For Healthcare Facilities
Reporting builds greater trust for all Oregonians
Through the Patient Safety Reporting Program (PSRP), healthcare facilities throughout Oregon learn from each other’s experiences with patient harm and near misses as a catalyst for improving overall care.
We believe healthcare facilities throughout Oregon should be able to learn from each other’s experiences.
Our Patient Safety Reporting Program (PSRP) helps make learning possible.
How does PSRP work?
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Report
Healthcare facilities voluntarily provide information about serious patient harm—or near misses—and their strategies for preventing future events.
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Analyze
We analyze these details to better understand how and why the harm occurred.
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Share
Then we share the broader lessons learned to support healthcare facilities statewide in improving patient safety.
What Are the Benefits of PSRP?
“It has become clear that reducing preventable harm is a complex endeavor that requires a concerted, persistent, coordinated effort by all stakeholders.”
PSRP focuses on building greater trust in the healthcare system and strengthening its culture of patient safety.
Healthcare facilities gain new sources of expertise in their ongoing efforts to design safer systems of care.
All Oregonians benefit from the more robust strategies for preventing patient harm that emerge from the program.
Always voluntary and confidential
Healthcare facilities working with the Patient Safety Reporting Program can trust that the information they share is kept confidential under state law. By allowing organizations to participate in a non-regulatory reporting environment, we can gather more valuable insights into the root causes of patient harm. OPSC then shares this knowledge to help healthcare facilities enhance their strategies for improving care.
Here’s how to join:
Ready to get started? Fill out a participation agreement and then email it to us or use the Submit Agreement button below. One of our OPSC team members will set you up with a PSRP account.
Complete a participation agreement:
PSRP Frequently Asked Questions
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Ambulatory surgery centers, hospitals, nursing facilities, and community pharmacies licensed in Oregon are eligible to join PSRP.
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The Oregon Patient Safety Commission (OPSC) is considered a “public health authority” under the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule. Therefore, a HIPAA Covered Entity is permitted to disclose protected health information (PHI) to us without either a Business Associate agreement or an authorization.
Learn more about OPSC’s HIPAA exemption: Memorandum: HIPAA Exemption for OPSC and its PSRP Activities, Oregon Department of Justice
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There are specific reportable events for each type of eligible facility. However, you can submit reports on any adverse event, including non-serious incidents or close calls, that highlight a valuable patient safety lesson. Adverse events are ones that result in unintended harm or create the potential for harm related to any aspect of a patient’s care, rather than to the underlying disease or condition of the patient.
Find out more about the reportable event types for your facility:
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To support a prompt review and analysis as well as implementation of safety measures, you should report within 45 days of discovering an event. However, you can submit a report any time after an adverse event has occurred if you have important learning to share.
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PSRP aligns with the Affordable Care Act (ACA) patient safety standards by providing an evidence-based structure to improve healthcare quality through the collection, management, and analysis of patient safety events.
Oregon hospitals with over 50 beds can certify their participation in PSRP to comply with the ACA patient safety standards, as described in 45 CFR §156.1110. Compliance is needed to contract with qualified health plan (QHP) issuers for plan years beginning on or after January 1, 2017.
If your hospital is using PSRP in accordance with the reasonable exception provision of the patient safety standards, you can use the Hospital Certification Form to document your organization’s compliance.
Reasonable exception provision
A QHP issuer that contracts with a hospital with greater than 50 beds must verify that the hospital:
Implements an evidence-based initiative, to improve health care quality through the collection, management and analysis of patient safety events that reduces all cause preventable harm, prevents hospital readmission, or improves care coordination.
45 CFR § 156.1110(a)(2)(ii)
Documenting your compliance
The QHPs with which you contract are required to collect documentation that demonstrates your hospital’s compliance with the patient safety standards. To document your hospital’s compliance using PSRP:
Download and save a copy of the Hospital Certification Form—Compliance with Patient Safety Standards for Qualified Health Plans
Complete the form
Keep the form on file and provide a copy of the form to your QHPs*
*Your QHPs may require that your hospital submit compliance documentation during your regular insurance contract cycle. Additionally, because the Exchange may request your hospital’s documentation from your QHP at any time, we encourage you to keep your documentation on file.
Reporting Targets
Reporting targets serve as a guide for healthcare facilities so that the information they contribute to the Patient Safety Reporting Program can help to build a comprehensive database for statewide learning. We encourage organizations to continue to contribute information, even if they have achieved their quantity target for the year.
Quantity
A reporting goal based on facility type and, in some cases, facility size
ASCs, nursing facilities, and pharmacies: Submit a minimum of 4 reports annually
Hospitals: Based on annual discharges, find your Submit, at a minimum, your hospital’s report quantity target
Timeliness
A 45-day window, from event discovery to report submission, to encourage prompt event review and analysis and implementation of safety measures
Quality
A set of quality components that serve as indicators of a strong event review and analysis process that will minimize the risk of similar events
