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Policies · Quality

Incident Reporting and Investigation

Defines how staff report, escalate, and close clinical and operational incidents, including timelines for leadership review.

ComplianceSurvey ReadyBehavioral Health

Document outline

Structured sections ready for package delivery or survey prep.

  1. 1

    Purpose: Protect clients and staff by ensuring every incident is reported promptly and investigated with a clear owner.

  2. 2

    Scope: Applies to all clinical, residential, and administrative staff across behavioral health programs.

  3. 3

    Reporting window: Staff must notify a supervisor within 1 hour of discovering a reportable incident.

  4. 4

    Investigation: Quality completes an initial fact pattern within 2 business days and closes or escalates within 10.

  5. 5

    Documentation: All reports live in the incident log with linked corrective actions and training follow-up.

Section map

PurposeScopeDefinitionsProcedureDocumentationTraining