Get Critical Incident Reporting Instructional Guide

This guide provides users with clear and comprehensive steps for filling out the Critical Incident Reporting Instructional Guide online. Ensuring accurate reporting of critical incidents is vital for maintaining safety and compliance within the SSVF program.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to access the Critical Incident Reporting Instructional Guide and open it in your online editor.
2. Fill out the Agency Information section, which includes fields for Name of Grantee, Program Number, Agency Staff Name, Email Address, Phone Number, and the Date of the Report. Avoid using Personally Identifiable Information (PII) when identifying Veterans, instead use their HMIS ID.
3. Next, complete the Client Information section by inputting the Client HMIS ID number.
4. Indicate the type of incident by selecting one of the options from the provided list. If the incident does not fit into the given categories, select the ‘Other’ checkbox and provide a brief explanation in the textbox.
5. Provide details for the incident in the relevant fields, including Date & Time of Incident, Location/Address of Incident, and Incident Description. Ensure the description is clear and focuses on the critical nature of the incident.
6. Answer whether the incident gained media attention by selecting ‘Yes’ or ‘No’. This step is crucial for reporting requirements to the Veterans Affairs Central Office.
7. Document any actions taken regarding the incident by using the ‘Yes/No’ dropdown menu for each action listed. If any actions are marked as ‘Yes’, provide corresponding details as required.
8. Indicate if additional follow-up was provided by selecting ‘Yes’ or ‘No’. If applicable, enter the date of follow-up or describe the follow-up action taken.
9. Input the name and title of the Agency staff member who reviewed the report prior to submission in the designated field.
10. Complete the form by ensuring all sections are adequately filled out and submit the finalized report to the SSVF Program Office via the designated email address.
11. Wait for the SSVF Program Office to review the report. The Regional Coordinator will reach out within two business days if further action is required.

Take the necessary steps to complete and submit your critical incident report online today.