1. AQIP 101 Stuart E. Frew MS, RT (R) - Who - When - What - Where -Why

2. AQIP 101 Lets start at the top of the pyramid The Higher Learning Commission (HLC) is an independent corporation and one of two commission members of the North Central Association of Colleges and Schools (NCA), which is one of six regional institutional accreditors in the United States. The Higher Learning Commission accredits degree-granting post-secondary educational institutions in the North Central region.

3. AQIP 101 The Higher Learning Commission (HLC) Colleges and universities are affiliated with the Commission in one of two ways: by gaining and maintaining accredited status or by gaining candidate status. Currently, more than 1,000 institutions are affiliated with the Commission.affiliated

4. AQIP 101 The Higher Learning Commission (HLC) Maintaining accredited status The Commission provides two programs for maintaining accredited status: the Program to Evaluate and Advance Quality (PEAQ) and the Academic Quality Improvement Program (AQIP). The Commission is developing a new model called Pathways.maintaining accredited status

5. AQIP 101 Academic Quality Improvement Program (AQIP) The Academic Quality Improvement Program (AQIP) provides an alternative evaluation process for institutions already accredited by the Commission. AQIP is structured around quality improvement principles and processes and involves a structured set of goal- setting, networking, and accountability activities.Academic Quality Improvement Program

6. AQIP 101 Academic Quality Improvement Program (AQIP) Launched in July 1999 with a generous grant from the Pew Charitable Trusts, the Commission's Academic Quality Improvement Program infuses the principles and benefits of continuous improvement into the culture of colleges and universities by providing an alternative process through which an already-accredited institution can maintain its accreditation. An institution in AQIP demonstrates how it meets accreditation standards and expectations through a sequence of events that align with the ongoing activities of an institution striving to improve its performance.

7. AQIP 101 Academic Quality Improvement Program (AQIP) The Academic Quality Improvement Program (AQIP) provides an alternative evaluation process for organizations already accredited by the Commission. AQIP is structured around quality improvement principles and processes and involves a structured set of goal-setting, networking, and accountability activities. AQIP uses direct, cost-effective processes including AQIP’s Strategy Forums, Systems Appraisals, and various other services.AQIP’s Strategy ForumsSystems Appraisals

8. AQIP 101 Academic Quality Improvement Program (AQIP) Institutional Experience with AQIP AQIP institutions provide reflections on what they have learned from their AQIP experience.

9. AQIP 101 Academic Quality Improvement Program (AQIP) Exploring AQIP and Quality Improvement AQIP’s Principles of High Performance Organizations describe the characteristics participating colleges and universities strive to embed within their culture. Research and experience indicate that these principles—Focus, Involvement, Leadership, Learning, People, Collaboration, Agility, Foresight, Information, and Integrity—permeate organizations that have achieved a systematic approach to continuous quality improvement.

10. AQIP 101 Academic Quality Improvement Program (AQIP) Exploring AQIP and Quality Improvement Lets get back to the basics! Quality Assurance Quality Control Quality Management Information Analysis

11. AQIP 101 Quality Assurance: Quality Assurance: An all-encompassing management program used to ensure excellence through the systematic collection and evaluation of data. An all-encompassing management program used to ensure excellence through the systematic collection and evaluation of data.

12. AQIP 101 Quality Assurance: Quality Assurance: Deals with human factors that lead to variations in quality improvement !!!!!!!!!! Deals with human factors that lead to variations in quality improvement !!!!!!!!!! Primary objective is enhancement of customer satisfaction. Primary objective is enhancement of customer satisfaction. Internal and External Internal and External

13. AQIP 101 Quality Assurance Program: Quality Assurance Program: Four activities of a QA program. Four activities of a QA program. 1. Monitoring 1. Monitoring 2. Trouble shooting problems as they arise 2. Trouble shooting problems as they arise 3. Keeping records on the operation of the program 3. Keeping records on the operation of the program 4. Analyzing Information 4. Analyzing Information

