12VAC35-105-20  Definitions

“Missing” means a circumstance in which an individual is at any time not physically present when and where he is expected or is supposed to be.     This definition is concerning as we have many individuals scheduled for appointments who are a “No Show”.   Individuals may change their mind about attending appointments and should not be labeled as “missing”. To place “missing” as a Level 2, Serious Incident and require reporting of all these “missing” people will increase administrative reporting duties.   It also seems excessive that a Root Cause Analysis would then have to be completed for every person deemed “missing” because they were not physically present when and where they were supposed to be.

"Serious incident" definition includes the description of a Level II serious incident to include:

5.  A hospital admission  -  is this an admission to any hospital -  State or general/medical hospital?

12VAC35-105-590  Provider staffing plan

5.  Adequate number of staff required to safely evacuate all individuals during an emergency.   The phrase "adequate number of staff" needs to be defined. What guidelines are used to determine what is "adequate"?