#getP.Last_Name#, #getP.First_Name# #getP.Middle# - Survey Review
Create a Survey Call
Call Date
">
Date Format: mm/dd/yyyy
Select Time
select * from #Request.prefix_db_agency#.Patient_SurveyQuestions;
select * from #Request.prefix_db_agency#.ScheduleItems where ScheduleItems_ID=#URL.SchID#;
Choose the five survey question
checked/> Did the home health worker arrive on time ?
checked/> Did the worker stay for full appointment ?
checked/> Was the worker polite and courteous ?
checked/> Would you like a call from one of our supervisors regarding your care ?
checked/> Did the worker complete all of the scheduled tasks to your satisfaction ?
checked/> Did the clinician teach you what to do when there is an exacerbation in your condition
checked/> On a scale of 1 to 5 (with 1 being low), how would you rate the quality of care you received ?
checked/> On a scale of 1 to 5 (with 1 being low), how well did the clinician listen to you ?
checked/> On a scale of 1 to 5 (with 1 being low), how well did the clinician answer your questions ?
checked/> On a scale of 1 to 5 (with 1 being low), how well did the clinician teach you about your medications ?
DATE
DETAILS
SURVEY WILL BE ACTIVATED IN
ACTION
#year#
#day#
#month#
#SurvoSch_Date#
Delete
Edit
Survey call has not scheduled
#cfcatch.Message#
DATE
DETAILS
SURVEY WILL BE ACTIVATED IN
ACTION
#year#
#day#
#month#
#SurvoSch_Date#
Delete
Edit
Survey call has not scheduled
Update
Schedule
Cancel