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Workplace violence & employee safety for hospitals

Every safety report needs a responsible next step.

NOW IMS connects protected reporting to human-led triage, investigation, post-incident follow-up, and program oversight—without losing ownership between departments or facilities.

  • Web, SMS, voice, and staff-assisted intake
  • Facility-specific routing and accountability
  • Human-governed AI with a visible role

Requirement sources reviewed August 18, 2026 · Operational information, not legal advice

01 / Operational response

One record from first signal to leadership review.

Replace disconnected hotlines, inboxes, spreadsheets, and handoffs with a controlled response record that shows what was reported, who owns the next action, and what changed because of it.

Explore the platform
A hospital employee safety report moving through protected intake, human review, investigation, follow-up, and program oversight.
WORKFORCE SAFETY · FACILITY 04OWNED
NEW REPORTThreatening behavior

Protected employee channel · Emergency department

  1. 01
    Intake protectedReporter preference and access preserved
  2. 02
    Human review assignedSafety and HR owners acknowledged
  3. 03
    Response documentedActions, evidence, and decisions retained
  4. 04
    Follow-up and reviewSupport, learning, and governance record
NOW NEO

Risk signals can be surfaced. People decide and act.

02 / Current requirement landscape

Built for the work the requirements expect.

The exact obligations depend on facility type, location, accreditation, workforce, and facts. These are the current anchors we would map with your hospital team.

TEXAS LAW

Written policy, facility plan, committee, response, and review.

Texas Health and Safety Code Chapter 331 requires covered facilities to establish or authorize a committee and maintain a written workplace violence prevention policy and practice-setting plan. The plan addresses training, response and investigation, security, employee input, reporting, annual review, and governing-body reporting.

Read Chapter 331
TEXAS HOSPITAL RULE

The hospital requirement now sits at 26 TAC §505.55.

The HHSC rule applies Chapter 331 within hospital licensing and specifies committee membership, written policy and plan elements, annual evaluation, post-incident services, access to the plan, and protections for good-faith reporting. It transferred from 25 TAC §133.55 in 2025.

ACCREDITATION

Joint Commission expects a measurable prevention program.

For hospitals and critical access hospitals, the NPG chapter became effective January 1, 2026. NPG #2a addresses multidisciplinary program ownership, incident reporting and trend analysis, support for victims and witnesses, governing-body reporting, worksite analysis, and training.

FEDERAL CONTEXT

OSHA connects recognized hazards to employer action.

OSHA says there is no specific federal workplace violence standard. Its General Duty Clause can apply to recognized serious hazards with feasible abatement, while injury recordkeeping and severe-event reporting obligations remain separate. OSHA recommends accurate incident and close-call records for program evaluation.

03 / Requirement-to-workflow map

Turn a written program into visible operating evidence.

01

Accessible reporting

Offer protected web, SMS, voice, and staff-assisted channels; preserve reporter preferences; allow controlled follow-up.

Supports intake and occurrence reporting
02

Response and investigation

Assign human owners, record acknowledgement, coordinate actions, retain evidence, and escalate using hospital-defined rules.

Supports a documented response system
03

Post-incident follow-up

Track whether immediate services, workforce support, law-enforcement rights, communications, and corrective actions were addressed.

Tracks action; does not deliver care
04

Facility-specific governance

Keep plans, incidents, trends, actions, and review evidence distinctly identifiable while giving authorized leaders a system-level view.

Supports annual and governing-body review

04 / Trust by design

A reporting system employees can use—and leaders can govern.

01

Protected intake

Anonymous and confidential paths can be configured with secure follow-up and conflict-aware routing.

02

Controlled access

Role and facility boundaries help limit sensitive information to the people responsible for the work.

03

Traceable decisions

Assignments, changes, actions, approvals, and closure remain connected to the incident record.

04

Human authority

NOW Neo can organize information and surface signals. People own emergency, employment, clinical, and disclosure decisions.

05 / Clear boundaries

The right system for the record—not the emergency itself.

NOW IMS coordinates organizational reporting and response. It is not emergency dispatch, a panic alarm, a hospital code system, clinical care, an EHR, or an automatic compliance determination.

  • Immediate danger still goes to 911 and hospital security.
  • Clinical and employment decisions remain with qualified people.
  • Required external reporting remains the hospital’s responsibility.
  • Any ePHI use requires a defined data flow and appropriate HIPAA review.
Read HHS cloud guidance

06 / Questions

What hospital teams ask first.

01What do Texas hospitals need under Health and Safety Code Chapter 331?

Covered facilities must establish or authorize a workplace violence prevention committee and adopt, implement, and enforce a written policy and practice-setting plan. The plan includes annual training for direct-patient-care personnel, a system for response and investigation, physical security and safety, worker input, reporting through occurrence systems, annual review, and governing-body reporting. Hospitals should confirm the requirements that apply to their facility with counsel and regulators.

02Does NOW IMS make a hospital compliant?

No software makes an organization compliant by itself. NOW IMS can support reporting, assignment, investigation, documentation, follow-up, and governance evidence. Hospital leaders, committees, legal counsel, and clinical and security teams remain responsible for the program, safeguards, decisions, training, and required reporting.

03Can employees report anonymously or confidentially?

Hospitals can configure protected web, SMS, and voice channels, including anonymous reporting and secure follow-up. Access, routing, and escalation can be limited by role and facility. The hospital determines the reporting design and notices appropriate to its workforce and jurisdiction.

04Is NOW IMS an emergency response or clinical system?

No. NOW IMS is not 911, a panic alarm, a hospital code system, an electronic health record, or a substitute for immediate clinical care or security response. Emergencies must use the hospital’s designated emergency channels.

05Can one health system manage multiple hospitals?

Yes. NOW IMS can support system-level oversight while preserving facility-specific routing, plans, incidents, actions, and reporting. That distinction matters in Texas, where a system committee may serve multiple facilities only if it develops a plan for each facility and keeps violence-prevention data distinctly identifiable by facility.

06What if a workplace violence report includes patient information?

The hospital must define what information belongs in the system and complete the appropriate privacy, security, contracting, and data-flow review. If NOW IMS would create, receive, maintain, or transmit electronic protected health information on behalf of a covered entity, HIPAA business-associate requirements may apply. Do not put patient names, PHI, or incident details in this marketing form.

07 / Private working session

Map your current program before you replace another tool.

Bring the facilities, reporting paths, teams, review cycle, and governance evidence you need to connect. We’ll focus the walkthrough on your operating model.

Plan a hospital walkthrough See the broader healthcare solution