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Florida Reporting Requirements: Florida requires that all licensed healthcare facilities establish an internal risk management program that includes:The investigation and analysis of the frequency and causes of general categories and specific types of adverse incidents to patients. The development of appropriate measures to minimize the risk of adverse incidents to patients. The analysis of patient grievances that relate to patient care and the quality of medical services. A system for informing a patient or an individual identified pursuant to state law that the patient was the subject of an adverse incident. The development and implementation of an incident reporting system. . . [that requires all agents and employees to report]. . . adverse incidents to the risk manager. . . within 3 business days after their occurrence (Florida Statutes, 2014) Details of these sections contain requirements for licensing and training; any specific limitations, definitions of reportable events; and the encouragement of innovative solutions to the problem of medical errors. Additional sections of state law stipulate facility reporting requirements, and requirements that the Agency for Health Care Administration (AHCA) post summary reports a minimum of quarterly on its website. Facility reports are of two types: (1) Code 15 reports, which cover occurrences of eight of the most serious types of adverse events and must be reported to the AHCA within 15 days of occurrence; and (2) annual summary reports of all incidents (Florida Statutes, 2014). In addition, a separate section of state law requires the AHCA to collect data on hospital-acquired infections (Florida Legislature, 2010). While Florida was the first state to publish a hospital-specific report on hospital-acquired infections in 2005, a March 2010 review of state-by-state activities from the Committee to Reduce Infection Deaths (RID) notes that the Florida reports are disappointing due to weaknesses in data collection, detail, and methodology (RID, 2011). In 2011 the Florida Department of Health announced it had received funding from the American Recovery and Reinvestment Act (ARRA) for a Healthcare-Associated Infection Prevention Program intended to help both monitor and prevent HAIs. While current information (2014) on the program’s status is not available on the department’s website, detailed information on Florida’s various programs is available from the CDC (CDC, 2013).
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