The goal of the Patient Safety Surveillance and Improvement System (PSSIS) is to improve patient safety during hospitalizations, decrease serious adverse events that occur in Vermont hospitals, and facilitate quality improvement efforts by hospitals. The Vermont Department of Health is charged by statute to operate the PSSIS, and contracts with the Vermont Program for Quality in Health Care (VPQHC) to administer the system.
Internal Hospital Procedures
Each Vermont hospital must:
- Establish internal policies and procedures to identify, track and analyze all adverse events and near misses
- Conduct appropriate causal analysis
- Develop and implement corrective action plans
Each Vermont hospital must report to the Patient Safety Surveillance and Improvement System incidences of any of the National Quality Forum’s serious reportable events and for each event:
- Conduct an appropriate causal analysis
- Develop and implement a corrective action plan
- File the causal analysis and corrective action plan with the Patient Safety Surveillance and Improvement System
- Each hospital must report any incidence of intentional unsafe acts
A yearly summary report of Vermont Hospital's Serious Reportable Events can be found in the annual Hospital Report Card
Each hospital must report the incidence of a National Quality Forum (NFQ) serious reportable event, and the occurrence of an Intentional Unsafe Act to Patient Safety.
The Patient Safety Surveillance and Improvement System is designed to improve patient safety. As provided for in 18 V.S.A. §1917, all information made available to the Department of Health through the Patient Safety Surveillance and Improvement System is:
- Confidential and privileged
- Exempt from the public access to records law
- Immune from subpoena or other disclosure and not subject to discovery or introduction into evidence in any civil or administrative action against a provider of professional health services
The Intentional Unsafe Act provisions of the Patient Safety Surveillance and Improvement System became effective on July 1, 2006, and the remaining provisions on January 1, 2008.
To report abuse, neglect or exploitation of a vulnerable adult or to enter a complaint against a facility or agency that provides health care, please contact the Division of Licensing and Protection:
Division of Licensing and Protection: Vermont Department of Disabilities, Aging & Independent Living
Phone: 800-564-1612 or 802-241-3918
REPORT ONLINE: Abuse Reporting Online Form
OR visit the Division of Licensing and Protection to access the online form and more information.
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Vermont Program for Quality in Health Care, Inc.
Vermont Department of Health
Margaret Robinson, Public Health Nursing Director