Policies amp Procedures NATA Annual Meeting St Louis MO June 2223 2015 Agenda WelcomeIntroductions Understanding CAATE Roles and Responsibilities Policies Site Visit Process Quality Assurance ID: 385353
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Slide1
Site Visitor Training
Policies & Procedures
NATA Annual Meeting
St. Louis, MO
June 22-23, 2015Slide2
Agenda
Welcome/Introductions
Understanding CAATE
Roles and Responsibilities
Policies
Site Visit Process
Quality Assurance
Review Team Process
Substantive Change – Level of Degree
Closing RemarksSlide3
Introductions
WelcomeIntroductions
Site Visit Committee
CommissionersSlide4
Executive Committee
Mark Laursen, MS, ATC
President
Boston University
Mark Merrick, PhD, ATC, FNATA
President Elect
The Ohio State University
Jack Weakley
Secretary/Treasurer
Public Member
LesLee
Taylor, PhD,
ATC
President-Elect (August)
Texas Tech University Health
SciencesSlide5
Ray Castle, PhD ,ATC
Louisiana State University
Chad Starkey, PhD,
ATC
Ohio University
Athletic Training Members
Paula Maxwell, PhD, ATC
James Madison University
Eric Sauers, PhD,
ATC, FNATA
A.T
. Still University
Valerie Herzog, PhD
, ATC
Weber State University
Commissioner-Elect Slide6
Administrative
Member Physician Members
LaMont
Cavanagh
, MD
American Academy of Family Physicians Representative
University of Oklahoma School of Medicine
Gregory Frazer, PhD
Administrative Member
Dean and Professor
Rangos
School of Health Sciences
Duquesne University
Joseph
Guettler
, MD
AOSSM RepresentativeOakland University William Beaumont School of Medicine
Bernard
Griesmer
,
MD
American
Academy of Pediatrics Representative
HealthTracks
Center, Springfield, MOSlide7
CAATE Office
Ashley Ahearn, MS, ATCManager, Stakeholder Services
Micki Cuppett,
EdD
, ATC
Executive Director
Julie Cavallario, MS Ed, ATC
Accreditation
Associate & Communications Coordinator
Pamela Hansen, PhD,
ATC
Director of AccreditationSlide8
Agenda
Welcome/Introductions
Understanding
CAATE
Roles and Responsibilities
Policies
Site Visit Process
Quality Assurance
Review Team
Process
Substantive Change – Level of Degree
Closing RemarksSlide9
CAATE Mission Statement
Defining, measuring, and continually improving AT Education. Slide10Slide11
Understanding the SV Process - Overview
Site Visitor TrainingConflict of Interest Forms (via Survey Monkey)Program submit materials via eAccreditationSV Teams assigned for each institution (site visit committee)Institution notified and accepts/reject team
Site visitors notified of assignment
Site visit conducted
Report submitted via eAccreditation
Review Committee process
Program rejoinder if non-compliant standards
Rejoinder Returned & reviewed by Review Committee
Report to Commission for Accreditation ActionSlide12
Site Visit Numbers (estimates)
* All numbers beginning with 2015-2016 subject to change until documents submitted.
2014-2015
2015-2016
2016-2017
2017-2018
2018-2019
Continuing Accreditation
Professional (
Bac
& Post
Bac)22292752
83Post-Professional Degree--554--Residency------2--Substantive Change – Level of DegreeProfessional
69--
----Post-Professional Degree--
21
--
--Initial AccreditationProfessional (Bac & Post Bac)4132----Post-Professional Degree--
--
--
--
--
Residency
3
2
1
--
--
Total Number of Visits
35
60
35
58
83Slide13
Agenda
Welcome/Introductions
Understanding CAATE
Roles and Responsibilities
Policies
Site Visit Process
Quality Assurance
Review Team Process
Substantive Change – Level of Degree
Closing RemarksSlide14
Roles & Responsibilities
Site Visit Team Site Visit ChairSite Visit Member
Site Visit Reader Slide15
Roles & Responsibilities
Site Visit ChairCommunicate with the institutionQuestions pertaining to self-study and documentation submitted
Requests
for additional information
Setting the agenda
Thoroughly
review self-study
materials in eAccreditation
Complete the Pre-Site Visit Module
Communicate
with site visit team member/reader on all matters pertaining to the site visit
Set timelines and action plan for review of self-study materialsSlide16
Roles & Responsibilities
Site Visit ChairCommunicate with the CAATE office on questions regarding self-study and site visit process
.
