Why Beterra
Most "platforms" create more data silos.
Beterra closes the loop.
Safety culture surveys, PI projects, leader rounds, and caregiver support — on one data model, with one private AI layer. No exports. No silos. Your data never touches the internet.
The Status Quo
You bought four tools. You got four silos.
And no unifying context.
Quality leaders don't fail because they lack data. They fail because the data doesn't connect. Here's what a typical week looks like inside the fragmented stack.
Your Culture Survey vendor delivers a PDF - and stops
You run a staff feedback survey. Ninety days later, you have a 40-page benchmark report and no way to turn it into a PI project without manually re-keying findings into a spreadsheet your team will forget by Q3.
Your rounding app can't see your culture data
Your leaders round with the same generic questions every week. Meanwhile, your survey data is flagging "Handoffs and Transitions" as the lowest-scoring domain on the med-surg floor - and no one rounding in that unit knows it.
Your Care for Caregivers program runs in a shared inbox
When a clinician is the second victim of a preventable harm event, peer support activates over text messages. You have no system-level evidence to show your board that the program is working - or that it's reaching the people who need it.
Each one of these is a design failure. The tools don't create the needed context, so the work doesn't close the loop. No connected data means no closed loop. No closed loop means no unified improvement.
The Beterra Difference
One platform. One data model. One AI layer.
Every pillar works independently. Every pillar connects to the others. Data flows from insight to action - across every facility, without leaving the platform, and without ever touching a public LLM.
ACT Platform Architecture
One data model. Five pillars. Zero silos.
Every module connects to the same data layer — no exports, no integration tax.
Beterra AI — Private LLM, Inside Your Tenant
Zero external API calls · No public model training · Healthcare-tuned comment analysis · Risk scoring by unit
Survey Solutions
Safety & engagement measurement
- OneCulture
- SafeCulture
- Florida Safety Culture
- Pulse Check
Improvement Tools
Quality management & compliance
- Quality Dashboards
- Health System PI Management
- QAPI
- Care for Caregivers
- Patient Family Advisory Council
- Audit Management Soon
Rounding Technology
HRO-aligned high-reliability rounds
- Leader High Reliability Rounds
- Reliability Coaches Soon
- Tiered Huddles Soon
The ACT Loop — how insight becomes verified action
Measure
Survey every voice, every unit
Identify
AI pattern detection by unit and facility
Act
PI projects launch; peer support triggers
Verify
Documented, compliance-ready, year-round
Healthcare-native, not adapted
Unlike other survey vendors, we are a healthcare native company. Every feature is designed with healthcare leaders in mind, not retrofitted for a generic enterprise survey tool.
Private AI
Comment analysis, risk scoring, and pattern detection run on a private LLM. Zero external API calls ever. Your data never trains a public model and never touches the internet.
Closed-loop by design
Survey findings feed directly into PI projects, rounding templates, and Care for Caregivers activations. No exports. No CSVs. No "integration partner." Because it's one data model.
Built to pass an audit anytime
Every survey response, PI project, round, and peer support activation generates the compliance evidence you need for CMS PSSM, the Joint Commission, AHRQ PSO, and Leapfrog. It is documented continuously, not reconstructed in a panic before a site visit.
Direct Comparisons
How Beterra compares, feature by feature.
No euphemisms. Here's exactly how Beterra stacks up against the vendors you're most likely already evaluating - and the SharePoint-and-Excel status quo most of our customers left behind.
The honest take: Press Ganey's benchmark database is the industry's largest - we don't claim otherwise. But since the $6.75B Qualtrics acquisition announced October 2025, Press Ganey customers are facing a multi-year platform integration cycle. If you're renewing in 2026, this is the question: do you want to be inside that integration, or do you want a healthcare-native platform that already closes the loop? Bloomberg, March 2026 ↗
| Capability | Press Ganey | Beterra |
|---|---|---|
| AHRQ SOPS (HSOPS 2.0) native - not a configured survey | Partial Available via Forsta platform | Native |
| Process improvement / QAPI workflow in-platform | No Via consulting engagement | Included |
| Leader high-reliability rounding, integrated to survey data | No | Included |
| Care for Caregivers / second-victim module (Scott Model) | Partial Workforce wellbeing, not second-victim-specific | Native |
| Private LLM inside customer tenant, 0 external API calls | No Microsoft hyperscaler AI infrastructure | Yes |
| National AHRQ SOPS benchmark database | No Proprietary industry benchmarks | Yes Largest contributor to the AHRQ database |
| Typical implementation timeline | 3–6 months | 6–8 weeks |
| CMS PSSM attestation evidence - auto-generated | Manual assembly | Continuous |
| Potential Platform integration stability | Post-acquisition uncertainty | Independent, healthcare-focused |
| Transparent pricing model | Enterprise contract opacity | Transparent pricing conversations at first call |
| Data Debriefs and Automated Data Walk-throughs | No | Beterra exclusive |
Comparison reflects publicly available information and may be different. Beterra doesn't have direct visibility to competition information.
