Accreditation Timeline

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Last updated: Jun 19, 2023 by Julie Cain (Unlicensed)

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Accreditation Timeline

JULY - SEPTEMBER

- Begin to Update ACGME WebADS (July)
- Monitor Case Log National Reports (July)
- ACGME WebADS - First DRAFT due to Dr. Frey (Early Aug)
- Present PEC Results/Minutes/APE to Faculty at Department Faculty Meeting for Approval (Aug)
- Final APE due to GME (Sept)

OCTOBER - DECEMBER

- Analyze Graduate Case Log Data Relative to National Norms
- Report QI/Patient Safety Projects to EQuIP Office
- CCC should meet to evaluate residents
- Complete Mid-Year Evaluations
- Upload Milestones Data

JANUARY - MARCH

- Respond to GMEC regarding ACGME Letter of Notification
  - Citations/Areas of Improvement
  - Track Areas for Improvement
  - Develop Action Plans
  - Submit Responses to GMEC
  - Enter in New Innovations
- Complete ACGME Resident Surveys
- Complete ACGME Faculty Surveys

APRIL - JUNE

- Begin Updating Goals and Objectives
  - for PLAs and next Academic Year
- Begin Updating Policies and Procedures
- Complete ACGME Resident Surveys (April)
- Complete ACGME Faculty Surveys (April)
- LSU House Officer Survey & Review of Results (May)

- Complete End of Year Program Evaluations - Residents & Faculty (June)
- Collect all trainees & faculty Scholarly Activity for upcoming WebADS Update (June)
- Organize Data for Program Evaluation Committee (PEC) - Annual Program Review
- Submit any upcoming changes to Participating Sites to the GMEC for approval.
- PEC - Review & Update Last Year's Program Improvement Action Plans
- PEC - Develop New Program Improvement Action Plans
- Analyze Institutional Graduate Exit Survey data (June/July)
- ACGME Resident & Faculty Survey Results & Responses
  - Submit to GMEC
  - Enter in New Innovations
- Review Case Log Data & Upload Into WebADS
- Coordinate residents end of year review for non-graduating residents
- Upload Milestone Data
- Enter all new house officers in WebADS after rollover (Late June)
- Exit/Graduate all graduating house officers in WebADS after the rollover (Late June)

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