1. OTIS Reporting LABENFA Workshop 6/28/2012

2. Reporting Requirements  Initial report due within 24 hours of Discovery  Discovered date, Accused/Allegation or Incident Category, Victim, Description  Final report due within 5 working days of Discovery date  Extensions granted by Program Manager or OTIS clerical staff  Request by email (preferable), fax or telephone 2LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS

3. What is Not Reportable in OTIS?  Resident to Resident incidents without injuries  Non-Serious Injuries  Small bruises or skin tears not in areas suspicious for Abuse LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS3

4. What is Not Reportable in OTIS?  Minor injuries not of serious consequence in Resident to Resident incidents & Injuries of Unknown Origin  Injuries that cause discomfort, redness to the skin, minor bruising, scratches, superficial lacerations, skin tears, abrasions  Insult, disrespect, nuisance, offence, minor cursing LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS4

5. What is Not Reportable in OTIS?  Incidents that are not reportable in OTIS should be thoroughly investigated according to your facility’s policies and procedures for incident recording, investigation and tracking/trending LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS5

6. Reporting Considerations  Accidental injuries generally distal - knees, chin, fingers, toes  Suspicious injuries generally midline and proximal - face, neck, chest, breast, back, buttocks LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS6

7. What is Reportable in OTIS?  Incidents between Residents incapable of willful infliction of injury/willful intent  Was there a serious injury?  Was there a system failure that allowed incident to occur?  Was there appropriate supervision?  Were both Resident’s Care Plans being followed?  Investigate as Caregiver Neglect LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS7

8. What is Reportable in OTIS?  Always give yourself credit through the Protective Actions for both the Accused and the Victim  Treat the Summary like a Plan of Correction  Include any training done as a result of the Incident  Include all systems put in place to ensure that the incident does not re-occur LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS8

9. OTIS Information Requests  Requests for correction/clarification/ additional information in OTIS reports  Made by faxed/emailed letter  Reports re-opened/unlocked by removing facility/CEO finding  Due date of report changed by PM when reports re-opened  Facility/CEO finding date remains the same, unless you come to a new conclusion LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS9

10. OTIS Information Requests  Additional information requests  May add to Summary as an addendum or re-write Summary to include requested information  Address each specific request  Send each document only once  Correction/clarification requests  If no correction/clarification warranted, explain in Summary LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS10

11. OTIS Additional Information Requests  Used to evaluate/prepare cases against Accused staff members  Only information that can be used in preparing CNA cases  Thorough investigation essential  Used to determine any further referrals  Used to determine if incident is reportable  Used to evaluate thorough investigation LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS11

12. OTIS Training  OTIS Welcome Page:  http://new.dhh.louisiana.gov/index.cfm/page/280 http://new.dhh.louisiana.gov/index.cfm/page/280  OTIS Training Resources:  http://new.dhh.louisiana.gov/index.cfm/newsroo m/detail/1693?uuid=1303144003194 http://new.dhh.louisiana.gov/index.cfm/newsroo m/detail/1693?uuid=1303144003194  OTIS Training Website  OTIS User Guide  OTIS Power Point  OTIS Willful Intent Flow Chart LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS12

13. Contact Information  Telephone: 225-342-7715  Fax: 225-342-0453  Email: Denise.Traylor@LA.GOV LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS13