Get Merp Survey Facility Questionnaire - Cdph Ca

The MERP Survey Facility Questionnaire is an essential tool developed by the California Department of Public Health to guide facilities in providing necessary information regarding their medication error reduction plans. This guide offers a clear and structured approach to filling out the questionnaire online, ensuring accurate and complete submission.

Follow the steps to complete the MERP Survey Facility Questionnaire online.

1. Click the ‘Get Form’ button to obtain the MERP Survey Facility Questionnaire and open it in your preferred online document editor.
2. Begin by filling out the facility name, address, city, and zip code in the designated fields. This information is crucial for identifying the submitting facility.
3. Next, provide the name, title, and phone number of the person completing the form. Additionally, enter the date when the form is being completed.
4. Proceed to Question A. Review the question carefully and indicate whether a method addressing the procedures and systems exists to identify weaknesses or deficiencies contributing to medication errors by selecting 'Yes' or 'No'. If 'Yes,' provide a description in the space provided.
5. Continue detailing responses for each procedure or system listed under Question A. For each item, you will need to specify the methodology used, how frequently evaluations are conducted, and any weaknesses identified together with their respective dates.
6. Move to Question B. Indicate whether the plan has been modified based on previously identified weaknesses or deficiencies, selecting 'Yes' or 'No'. If 'Yes,' include brief details on the modifications made and relevant dates.
7. Lastly, answer Question C regarding the annual review of the organization’s MERP plan. Confirm if this review has been conducted, and provide details where necessary.
8. After completing all sections, review the content for accuracy and completeness. Users can then save changes, download the form, print it, or share it as needed.

Complete the MERP Survey Facility Questionnaire online today to enhance your medication error reduction strategies.