Work with team members to coordinate plans for interviews
Discuss interview questions as they relate to standards
Who is taking lead on interview sessions
Work with team members to write Site
V
isit Report (SVR)
All team members must approve the report before it is submitted via eAccreditationSlide17
Roles & Responsibilities
Site Visit ChairSubmit the completed SVR within one (1) week of the site visit
Evaluate fellow site visit team member and reader
.
Work with Review Team to finalize Site Visit Report
Communicate via emails or phone calls
Consult team members on questions from Review Team as all team members are responsible for the report
Ensure
that all members of site visit team adhere to CAATE policies/proceduresSlide18
Roles & Responsibilities
Site Visit Team MemberAssist in establishing
timelines and plan for
evaluation of self-study
materials
Thoroughly review self-study materials in eAccreditation
Complete
the Pre-Site Visit
Module
Travel
with site visit chair to on-site
visitAssist the site visit chair in reviewing on-site materials and conducting interviews Assist the site visit chair and reader in writing the SVRSlide19
Roles & Responsibilities
Site Visit Team MemberEvaluate fellow site visit team members (chair and reader)
Communicate with the Review Team when appropriate.Slide20
Roles & Responsibilities
Site Visit ReaderAssist team members in establishing timelines and action plan for review of the self-study materialsThoroughly review self-study materials in eAccreditation
Complete
the Pre-Site Visit
Module
Be
available the dates of the site visit in case the team chair or member cannot travel due to an unforeseen
emergency
Be available during site visit for questions from the chair or team member Slide21
Roles & Responsibilities
Site Visit ReaderAssist the SV team in writing the SVR
The
SV Reader is ONLY reading the report and confirming those things they have read within the self-study, in addition to generalized copyediting. The reader cannot validate the findings of the team beyond the aforementioned.
Evaluate fellow SV team members (chair and member
)Slide22
Honorarium
Each member of the site visit team will receive an honorarium.Comprehensive review
Site visit chair
–
$
500
Site visit member
– $350
Site visit reader
– $200
Substantive Change – Level of Degree
Site visit chair – $300Site visit member – $200Site visit reader – $200Slide23
Honorarium
Prior to receiving the honorarium, the CAATE office must receive the following documents from each member of the site visit team:Site Visit Report (submitted via eAccreditation by the SV chair)
Expense report with receipts
Peer evaluation of fellow team membersSlide24
Agenda
Welcome/Introductions
Understanding CAATE
Roles and Responsibilities
Policies
Site Visit Process
Quality Assurance
Review Team Process
Substantive Change – Level of Degree
Closing RemarksSlide25
Confidentiality
In order to maintain confidentiality, SVers, subcommittees, volunteers and staff will not disclose the following documents and/or information:
Applications for Accreditation
Self-study reports
Site Visit Reports
All Progress and Annual Reports
All correspondence between CAATE and the program which relates to the accreditation process.
BOC documents
NATA Education Council Documents
NATA DocumentsSlide26
Confidentiality
The CAATE will not make public any of these documents without the permission of the institution, unless an institution misrepresents the information either through public statements or release of selected sections of documents.
Sign
a Confidentiality
Statement during training
indicating
they will hold all information regarding institutional reports confidential
.
Any breech in confidentiality
may
result in dismissal as a
SVer Slide27
Travel
Travel ArrangementsCAATE will cover all associated site visit expenses
Programs are charged a set fee to cover
expenses
Egencia – travel agency used by CAATE
Egencia.com
Will be issued log-on information
For travel problems, see phone numbers on contact list or SV HandbookSlide28Slide29
Travel
CAATE Debit Card (Global Cash Card)Will be issued a card
Use for all site visit related expensesSlide30
Travel
AirfareBook all airfare through Egencia
Will
be billed directly to
CAATE
through central billing
If
a flight is out of policy, a small red flag will pop up next to the flight.
