The College of Human Medicine will engage in ongoing monitoring of our program’s compliance with the Liaison Committee on Medical Education (LCME) accreditation standards using a continuous quality improvement (CQI) approach.
The CQI Office is part of Academic Affairs, Dean’s Office. The Senior Associate Dean for Academic Affairs (SADAA) is responsible for LCME accreditation as the College’s Chief Academic Officer. The Assistant Dean for Program Evaluation and Continuous Quality Improvement and the Executive Administrative Assistant perform much of the CQI process in partnership with the SADAA and the CQI Committee.
The CQI Committee is comprised of the SADAA, Executive Director for Academic Affairs, Senior Associate Dean of Diversity, Associate Dean for Undergraduate Medical Education, Assistant Dean for Student Affairs, Assistant Dean for Admissions, and Assistant Dean for Program Evaluation and Continuous Quality Improvement.
Academic Affairs maintains a specific budget for LCME accreditation and the CQI process. The budget is managed by the SADAA and the Executive Director for Academic Affairs. The college Business Office and dean prioritize additional funding requests pertaining to meeting the LCME requirements.
The subsections included in the narrative below are as stated in the LCME Data Collection Instrument, Full, 2022-2023, under Element 1.1.
The college plans to monitor all elements each year. In addition, we have prioritized our most intensive monitoring efforts according to the following principles:
The CQI Committee meets quarterly. Priority elements are reviewed each quarter. All other elements are reviewed at least annually. At the quarterly meeting, we update a CQI monitoring report which classifies each element as no concern, needs monitoring, needs attention. The report also notes date of review, data source, responsible individuals/groups, and notes for follow-up activities and future monitoring discussions. Elements classified as needs monitoring and needs attention are reviewed at subsequent CQI meetings until such time as the classification changes to no concern.
The CQI monitoring plan uses many different data sources, including but not limited to the following:
The college has a multi-pronged approach based on three key principles:
The CQI monitoring report was created as a dashboard to highlight priority areas for our teams to address. It is shared in multiple venues as a way to engage the entire college in efforts to continuously monitor and improve the quality of the educational program and the health of the medical school. Each of these opportunities connects college team members with relevant portions of the CQI monitoring process and provides an opportunity for discussion, problem-solving and strategizing. Primary distribution pathways are the following:
In addition, faculty, staff, and student governance are engaged in these efforts through the following avenues.