What's Missing?
Staff Alex Matisin told participant Maria Tart-Van Blaricum that she needs to leave the premises due to throwing a rock at another client. Maria recommended that staff all go f*ck ourselves with moldy pineapple. She then threw the same rock through a staff member's car windshield.
What is the staff member's name?
Where is the Incident Report link located?
The Incident Report link is located on the Make A Report of the VOA Intranet page.
ZZ was very rude and shouting threats to staff, being very disrespectful. She was not able to get what she wanted, so threw her backpack at another participant, purposefully trying to hurt them.
Fact or feeling?
Feeling.
Which of the following is NOT protected health information (PHI)?
Name: J. P. Doe
SSN : ***-**-1234
Birth Date: 1994
Address: 1234 N North Ave
Phone Number: 509-509-5090
Client ID number: 0000001
Email: JPDoe1111@gmail.com
Birth year alone; All of the rest are protected health information either by themselves or when combined with other identifiable information for a specific person.
Participant was talking loudly, cursing, gesturing with fists, expressing frustration and insulting case manager because she could not schedule an appointment today. Case manager practiced de-escalation techniques, used active and reflective listening, and helped participant calm. They found a meeting time that would work for both of them, without further incident.
Should the case manager submit an incident report?
No, the situation was calmly de-escalated and the appointment was scheduled peacefully.
Make sure to DOCUMENT the interaction.
The case manager should staff the interaction with a supervisor and set limits with the participant's behavior at an appropriate time.
crosswalk participants kristi munoz and alex matisin had a food fight in the crosswalk kitchen i that is staff brandon martin responded and let them know the food fight needs to stop however they continued throwing food at that time ceo fawn schott walked through and got hit with spaghetti she was bringing the city council through for a tour they got hit by spaghetti as well i staff brandon told them they have to take a night out because that is assault they asked if they could take a plate of dinner with them i told them because they threw all the spaghetti theres no spaghetti left for dinner thats why you dont throw the spaghetti
What is PUNCUATION?
Michael hurt his back throwing bags of trash into the YAS dumpster.
True or False: Michael does not need to do an incident report.
Participant TJ has been rude and aggressive all day; therefore, he is not safe to stay at Hope House tonight.
What is Feeling? "Rude" and "Aggressive" are our interpretations, not any facts about what happened.
What are 3 forms of protected health information (PHI) under HIPAA?
Electronic - any PHI produced, saved or received electronically (emails, Credible records (electronic medical record - EMR), billing information, etc.)
Paper - any PHI in printed form (medical charts, consent or intake forms, documents, notes, invoices, etc.)
Verbal - any PHI presented verbally between professionals (team meetings, consultations, etc.)
Participant Kristi Munoz called the police to report that fellow Participant Jordan Trask stole her purse at the plaza today. Police arrived at Hope House to take the report.
What is YES? The emergency response occurred on Hope House property, so even though the incident didn't, we still need a report.
Participant Michael Downing (street name Michelangelo) announced yesterday that he is God, and an Angel, is invincible, and is here to save us all. He was walking through traffic yesterday, saying the cars will bounce off him if those f*ckers dare to approach him. Staff Maria called DCRs, but they sent MCAT and the BRU instead. Today, Michael came riding into YAS on a motorcycle, straight through the glass windows at the front of the building. CM Maria and CM Riley called DCRs and 911, but got a response from ATF, the DEA, and the CIA due to Michael's outstanding Interpol warrant for motorcycle smuggling. They declined to give us an incident report number.
What are the full names of these agencies? Please type out the full name (Mobile Crisis Team) at least once before using the acronym.
How soon after an incident should you file an incident report?
As soon as it is safe to do so.
Participant TJ was told he has to downsize his belongings. He charged towards Security Specialist Chris, getting nose-to-nose close with Chris. Staff told him he cannot stay at Hope House tonight because his behavior is unsafe.
What is FACT?
Does the following contain Protected Health Information (PHI) under HIPAA:
Client ID: --------
State: WA
Birth Year: 2001
Diagnoses: PTSD, ADHD, Unspecified mental disorder
Services: Engagement and Outreach, BHS Referral, Care Plan, Care Team Note
No. If information is stripped of specific personal identifiers and cannot be linked back to an individual, it is no longer considered PHI.
A staff member was mopping the floor when the doorbell rang. The staff member set the mop down and ran towards the door, slipping and falling onto their back on the way to the door. The staff member got up quickly and stated they did not feel any pain and were fine. Should the staff member complete an incident report?
YES! And they should fill out an OSHA 301 form as well. You may not feel injured right away, but your injury may get worse as time goes on.
Brandon Martin (street name B-Mart) reports his car stolen. The car is found wrapped around two poles at the same time with Riley Lawrence (street name GTA) having been driving 120 mph. Riley (aka GTA) claims she asked Brandon if she could see how fast his car goes and he said, "sure dawg it's cool." However, Brandon says he did not give Riley permission, and the car was found with the ignition cracked open and pliers used to start the car. Brandon calls the police, incident number 2025-13579. Officers Key #4567 and Peele #8901 respond and arrest Riley for car theft.
What are participant and staff roles?
You get a phone call from an unknown individual from another state, and they tell you that they plan to harm themselves, then hang up. You call the regional crisis hotline, and they take down the information you have. What incident type is this considered?
What is Health and Welfare Check.
A client came to tell staff that people were yelling over the fence and the client said "they're making me feel unsafe". Staff went to ask the people yelling over the fence to leave and witnessed them run away when staff came out to confront them.
What is FACT. The client is expressing how a situation made them feel.
Fines
Erode public trust and reputation
Criminal charges or imprisonment
What are consequences for misclassifying protected health information (PHI)?
The police came to the shelter, unprompted, looking to speak with a client who had called them to report a crime. Should we file an incident report?
YES. Be sure to include the report number and badge number in these types of incident reports as well.
Participant Maria approached staff at 1:25 pm and informed them that there was a fight happening outside of the shelter. Staff Jordan went outside to attempt to deescalate the situation and witnessed Participant Riley hitting Participant Michael over the head with a metal water bottle. At this point in time Staff Jordan went inside and called 911 to report the incident. Dispatch stated that they would send a police officer, and they arrived at 1:40 pm to speak with Riley. Riley told police that it's her water bottle, and if Michael didn't want to get hit over the head, he should have put his head somewhere else. Riley was arrested. Incident report # 2025-12341040.
No mention of an outcome for the victim. Was he taken to the hospital? Did he request medical attention? Was it offered?
What is the only way an internal incident report can be shown in court?
Subpoena
Client stated "I feel like Alex is targeting me because he is constantly staring at me and bad things always happen to me when I leave the shelter."
Fact or Feeling?
Fact. This is a direct quote from the client, and while this may be the client's feelings it is still a fact and important to include in the incident report.
HIPPA Allows disclosure of Protected Health Information (PHI) to DCR, MCAT, 988, and any other crisis referral hotlines.
True
Should we submit an incident report if we don't have the individual's name?
Yes. We can use a description of the individual, and supervisors can access cameras to get a picture sent to security.