SV will
write a small explanation about why that flight was chosen instead of one in
policy (i.e. flight times needed, location of airport). The request will be sent to staff for approval.Slide31
Travel
Scheduling FlightsShould have a tentative schedule of Site Visit prior to making flight
reservations
No return departures should be made that requires a
SVer
to leave the Institution before the conclusion of the Exit Conference
.Slide32
Travel
Hotel ReservationsAsk program director for recommendations regarding hotels
Site
visitors will make their own hotel reservations
Hotel reservations can be made through Egencia, another agency, or the hotel directly.
Can use
the
CAATE cash card or personal credit card to
reserve the room
If reservations are made in
Egencia, the hotel will be reserved with the CAATE central billing credit
cardSlide33
Travel
Payment for HotelMust use CAATE cash card to pay for hotel, if not already billed through CAATEMust get receipt when checking out of hotel to turn in with the expense
form (even if already billed through CAATE)
Each site visitor will need his/her own receiptSlide34
Travel
MealsSVers allowed
a daily meal allowance of $
75
If
traveling to an area that has a significantly higher cost for meals (
www.gsa.gov
/
), contact
the CAATE office about extending the
amount
Meals can be paid for with the CAATE cash cardCAATE will not reimburse for alcoholic beveragesSlide35
Travel
MealsSVers will pay for their own lunch, not the institutionDiscuss options with Program Director to make arrangements for lunch
(i.e. order
in if there is a restaurant that is fast and close or if the institution has a cafeteria or food court
)Slide36
Travel
Rental CarsConsult with program director to determine if
a rental car will be
necessary (i.e. long drive from airport to institution)
Reservations can be made through Egencia or other agency
U
se personal credit card to pick up the car
Charges can be put on CAATE cash card when returning the car
A
ccept the
L
iability Damage Waiver (LDW) insurance coverage offered by rental car company Unless you have a credit card or status with the company to cover the car in the event of an accidentSlide37
Reimbursement
ReceiptsAll receipts and Travel Expense Form (Handbook Appendix A)
must
be
submitted electronically within two weeks after the site
visit
Receipts for all expenses incurred
including
those on the
CAATE cash
card will be required in order for the site visitor to receive his/her
honorariumReceipts can be scanned and sent electronicallySlide38
Travel Expense Form Slide39
Dress Code
Essential for all SVers to look professional when arriving at the
site
and throughout the visit
Each
SVer
is an individual, however, there are certain required behaviors and dress criteria.
SVer’s
appearance and hygiene should
be consistent with the professional image of the SVer. Slide40
Dress Code
Expected dress codeTravel to the site visit location (on flight and drive to institution)
Business
Casual
(
khakis, slacks, golf shirts, sweaters)
…at minimum
.
No Jeans
All site visit related meetings with program individuals
Business Attire (suits, dresses, pant suits)CAATE nametag must be worn during all aspects of the on-site visitSlide41
Dress Code
AppearanceHair – neat and out of the way
Facial
hair must be kept neatly
trimmed
Make-up
, perfume, cologne, and
jewelry
– use discretion
No
visible body piercings beyond those in the ears Additional body piercings must be removed during the site visit (that includes clear plastic spacers)Visible tattoos are prohibited Must be covered during a site visit via tape, clothing or make-upSlide42
Cell Phone/Tablet Use
Cell phones / tablets
should not be used
for
personal use
while conducting
CAATE business on a site visit (e.g. interviews, meals with program personnel, time on campus when institution personnel may see you, etc
.)
