CLINICAL AFFAIRS AND QUALITY ASSURANCE CAQAC JULY 2018-JUNE 2019

CLINICAL AFFAIRS AND QUALITY ASSURANCE CAQAC JULY 2018-JUNE 2019

CAQAC Membershi p

Committee composition Six full-time faculty (F20XX) Three dental students, one from each class 2DN, 3DN & 4DN Three regular ex-officio members: Clinical Dean, Director of Quality Assurance, Manager of Applications and Support (IT). Subcommittee chairpersons who are not CAQAC members at the time The committee elects the chairperson and vice-chairperson from among the members. The vice chairperson will become the chairperson upon completion of the chairperson’s term.

2018-2019 Committee Members MEMBERS Full-time Faculty /Chair Full-time Faculty Full-time Faculty Full-time Faculty Full-time Faculty Full-time Faculty DN-2010 DN-2021 DN2022 Dr. Annetty Soto Dr. John Hardeman Dr. Micaela Gibbs Dr. Abi Adewumi Dr. Thomas Bowers Dr. Andrew Corsaro Ryan Clance Hannah Eder Catherine (Nicole) F-2020 F-2020 F-2021 F-2021 F-2022 F-2022 F-2010 F-2021 F-2022

CAQAC Ex-Officio Members MEMBERS Clinical Dean Clinic Administrator Manager, DN/CVN application Support & Development Clerical Support / Clinical Affairs Secretary Dr. Migliorati Richelle Janiec Stephen Kostewicz Carrie Thurman

Committee Charge

The CAQAC should: Align its work with the college strategic plan. Advise the dean on issue(s) related to UFCD clinical enterprise Communicate any issue(s) through our Faculty Advisory Board (FAB) committee to our faculty

Committee Charge: Sent by the dean to the committee chairperson Requires mid-year progress and year-end outcomes reporting Contains: (link to shared governance) Between 7-10 action items that are relative to the college mission and typically align with the established sub-committees of the CAQAC Expectations for outcome measures reporting and monitoring as relates to the college strategic plan Expectation processes to use PDCA cycle to evaluate quality improvement

Committee Charge 2018-19 Identify and resolve patient access concerns Continue to monitor and improve patient satisfaction Continue to monitor and improve comprehensive patient care Revise and update clinical procedure manual/quality assurance manual Continue to monitor and improve infection control Continue to monitor and improve quality of care Continue to monitor faculty calibration and suggest areas of improvement

CODA Standard 5-3 at UFCD: CQI Patient Care Overview Clinical Quality Improvement Team Patient Admission/Retention/Satisfaction Safety & Infection Prevention Dean& Devices Dental Materials Faculty Advisory Board Professional Clinic Variance Associate Dean for Clinical Affairs and Quality Surveillance UF Privacy Radiology QA Clinical Affairs and Quality Assurance Committee Chart Audit Predoctoral, Postdoctoral and Faculty Patient Satisfaction Surveys Event Reporting: Safety Patient Complaints Prosthodontic Lab Standards of Care Self Insurance Program

PDCA Cycle: Broad-based, Systematic and Continuous Quality Improvement Plan- recognition of an opportunity and plan for change Do- a trial or test prior to the change or implementation of a change Check- review or evaluation of the change Act- action taken based on what was learned from the trial or test

CAQAC Subcommittees

CAQAC Subcommittees & Chairpersons Clinical Quality Improvement Team (CQuIT) - Dr. Cesar Migliorati Dental Materials and Devices (DMD) - Dr. Monica Fernandez Patient Admission/Retention/Satisfaction (PARS) - Dr. Andrew Corsaro (interim) Infection Prevention and Safety (IPS) – Dr. Nicholas Kaleel Radiation Safety and Quality (RSQ) - Dr. Deeba Kashtwari

CQuIT: Clinical Quality Improvement Team Permanent subcommittee of CAQAC Charge: Develop/approve outcome assessment tools Ensure program compliance with safety event reporting and Remediation Action Plan (RAP) implementation Develops focused workgroups as needed for RAP Develop/approve/monitor and revise Standards of Care (SOC) Ensure compliance with program revisions, reviews reports/reassesses program Summarizes activities, reports trends/results , and refers up to CAQAC for action

