Incident Reporting Policy

SUD Specialty Group – CA, Mental Health Specialty Group, P.A., Mental Health Specialty Group NJ, PC, and Mental Health Specialty Group KS, P.A. (collectively, “Group”) contracts with Path, CCM, Inc. d/b/a Rula (“Rula”) for management and administrative support services. Each entity within the Group and Rula may be referenced herein as a Company and, collectively, as the Companies.

Policy Statement

This policy recognizes the importance of the health, safety, and well-being of patients and team members. This policy identifies the expectation for reporting of incidents, tracking, and analyzing incidents. Analysis of incidents are conducted to identify gaps, root causes, trends, and used as a means to practice continuous risk management and quality improvement. 

Applicability

This policy applies to all team members who become aware of a reportable incident. For purposes of this policy, the Companies’ team members include individuals who would be considered part of the workforce, such as employees, independent contractors, and other persons whose work performance is under the direct purview of the Companies’  business practices. 

Definitions

Incident: occurrence related to the health and/or safety, or threatens the health and/or safety, of an individual or group. The occurrence may or may not cause an adverse impact on a patient or team member. Definitions of specific reportable incidents are included with the body of the policy. 

Quality of care concern: when standards of care are not met, which contributes to the reportable incident. 

Policy

1. Reporting
   2. Death (regardless of manner) of a patient who received any services within the 30 days prior to the incident date. 
   3. Patient related publicity event
      1. This is the potential or actual publicity or media attention involving Rula, the Group, or any patient who has received any services within the past 30 days.
      2. An example would be a patient who has been arrested for homicide or attempted homicide, or other potential substantial criminal activity
   4. Allegation of sexual contact by a patient against a provider, harassment, stalking, or other serious patient conduct violations
   5. Medication error, intentional or unintentional.
   6. Provider conducting a welfare check, filing a child/elder abuse report, or similar official report to an authority regarding a Rula patient
   7. Incidents involving providers and team members:
      1. Patient physical abuse: intentionally causing harm to a patient or neglecting a patient who needs medical attention
      2. Patient verbal abuse: any language directed at a patient by a team member which would be reasonably considered offensive, including use of profanity and language used to belittle, berate, or otherwise cause the patient to feel threatened or intimidated. 
      3. Exploitation of a patient by a team member
   8. Any other incident not described above that seriously endangers the physical health or well-being of a patient. 
2. Incident Investigation
   1. Once reported, incidents may require additional follow-up details and actions. 
   2. The team member who reported the incident will comply with the requests of the Patient Safety Team, Compliance Team, Quality Team, or designee for additional information as part of the investigation. 
3. Incident Analysis: Upon the conclusion of an incident an analysis will be conducted that includes prevention efforts, causes, remedial action/corrective action that may include training, and recommendations for improvement. 
4. Annual Report: As part of the Quality Assurance plan, an annual report of the analysis of all incidents will occur. 

Attachments

A: Incident Reporting Form

Updated January 05, 2026 20:49