If You Have Complaints about Wisconsin Health Care

Information about Division of Quality Assurance (DQA)

DQA Web Pages

DQA Facility Directories

DQA Provider Training

DQA Numbered Memos

DHS Forms

WI Nurse Aide Training and Registry Info

Caregiver Program/ Background Checks

WI Adult Programs Caregiver Misconduct Registry

WI Medicaid Provider Information

Hospitals - Information for Providers

Introduction | Rules_&_Regulations | Forms | Providers | Contacts | What's_Happening | Publications | Related Sites

For questions regarding hospitals, you may E-mail the Division of Quality Assurance.

Wisconsin Information:

• NEW - Licensure and Medicare / Medicaid Certification for Hospitals

• Survey Guide: Hospitals and Other Health Services Providers (PDF, 67 KB)

• Survey Guide: Critical Access Hospitals (including Swing Bed CAHs) (PDF, 45 KB)

• Lists of Wisconsin Hospitals, via Health Care Facility Directories

• Wisconsin Licensure Information for Hospitals (exit DHFS)

• Swing Bed Licensure (exit DHFS)

• WI Facilities with Dedicated Units for the Care of Ventilator-Dependent Persons

• Traumatic Brain Injury (TBI) Programs

• The Diabetes Prevention & Control Program in Wisconsin - includes links to Care Guidelines and Strategic Plan 2004-2009

• Facilities Seeking to Perform Laboratory Testing - Information

• Reporting Client / Patient Death Attributable to Suicide, Restraint, or Psychotropic Medication

• Filing a Complaint Resource Sheet (consumer information)

• Wisconsin Medicaid Provider Information:

  • Hospital Inpatient

  • Hospital Outpatient

• Critical Access Hospitals (exit DHS) (Wisconsin Office of Rural Health)

• Quality Improvement Guide -- Providing a Quality Life While Avoiding Restraints (via BQA memo 00-020)

• Construction/Remodeling of Health Care Facilities - Plan Review Requirements

Federal Information:

Federal Links - Centers for Medicare and Medicaid Services (including S&C letters), HIPAA, Civil Rights, US Department of Labor, etc.

• IMPORTANT, PLEASE READ: Centers for Medicare & Medicaid Services (CMS) Requirements for Hospital Medical Staff Privileging (exit DHS; PDF), S&C Letter 05-04, November 12, 2004

  • The hospital’s Governing Body must ensure that all practitioners who provide a medical level of care and/or conduct surgical procedures in the hospital are individually evaluated by its Medical Staff and that those practitioners possess current qualifications and demonstrated competencies for the privileges granted.

  Final Rule: Hospital Conditions of Participation - Quality Assessment and Performance Improvement (PDF, 128 KB)

  • The rule can also be retrieved from the Federal Register (exit DHS):

    • Select 2003

    • Select January 24, 2003

    • Scroll down to "Centers for Medicare and Medicaid Services" or do Find (Control+F) for "Hospital"

    • Select either Text or PDF for the version you prefer

• Conditions of Participation for Hospitals (exit DHS)

• Interim Guidance for the Hospital Quality Assessment and Performance Improvement Condition of Participation (exit DHS; PDF), S&C 03-16

• EMTALA Final Rule November 10, 2003 - EMTALA Interim Guidance (exit DHS; PDF) S&C 04-10

• CMS Hospital Center (exit DHS)

• Information for Providers (exit DHS)

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Last Updated: July 03, 2008