For Healthcare Facilities
Share your patient safety learning
The Patient Safety Reporting Program (PSRP) helps us tap into your organization’s expertise and lessons learned from adverse events. Contributing to patient safety work can help other facilities improve… making care safer for all Oregonians.
At the heart of this program is the idea that we don’t compete on safety.
There are two ways to participate in PSRP:
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Adverse Event Reporting
Share what you’ve learned from adverse events. Every adverse event is an opportunity for learning. And when you report through PSRP, you help ensure learning doesn’t get stuck within individual healthcare organizations.
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Patient Safety Activities
You can also get involved through patient safety activities. As a supplement to reporting, we’ll sometimes offer other ways to support patient safety work. Learn more about our last activity, the Patient Safety Survey.
How reporting works:
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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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Eligible facilities include ambulatory surgery centers, community pharmacies, hospitals, and nursing facilities that are licensed in Oregon.
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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 events that result in unintended harm, or that create the potential for harm, related to any aspect of a patient’s care. Outcomes related to a patient’s underlying disease or condition are not adverse events.
Find out more about the reportable event types for your facility:
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Check out the full list of healthcare facilities that have contributed to patient safety work in Oregon throughout the last 12 months.
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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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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 Guidance
Through PSRP, your organization can add to a growing database of adverse event prevention strategies that help Oregon healthcare organizations learn from each other and improve patient safety. The following guidance can help to ensure the information you submit can support statewide learning. We encourage organizations to continue to contribute information, even if they have achieved their quantity goal for the year.
Report Quantity
This is an annual reporting goal based on facility type and, in some cases, facility size.
ASCs, Nursing Facilities, and Pharmacies: 4 reports minimum
Hospitals: Varies based on annual discharges for your organization (Review your hospital’s report quantity goal)
Time to Report
Prompt event review and analysis can help your organization determine what caused the event, why it happened, and how you can prevent similar events in the future. Typically, this should occur within 30-45 business days after the event. Share what you’ve learned through your event review and analysis to PSRP.
Report Quality
High-quality reports help ensure others can learn from your experience. High-quality reports include:
A summary of what you learned from your event analysis
Essential information to understand what happened
Relevant, system-level contributing factors
An indication that leadership was involved in the event analysis (esp. for serious harm events)
One or more root causes
One or more system-level action plans designed to minimize risk
Did you know?
If you took the Patient Safety Survey, you can now see your results compared to the aggregate results of other facilities in Oregon!
Curious what the Patient Safety Survey was all about?
