SPHCCƒ_Post Survey Questionnaire (PSQ)
[Click the link above to access or download the form]
The New PSQ has only 4 steps and is easier and faster to complete.
- Please complete this form as you can as soon as you can while your experience is still fresh. Survey feedback specific to psychiatric hospitals is especially rare and valuable.
- Don’t forget to download surveyor photos and bios during your survey since it is the only time they are available. Please be professional in your profiling comments about them.
Step 1: Basic identifications & Surveying Agency
Step 2: Go to your TJC Intranet site and download key data to your desktop (If Applicable)
- Download the Surveyor Profiles with Photos during your survey
- Download your TJC Survey Report once it is posted.
[Note: Our new reporting process keeps all reported results anonymous. We no longer post an individual
facilityʼs results. Instead, we now include them as part of an aggregate. However, we still need the details of
each finding so we can trend for the most frequent citations as well as the specific nature of the findings.]
Step 3: Profile the surveyors (example: Name/Disc = John J. Jones, MD/Psychiatrist)
Step 4: Submit this form and your downloads
- Create an e-mail to be sent to SPHCC@fieldsinc.com and attach the following:
This nPSQ form
TJC Survey Report
Surveyor Profile with Photo
- Send the e-mail with your nPSQ and attachments. You’re done!
- Call SPHCC Customer Service (770.389.3800) if you have questions or need assistance
Thank You
State & Psychiatric Hospital Compliance Collaborative (SPHCC)
www.SPHCC.net * Tel: 770.389.3800 * Fx: 770.389.3800
Email: SPHCC@fieldsinc.com