14. AQIP 101 Quality Assurance Program: Quality Assurance Program: Fundamental goals of a QA program. Fundamental goals of a QA program. Decrease waste Decrease waste Lowered costs Lowered costs Improved quality Improved quality Increased consistency Increased consistency Improved efficiency Improved efficiency

15. AQIP 101 Quality Assurance Program: Quality Assurance Program: Areas considered in a QA program. Areas considered in a QA program. Equipment Equipment People People Customers Customers

16. AQIP 101 Quality Assurance Program: Quality Assurance Program: Typical actions used to eliminate problems found by a QA Program include: Typical actions used to eliminate problems found by a QA Program include: Management techniques Management techniques Dept. Policies & Procedures Dept. Policies & Procedures Technical effectiveness & efficiency Technical effectiveness & efficiency In-service education In-service education Timeliness of reports Timeliness of reports Equipment or facility changes Equipment or facility changes Staff changes Staff changes

17. AQIP 101 Academic Quality Improvement Program (AQIP) Exploring AQIP and Quality Improvement Lets get back to the basics! Quality Assurance Quality Control Quality Management Information Analysis

18. AQIP 101 Quality Control: Quality Control: Part of the QM program that deals with techniques used in monitoring and maintenance of the technical elements of a systems that affect quality. Part of the QM program that deals with techniques used in monitoring and maintenance of the technical elements of a systems that affect quality. QC is a part of the QM program that deals with processes, instrumentation and equipment!!!!!!!! QC is a part of the QM program that deals with processes, instrumentation and equipment!!!!!!!!

19. AQIP 101 Quality Control: Quality Control: Ex.) Three levels of QC testing in X-Ray Ex.) Three levels of QC testing in X-Ray Level I: Noninvasive and Simple - Performed by properly trained radiographers. Ex.) wire mesh test & spinning top test Level I: Noninvasive and Simple - Performed by properly trained radiographers. Ex.) wire mesh test & spinning top test Level II: Noninvasive and Complex - Performed by properly trained radiographers. Ex.) special test tools & meters Level II: Noninvasive and Complex - Performed by properly trained radiographers. Ex.) special test tools & meters Level III: Invasive and Complex – Performed by physicists and radiological engineers. Ex.) new equipment testing Level III: Invasive and Complex – Performed by physicists and radiological engineers. Ex.) new equipment testing

20. AQIP 101 Quality Control: Quality Control: How about you. Fill in the blanks? How about you. Fill in the blanks? Level I: Noninvasive and Simple - Performed by properly trained __________. Ex.) _____________ Level I: Noninvasive and Simple - Performed by properly trained __________. Ex.) _____________ Level II: Noninvasive and Complex - Performed by properly trained __________. Ex.) _____________ Level II: Noninvasive and Complex - Performed by properly trained __________. Ex.) _____________ Level III: Invasive and Complex – Performed by ___________. Ex.) ____________ Level III: Invasive and Complex – Performed by ___________. Ex.) ____________

21. AQIP 101 Academic Quality Improvement Program (AQIP) Exploring AQIP and Quality Improvement Lets get back to the basics! Quality Assurance Quality Control Quality Management Information Analysis

22. AQIP 101 Quality Management / Continuous Quality Improvement / AQIP: Quality Management / Continuous Quality Improvement / AQIP: Continually improves quality by focusing on improving the system or process in which individual workers function rather than the individuals themselves. Continually improves quality by focusing on improving the system or process in which individual workers function rather than the individuals themselves. For these processes to improve, it is essential to focus on the organization as a whole, rather than on individual departments. For these processes to improve, it is essential to focus on the organization as a whole, rather than on individual departments. Promotes the need for objective data to analyze and improve processes. Promotes the need for objective data to analyze and improve processes. Management needs to promote this atmosphere, effectively allocate resources needed for improvement, treat employees as assets and not expenses and work together towards a shared goal. Management needs to promote this atmosphere, effectively allocate resources needed for improvement, treat employees as assets and not expenses and work together towards a shared goal.