Why Now
Three forces just made the safety culture renewal conversation urgent.
If your survey vendor contract is up for renewal in the next 12 months, the market around you has changed in ways that reframe the decision.
2025 - CMS
The Patient Safety Structural Measure is now publicly reported.
Boards must attest. Quality leaders must produce auditable cross-domain evidence: culture surveys, incident reports, rounding logs, action plans, leadership engagement.
A platform that assembles a PSSM attestation packet continuously is no longer a nice-to-have - it's the job.
October 2025 - $6.75B
The Qualtrics–Press Ganey acquisition just reset the incumbent.
The largest patient-experience vendor is now inside the largest XM platform. Integration will distract product teams through 2027 at minimum.
Renewal in 2026 means signing up for a multi-year platform transition you didn't ask for - on someone else's roadmap.
Bloomberg, March 20262026 - HIPAA
AI data sovereignty is no longer theoretical.
OCR guidance and legal analysis have made it explicit: PHI-adjacent data fed into public ChatGPT, Gemini, or Claude without a signed BAA is a reportable event.
Vendors who host the model own the workflow. Vendors who wrap a public API will be replaced.
What Buyers Ask Us
The objections we hear - and our honest answers.
We've sat across from a lot of CMOs and VPs of Quality. These are the six questions that come up in every evaluation.
Most of our customers didn't switch from Press Ganey - they added Beterra for the action layer Press Ganey doesn't provide. PI management, rounding, and Care for Caregivers don't compete with a Press Ganey patient experience contract. They complete the stack Press Ganey stops short of.
That said, if you're up for renewal in 2026 and your total survey + consulting spend is north of $400K, the math often favors a full consolidation. We can build you a line-item comparison against your current Press Ganey statement of work in 48 hours. Ask for it during your demo.
We hear this on nearly every call. The truth is that the SharePoint/Excel stack is the most common platform Beterra replaces - not because it's bad, but because it stops scaling when you go from 1 facility to 4, or when your QI director takes another job.
Our implementation team imports historical survey data, PI project registries, and rounding logs as part of go-live. Typical time to live: 6–8 weeks. Our customer success team includes former hospital quality leaders who've built the same spreadsheets you have - they know exactly what to migrate and what to retire.
Fair. Ask us three questions on your demo: (1) Where is your model hosted? (2) Does any customer data leave our tenant to generate an AI response? (3) Can you show us your network architecture diagram?
Our answers: (1) Inside your tenant, on infrastructure you can audit. (2) No - zero external API calls, ever. (3) Yes - our Trust Center publishes it. We'll give your IT team BAA, SOC 2 Type II, HIPAA, and architecture documentation before contract signature. If a vendor can't answer those three questions in writing, that's your answer.
Good. We want your CIO on the call. We're SOC 2 Type II, HIPAA-aligned, SSO and SCIM-ready, with a published 99.9% uptime SLA. Our Trust Center is live at trust.beterra.com and our platform status at status.beterra.com.
Most CIO reviews take 2–3 weeks and end with zero blockers. The conversations that flag are the ones about generative AI and data residency - which is exactly why we built a private, in-tenant LLM instead of wrapping a public API. Your CIO will recognize the difference immediately.
Proof
Actual Customer Results.
Designing Reliability That Scales
Sarasota Memorial Health Care System
A public health system achieved an 84% safety culture survey response rate and surpassed national benchmarks across every key measure - by unifying survey deployment, leader rounding, and PI follow-through on a single platform.
Read the full case studyTurning Engagement Data Into Action
Alliant Management Services
Alliant moved from annual engagement snapshots to continuous, unit-level action planning inside Beterra - and improved its NPS by 39 points in a single cycle by routing every survey finding directly into a tracked improvement project.
Read the full case studyYour ability to engage senior leaders and visually depict safety metrics is the basis for our journey to high reliability.
Jill White, RN, BSN, CPPS
Corporate Director of Quality & PI, Baptist Health South Florida
Measuring the culture of patient safety is critical to our work to eliminate patient harm and reduce readmissions.
Kim Streit, FACHE, MBA, MHS
VP / Healthcare Research & Information, Florida Hospital Association
Once Beterra started to provide insights and coaching to our hospital teams, we finally started to see the needle move.
Dr. Richard Guthrie
Chief Quality Officer, Ochsner Health
See It in Action
Stop comparing vendor brochures.
See the loop close.
A 45-minute demo. Your survey data. Our platform. You'll see exactly what a closed-loop safety culture workflow looks like inside your own organizational structure.
Prefer to talk? Call (855) 9-Beterra · Email hello@beterra.com