Current through Register Vol. 35, No. 11, June 11, 2024
Section 7.1.12.9 - INCIDENT MANAGEMENT SYSTEM INTAKEThe department has established an incident management system for receipt, tracking and processing of complaints. Complaints may be reported to the department's incident management system using the department 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 department is on-line form completion via the department's website, http://dhi.health.state.nm.us/elibrary/ironline/ir.php. The toll free telephone line is staffed by the department 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, http://dhi.health.state.nm.us/elibrary/ironline/ir.php or may be obtained from the department by calling the toll free number 800-752-8649 or 800-445-6242, or by faxing a request to 800-584-6057, or by mailing a request to the Incident Management Bureau, Division of Health Improvement, department of Health, P.O. Box 26110, Santa Fe, New Mexico, 87502-6110.B.Reportable Intake information. Reports of suspected abuse, neglect or exploitation made to the department by persons who do not have access to, or are unable to use, the department'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.C.Method of Filing Complaint. The completed incident report form must be filed with the department. It may be hand delivered, faxed toll free to 800-584-6057, mailed, emailed, or, preferably, filed by use of the department's procedure for on-line form completion.7.1.12.9 NMAC - N, 1/1/2006