Healthicity Audit and Compliance Solutions

Deaconess Illinois

Thank you for taking the time to tell us about your experience. We take these reports very seriously and will do an internal review based on the details of the event that you provide.

Check Previous Incident

Date observed or first noticed

Location Name:

Location Address:

Location City, State, and Postal Code:

Where did the incident happen?

Who or what was affected?

**Please provide as much detail as possible to aid in our internal review.

Description of event(s) or concerns

Are you willing to discuss this issue with us further? Yes (Compliance or HR Team May Contact Me)No (Remain Anonymous - Do Not Contact Me)

Do you want to save a copy of this report to your device? YesNo

Thank you for providing details about your experience. If you have further questions or concerns, you may reach out directly to DILPatientRelations@deaconess.com or contact the Risk Management Department at a Deaconess Illinois Hospital.