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evaluation of an incident by a risk manager or his designee or by a representative of the Agency. (19) “Licensed health care risk manager” means an individual licensed under Section 395.10974, F.S.(20) “Medical care” means that care and treatment rendered by or under the direction of licensed health care professionals.(21) “Medical intervention” means actions of any health care facility or personnel of the facility, in the provision of health care.(22) “Medical terminology” means terms and abbreviations most commonly found in medical usage as well as prefixes and suffixes which are employed as elements of medical words.(23) “Patient care” means those services provided or rendered to meet the patient’s physical, emotional and spiritual needs.(24) “Patient grievance” means any complaint by a patient relating to patient care or the quality of medical services, except for those matters pertaining to the cost of care.(25) “Personal and social care” means those human resources and services which are available to meet the individual psychosocial needs of patients to promote well-being and continuity of care.(26) “Personnel” for purposes of this rule means any employee or independent contractor of a facility or member of a facility’s medical staff.(27) “Personnel directly involved” for the purposes of reporting to the Agency means personnel as described in subsection (26) who could exercise control over the event which is reportable as an adverse or untoward incident.(28) “Risk management” means the identification, investigation, analysis, and evaluation of risks and the selection of the most advantageous method of correcting, reducing or eliminating identifiable risks.(29) “Risk Manager designee” means any person appointed by the facility to work with the licensed health care risk manager or to act as his representative in carrying out risk management activities. This appointment must be in writing. (1) INCIDENT REPORTING. An incident reporting system shall be established for each facility. Procedures shall be detailed in writing and disseminated to all employees of the facility. All new employees, within 30 days of employment, shall be instructed about the operation of the system and responsibilities of it. At least annually all nonphysician personnel of the facility working in clinical areas and providing patient care shall receive 1 hour risk management and risk prevention education and training including the importance of accurate and timely incident reporting.(2) INCIDENT REPORTS. The incident reporting system shall include the prompt, within 3 calendar days, reporting of incidents to the risk manager, or his designee. Reports shall be on a form developed by the facility for the purpose and shall contain at least the following information:(a) The patient’s name, locating information, admission diagnosis, admission date, age and sex;(b) A clear and concise description of the incident including time, date, exact location; and elements as needed for the annual report based on ICD-9-CM;(c) Whether or not a physician was called; and if so, a brief statement of said physician’s recommendations as to medical treatment, if any;(d) A listing of all persons then known to be involved directly in the incident, including witnesses, along with locating information for each;(e) The name, signature and position of the person completing the reports, along with date and time that the report was completed.(3) INCIDENT REPORT REVIEW AND ANALYSIS. The risk manager shall be responsible for the regular and systematic reviewing of all incident reports including 15-day incident reports for the purpose of identifying trends or patterns as to time, place or persons: and upon emergence of any trend or pattern in incident occurrence shall develop recommendations for corrective actions and risk management prevention education and training. Summary data thus accumulated shall be systematically maintained for 3 years.(a) At least quarterly or more often as may be required by the governing body, the risk manager shall provide a summary report to the governing body which includes information about activities of risk management as defined herein.(b) Evidence of the incidents reporting and analysis system and copies of summary reports, incident reports filed within the facility, and evidence of recommended and accomplished corrective actions shall be made available for The facility shall report all incidences meeting the criteria specified in Section 395.0197(6), F.S., to the Agency within 15 calendar days of occurrence. The report shallbe made on AHCA Form 3140-5001-August 1993, Code 15 Report which is incorporated by reference and may be obtained from the Agency for Health Care Administration. The agency may require an additional final report. Any reportable incidents pursuant to this section that are submitted more than 15 calendar days from occurrence by the facility must be justified in writing by the facility administrator. (1) Any person requesting licensure as a health care risk manager shall make application to the Agency on the Health Care Licensing Application, Health Care Risk Manager, AHCA Form 3130-1015, January 2015, which is hereby incorporated by reference. This form may be obtained at http://www.flrules.org/Gateway/reference. asp?No=Ref-05175 and from the Agency for Health Care Administration, Hospital and Outpatient Services Unit, 2727 Mahan Drive, Mail Stop #31, Tallahassee, Florida 32308 or on the Agency website at: http://ahca.myflorida. com/HQA licensure forms. In order to qualify for licensure, the applicant must submit evidence to the Agency that satisfies the requirements in Sections 395.10974(1)(a)-(j), F.S. (2) An applicant shall be considered qualified as competent in the areas required by Sections 395.10974(1)(a)-(j), F.S., if he or she submits evidence of one of the following: (a) Completion of all three modules in the Healthcare Risk Management Certificate Program, and attainment of the Certificate of Completion from the American Society for Healthcare Risk Management. (b) Current licensure in one of the professions listed in the definition of health care professional as defined in subsection 59A-10.032(15), FAC.; and:1. Satisfactory completion of a 120 hour risk management educational program approved pursuant to Rule 59A-10.037, F.A.C.; or 2. Experience which qualifies under paragraphs 59A-10.036(2)(a), (b), (c), (g) and (h), F.A.C. (c) Attainment of credentials as a health care administrator as defined in subsection 59A-10.032(14), FAC.; and:1. Satisfactory completion of a 120 hour risk management educational program approved pursuant to Rule 59A-10.037, F.A.C.; or2. Experience which qualifies under paragraphs 59A-10.036(2)(a), (b), (d), (e) and (g), F.A.C. (d) Attainment of credentials as a basic risk manager as defined in subsection 59A-10.032(16), FAC.; and: (1) Satisfactory completion of a one year Health Care Risk Manager Training Program which has been approved by the Agency as providing training in each area listed in subsection 59A-10.033(1), F.A.C., shall be satisfactory evidence that the applicant is competent in each area.(2) A Health Care Risk Manager Training Program shall be taught or supervised by a licensed Health Care Risk Manager.(3) A Health Care Risk Manager Training Program shall consist of 384 hours of classroom instruction, on-the-job training, and supervised individual study in health care risk management in accordance with a Health Care Risk Manager Training Program Outline approved by the Agency for Health Care Administration. The program shall provide classroom instruction, on-the-job training, and supervised individual study covering each of the ten areas listed in subsection 59A-10.033(1), F.A.C.(4) The Health Care Risk Manager Training Program Outline must be approved by the Agency for Health Care Administration prior to being offered and any change in the training program and training