Soden 10.15.10

3.2 e - Achieve national standards of excellence

• A targeted set of standards of clinical excellence, recognized nationally, will be adopted by June 2010. National Indicators: JCAHO & NCQA QA & I; Credentialing & Privileging; Patient Safety a) QA - New QA Program developed and implemented in September 2010 focusing on clinical indicators b) Credentialing and Privileging – New credentialing policy in place c) Patient safety and environment of care – focus area for 2010-2011 • Evaluation of clinical programs by these standards of excellence will occur annually beginning at the end of the 2010-2011 academic year. Suggest changing date to 2012-2013