Faculty Handbook 2020-2021

SUNY College of Optometry

Faculty Handbook 2020-21

QUALITY ASSESSMENT & IMPROVEMENT This is aUniversity Eye Center Committee Reviewed May, 2019 Purpose:

The Quality Assessment and Improvement (QA&I) Committee will monitor all issues affecting the quality of care at the University Eye Center (UEC). The QA&I Committee will report the results and recommendations of its activities to the Credentials Committee, as necessary, for consideration in appointment, reappointment and delineation of clinical privileges for all categories of the UEC medical staff as specified in the UEC Bylaws. The QA&I Committee will also report its results to the Vice President for Clinical Administration, the Chief Medical Officer and Services Chiefs, as appropriate. 1. The QA&I Committee will utilize peer-review to monitor the quality of patient care. The committee will review clinical service data, as well as data on individual providers, to determine that the UEC’s standards on quality care are met. Data on individual practitioners will be utilized by the Credentials Committee, as necessary, for consideration in appointment, reappointment and delineation of clinical privileges for the UEC’s medical staff. 2. The QA&I Committee will review medical records to determine if the documentation and coding of clinical encounters are appropriate. Both of these functions will be in accordance with acceptable guidelines. 3. The QA&I Committee will use clinical indicators to further assess and monitor the quality of care in the UEC. 4. The QA&I Committee will report findings and recommended action about specific providers to the appropriate service chief. 5. The QA&I Committee will report its findings and recommended action to the Clinic Council on a periodic basis.

Reporting Link: Clinic Council Specific Responsibilities:

Membership: Appointed Number of Members: 6-8

Term of Office: No Specific Term Limit Selection of Chair: Chief Medical Officer Decision Making: Consensus

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