Continuous Quality Improvement

The Student Health Center is accredited by the Accreditation Association for Ambulatory Health Care (AAAHC). The Student Health Center's Continuous Quality Improvement Program (CQI) is in place to assure and monitor continuous quality in all aspects of Student Health Center services and activities and continued compliance to AAAHC standards.

All services provided within the SHC are reviewed, but the program is mostly concerned with patient care issues involving students. 

The CQI Committee, headed by Lian Morris, R.N., CQI Coordinator, is comprised of seven teams:

1. Medical Risk Management:  The Medical Risk Management Team’s objective is to ensure the highest quality of professional care by developing, reviewing and continuously improving policies and procedures involved with medical ethics, professionalism, continuity of care, record keeping/documentation, confidentiality of medical records, consent forms, and communication with patients and the University community.
    

2. Facility Safety:  The Facility Safety Team’s objective is to advise the SHC on the formulation of policies and procedures related to ensuring that safe and healthful conditions and practices are provided and followed in the SHC and to act as a liaison between the SHC and the University's Environmental Health and Safety Officer.
    

3. Continuing Medical Education:  The Continuing Medical Education Team’s objective is to provide professional education and training to SHC staff and to encourage participation in seminars, workshops and other educational activities.
    

4. Patient Satisfaction:  The Patient Satisfaction Team assists in the formulation of policies and procedures to insure that the quality of services offered to our patients are consistent with the SHC's statement on Patient Rights and Responsibilities.  The team develops, tabulates and appropriately disseminates the SHC Patient Satisfaction Survey results and coordinates the distribution & collection of system-wide surveys.
    

5. Infection Control:  The Infection Control Team's objective is to establish and maintain a program for identifying, preventing and documenting infection related issues in the SHC, including but not limited to, prevention methods, surveillance techniques and ongoing education of staff.
    

6. Pharmacy and Therapeutics:  The Pharmacy and Therapeutics Team addresses all matters relating to pharmaceuticals in the facility.
    

7. Clinical Team:  The Clinical Team is comprised of staff clinicians (nurse practitioners, physician assistants, physicians) and addresses issues related to patient care.

Members of the CQI Committee include the CQI Coordinator, team leaders, one physician, one mid-level practitioner, one representative from nursing, pharmacy, x-ray, laboratory, counseling, medical records, administration and health promotion. The Committee meets at least six times a year and reports to the Student Health Center Director.

The Board of Trustees of the California State University has the responsibility for quality care at all CSU Student Health Centers and, through the Chancellor's Office and the University President, delegates authority and responsibility to the Student Health Center Staff and the CQI Committee.