23. AQIP 101 Quality Management Program: Quality Management Program: A Quality Management Program is the merging of a Quality Assurance Program with a Quality Control Program!!!!!!!!!!!!!! A Quality Management Program is the merging of a Quality Assurance Program with a Quality Control Program!!!!!!!!!!!!!! QA + QC = QM QA + QC = QM QA + QC = AQIP QA + QC = AQIP

24. AQIP 101 Quality Management: Quality Management: Four main components of a QM Program: Four main components of a QM Program: Equipment QC Equipment QC Evaluation of equipment Evaluation of equipment Administrative responsibility Administrative responsibility Establishment of different processes to accomplish specific required tasks. Ex.) Dept. Procedure manuals Establishment of different processes to accomplish specific required tasks. Ex.) Dept. Procedure manuals Risk Management Risk Management Ability to identify and minimize risks to workers and visitors. Ability to identify and minimize risks to workers and visitors. Safety Safety OSHA OSHA

25. AQIP 101 Quality Management: Quality Management: Ways savings are created by changes made to QM programs over the past 25: Ways savings are created by changes made to QM programs over the past 25: Less equipment downtime Less equipment downtime Digital technology Digital technology Increased department efficiency Increased department efficiency Increased employee effectiveness Increased employee effectiveness Higher customer satisfaction Higher customer satisfaction

26. AQIP 101 Academic Quality Improvement Program (AQIP) Exploring AQIP and Quality Improvement Lets get back to the basics! Quality Assurance Quality Control Quality Management Information Analysis

27. AQIP 101 Information Analysis: Information Analysis: A considerable amount of data must be collected and analyzed for various components of a QM program to be implemented. A considerable amount of data must be collected and analyzed for various components of a QM program to be implemented. A basic knowledge of terminology and data presentation tools that are used in statistical analysis is necessary by employees to assist the implementation of a QM program. A basic knowledge of terminology and data presentation tools that are used in statistical analysis is necessary by employees to assist the implementation of a QM program.

28. AQIP 101 Basic Terminology: Basic Terminology: Population Population Comprises the entire set or group of items being measured. Comprises the entire set or group of items being measured. Sample Sample The number of items actually measured from a population The number of items actually measured from a population Reliability Reliability refers to the consistency of repeated measurements of the same thing or the reproducibility of a result. refers to the consistency of repeated measurements of the same thing or the reproducibility of a result. Accuracy Accuracy The ability to measure what is purported to be measured. The ability to measure what is purported to be measured. Range Standard Deviation Variance Validity Frequency Mean Median Mode Bias

29. AQIP 101 Information Analysis Tools: Information Analysis Tools: Flowchart: Flowchart: A pictorial representation of the individual steps that can be contained in a process. A pictorial representation of the individual steps that can be contained in a process.

30. AQIP 101 Cause and Effect Diagram: Cause and Effect Diagram: Used to demonstrate graphically the cause and effects of different variables or conditions on a key quality characteristics and thereby potential areas of improvement. Used to demonstrate graphically the cause and effects of different variables or conditions on a key quality characteristics and thereby potential areas of improvement.

31. AQIP 101 Histogram: Histogram: A data display tool in the form of a bar graph that often plots the most frequent occurrence of a quantity in the center A data display tool in the form of a bar graph that often plots the most frequent occurrence of a quantity in the center

32. AQIP 101 Pareto Chart: Pareto Chart: Causal analysis tool. A variation of the histogram, which prioritizes the most frequent problems at the far left and the other problems in decreasing order to the right. Causal analysis tool. A variation of the histogram, which prioritizes the most frequent problems at the far left and the other problems in decreasing order to the right.