Tablets can be used to access eAccreditation and take notesSlide43
Professionalism
ExpectationsProfessional
behavior at all times during the on-site
visit
Is competent
, considerate, empathetic, courteous, cooperative, and
committed
Is
approachable and respectful when communicating with all program
personnel
Focus
and attention must be directed towards the mission of the site visit Professionalism is often judged by communication skills (verbal, non-verbal and listening), appearance, competence, and demeanorSlide44
Agenda
Welcome/Introductions
Understanding CAATE
Roles and Responsibilities
Policies
Site Visit Process
Quality Assurance
Review Team Process
Substantive Change – Level of Degree
Closing RemarksSlide45
Site Visit Process
Purpose of Site VisitValidate the self-study report
Validate compliance with the
appropriate
CAATE Standards
To aid CAATE in reaching an accreditation decision that
is
defined
is
consistent
is free of personal biasesis free of conflicts of interestis free of non-sanctioned interpretationsupholds respect for institutional autonomySlide46
Site Visit Process
OverviewThe
scope of the on-site visit process is to assess and validate the information provided within the self-study:
understanding of the
curriculum
the program objectives and
philosophies
outcomes
course objectives
operational procedures
student selection criteria
student evaluation protocolsprocesses for monitoring progress in the development of student knowledge and skillssuccess of program graduatesSlide47
Site Visit Process
Overview Expectations of Site Visitors
C
onduct
the evaluation in a manner that is free and absent of personal biases and
opinions
C
onduct the visit
with respect for the sponsoring institution’s autonomy, self-governance and self-management within the scope of the
appropriate Standards
SVers
do not make accreditation recommendationsSVers should not provide specifics on how the institution may rectify non-compliancesSlide48
Conflict of Interest
Conflict of Interest survey sent to SVers in May listing all institutions hosting a SV for that yearD
isclose
any circumstances where a conflict of interest may occur.
Questions about demographics and availability for visitsSlide49
Conflict of Interest
Justifications for conflicts of interest include, but are not limited to: The institution is in the same state as the
SVer
Has
worked or interviewed at the
institution
Was
a
SVer
at the institution
for most recent site visit
Attended the institutionHas served as a consultant to the institutionWorked closely with the Program Director previously (i.e. previous position, graduate school) Slide50
Site Visit Process
Site Visitor Notification
Site Visit Committee makes SV team assignments
Programs notified of SV team; can reject
SVers
An
email will be sent to the SV
team members indicating their role and
identifying
the institution
with
all program contact informationEach site visitor must accept his/her assignment in eAccreditationWithin one week of receiving the SV assignment, the SV chair must make contact with team members and the programSlide51
Site Visit Process
Review of Self StudyEach team member is
responsible for reviewing the materials
in
eAcccreditation
independently
prior
to the on-site
visit
Complete the Pre-Site Visit Module in eAccreditationAll standards and supporting materials should be discussed among all team members a minimum of one month prior to the visitSlide52
Site Visit Process
Review of Self StudyWhen reviewing the standards, attempt to determine
a preliminary
degree of compliance/non-compliance with the
Standards
Compliant, Non-Compliant,
Needs
Discussion, Need More Information, Follow-up on Site Visit,
Reopen
If
needed, the SV chair should contact the program to request any additional materials or to clarify areas of
questionReopen specific standards via eAccreditationSlide53
Site Visit Process
Site Visit Agenda
All
professional program site
visits will use the 3 day agenda (Appendix D)
Post-Professional and Residency may have a shorter visit
Established by the Program Director SV Chair in consultation with team members
Expectations
Site
visitors are expected to remain throughout the entire
visit
The reader should be available for consultation during the visit or travel in case of an emergencySlide54
Site Visit Process
Site Visit AgendaW
ill
include sessions with representatives
from:
Institution’s administration
Faculty
Program officials
Clinical personnel
S
tudents
Review student records; visit labs and clinical sitesA conference room or office, with internet access, should be available for the SV team to use throughout the entire visit Slide55
Site Visit Process
Initial MeetingShould be a small group and includes the Program Director,
Clinical Coordinator, Chair
, and
Dean
Introduce team and share an overview of the process for the next three
days
R
einforce
the process as a fair and unbiased assessment of the
program
Alleviate any fears about the processPreliminary Conference Script is available in the Site Visitor Handbook (Appendix E)Slide56
Site
Visit Process
On-Site Visit
Use
