HETTLER'S
TOP 20
Quality Indicators

by
Bill Hettler, MD

These quality indicators are based on:
My 30 years experience providing medical care to young adults
Experience as the father of 6 children
Consultations/visitations to hundreds of campuses worldwide
Standards and recommendations of ACHA, AAAHC, & JCAHO

Leadership

 

Top Quality Leadership Medium Quality Leadership Low Quality Leadership
CEO actively reviews and supports program and budget of the health service
Efforts are made to keep pace with the standard of care in the local community
Health service director reports directly to CEO
Health service director has time for thoughtful planning and evaluation
CEO and director share leadership with SHAC
CEO actively reviews mission statement yearly
Director encourages new programs and services
CEO and director support accreditation
Administration supports self-directed work teams
CEO and director are future oriented, assessing trend analysis for determining future needs
Decisions are evidence-based
Decisions are based primarily on what is best for students

Director encourages peer review, benchmarking and quality assurance efforts
Accredited 
CEO delegates administrative review of health service to assistants
Standard of care is expected to be less than norm in the local community
CEO is engaged in health service issues only at budget times, supports minimal budget increases
CEO and director maintain status quo, with occasional look to the future
CEO provides occasional support for new programs and services
Organizational charts are hierarchical  
SHAC is occasionally invited to review programs and services
Decisions are occasionally evidence-based
Decisions are occasionally based on what is best for students
CEO and/or Director focus primarily on budget comparisons
Preparing for accreditation
CEO in not engaged in health service issues
Standard of care is intentionally reduced to much lower than is typical in the local community
CEO requests budget, staff and/or space reductions
Director has rare contact with CEO
Director has little time for thoughtful planning and evaluation
CEO and director rarely communicate with students
CEO invests time in micromanagement
There are no organizational charts
There is no active SHAC organization
Decisions are typically NOT evidence-based
Decisions are rarely based on what is best for students
Director has no active peer review, benchmarking or quality assurance efforts
Not interested in accreditation

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