Introducing the BQA Post-Survey
PDF Version of BQA 03-015 (PDF,
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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!
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