Serious Incident Reporting

Serious Incident Reporting for Independent Providers and Provider Agencies


Starting November 1, 2019, a Serious Incident, or SI, in Oregon must be directly reported by Independent Providers (PSWs, Behavior Professionals, etc.) to the individual’s Personal Agent within one business day of the incident. For PSWs, this can be reported in in an email, phone call, or face-to-face meeting.

For Provider Agencies and Foster Providers, a written report must be submitted to the Personal Agent within five business days.

Information to include in a serious incident report

• Individual’s name

• Date, time, duration, type, and location of the incident

• What happened before, or leading up to, the incident

• Detailed description of the incident, including what you (as the provider) did

• Description of the injury, if applicable

• Your name and the names of any witnesses

• Actions taken to help prevent the incident from happening again

Serious incidents to be reported by independent providers

  • Serious illness that results in hospitalization, bodily injury, or death without treatment

  • Serious injury that risks a person’s life or permanent injury without treatment

  • Physical aggression resulting in injury to the person, PSW, or others

  • The individual receives emergency medical care: This includes urgent care visits and treatment by paramedics, regardless if the individual is transported to a hospital by the paramedic

  • The individual is missing beyond the time frame established in their ISP

  • The individual is admitted to a psychiatric hospital

  • A suicide attempt is made by the individual

  • There is an unplanned hospitalization

  • A medication error occurs that results in harm or puts the person’s health and safety at risk

  • A safeguarding intervention or the use of safeguarding equipment included in a Positive Behavior Support Plan that results in injury

  • The use of a physical restraint that is not included in a Positive Behavior Support Plan

  • Emergency Crisis Strategies (per TESP)

  • Death

Serious incidents to be reported by provider agencies and foster providers

All incidents required to be reported by PSWs (listed above) must also be reported by Provider Agencies and Foster Providers, along with the additional incidents listed below.

  • Physical aggression

  • Fire requiring the fire department

  • Medication error


Important Note: Your role as a mandatory reporter of suspected abuse or neglect has not changed. It is still required to report this to the abuse hotline at 1-855-503-SAFE (7233) and to the individual’s Personal Agent.

If you have further questions about what to report or how to do so, please contact the individual’s Personal Agent.