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Reporting And Data

Sentinel Event Annual Summary Report

Latest Update: August 11, 2020
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Reporting Information

Each medical facility shall provide to the Division, in the form prescribed by the State Board of Health, a summary of the reports submitted by the medical facility regarding sentinel events during the immediately preceding calendar year.

Responsible Party

Who Must Report?

State of Nevada Healthcare License types now required by SB457 from the 2019 legislative session, and implemented as of 1/1/20, to report to the Sentinel Events Registry include the following:

  • ADA - FACILITY FOR THE TREATMENT OF ABUSE OF ALCOHOL OR DRUGS
  • ADC - FACILITY FOR THE CARE OF ADULTS DURING THE DAY
  • AGC - RESIDENTIAL FACILITY FOR GROUPS
  • ASC - SURGICAL CENTER FOR AMBULATORY PATIENTS
  • BPR - BUSINESS THAT PROVIDES REFERRALS TO RFFG
  • CTC - COMMUNITY TRIAGE CENTER
  • ESRD - FACILITY FOR THE TREATMENT OF IRREVERSIBLE RENAL DISEASE
  • HBR - AGENCY TO PROVIDE NURSING IN THE HOME - BRANCH OFFICE
  • HFS - FACILITY FOR HOSPICE CARE
  • HHA - AGENCY TO PROVIDE NURSING IN THE HOME
  • HIC - HOME FOR INDIVIDUAL RESIDENTIAL CARE
  • HOS - HOSPITAL
  • HPC - HOSPICE CARE - PROGRAM OF CARE
  • HSB - AGENCY TO PROVIDE NURSING IN THE HOME - SUB UNIT
  • HWH - HALF-WAY HOUSE FOR RECOVERING ALCOHOL AND DRUG ABUSERS
  • ICE - INDEPENDENT CENTER FOR EMERGENCY MEDICAL CARE
  • ICF - FACILITY FOR INTERMEDIATE CARE
  • IMR - FACILITY FOR INTERMEDIATE CARE/IID
  • MDX - FACILITY FOR MODIFIED MEDICAL DETOXIFICATION
  • NSP - NURSING POOL
  • NTC - FACILITY FOR TREATMENT WITH NARCOTICS
  • OPF - OUTPATIENT FACILITY
  • PCO - PERSONAL CARE AGENCY THAT IS ALSO ISO CERTIFIED
  • PCS - AGENCY TO PROVIDE PERSONAL CARE SERVICES IN THE HOME
  • PRTF - PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY
  • RHC - RURAL CLINIC
  • RUH - RURAL HOSPITAL
  • SNF - FACILITY FOR SKILLED NURSING
  • TLF - FACILITY FOR TRANSITIONAL LIVING OF RELEASED OFFENDERS

Deadlines

When Do I Report?

Annually, on or before March 1 of each year

Method

How Do I Report?

Nevada State Health Division via RedCAPS

Contact Information

Registrar
500 Damonte Ranch Parkway
Suite 657
Reno, NV 895201
Phone: (775) 684-5297

Administrator
4126 Technology Way
Suite 200
Carson City, NV 89706
Phone: (775) 684-5911

Supervisor
3811 W. Charleston Blvd.
Suite 205
Las Vegas, NV 89102
Phone: (702) 486-3568

Publicly Displayed

Link to the website/ranking/grading/etc. where the data is published

  NRS 439.840  Reports of sentinel events: Duties of Division; confidentiality.

      1.  The Division shall:

      (a) Collect and maintain reports received pursuant to NRS 439.835 and 439.843 and any additional information requested by the Division pursuant to NRS 439.841;

      (b) Ensure that such reports, and any additional documents created from such reports, are protected adequately from fire, theft, loss, destruction and other hazards and from unauthorized access;

      (c) Annually prepare a report of sentinel events reported pursuant to NRS 439.835 by a health facility, including, without limitation, the type of event, the number of events, the rate of occurrence of events, and the health facility which reported the event, and provide the report for inclusion on the Internet website maintained pursuant to NRS 439A.270; and

      (d) Annually prepare a summary of the reports received pursuant to NRS 439.835 and provide a summary for inclusion on the Internet website maintained pursuant to NRS 439A.270. The Division shall maintain the confidentiality of the patient, the provider of health care or other member of the staff of the health facility identified in the reports submitted pursuant to NRS 439.835 when preparing the annual summary pursuant to this paragraph.

      2.  Except as otherwise provided in this section and NRS 239.0115, reports received pursuant to NRS 439.835 and subsection 1 of NRS 439.843 and any additional information requested by the Division pursuant to NRS 439.841 are confidential, not subject to subpoena or discovery and not subject to inspection by the general public.

      3.  The report prepared pursuant to paragraph (c) of subsection 1 must provide to the public information concerning each health facility which provided medical services and care in the immediately preceding calendar year and must:

      (a) Be presented in a manner that allows a person to view and compare the information for the health facilities;

      (b) Be readily accessible and understandable by a member of the general public;

      (c) Use standard statistical methodology, including without limitation, risk-adjusted methodology when applicable, and include the description of the methodology and data limitations contained in the report;

      (d) Not identify a patient, provider of health care or other member of the staff of the health facility; and

      (e) Not be reported for a health facility if reporting the data would risk identifying a patient.

      (Added to NRS by 2002 Special Session, 14; A 2007, 21072009, 55330682011, 83617992019, 1668)

Authority

The legal mandate requiring reporting

NRS 439.843  Annual summaries of reports of sentinel events; compilation by Division; confidentiality; posting of patient safety plans by Department on Internet website.

      1.  On or before March 1 of each year, each health facility shall provide to the Division, in the form prescribed by the State Board of Health, a summary of the reports submitted by the health facility pursuant to NRS 439.835 during the immediately preceding calendar year. The summary must include, without limitation:

      (a) The total number and types of sentinel events reported by the health facility, if any;

      (b) For a medical facility:

             (1) A copy of the most current patient safety plan established pursuant to NRS 439.865; and

            (2) A summary of the membership and activities of the patient safety committee established pursuant to NRS 439.875; and

      (c) Any other information required by the State Board of Health concerning the reports submitted by the health facility pursuant to NRS 439.835.

Notes

Any other pertinent information

Activities of healthcare facilities associated with the Sentinel Events Registry include:

  1. Sentinel Event Registry Report Form 1 and 2  The reporting / investigation of sentinel events (NQF definition - Serious Reportable Event).
  2. File Annual Summary Report (Due March 1)  The annual summary of sentinel events / patient safety efforts (meeting schedules, participants, patient safety plan, etcetera).
  3. Update SER Contact and Staff Information. The assigning of the patient safety officer, designated reporters (up to 2),  and an administrator account and contact information.

Current Documents

Documents related to this reporting
DISCLAIMER
Although many of these requirements apply to individual medical professionals and other types of hospitals and health care facilities, the information is presented solely to support Critical Access Hospitals. The reporting requirements and legal mandates on this site are not an exhaustive list and Nevada Rural Hospital Partners, Inc. bears no responsibility or liability for any hospitals' or providers' failure to comply with Federal or State laws or regulations.