Get Self Survey Module - Alaska Department Of Health And Social Services - Dhss Alaska

This guide provides step-by-step instructions for users to effectively complete the Self Survey Module provided by the Alaska Department of Health and Social Services. Designed to support healthcare facilities in evaluating compliance, this guide will ensure clarity throughout the form completion process.

Follow the steps to fill out the Self Survey Module online.

1. Click the ‘Get Form’ button to obtain the form and open it in the online editor.
2. Begin filling out the 'Emergency Services' section by reviewing the availability of services, ensuring emergency equipment and medication are listed as required.
3. Proceed to the 'Number Beds/Length Stay' section. Here, fill in the current number of beds available in the facility and confirm compliance with the length of stay policies.
4. In the 'Physical Plant & Environment' section, describe the status of the construction and maintenance of the facility, including emergency procedures and fire safety measures.
5. Complete the 'Organizational Structure' section by detailing the governing body responsible for compliance and any related disclosures.
6. Move on to the 'Staffing & Staff Responsibilities' section, detailing the healthcare staff available and their qualifications, along with their specific responsibilities.
7. In the 'Provision of Services' section, outline the services provided directly and through arrangements, ensuring patient care policies are up to date.
8. Fill in the 'Clinical Records' section by describing how records are maintained, their confidentiality and retention protocols.
9. After reviewing all sections, check for completeness and accuracy before submitting the form. Users can opt to save changes, download, print, or share the form as necessary.

Complete the Self Survey Module online today to ensure compliance and improve service quality.