59A-35.115. Patient Safety Surveys

(1) Each hospital and each ambulatory surgical center (ASC) must conduct or contract to conduct the Agency for Health Care Administration’s (Agency) Patient Safety Culture Survey (PSCS) pursuant to Section 395.1012(4), F.S. The survey must be administered within two years of the effective date of this rule, and thereafter, on at least a biennial basis.

(2) Reporting Period. Each facility must submit the PSCS data to the Agency between June 1st and August 31st every two years.

(3) Administering the survey.

(a) Each facility must administer the anonymous surveys to all the facility’s staff members. For the purposes of this rule, all persons who work in the facility are considered staff members.

1. For hospitals, staff respondents will complete the Hospital Patient Safety Culture Survey, AHCA Form 3130-8015, October, 2022, incorporated by reference and available at: https://www.flrules.org/Gateway/reference.asp?No=Ref-15002 and at: https://ahca.myflorida.com/schs/commiteescouncils/indexpscs.shtml.

2. For ASCs, staff respondents will complete the Ambulatory Surgical Centers Patient Safety Culture Survey, AHCA Form 3130-8017, October, 2022, incorporated by reference and available at: https://www.flrules.org/Gateway/reference.asp?No=Ref-14999 and at: https://ahca.myflorida.com/schs/commiteescouncils/indexpscs.shtml.

(b) Guidance and requirements for administering the PSCS can be found in the PSCS data entry guide and data file specifications:

1. For hospitals, the PSCS Data Entry Guide and Data File Specifications, AHCA Form 3130-8014, October 2022, is incorporated by reference and available at: https://www.flrules.org/Gateway/reference.asp?No=Ref-15004 and at: https://ahca.myflorida.com/schs/commiteescouncils/indexpscs.shtml.

2. For ASCs, the PSCS Data Entry Guide and Data File Specifications, AHCA Form 3130-8016, October 2022, is incorporated by reference and available at: https://www.flrules.org/Gateway/reference.asp?No=Ref-15001 and at: https://ahca.myflorida.com/schs/commiteescouncils/indexpscs.shtml.

(4) Data Submission.

(a) Upon the respondent’s completion of the survey, the contracted vendor or the facility personnel designated by the Chief Executive Officer (CEO), will collect, compile and submit the survey data using the facility specific data file specifications referenced in paragraph (3)(b) and the applicable data entry tool:

1. For hospitals, the PSCS Data Entry Tool, AHCA Form 3130-8015A October 2022, is incorporated by reference and available at: https://www.flrules.org/Gateway/reference.asp?No=Ref-15003 and at: https://ahca.myflorida.com/schs/commiteescouncils/indexpscs.shtml.

2. For ASCs, the PSCS Data Entry Tool, AHCA Form 3130-8017A, October 2022, is incorporated by reference and available at: https://www.flrules.org/Gateway/reference.asp?No=Ref-15000 and at: https://ahca.myflorida.com/schs/commiteescouncils/indexpscs.shtml.

(b) Once the contracted vendor or the designated facility personnel has compiled the survey data using the applicable data entry tool, the tool will export the survey data into a file. That file will be submitted to the Agency’s PSCS System, located at: https://ahca.myflorida.com/schs/commiteescouncils/indexpscs.shtml. The designated facility personnel or contracted vendor must complete registration into the PSCS System to confirm that they are authorized to submit on behalf of the facility.

(c) Upon successful registration into the PSCS System, and subsequent submission of the survey data file, a confirmation email of successful submission will be emailed to the contracted vendor or the designated facility personnel.

(d) The survey data findings will be published as available in accordance with Section 408.05(3)(d)3., F.S., at: https://www.https://ahca.myflorida.com/schs/commiteescouncils/indexpscs.shtml.

Rulemaking Authority 408.05, 395.1012 FS. Law Implemented 408.05, 395.1012 FS. History–New 1-26-23.