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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. Slide10
Slide11

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 HandbookSlide28
Slide29

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 eAccreditationSlide71
Slide72

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 RemarksSlide81
Slide82
Slide83
Slide84

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