1. Looking up at the Microscope: A View of AAHRPP and NCQA Franklin J. Zieve, M.D.,Ph.D.,C.C.R.I. Associate Chief of Staff for Research Hunter Holmes McGuire VA Medical Center Richmond, Virginia

2. AAHRPP and NCQA: General Approach AAHRPP Human Research People Expert Judgment NCQA Accreditation System Numerical Score

3. AAHRPP and NCQA: Reports AAHRPP Narrative description Fix it now Look forward Consultants NCQA Spreadsheet grid Review next cycle Look back Auditors

4. AAHRPP and NCQA: The Site Visit AAHRPP People Outcomes Recommendations Relentlessly constructive NCQA Documents Processes Scoring Adversary process

5. AAHRPP and NCQA: Grading AAHRPP What you do Do more! NCQA What you don’t do Do the minimum!

6. AAHRPP and NCQA: Submissions AAHRPP Narrative self- evaluation NCQA Roadmap

7. AAHRPP and NCQA: The Bottom Line AAHRPP Consultants What you do Present status Expert assessment NCQA Auditors What you don’t do Past record Numerical score