Report It Now for ECF CHOICES Tier 3 Reportable Events

Tier 3 Reportable Events should be reported within two business days of discovery.

ECF CHOICES Reportable Event Tier 3 Reporting Requirements

The following timelines are based on the date and time of who first discovers the incident, which could be BlueCare Tennessee or a provider.

  1. The ECF CHOICES provider Incident Management Coordinator or designee will submit a written ECF Tier 3 Reportable Event Form via data exchange to BlueCare Tennessee within two business days after the event or event discovery.
  1. The provider’s supervisory staff (including clinical staff, as applicable) is also required to review the Reportable Event in order to determine and complete appropriate follow-up, which may include, as appropriate:
    1. Follow up with the person’s primary care provider (or behavioral health provider, as applicable) to provide information and determine any needed treatment adjustments
    2. Follow up with the person’s Support Coordinator regarding any needed adjustments in the PCSP
    3. Targeted training or assistance for provider agency staff who support the person

ECF CHOICES Reportable Event Contact Information

  • BlueCare Tennessee Email:
  • BlueCare Tennessee Fax: 1-855-472-0156 (only use if email isn’t available)
  • Adult Protective Services
    • Phone: 1-888-277-8366
    • Fax: 1-866-294-3961
  • Child Protective Services
    • Phone: 1-877-237-0004
  • DIDD Email:
  • DIDD Fax Number: 1-877-551-5591
  • DIDD Regional Phone Numbers for reporting Tier 1 Reportable Events and requesting exceptions to administrative leave:
    • East Tennessee: 1-800-579-0023
    • Middle Tennessee: 1-888-633-1313
    • West Tennessee: 1-888-632-4490

What Defines the Two Types of ECF CHOICES Tier 3 Reportable Events – Medical and Behavioral?

Medical Tier 3 Reportable Events Include the Following:

  • Deaths (other than those that are unexpected/unexplained)
  • ER visits
  • Any inpatient observation or admission to an acute care, long-term acute care or skilled nursing facility/nursing facility
  • CPR or automated external defibrillator use
  • Choking episode requiring physical intervention (e.g., use of abdominal thrust or Heimlich maneuver)
  • Fall with minor or serious injury
  • Insect or animal bite requiring treatment by a medical professional
  • Pressure ulcer (Stage II and above)
  • Staph infection
  • Fecal impaction
  • Severe dehydration requiring medical attention
  • Seizure progressing to status epilepticus
  • Pneumonia
  • Severe allergic reaction requiring medical attention
  • Natural disaster (natural disasters affecting multiple individuals don’t require multiple individual reports)

Behavioral Tier 3 Reportable Events Include the Following:  

  • Criminal conduct or incarceration
  • Engagement of law enforcement
  • Sexual aggression
  • Physical aggression
  • Injury to another person as a result of a behavioral incident of a person supported
  • Suicide attempt
  • Self-injurious behavior
  • Property destruction greater than $100
  • Swallowing an inedible/harmful item
  • Psychiatric admission (or observation), including in an acute care hospital
  • Behavioral crisis that requires:
    • Protective equipment, manual or mechanical restraints, regardless of type or time used or approved by PCSP (all take-downs and prone restraints are prohibited)
    • PRN psychotropic medication
  • Crisis intervention (i.e., call)
  • In-home stabilization (Systems of Support participants only)
  • Out-of-home therapeutic respite

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