Shared Governance

Clinical Affairs and Quality Assurance

Committee Members

Name	Role	Term
Ms. Lorie Primosch	Chair (Full-time faculty elected by Faculty Assembly)	2012
Ms. Luciana M. Shaddox	Full-time faculty elected by Faculty Assembly	2012
Dr. Jon Baxter	Full-time faculty elected by Faculty Assembly	2012
Dr. Sharon Cooper	Full-time faculty elected by Faculty Assembly	2014
Dr. Saulo Geraldeli	Full-time faculty elected by Faculty Assembly	2014
Dr. Luisa Echeto	Full-time faculty elected by Faculty Assembly	2014
Ms. Valentina Espinoza	Dental Student elected by students (sophomore)	2011
Ms. Holly Boone	Dental Student elected by students (junior)	2011
Mr. Christopher Kuhns	Dental Student elected by students (senior)	2011
Dr. Boyd Robinson	Ex officio: Associate Dean for Clinical Affairs
Ms. Richelle Janiec	Ex officio: Director, Quality Assurance
Ms. Idanny Muñoz	Support staff

Committee Composition

This committee consists of six full-time faculty elected by the Faculty Assembly and three students (one each from the second, third and fourth year classes). The Associate Dean for Clinical Affairs and the Quality Assurance Director will serve as ex-officio members. The Committee elects the chairperson and vice chairperson from among the members. The vice chairperson will become chairperson upon completion of the chairperson's term.

Standing Committee Charge

As stated in the Constitution and Bylaws, it is the responsibility of this committee to expedite operations in the student clinics, to determine optimal instrument requirements for students, to update the Clinic Procedure Manual, and to advise the Associate Dean for Clinical Affairs on clinic operatory utilization in all dental clinics. This committee also is responsible for addressing college-wide quality assurance issues and updating the Quality Assurance Manual in conjunction with the Quality Assurance Director.

Additional Charge from the Dean for 2011–2012

The Clinical Affairs and Quality Assurance Committee should align its work this year with the new strategic plan being created for 2011-2013 once it is ready. I am also requesting that the committee complete the following activities in the upcoming year:

1. Identify and resolve patient access issues.

   Continue to review the pre-doctoral screening process including the number of backlogged phone calls from patients trying to gain an appointment in student clinics (screening appointments), SOS, faculty Oral Surgery, Pediatric Dentistry and other clinics as problems are identified and the average time between first call in and callback. Using these data, prepare and submit to me a proposal for establishing a call center including resource requirements to improve efficiencies, increase number of patients screened, reduce the number of backlog calls and significantly reduce the call back period.

2. Patient satisfaction.

   The committee should continue to oversee and report on patient satisfaction, using survey results to identify areas of concern and plan improvements. The committee should analyze whether outsourcing this function could improve the results of this process.

3. Comprehensive patient care.

   Analyze available data to track the number of patients screened, completed comprehensive treatment planning, phase I and completed care as well as the cycle times of each step of this process. Use these data to drive improvement activities reducing cycle time and ensuring comprehensive patient care.

4. Sedation policy.

   The committee should work with the college's Human Resources Office to jointly develop a college policy which will also be placed in the Clinical Procedure Manual to ensure adequate credentialing and training for clinical faculty performing sedations. The policy should outline under what conditions faculty can perform sedations, minimum initial and continuing training required and how monitoring will be established to ensure policy guidelines are met and who will conduct the monitoring. The committee should establish a mechanism so that faculty who are and are not permitted to perform these services under the policy can easily be identified. Courtesy faculty and off-site facilities should also be addressed under this new policy.

5. Clinical Procedure Manual/Quality Assurance Manual.

   Complete the annual update to the Clinic Procedure Manual (including the Infection Control portion) and the Quality Assurance Manual. Also, the Clinical Affairs and Quality Assurance Committee should continually monitor existing and new policies and processes defined in the Clinical Procedural Manual and the Quality Assurance Manual.

6. Infection control.

   The current subcommittee focused on infection control guidelines and infection control monitoring should continue to oversee this critically important issue. Waterline reports should be continually reviewed as should any other potential infection control issues. The committee should develop training modules to update infection control information for faculty, staff and students as needed.

7. Quality Assurance.

   Ensure that all QA processes are instituted, working effectively and institutionalized across the college.

   The committee should continue to verify that an adequate quantity and quality of post-treatment assessments are conducted.

   In addition to careful collection and review of all QA data, it is essential that all QA analyses (clinical occurrence forms, post-treatment assessments, chart audits and reviews, patient satisfaction data, etc.) be used to drive meaningful change resulting in improvement. The effect of changes should then be assessed using continuous monitoring of the data. Framing the monitoring and action plans with the Plan-Do-Check (PDCA) model, the college's model for outcomes assessment and evaluation, will ensure meaningful and effective improvements. This year, I would like a comprehensive quality report with a thorough analysis of quality measures and corrective actions/process improvements provided to me and to the Faculty Advisory Board.

8. Faculty calibration.

   The committee should continue to examine relevant topics for calibration sessions and continue to improve clinical documentation in the college. Efforts should be made to increase clinical faculty participation in the sessions.

9. Clinical revenue and chair utilization.

   Monitor chair utilization on a monthly basis and identify opportunities to improve efficiency including improved work flow. Also, the committee should review clinic expenses to identify opportunities to reduce expenses.

