Clinical Affairs and Quality Assurance

Committee Members

Name	Role	Term
Dr. Luciana M. Shaddox	Chair (Full-time faculty elected by Faculty Assembly)	2012
Ms. Lorie Primosch	Vice Chair (Full-time faculty elected by Faculty Assembly)	2012
Dr. Claudio Varella	Full-time faculty elected by Faculty Assembly	2012
Dr. Ulrich Foerster	Full-time faculty elected by Faculty Assembly	2011
Dr. Carol Stewart	Full-time faculty elected by Faculty Assembly	2011
Dr. David Barnes	Full-time faculty elected by Faculty Assembly	2011
Ms. Telka Jackson	Dental Student elected by students (junior)	2010
Ms. Heather Yates	Dental Student elected by students (senior)	2010
Dr. Boyd Robinson	Ex officio: Associate Dean for Clinical Affairs
Ms. Richelle Janiec	Ex officio: Director, Quality Assurance
Ms. Idanny Serrano	Support staff

Committee Composition

The 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 Assembly 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 the 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 2009–2010

I am requesting that the committee complete the following activities in the upcoming year:

Identify and resolve patient access issues.

Review phone access for potential patients and bottlenecks in this process as well as problems with patients obtaining screening appointments, access to Student Oral Surgery/provision of emergency care and the impact of the 1st floor clinics and lobby on patient's impression of the school.

In addition to assessing the impact of these ongoing problems on recruitment of new patients, their potential effect on retention of patients should also be considered.
Patient satisfaction.

The committee should identify any new areas of concern and incorporate relevant questions into the patient satisfaction survey. Additional means for obtaining patient feedback should also be evaluated this year.
Comprehensive patient care.

Develop and monitor a measure of cycle time for patients seen in the DMD program which measures in days the time from point of contact to case completion.
Sedation policy.

During the fall, the committee should 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.
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.
Review of clinical forms.

Continue to improve the "blue form" and conduct a comprehensive review of forms being use in the clinics and modify as necessary.
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.
Quality Assurance.

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

The committee should verify that an adequate quantity and quality of post-treatment assessments are conducted. The post-treatment assessment process should be moved to the TEAM program.

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 Executive Advisory Board.
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.
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.
Dental materials.

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

The committee should be actively engaged in the implementation, training and troubleshooting involved with the new clinic management system.

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/locations
DMD chair utilization and availability by department/location
$/chair by department/location
Patient satisfaction by department/location

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.

A GroupWise distribution of this committee is located in GroupWise at %CAQA_COMM.

Schedule of Meetings

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

2009–2010
Date	Room	Agenda	Final Minutes	Attachments
November 12, 2009	D4-16	[134K]	[143K]	[693K]
October 1, 2009	D4-16	[119K]	[123K]	[263K] [121K] [14K]
September 3, 2009	D4-16	[118K]	[126K]	[19K]
August 6, 2009	D4-16	[123K]	[128K]	[581K]
July 2, 2009	D4-16	[107K]	[123K]	[120K] [101K]
2008–2009
Date	Room	Agenda	Final Minutes	Attachments
June 18, 2009	D5-10	[112K]	[123K]	[198K]
May 14, 2009	D5-10	[109K]	[124K]	[120K] [50K] [737K] [897K]
April 16, 2009	D5-10	[110K]	N/A	[127K]
March 5, 2009	D5-10	[109K]	[124K]	[142K] [160K]
February 5, 2009	D5-10	[109K]	[121K]	N/A
January 8, 2009	D5-10	[111K]	[124K]	N/A
December 4, 2008	D5-10	[63K]	[79K]	N/A
November 6, 2008	D5-10	[12K]	[227K]	N/A
October 2, 2008	D5-10	[12K]	[81K]	[153K]
September 4, 2008	D5-10	[21K]	[101K]	N/A
August 7, 2008	D5-10	[33K]	[87K]	[186K]
July 3, 2008	D5-10	[20K]	[92K]	[134K]
2007–2008
Date	Room	Agenda	Final Minutes	Attachments
June 5, 2008	D5-10	[46K]	[102K]	[876K]
May 1, 2008	D5-10	[31K]	[235K]	[185K]
April 3, 2008	D5-10	[11K]	[59K]	[563K]
March 6, 2008	D5-10	[11K]	[96K]	N/A
February 5, 2008	D5-10	[8K]	[102K]	N/A
January 3, 2008	D5-10	[8K]	[264K]	N/A
November 1, 2007	D4-16	[11K]	[56K]	N/A
October 4, 2007	D4-16	[10K]	[83K]	N/A
September 6, 2007	D4-16	[11K]	[56K]	N/A
August 2, 2007	D4-16	[11K]	[75K]	N/A
July 5, 2007	D4-16	[19K]	[74K]	N/A
2006–2007
Date	Room	Agenda	Final Minutes	Attachments
June 21, 2007	D4-16	[29K]	[67K]	N/A
May 3, 2007	D4-16	[11K]	[39K]	N/A
April 5, 2007	D4-16	[11K]	[38K]	N/A
March 8, 2007	D4-16	[8K]	[35K]	N/A
February 1, 2007	D4-16	[11K]	[40K]	N/A
January 4, 2007	D4-16	[11K]	[91K]	N/A
December 7, 2006	D4-16	N/A	[41K]	N/A
October 5, 2006	D4-16	N/A	[36K]	N/A
September 7, 2006	D4-16	N/A	[21K]	N/A
August 10, 2006	D4-16	N/A	[22K]	N/A
July 6, 2006	D4-16	N/A	[24K]	N/A
2005–2006
Date	Room	Agenda	Final Minutes	Attachments
June 6, 2006	D4-16	N/A	[16K]	N/A
November 17, 2005	N/A	N/A	[52K]	N/A
October 26, 2005	N/A	N/A	[48K]	N/A
July 21, 2005	N/A	N/A	[34K]	N/A
2004–2005
Date	Room	Agenda	Final Minutes	Attachments
June 30, 2005	N/A	N/A	[40K]	N/A
April 21, 2005	N/A	N/A	[29K]	N/A
October 28, 2004	N/A	N/A	[41K]	N/A