MSCHE/ACOE Self Study

UEC Policy and Procedure Manual (S-2, 3 and 5) and in the College’s Annual Security Report at http://www.sunyopt.edu/police/reports.shtml. The College’s policy and procedures for infection control are contained in Appendix 8 of the UEC Policy and Procedure Manual . The Environmental Safety and Infection Control Committee ensures that all employees and students have completed the necessary infection control training and periodically attend course updates as mandated by state law. Credentialed optometrists and students are required to have active CPR certification. Incident reports dealing with patients are reviewed by the Chief Operating Officer and the Director for Professional Services to ensure that sentinel events as well as potential risk management issues are reviewed and that appropriate action is timely. Patient complaints are also reviewed for timeliness and appropriate follow up by senior management in the UEC. In addition, the QA&I program addresses risk management issues as they arise during record reviews. 8.3 Eye and vision care services provided are consistent with accepted and well-established health care standards such as clinical practice guidelines . The Quality Assessment and Improvement Committee (QA) utilizes the detailed UEC Clinical Management Protocols published in Appendix 4 of the UEC Policy and Procedure Manual as well as the clinical practice guidelines promulgated by the American Optometric Association (AOA) (modified to accommodate to local conditions) and American Medical Association for conditions not covered by the AOA guidelines. The UEC Clinical Management Protocols (practice guidelines) have been developed by consensus of the UEC optometric staff (Policy C-4). They are reviewed and updated annually by Clinic Council. Procedures employed by QA committee are described in Section 8.2.5 of the Self-Study. Areas for Further Development  Complete the migration to a more time-efficient and user-friendly electronic health record. (The UEC has been utilizing an electronic health record for the past 6 years and is in the process of replacing this system with one that is geared to eye care.)  Continue to expand on the current quality assessment and improvement program to assure it meets state and nationally recognized standards. Conclusions We have examined the College’s operations and outcomes relative to each of the standards established by MSCHE and ACOE and provided documentation to demonstrate that planning, assessment and utilization of data to improve outcomes – both institutional and student learning – are central to College operations. The College has prudently managed its resources in an exceedingly difficult economic environment, allowing it to make good progress in

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