10. Dental materials.

    Monitor the development of new dental materials and equipment for possible introduction into the clinics.

This year, each standing faculty committee will be charged with reviewing relevant outcome measures from the college strategic plan. The measures which should be reviewed by the Clinical Affairs and Quality Assurance Committee include:

• Number of patient visits by department/location/TEAM
• D.M.D. chair utilization, productivity, chair availability and clinical revenue by department/location/TEAM
• Patient satisfaction by department/location
• Number of patient complaints
• Number of faculty and staff completing customer service training programs
• Trends in the number of patient treatment plans completed by assigned student dentist

Again, the committee should evaluate performance on these measures and when appropriate, action plans for improvement should be instituted using the Plan-Do-Check-Act (PDCA) cycle.

Individual Faculty Member Responsibilities

Members of this committee are expected to attend a monthly meeting of the full committee lasting 1¼ hours. The full committee meeting is held on the 1st Thursday of each month at lunch time.

Additionally, all members are assigned to at least one subcommittee through which much of the work of the committee is carried out. Subcommittees are expected to meet at least once per month for about 1 hour. These meetings are also usually held over the lunch hour. In addition, separate workgroups and project assignments may be required.

Select members of the full committee may also serve on the Clinical Affairs and Quality Assurance subcommittee which meets on the 2nd Thursday of each month.

Time commitment: Minimum of 3 hours per month.

Schedule of Meetings

Clinical Affairs and Quality Assurance meetings are held from 11:50 a.m. to 1:00 p.m. unless otherwise noted.

2011–2012
Date	Room	Agenda	Final Minutes	Attachments
December 1, 2011	D1-26	N/A		N/A
October 6, 2011	D10-11	N/A		N/A
September 1, 2011	D10-11	N/A
August 11, 2011	D10-11	N/A		N/A
July 6, 2011	D5-10	N/A
2010–2011
Date	Room	Agenda	Final Minutes	Attachments
June 16, 2011	D5-10	N/A
May 5, 2011	D5-10	N/A
April 7, 2011	D4-16	N/A
March 3, 2011	D4-16
February 17, 2011	D4-16			N/A
January 20, 2011	D4-16			N/A
November 18, 2010	D4-16
September 23, 2010	D4-16			N/A
September 2, 2010	D4-16			N/A
August 12, 2010	D4-16
August 4, 2010	D4-16
July 1, 2010	D4-16			N/A
2009–2010
Date	Room	Agenda	Final Minutes	Attachments
June 22, 2010	D5-10
May 5, 2010	D5-10	N/A		N/A
April 1, 2010	D5-10	N/A
March 18, 2010	D4-16
February 11, 2010	D4-16
January 7, 2010	D4-16
December 3, 2009	D4-16
November 12, 2009	D4-16
October 1, 2009	D4-16
September 3, 2009	D4-16
August 6, 2009	D4-16
July 2, 2009	D4-16
2008–2009
Date	Room	Agenda	Final Minutes	Attachments
June 18, 2009	D5-10
May 14, 2009	D5-10			[737K]
April 16, 2009	D5-10		N/A
March 5, 2009	D5-10
February 5, 2009	D5-10			N/A
January 8, 2009	D5-10			N/A
December 4, 2008	D5-10			N/A
November 6, 2008	D5-10			N/A
October 2, 2008	D5-10
September 4, 2008	D5-10			N/A
August 7, 2008	D5-10
July 3, 2008	D5-10
2007–2008
Date	Room	Agenda	Final Minutes	Attachments
June 5, 2008	D5-10
May 1, 2008	D5-10
April 3, 2008	D5-10
March 6, 2008	D5-10			N/A
February 5, 2008	D5-10			N/A
January 3, 2008	D5-10			N/A
November 1, 2007	D4-16			N/A
October 4, 2007	D4-16			N/A
September 6, 2007	D4-16			N/A
August 2, 2007	D4-16			N/A
July 5, 2007	D4-16			N/A
2006–2007
Date	Room	Agenda	Final Minutes	Attachments
June 21, 2007	D4-16			N/A
May 3, 2007	D4-16			N/A
April 5, 2007	D4-16			N/A
March 8, 2007	D4-16			N/A
February 1, 2007	D4-16			N/A
January 4, 2007	D4-16			N/A
December 7, 2006	D4-16	N/A		N/A
October 5, 2006	D4-16	N/A		N/A
September 7, 2006	D4-16	N/A		N/A
August 10, 2006	D4-16	N/A		N/A
July 6, 2006	D4-16	N/A		N/A
2005–2006
Date	Room	Agenda	Final Minutes	Attachments
June 6, 2006	D4-16	N/A		N/A
November 17, 2005	N/A	N/A		N/A
October 26, 2005	N/A	N/A		N/A
July 21, 2005	N/A	N/A		N/A
2004–2005
Date	Room	Agenda	Final Minutes	Attachments
June 30, 2005	N/A	N/A		N/A
April 21, 2005	N/A	N/A		N/A
October 28, 2004	N/A	N/A		N/A

Annual Reports

Year	Report	Supplemental Docs
2009–2010
2008–2009
2007–2008
2006–2007
2005–2006
2004–2005

Important Documents

Title	Document
Patient Satisfaction Survey Report (2006–2010)
Patient Satisfaction Survey Report by Clinic (2006–2010)
Patient Satisfaction Survey Results (2010)
Clinical Procedure Manual

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