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The manual defines what qualifies as an incident, outlines confidentiality expectations, specifies when reports must be filed and how to submit them, and describes reporting frequency for Level I events. It also details documentation, incident categories, internal review team responsibilities, disclosure requirements, and supporting appendices including definitions and response-level criteria.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":41,"@type":70,"position":76},"https://docshare.wps.com/template/letters/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/incident-reporting-and-improvement-system-iris-incident-response-and-reporting-manual-february-2011/253755/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/incident-reporting-and-improvement-system-iris-incident-response-and-reporting-manual-february-2011/253755.png","ImageObject",442,249,{"name":88,"@type":89},"Elsa","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-20","2026-09-13",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",7,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"Who is required to submit incident reports in IRIS?","Question",{"text":109,"@type":110},"Providers of publicly funded services licensed under NC General Statutes 122C (Category A), and providers of publicly funded non-licensed periodic or community-based services (Category B) must report incidents involving consumers receiving these services. Hospitals and certain other licensed or certified providers are not required.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What qualifies as an incident under the manual’s definition?",{"text":114,"@type":110},"An incident is any happening not consistent with the routine operation of a facility or the routine care of a consumer and that is likely to lead to adverse effects upon a consumer.",{"name":116,"@type":107,"acceptedAnswer":117},"How are incidents categorized for reporting purposes?",{"text":118,"@type":110},"Incidents are organized into categories such as consumer deaths, injury, allegations of abuse/neglect/exploitation, restrictive interventions, community/media concerns, medication errors, consumer behavior, suspension or expulsion from services, and fire.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},253755,1790118655,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":40,"category_name":41,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":136,"language":137,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":138,"faqs":139,"seo_title":140,"seo_description":61,"update_tm":141,"read_time":142},137455077381,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","Incident Response and Reporting Manual  \nFebruary 2011  \nNORTH CAROLINA DIVISION OF MH/DD/SAS  \n325 N. Salisbury Street 3003 Mail Service Center Raleigh, NC 27699-3003  \nPhone: 919-733-0696  \n1  \nTHIS PAGE IS INTENTIONALLY LEFT BLANK  \nTABLE OF CONTENTS  \nI. GENERAL INSTRUCTIONS……………………………………………………………………….4  \nA. Purpose…………………………………………………………………………………………..................4  \nB. Who Must Submit the Incident Report.........................................................................................................4  \nC. What is an Incident.......................................................................................................................................5  \nD. Confidentiality……………………………………………………………………………………………..5  \nE. When to File………………………………………………………………………………………………..5  \nF. How to Submit……………………………………………………………………………………………..6  \nII. REPORTING GUIDELINES……………………………………………………………………….7  \nA. Documentation of Incidents………………………………………………………………………………..7  \nB. Under Your Care…………………………………………………………………………………………...7  \nC. Incident Categories………………………………………………………………………………………...7  \n1. Consumer Deaths……………………………………………………………………………………..7  \n2. Injury………………………………………………………………………………………………….8  \n3. Allegations of Abuse, Neglect and Exploitation……………………………………………………...8  \n4. Restrictive Interventions……………………………………………………………………………...9  \n5. Incidents of Concern to Community or Media Coverage…………………………………………….9  \n6. Medication Errors……………………………………………………………………………............10  \n7. Consumer Behavior………………………………………………………………………………….11  \n8. Suspension or Expulsion from Services……………………………………………………………..11  \n9. Fire…………………………………………………………………………………………………...11  \nIII. QUARTERLY REPORTING OF LEVEL I INCIDENTS………………………………………11  \nA. When to Report…………………………………………………………………………………................12  \nB. What / Where to Report…………………………………………………………………………………...12  \nIV. UPDATING INFORMATION ON REPORTS..............................................................................12  \nV. INTERNAL REVIEW TEAM FOR LEVEL III INCIDENTS………………………………….13  \nVI. CLARIFICATION OF INTERNAL REVIEW TEAM REQUIREMENTS……………………………………………………………………………….…13  \nVII. DISCLOSURE OF INFORMATION………………………………………………......................15  \nVIII. APPENDIX A: GLOSSARY………………………………………………………………………16  \nIX. APPENDIX B: CRITERIA FOR DETERMINING LEVEL OF RESPONSE TO INCIDENTS……………………………………………………………………………………18  \nX. APPENDIX C: INCIDENT RESPONSE OVERVIEW………………………………………...23  \nXI. APPENDIX D: INTERPRETIVE GUIDELINES FOR FIRST AID…………………………..26  \nIncident Reporting and Improvement System (IRIS)  \nI. GENERAL INSTRUCTIONS  \nA. Purpose  \nThe purpose of the Department of Health and Human Services (DHHS) and Division of Mental Health/ Developmental Disabilities/Substance Abuse Service (DMH/DD/SAS) Incident Reporting System is to ensure that serious adverse events involving persons receiving publicly-funded mental health, developmental disabilities, and/or substance abuse (mh/dd/sa) services are addressed quickly and analyze trends to prevent future occurrences and improve the service system.  \nB. Who must submit incident reports?  \nProviders of publicly funded services licensed under NC General Statutes 122C (Category A providers), except hospitals, and providers of publicly funded non-licensed periodic or community-based mental health, developmental disabilities and/or substance abuse services (Category B providers) are required to report incidents involving consumers receiving mental health, developmental disabilities and/or substance abuse services. Failure to do so, as required by North Carolina Administrative Code 10A NCAC 27G .0600, may result in DHHS taking administrative action against the provider’s license or authorization to provide services. Hospitals and providers of services licensed under G.S. 131D or G.S. 131E (Category C providers) and individuals certified or licensed in North Carolina to provide only outpatient or day services (Category D providers) are not required to submit incident rep","cbCaipybdBe36mK9","https://ap.wps.com/l/cbCaipybdBe36mK9","pdf",359811,29,"English","# General Instructions\n## Purpose\n## Who Must Submit the Incident Report\n## What is an Incident\n## Confidentiality\n## When to File\n## How to Submit\n# Reporting Guidelines\n## Documentation of Incidents\n## Under Your Care\n## Incident Categories\n# Quarterly Reporting of Level I Incidents\n## When to Report\n## What / Where to Report\n# Updating Information on Reports\n# Internal Review Team for Level III Incidents\n# Clarification of Internal Review Team Requirements\n# Disclosure of Information\n# Appendix A: Glossary\n# Appendix B: Criteria for Determining Level of Response to Incidents\n# Appendix C: Incident Response Overview\n# Appendix D: Interpretive Guidelines for First Aid","[{\"question\":\"Who is required to submit incident reports in IRIS?\",\"answer\":\"Providers of publicly funded services licensed under NC General Statutes 122C (Category A), and providers of publicly funded non-licensed periodic or community-based services (Category B) must report incidents involving consumers receiving these services. Hospitals and certain other licensed or certified providers are not required.\"},{\"question\":\"What qualifies as an incident under the manual’s definition?\",\"answer\":\"An incident is any happening not consistent with the routine operation of a facility or the routine care of a consumer and that is likely to lead to adverse effects upon a consumer.\"},{\"question\":\"How are incidents categorized for reporting purposes?\",\"answer\":\"Incidents are organized into categories such as consumer deaths, injury, allegations of abuse/neglect/exploitation, restrictive interventions, community/media concerns, medication errors, consumer behavior, suspension or expulsion from services, and fire.\"}]","Incident Reporting and Improvement System (IRIS) - Incident Response and Reporting Manual - February 2011 | PDF",1789269757,10]