Division of Quality Assurance Complaint Resources
PDF Version of DQA 08-016
(PDF, 27 KB)
Date: June 3, 2008 -- DQA Memo 08-016
To: Ambulatory
Surgical Centers ASC 04
Adult
Day Care ADC 02
Adult
Family Home AFH 07
Community
Based Residential Facilities CBRF 08
End
Stage Renewal Dialysis ESRD 03
Facilities
for the Developmentally Disabled (FDD) FDD 08
Home
Health Agencies HHA 05
Hospices
HSPC 08
Hospitals
HOSP 10
Nurse
Aide Training Programs NATP 03
Nursing
Homes NH 12
Outpatient
Rehabilitation Agencies OPT/SP 02
Residential
Care Apartment Complexes RCAC 07
Rural
Health Clinics RHC 03
Disability Rights of Wisconsin
Board on Aging and Long Term Care
Coalition of Wisconsin Aging Groups
From: Alfred C. Johnson, Director
Bureau of Technology, Licensing and Education
Via: Otis Woods,
Administrator
Division of Quality Assurance
Division of Quality Assurance Complaint Resources
The purpose of this memo is to introduce the new Division of Quality
Assurance (DQA) online and toll-free, complaint-intake system.
DQA is responsible for assuring the health, safety, and welfare of the
citizens of Wisconsin. If an individual believes that a caregiver, agency,
or DQA-regulated facility has violated State or Federal laws pertaining to
regulated entities, that individual has the right to file a complaint with
DQA.
In the past, individuals with complaints were instructed to contact the
appropriate regional office via telephone or postal mail. These systems are
still valid and applicable methods to submit complaints. In addition, DQA
has added options for individuals to report their concerns via Internet
submission or use of a toll-free telephone number.
Online Complaint Form
The Internet form for submitting a complaint can be accessed at http://dhfs.wisconsin.gov/bqaconsumer/HealthCareComplaints.htm.
Any individual may file a complaint regarding a (staff) person, agency, or
DQA regulated facility (including clinical labs) by supplying the
information requested in this online form.
Toll-Free Complaint Phone Number
The phone number for submitting a complaint via the toll-free complaint line
is 1-800-642-6552. Any individual may file a complaint regarding a (staff)
person, agency, or DQA-regulated facility (including clinical labs) by
following the menu instructions and leaving a message in the mailbox.
Long-Term Care Providers
Adult Day Care Providers, Adult Family Homes, Community-Based Residential
Facilities, Facilities for the Developmental Disabled, Home Health Agencies,
Hospitals, Nursing Homes, and Residential Care Apartment Complexes are
required by applicable administrative code to provide residents and patients
with DQA contact information.
Facilities should continue to provide the
appropriate regional office contact information. Facilities are encouraged
to provide information on the Internet form and toll-free phone number for
submission of complaints as well.
If an individual prefers to file a complaint directly with a regional
office, contact information for each Bureau's regions is available at http://dhfs.wisconsin.gov/bqaconsumer/HealthCareComplaints.htm.
Non-Long-Term Care Providers
Non-Long Term Care (LTC) providers (Ambulatory Surgery Centers, End Stage
Renal Dialysis Units, Home Health Agencies, Hospices, Hospitals, Outpatient
Physical Therapy/Speech Language Pathology Services, Outpatient
Rehabilitation Facilities and Rural Health Clinics) may provide the direct
telephone number of the Non-LTC Complaint Coordinator to patients or others
who desire to make complaints regarding potential violations of licensure or
certification regulations.
Helen Brewster, Complaint Coordinator
DQA/Bureau of Health Services
(608) 266-0224
In Ms. Brewster's absence, telephone messages to (608) 266-0224 will zero
out to (608) 264-9888 (the Bureau of Health Services main telephone number), and will then be
directed to other Bureau of Health Services staff for a timely response.
Questions
Please contact Alfred Johnson at (608) 266-2055 with questions regarding
these new complaint resources.
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