Department of Health Services Logo


Wisconsin Department of Health Services

If You Have Complaints about Wisconsin Health Care

Information about Division of Quality Assurance (DQA)

Provider Types Regulated by DQA

DQA Listservs

Provider Search

Provider Training

DQA Numbered Memos

DHS Forms

Remodeling of Health Care Facilities

WI Nurse Aide Training and Registry Info

Caregiver Program/ Background Checks

WI Adult Programs Caregiver Misconduct Registry

Introducing the BQA Post-Survey Questionnaire

PDF Version of BQA 03-015 (PDF, 65 KB)
Included are sample cover letters not otherwise available

Date: November 25, 2003 -- DDES-BQA 03-015

 FROM: Otis Woods, Deputy Director, Bureau of Quality Assurance

VIA: Susan Schroeder, Director, Bureau of Quality Assurance

OVERVIEW: This memo describes the new provider post survey questionnaire (PDF, 21 KB) under which health-care facilities provide feedback to the Bureau of Quality Assurance (BQA) regarding their experience with the on-site reviews BQA conducts. FACILITIES MAY RESPOND ANONYMOUSLY. This procedure will take effect January 1, 2004.

In 2000, the Health Services Section within BQA began conducting post survey reviews to measure non-long term care providersí experiences with on-site survey processes and their outcomes. Results from these reviews have been informative. They provide an opportunity for BQA to address improvements necessary to ensure that providers understand survey processes and how surveys impact them. They also indicate needed improvements to the Bureauís surveyor training programs. BQA will be expanding this continuous quality improvement methodology to all regulated providers beginning January 1, 2004.

The Bureau is very interested in how providers experience survey and licensing processes and whether the provider fully understands how their particular survey and itís results affect them. Questionnaire results will be kept separate according to each Bureau operating unit. BQA will also determine aggregate scores on a bureau-wide basis. Completing the survey questionnaire will be voluntary. We strongly encourage providers to complete and return the questionnaire to BQA.

Included with this memorandum is a copy of the post survey questionnaire (PDF, 21 KB) that we will give to each provider. The method of delivery could be at the entrance conference initiating the on-site survey, or within a period of time following completion of an initial, annual or complaint survey conducted by BQA surveyors. The questions are not specific to a particular provider type and some may not pertain to your facility. When this occurs, please check the "N/A" box and proceed to the next question or group of questions. Also provided is an opportunity to comment on a specific area(s) of the survey. We welcome your narrative comments.

BQA is committed to continuous quality improvement. We expect it from the providers we regulate and we expect it of ourselves. We will use the information facilities submit to us through this questionnaire to review, revise and improve BQA systems and practices. Your participation is vital; we need to hear from you!

PDF: The free Acrobat Readerģ software is needed to view and print portable document format (PDF) files. Learn more.