the Site Visit Checklist and Site Visitor Interviewee and Standard Correlations (Appendix B and C
)
Standards
are the minimum requirements that a program must meet
Triangulate
the information from the self-study, interviews with various personnel, and what is viewed during the on-site visit
O
nly report the findings! Avoid imposing personal judgments or opinions and focus on the factsMeet with the program director daily to keep him/her apprised of concerns, areas of non-compliance, etc. Slide57
Site Visit Process
Exit Conference
A
time for the program to receive validations of the data
gathered
Most program officials are not surprised at the
findings
If program
officials
are
surprised or become defensive, reiterate that they will have an opportunity to respond to the concerns
through the rejoinderReview the findings with the Program Director prior to the exit conference; a forewarning of potential concerns and/or non-compliancesThe sponsoring institution determines who may attend the exit conferenceSlide58
Site Visit Process
Exit Conference Exit Conference Script is available in the Site Visitor Handbook (Appendix E
)
Express thanks for help received
Description
of programmatic
strengths
List non-compliance(s
) with
rationale from the
Standards
Recommendations that may strengthen the programSlide59
Site Visit Process
Writing the Site Visit Report (SVR)A
confidential
report
completed
jointly by members of the SV
team
Only the chair has access to write within eAccreditation
Ensure
there are no typos and grammatical
errors
If there are issues within a program that cannot be directly related to a Standard, write those comments in the “Notes” section of the site visit reportSlide60
Site Visit Process
Hints for Completing the SVRFormal/proper names for people, places, or institutions can be used when specifically identifying non-compliances but not when referring to an individual’s comments during an
interview
Check
every
Standard
!
Unsure if it should be cited?
Cite
it as Non-Compliance and provide a thorough description of the situation for the Review Team to
considerSlide61
Site Visit Process
Site Visit Report (SVR)
Introduction – Brief History of the Program
Strengths – Positive Aspects of the Program
Standards – Report areas of non-compliance with a rationale
Recommendations – Suggestions that might strengthen the program
Individuals interviewed – List name, credentials, and role in programSlide62
Site Visit Process
Overview of the Program
Introduction/Brief
history
should
include:
where
the program is housed within the university/college
structure
when
the program received initial
accreditationany additional background that may be relevant to understanding the mission and goals of the programStrengths – a numerical list of statements that reflect the positive aspects of the
programSlide63
Site Visit Process
Example of Brief
History
Starkey State University (SSU) is one of the oldest institutions of higher education in the country and is the oldest in the state. The institution emphasizes undergraduate liberal arts and professional education. Starkey State University has an enrollment of approximately 1800 full-time undergraduate students. Small in size and student numbers, SSU is described as quaint with a family-like atmosphere. The college has undergone multiple renovations to update its facilities and is currently building a new dormitory. Starkey State University prides itself in offering quality education and is committed to maintaining a low instructor to student ratio.
The Athletic Training Program has a rich history and long-standing tradition within the Department of Kinesiology. The Department also houses programs in Recreation, Health Education, and Physical Education. The program boasts outstanding educators as their founding fathers, with the inception of the program in 1972. Initial accreditation was granted in 2000 by CAAHEP. Continuing accreditation by CAAHEP occurred in 2005 and again by CAATE in
2010. Slide64
Site Visit Process
Example of Strengths
The support of the university administration and their
knowledge
of the program are to be commended
.
The variety of clinical experiences available in the Lake’s area is an asset to the program and students
.
The
availability, openness and “family” feeling of the faculty is heralded by the students
.
Involvement of the alumni and quality of the preceptors provide the students with educational and mentoring opportunities.The motivation of the students is admired by the clinicians and viewed as optimistic for the future of the program.Slide65
Site Visit Process
Standards
If the institution
has NOT provided evidence or documentation for compliance,
it is a non-compliance
Each
Standard
stands
alone
Remember:
Programs
must meet the Standard; they don’t have to be “excellent”Poor athletic training practice does not constitute
non-complianceRemember that if it is a “plan” or “will happen”, it has NOT been implemented; therefore it is a Non-ComplianceSlide66
Site Visit Process
Writing the Rationale
Make
certain that the rationale/ evidence for the NC is
complete
, appropriate, and consistent based on the content of the
Standard
!
