phone numbers and other identifying information of the
				following people who the reporter believes may have been involved with, or have
				knowledge of, the incident; provider's staff and employees; family members or
				guardians of the person the reporter suspects to have been abused, neglected,
				or exploited; other health care professionals or facilities; and any other
				persons who may have such knowledge;
(5) the condition and status of the person
				the reporter suspects to have been abused, neglected, or exploited;
(6) the reporter's name, address, telephone
				number and other contact information, together with the name and address of the
				provider with whom the reporter is employed, if applicable.