TX HHS Form 8600. Plan of Removal Provider Template

The TX HHS Form 8600, Plan of Removal Provider Template, is a crucial document that helps providers address noncompliance issues and prevent serious adverse outcomes. This form is typically used in situations where immediate jeopardy or threat exists, requiring swift action to mitigate harm. The template guides providers in developing a plan to remove the immediacy of the threat or jeopardy, ensuring the well-being of individuals affected.

The Plan of Removal (PoR) requires specific information and actions to be documented. This includes identifying the person(s) or resident(s) who suffered or are likely to suffer a serious adverse outcome as a result of noncompliance. The PoR must also outline the actions taken by the provider to immediately address the noncompliance, prevent recurrence, and specify who is responsible for monitoring and completing these actions.

The form highlights key features such as documenting specific actions taken or planned, including evaluations, supervision, record reviews, nursing services, environmental assessments, staff training, and disciplinary action. The PoR must also include completion dates for both immediate and follow-up actions. By using this template, providers can ensure compliance with regulations and prioritize the safety and well-being of individuals affected.

• The Plan of Removal (PoR) is used to address noncompliance issues in situations where immediate jeopardy or threat exists.
• The PoR requires identifying the person(s) or resident(s) who suffered or are likely to suffer a serious adverse outcome as a result of noncompliance.
• The form outlines specific actions taken or planned by the provider to address and prevent recurrence of noncompliance.