No PERSONAL OPINIONS
!
Must be thorough enough for
the institution to understand exactly what the CAATE is requiring Be general when necessary “Interview with students ...” as opposed to “Mary Smith said…” Provide specific and detailed rationales that include course numbers, identify affiliate site, ATC name, etc. (i.e. state the facts, not the emotion).Do not refer to another
Standard and do not use same rationale for multiple Standards.Slide67
Site Visit Process
Example of writing a Rationale
“Several course syllabi did not include course objectives.”
(This statement is not a complete rationale since neither the program nor the Review Team will know to which course syllabi the Site Visit Report is referring.)
Programs should not be required to submit all their course syllabi if only some were non-compliant. Thus, the more complete rationale would be …
“The following course syllabi did not include course objectives: ATP 100, ATP 102, ATP 204, ATP 301, ATP 450.” Slide68
Site Visit Process
Recommendations
Are
not designed to replace compliance with the
Standards
Must demonstrate
compliance with a
Standard
first; recommendations
should only serve to strengthen the academic
program
Recommendations that could be construed as non-compliances should be stated that “although compliant, …” or some other similar language to indicate they are truly compliant with the Standard but there is a recommendation for improvement Must be listed numerically and reflect the Standards and not personal opinions or biasesSlide69
Site Visit Process
Recommendations
Items pertaining to the Standards:
For areas that are already compliant, these recommendations would strengthen the program in a particular area (example: they have two physicians, but have access to several others that would really strengthen the students’ education).
Inconsistencies between programs at the institution:
These recommendations would assist with bringing more consistency between programs at the institution (for example: other programs are
listed on the Provost’s website but the AT program is not).
The Program’s identified weaknesses:
The program identified these areas as weaknesses in their self-study. The
SVers
, however, felt they were compliant.Slide70
Site Visit Process
Individuals InterviewedList the individuals interviewed during the on-site visit.
List the highest administrator interviewed
first
(i.e.
President, Dean), following order of
hierarchy
I
nclude
the first name, last name, credentials
(i.e. PhD, EdD, MS, ATC), and position (e.g. Head Athletic Trainer at Ghost College) in relation to the programJoe Smith, Ph.D., ATCDocument will be uploaded into eAccreditationSlide71Slide72
Site Visit Process
Submitting the SVR
Submitted by SV
chair
via eAccreditation
no
later than one (1) week
following the site
visit
M
ust
be approved by all site visitorsDO NOT discard any materials until after you have been notified of the final SVR being sent to the programSlide73
Agenda
Welcome/Introductions
Understanding CAATE
Roles and Responsibilities
Policies
Site Visit Process
Quality Assurance
Review Team Process
Substantive Change – Level of Degree
Closing RemarksSlide74
Quality Assurance
Purpose:Improve the SV process and increase the quality of its site visits. An integral part of our quality assurance process is obtaining valid feedback from all individuals (peer, program, and review team) involved in the site visit process.
Cumulative data will be collected and sent to all site
visitors
W
ill
allow the site visitor to see his/her status compared to other site
visitors
Appendix F – Questions on evaluation surveysSlide75
Quality Assurance
Peer EvaluationCompleted by site visitors on the site visit team member(s).
Evaluation includes professionalism, knowledge of
Standards
, and preparedness for visit (i.e. fair and objective, maintained confidentiality, unbiased, and appropriately dressed).
Program Director Evaluation
Completed by the Program Director on the site visit team members.