33. AQIP 101 Scatter Plot: Scatter Plot: Traditional two-axis graph, with several data points that have been plotted throughout. Determines if a relationship exists between two different variables in a process. Once the data points are plotted the scatter plot is then examined to see if these points are scattered in any particular pattern. Traditional two-axis graph, with several data points that have been plotted throughout. Determines if a relationship exists between two different variables in a process. Once the data points are plotted the scatter plot is then examined to see if these points are scattered in any particular pattern.

34. AQIP 101 Trend Chart: Trend Chart: Pictorially demonstrates whether key indicators are moving up or down over a given amount of time. Pictorially demonstrates whether key indicators are moving up or down over a given amount of time.

35. AQIP 101 Control Chart: Control Chart: Modification of the trend chart, in which statistically determined upper and lower control limits are placed with a central line that indicates an accepted norm. Modification of the trend chart, in which statistically determined upper and lower control limits are placed with a central line that indicates an accepted norm.

36. AQIP 101 Process & Equipment QC: Process & Equipment QC: By understanding and utilizing all of the terminology and information analysis tools, we can properly execute the Process & Equipment QC component of a QM program. By understanding and utilizing all of the terminology and information analysis tools, we can properly execute the Process & Equipment QC component of a QM program.

37. AQIP 101 QA + QC = QM QA + QC = AQIP Merging these entities in a quality management program requires certain administrative procedures to be implemented by many people. Merging these entities in a quality management program requires certain administrative procedures to be implemented by many people.

38. AQIP 101 Threshold of Acceptability: Threshold of Acceptability: Includes levels of accuracy, sensitivity and specific of outcome. This is a pre-established level of performance applied to a specific indicator. Includes levels of accuracy, sensitivity and specific of outcome. This is a pre-established level of performance applied to a specific indicator. Communication Network: Communication Network: Proper communication among all members of a department is essential for successful QM program. Proper communication among all members of a department is essential for successful QM program. Customer Comfort: Customer Comfort: Customer comfort, convenience and privacy should be provided within reasonable limits in departments. Customer comfort, convenience and privacy should be provided within reasonable limits in departments.

39. AQIP 101 Academic Quality Improvement Program (AQIP) Exploring AQIP and Quality Improvement Lets get back to the basics! Quality Assurance Quality Control Quality Management Information Analysis

40. AQIP 101 What does all of this mean????? We now know what AQIP is: A program used by the HLC to maintain accredited status. A Quality Management Program that is structured around quality improvement principles and processes and involves a structured set of goal-setting, networking, and accountability activities.

41. AQIP 101 What does all of this mean????? We now know some of the basics of a QM program: Quality Assurance: An all-encompassing management program used to ensure excellence through the systematic collection and evaluation of data. Deals with Human Factors. Ex.) Leadership Academy, Convocation, 6 Sigma, Strategy Forum. Ex.) Improvement Teams, Hot Teams.

42. AQIP 101 What does all of this mean????? We now know some of the basics of a QM program: Quality Control: Part of the QM program that deals with techniques used in monitoring and maintenance of the technical elements of a systems that affect quality. QC is a part of the QM program that deals with processes, instrumentation and equipment!!!!!!!! Ex.) The Memory Jogger (Will be available online?) Ex.) Strategy Forum Book of Continuous Quality Improvement Exercises. (Will be available online?)

43. AQIP 101 What does all of this mean????? We now know some of the basics of a QM program: Quality Management / Continuous Quality Improvement / AQIP: Continually improves quality by focusing on improving the system or process in which individual workers function rather than the individuals themselves. Promotes a quality focused atmosphere, effectively allocates resources needed for improvement, treat employees as assets and not expenses, and work together towards a shared goal. Ex.) AQIP Oversight and Administration

44. AQIP 101 What does all of this mean????? How does this all fit into AQIP and SFCC: We as a college are now and will continue to utilize these quality improvement measures. Understanding the basics will help us a college community develop a culture of continuous quality improvement. Over the next year, SFCC will be updating and educating the college community on all aspects of AQIP so to improve the quality of our services here at SFCC.

45. AQIP 101 Thank You