Misconduct Incident Reporting (MIR) system

DHS Logo Original 07/11/2018

Division of Quality Assurance: Notifications & Updates

Attn: All Regulated Health Care Providers

Misconduct Incident Reporting (MIR) system

The Department of Health Services (DHS), Division of Quality Assurance (DQA), Office of Caregiver Quality (OCQ), is pleased to announce the development of a new online reporting system for providers to submit allegations of caregiver misconduct that occur in DQA regulated health care facilities. The Misconduct Incident Reporting (MIR) system is a secure, web-based system for providers to submit the Alleged Nursing Home Resident Mistreatment, Neglect and Abuse Report (F-62617) and/or Misconduct Incident Report (F-62447) forms as required by federal and state regulations. Providers will be able to enter the required reporting information, upload documents, and submit to OCQ through the MIR system. The MIR system will track and store reports the provider has submitted to OCQ. This will allow providers to log into their account and see reports that have been submitted for future reference if needed.

To obtain access to the MIR system, please refer to publication P-02312. To use the MIR system, providers will need to complete 2 steps:

  1. Create a Wisconsin Logon Management System (WILMS) account for the facility. Each facility may have up to two WILMS accounts for the purpose of submitting reports to the MIR system.
  2. Register the WILMS account with the MIR system.

It may take up to 3 business days for OCQ to process your registration. During this time you will not be able to access the MIR system. Providers are encouraged to register for the MIR system as soon as possible.

Use of the MIR system to submit allegations of misconduct will be required for allegations of misconduct that are discovered on or after Monday, March 4, 2019 unless you are unable to access the system. In that case, reports will be accepted via email at dhscaregiverintake@wisconsin.gov, fax, or postal mail.

MIR system user instructions can be found in the publication P-02312A. Important Note: The provider is responsible for ensuring the security of the WILMS account. The provider must notify the Department, in writing, at DHSDQAMIR@dhs.wisconsin.gov of any change in account users.

A link to access the MIR system can be found on the Department’s Caregiver Misconduct Reporting and Investigating Requirements web page.

Nursing homes only: Misconduct Incident Reports (F-62447) being submitted as follow up to Alleged Nursing Home Resident Mistreatment, Neglect and Abuse Reports (F-62617) sent to OCQ should be submitted in the same manner as the F-62617 was initially submitted (e.g. fax, email, or postal mail.)

If you have questions regarding the MIR system, please contact HelpDesk@wisconsin.gov or 608-261-4400 or toll free 866-335-2180.