Evaluation includes professionalism, knowledge of
Standards
, and preparedness for visit (i.e. fair and objective, maintained confidentiality, unbiased, and appropriately dressed).Slide76
Quality Assurance
Site Visitor Summary of All Evaluations: Completed and sent to the Site Visit Committee for
review
Evaluation
and Feedback Process
After all evaluation surveys are received by the CAATE office, site visitor data is compiled and sent to the Site Visit Committee
chair
After all data has been reviewed by the Site Visit Committee:
Feedback sent to individual site
visitors
Summary data of all site visits sent to the site
visitorsSlide77
Quality Assurance
Site Visitor Dismissal PolicyAlthough the CAATE site visitor is receiving an honorarium, it is considered a volunteer position. Dismissal of a site visitor may take place
if:
A
site visitor is unprofessional, has poor evaluations, demonstrates inappropriate behavior, or fails to adhere to established policies and procedures.
The CAATE Site Visit Committee reserves the right to recommend dismissal of a site visitor to the CAATE Executive Committee for any reason.
In
this event, the site visitor will be notified in writing.Slide78
Quality Assurance
The Site Visit committee will continue to analyze all data and re-evaluate the Quality Assurance process.
Updates will be made as appropriate.Slide79
Quality Assurance
Summary
Peer
Admin
Mean
4.81
Mean
4.80
Mean
4.89
Standard Dev
0.224 Standard Dev0.237Standard Dev0.166Minimum3.750 Minimum3.750
Minimum
4.375Maximum5.000
Maximum
5.000
Maximum5.000Slide80
Agenda
Welcome/Introductions
Understanding CAATE
Roles and Responsibilities
Policies
Site Visit Process
Quality Assurance
Review Team Process
Substantive Change – Level of Degree
Closing RemarksSlide81Slide82Slide83Slide84
Review Team Process
Reviewing Site Visit ReportsThe SVR is submitted via eAccreditation to the CAATE office and checked for typos, grammatical errors and proper format prior to being sent to a Review Team.
The CAATE office provides access to the SVR to a pre-assigned Review Team in eAccreditation.
All members of the primary review team examine the report and make an initial assessment of the report’s findings. Slide85
Review Team Process
Reviewing Site Visit ReportsWhen necessary, the report is forwarded to a secondary Review Team to comment on the findings of the primary Review Team
.
The report is then finalized by the primary review team.
Report
sent to Review Committee
Chair
The
finalized report is then submitted via eAccreditation to the CAATE office. The Review Teams complete their review and submit the report to the CAATE office within
6-8 weeks from
its receipt. Slide86
Review Team Process
Reviewing Site Visit ReportsThe Review Team will assure that each SVR is complete. Review the first page to ensure all information (e.g. the institution name and administrators, dates of the site visit,
SVers
’ names, type of program, and title of major) is correct.
Review and edit for clarity, appropriately cited non-compliances, grammatical and typographical errors, well-written program history, strengths, and recommendations. Both the strengths and recommendations should be placed in numerical order.Slide87
Review Team Process
Reviewing Site Visit ReportsThe review team will assure the list of names is formatted appropriately
as indicated above
.
The Review Team will analyze each
Standard
to determine its level of compliance. If a
Standard
is deemed “non-compliant,” the Review Team will assure there is adequate evidence and sufficient description to provide the program with a detailed understanding of why the Standard did not meet the benchmark for compliance. Slide88
Review Team Process
Reviewing Site Visit Reports4. Determining compliance cont. If the preliminary SVR is changed from that submitted by the SV team, the Review Team will add or delete the narratives and change the compliant/non-compliant nomenclature as needed. The SVR must contain thorough information regarding the non-compliance.
If the report is incomplete (or if there are any concerns or discrepancies in the report), a Review Team member will discuss the concerns with the SV chair (or SV team member if the SV chair cannot be reached within a reasonable timeframe i.e. 1-2 days). Slide89
Review Team Process
Reviewing Site Visit ReportsReview Team members will contact the SV chair during the review of each report.
Additionally, the
SVers
may get contacted whenever information regarding non-compliances or recommendations are unclear.
Clarifications in the SVR can be done by phone, e-mail or eAccreditation.
A message may be left in advance to allow the
SVer
to prepare for the call (i.e. have the SVR ready for the call).Slide90
Review Team Process
Reviewing Site Visit ReportsReview Team members will contact the SV chair
cont
.
