Verification of Incident Classification

The Verification of Incident Classification screen, which is part of the final section of the incident report, allows users to verify the incident categories and investigation determination that were documented in the first section of the incident report. If the incident categories and/or investigation determination have changed since submission of the first section, the user may make necessary modifications to the incident using this screen.

This screen is also used to specify modifications and updates that were made to incident reports in response to Not Approved management reviews.

Field Name	Field Description
Discovery Date and Time	If the discovery date and time entered in the first section is not accurate, select the correct date and time that the incident was discovered.
Primary Category	If needed, select a new primary category from the incident drop-down.
Primary Category Date Occurred	If needed, select a new date the primary category occurred.
Secondary Category	If needed, select a new secondary category from the incident drop-down.
Secondary Category Date Occurred	If needed, select a new date the secondary category occurred.
Reviewing Organization	In the instance where the service location included in a site level incident is located outside of Pennsylvania, this read-only field displays the organization which will perform the management review of the incident. For ODP-ID/A, the reviewing organization will be the county/Administrative Entity that conducts provider monitoring for the site. For ODP-BSASP, the reviewing organization will be the region that conducts provider monitoring for the site.
Reason for Reclassification (if applicable)	If the primary or secondary category of the incident was changed, enter the reason for the reclassification.
[DETERMINE IF AN INVESTIGATION IS REQUIRED]	Click this button to determine if an investigation is required for the incident.
Investigation Required?	This field automatically populates based on the primary and secondary categories selected when the user clicks [DETERMINE IF AN INVESTIGATION IS REQUIRED], [SAVE] or [SAVE & CONTINUE].
Proceed with Investigation?	This field automatically populates based on the primary and secondary categories selected when the user clicks [DETERMINE IF AN INVESTIGATION IS REQUIRED], [SAVE] or [SAVE & CONTINUE].
Assigned Certified Investigator	Type the name of the desired certified investigator and select the name from the drop-down list. Note: If an assigned investigator no longer has the appropriate role to perform investigations, their name will appear as a label next to the textbox. A new assignment can then be made if necessary.
Investigation will be conducted by	Select whether the investigation will be conducted by an AE/County or an SCO. Note: This question only appears for ODP-ID/A incidents filed by an SC.
As a result of a Not Approved Management Review, summarize updates, clarifications, and corrections	Enter a summary of changes made to the incident to address the Not Approved Management Review.
Choking/Falling Indicator	Select whether the incident involved choking, falling, or neither.
Was the incident referred to Child Protective Services (0-17 years of age)?	Select whether the incident was referred to Child Protective Services. Note: This question only appears for ODP-ID/A incidents.
Was the incident referred to Adult Protective Services (18-59 years of age)?	Select whether the incident was referred to Adult Protective Services.
Was the incident referred to Older Adult Protective Services (60+ years of age)?	Select whether the incident was referred to Older Adult Protective Services.
If no, please explain:	Provide an explanation if ‘No’ was selected in response to any of these three questions: Was the incident referred to Child Protective Services (0-17 years of age)? Note: This question only appears for ODP-ID/A incidents Was the incident referred to Adult Protective Services (18-59 years of age)? Was the incident referred to Older Adult Protective Services (60+ years of age)? Note: Responses to these three protective services questions can be ‘N/A’ if the incident is not required to be reported to protective services.
Indicate provider investigation determination	Select the provider investigation determination.
Please explain	Provide an explanation for the provider investigation determination.
Has the Individual been notified of the findings and actions taken as a result of the incident as well as the investigation determination, if applicable?	Select whether the individual has been notified of the findings and actions taken as a result of the incident as well as the investigation determination, if applicable.
If no, please explain	If the individual has not been notified, provide an explanation.
Has the family/guardian/individual’s designee been notified of the findings and actions taken as a result of the incident as well as the investigation determination, if applicable?	Select whether the individual's family/guardian/individual’s designee has been notified of the findings and actions taken as a result of the incident as well as the investigation determination, if applicable.
If no, please explain	If the family/guardian/individual’s designee has not been notified, provide an explanation.
If no targets were identified, please explain	If no targets were identified, provide an explanation.
Was there a medical intervention for this individual?	Select from the drop-down whether there was a medical intervention for the individual.
Incident involves confirmed COVID-19 diagnosis (resulting from a positive test or documentation from a health care practitioner)	Select whether the incident involves a confirmed COVID-19 diagnosis, resulting from a positive test or documentation from a health care practitioner.