CQuIT: Clinical Quality Improvement Team MEMBERS Chair / Clinical Dean Department Chairs Graduate Program Directors Division Director of General Dentistry Patient Advocate Chair CAQAC Vice-Chair CAQAC Dr. Cesar Migliorati Dr. Stephen Howard Jerri Wainer Dr. Annetty Soto TBD

Dental Materials and Devices (DMD) Charge: Formally evaluate new materials, procedures and instrumentation before being introduced into the preclinical and/or clinical program EVIDENCE BASED DECISION MAKING: Scientific literature review, systematic reviews, clinical guidelines and member’s unique expertise.

Dental Materials and Devices (DMD) MEMBERS Chair/ Prosthodontics Endodontics Periodontics Pediatric Dentistry Restorative Dentistry Oral Biology- Dental Materials Clinic Administration Instrument Leasing Dr. Fernandez TBD Dr. Tanaka Dr. Mugayar Dr. Howard TBD Richelle & Stephanie Marilyn Vaughn

Patient Admissions, Retention and Satisfaction (PARS) Charge: Develop/maintain expected outcomes for all patient satisfaction tools (Annual, Daily, Discharge) Review outcomes regarding number of patient complaints by quarter and fiscal year, analyzed by department and clinic Reports outcomes to CAQAC

Patient Admissions, Retention and Satisfaction (PARS) MEMBERS Chair- Interim Clinic Administrator Patient Advocate Director of Communications Clinic Managers Dr. Corsaro Richelle Janiec Jerri Wainer Karen Rhodenizer Multiple

Infection Prevention and Safety(IPS) Charged to maintain: Process and tracking of biological indicators for all UFCD sterilization Waterline disinfection program adherence (process and reports) Clinic surveillance program, reporting and loop feedback on improvements as applies Training compliance (BLS/HIPAA/CS/RedFlag/Biosafety/HAZCOM/HazWaste) Report outcomes up to CAQAC for mid year progress and annual reports.

Infection Prevention and Safety(IPS) MEMBERS Chair Dr. Kaleel Clinical & Preclinical Faculty Dr. Kelowitz Clinic Administrator Richelle Janiec Clinical Compliance Manager Stephanie Grantham Leasing Manager Marilyn Vaughn STERMON Manager Aimee Worley Central Sterilization Manager Mindy Lee-Walker Patient Advocate Jerri Wainer Oral Surgery Clinic Manager Connie WhitePaulson Faculty Practice Clinic Manager Jennifer Blackburn Teams Clinic Manager Mannie Luque Dental Maintenance Charles Lesch Graduate Representative

Radiation Safety and Quality (RSQ) Charge: The role of this committee is to ensure maximum patient safety and to enhance the technical quality of images exposed within UFCD Report outcomes up to CAQAC for mid year progress and annual reports

Radiation Safety and Quality (RSQ) MEMBERS Chair Radiation Safety Officer for UFCD Clinical Dean Clinic Administrator Chair CAQAC Vice-Chair CAQAC IT Expert for Radiology Clinical Faculty Dr. Kashtwari Also the chair Dr. Migliorati Richelle Janiec Dr. Soto TBD Gerald Hammond Dr. Howard

Ad hoc workgroups (CAQAC members) Annual Annual Clinic Procedure Manual review/update Clinic Quality Assurance Manual review/update

Expectations of Committee Members

Expectations Attendance to meetings Quorum of voting members (4 faculty and 2 students) is required in order to conduct an official meeting Missing greater than two meetings will result in consideration of requesting a member resign from the committee Participation in meeting topics and assignments (including reading documents) Review agenda and materials prior to each meeting Active participation in discussions Complete action items as applies

Meetings Frequency Monthly Day Monday Time 11:45 am to 12:45 pm

Thank you for your commitment of time and effort as a member of this important committee