At times, the Review Team member or CAATE liaison may have a conversation with the
SVer
to explain a
Standard
or change a compliance/NC. Occasionally a conversation may get awkward if the Review Team member is attempting to clarify the rationale of a compliance/non-compliance.
Remember, these conversations are not a personal affront and should always be professional. Also remember that while the SV team was the CAATE’s representative on-site, the report comes from the CAATE, and the
final determination of the appropriateness of a citation is determined by the CAATE. Thus, the final decisions may ultimately conflict with the Svers’ analysis. Slide91
Review Team Process
Reviewing Site Visit ReportsReview Team members will contact the SV chair cont.
It is the job of Review Team members to converse with the
SVers
, analyze the
Svers
’ written explanation and then compare that information with the
Standard
to determine a program’s level of compliance
.
Reports requiring greater detail/information or poorly written in
multiple areas can be returned to the SVer for correction. In this case, the Review Team will contact the CAATE office and the CAATE office will return the reports to the SVer for correction. Slide92
Review Team Process
Once the primary and secondary Review Teams come to consensus on the report, it is sent to the Review Committee Chair who returns it to the CAATE office via eAccreditation. The CAATE office will then send the final report to the program and SVers via eAccreditation.
A similar process is used for the Rejoinders and Progress Reports; reports are passed through two Review Teams before the reports are returned to the CAATE office.
SVers
are
not
contacted during review of the Rejoinders or Progress Reports. Slide93
Agenda
Welcome/Introductions
Understanding CAATE
Roles and Responsibilities
Policies
Site Visit Process
Quality Assurance
Review Team Process
Substantive Change – Level of Degree
Closing RemarksSlide94
PURPOSE
The Substantive Change – Level of Degree Process is designed for Programs that are mid‐accreditation cycle and wish to voluntarily change the level of the degree without completing an entire self-study. (Professional & Post-Professional Degree)Slide95
ELIGIBILITY
This process is available annually to programs that are mid-accreditation cycle and are in good standing (i.e., not on probation). Coinciding Substantive Change – Level of Degree Process and Comprehensive Program Review
(April 23, 2014 Release)
Early comprehensive review – no more than 2 years
Delay comprehensive review – will not be granted
All requests subject to available Commission resourcesSlide96
Review Process
Chair should contact PD and introduce – just like typical site visitOnly reviewing the specific standards that are part of the Substantive Change document Professional Programs: 38/109
Post-Professional Degree: 20/83Slide97
Professional Programs (38/109)
Standards Sections
Standards Numbers
Sponsorship
1, 2
Outcomes
4, 5, 6
Personnel
14, 15, 16, 17, 18, 25, 26, 30, 31, 32, 33, 34,
Program Delivery
42, 43, 44, 45, 46, 53, 54, 55, 56,
Health & Safety
noneFinancial Resources81, 82
Facilities & Instructional Resources
noneOperational Policies & Fair Practices
88, 89, 90
Program Description & Requirements
91, 92, 93, 94, 95, 96, 97Student RecordsnoneSlide98
Post-Professional Programs (20/83)
Standards Sections
Standards Numbers
Sponsorship
1, 3
Outcomes
8, 9, 12, 13, 14
Personnel
none
Program Delivery
41, 42, 51, 55, 56
Financial Resources
60Facilities & Instructional Resources61
Operational Policies & Fair Practices
69, 70
Program Description & Requirements
72, 73, 74, 75,
Student Records noneSlide99
Review Process
Document ReviewRequest Additional InformationOnly material related to Selected Standards – may not request information for Standards not included in the Substantive Change DocumentSlide100
Review Process
Recommendation for a Site VisitWork with Site Visit Committee Chair & CAATE officeRationale must be provided related to Substantive Change– Level of Degree Document
On-Site Visit
N
ot an automatic
occurrence
If needed, focused visit on area(s) of concernSlide101
Agenda
Welcome/Introductions
Understanding CAATE
Roles and Responsibilities
Policies
Site Visit Process
Quality Assurance
Review Team Process
Substantive Change – Level of Degree
Closing RemarksSlide102
Questions