TX HHS Form 6101. Birthing Center Facility Incident Report

The TX HHS Form 6101, Birthing Center Facility Incident Report, is a crucial tool for birthing centers to document and report incidents that occur during the course of patient care. This form helps ensure that important information about unexpected events or adverse outcomes is recorded and shared with relevant stakeholders in a timely manner.

The report must be filed within 48 hours if a mother or newborn remains at the birthing center for medical reasons beyond 24 hours after birth, or within five calendar days of occurrence if there is a patient death during labor, within 24 hours of discharge from the center, or upon transfer to another healthcare facility. The form requires key information such as date and time of incident, facility license number, and reporter's name and contact details.

Section 2 of the form focuses on patient information, including demographics, medical history, diagnoses, and cause of death (if applicable). This section is essential for capturing relevant details about patients involved in incidents. By using this form, birthing centers can maintain accurate records, identify trends or patterns, and improve overall patient care.