Quality Assurance And Continuous Improvement
Quality Assuranceand ContinuousImprovementProcedureInstitute of Health andNursing AustraliaLe g a l e n t i t y : He a l t h C a r e e r sI n t e r n a t i o n a l P t y Lt dABN: 59 106 800 944ACN: 106 800 944CRICOS Code: 03386GRTO ID: 21985ww w.ih n a.ed u . au
Quality Assurance and ContinuousImprovement ProcedurePurpose1.This document sets out the procedures to ensure the Institute of Health and Nursing Australia(IHNA) undertakes ongoing quality control and evaluation of all its operations to ensuremaintenance of standards appropriate to the expectations of its clients and regulatory and/oraccreditation authorities. The procedure is pursuant to the Quality Assurance and ContinuousImprovement Policy.Scope2.This procedure is appliable to all spheres of IHNA operation.Responsibility3.The Director Quality Management has the overall responsibility of this policy. Otherresponsibilities are outlined within the policy.Definitions4.ASQA stands for the Australian Skills Quality Authority (ASQA), the national VET regulator andthe RTO’s registering body.5.Standards the Standards for Registered Training Organisations (RTOs) 2015 which can beaccessed from www.asqa.gov.auThe VET Quality Framework comprises the:6.1 Standards for Registered Training Organisations 2015—standards to ensure nationallyconsistent, high-quality training and assessment across Australia's VET system6.2 Fit and Proper Person Requirement 2011—which specify the suitability requirements ofindividuals involved in the operation of a registered training organisation.6.3 Financial Viability Risk Assessment Requirements 2011—which relate to trainingorganisations' ability to meet financial viability requirements6.4 Data Provision Requirements 2012—which sets out the requirement for providers tosupply ASQA with data upon request, and to submit quality indicator data annually6.5 Australian Qualifications Framework—which is the national policy for regulatedqualifications in Australian education and training.6.ADRI Quality Cycle7.IHNA's approach to quality management incorporates continuous improvement, in a cycle ofplanning, implementation, review and improvement. IHNA actively plans for quality as well asseeking opportunities to improve quality.Version 4.0November 2021Page 2 of 14E n h an c in g L i ve s th r ou g h Tr a in in gLegal entity: Health Careers International Pty Ltd ABN: 59 106 800 944 ACN: 106 800 944 RTO ID: 21985 CRICOS Provider Code: 03386G
Quality Assurance and ContinuousImprovement Procedure8.IHNA is committed to a four-step quality cycle to ensure quality/continuous improvement cycleby following ‘Approach-Deploy-Review-Improve’ (ADRI) approach at Figure.1 Learnings Adaptations Strategies Mechanisms Philosophy Learning outcomes AssessmentsImproveApproachlearning andadaptingthinking andplanningReviewDeploymonitoring andevaluatingimplementing anddoing Course Reviews Outputs Survey Data Consultation Content and assessmentdevelopment Training Communication ImplementationApproach – The Thinking and Planning PhaseThe ‘Approach’ includes the trail from the program’s philosophy, conceptual framework and programlearning outcomes through to unit learning outcomes and the assessments. Some questions to consider:-What are educational and nursing philosophy of the program?What does the conceptual framework of the program entail?How is constructive alignment designed?What is the program learning outcomes?What are learning outcomes of each unit of the program?Is appropriate and adequate consultation made to establish the program design?What risk management processes have been established?Is the approach aligned and communicated throughout the Institute and more widely?Version 4.0November 2021Page 3 of 14E n h an c in g L i ve s th r ou g h Tr a in in gLegal entity: Health Careers International Pty Ltd ABN: 59 106 800 944 ACN: 106 800 944 RTO ID: 21985 CRICOS Provider Code: 03386G
Quality Assurance and ContinuousImprovement ProcedureDeployment – The Implementation PhaseThe ‘Deployment’ dimension considers whether, and how effectively, the approach is being put intoeffect. Some questions to consider:-Is the approach being reflected into the learning and teaching content and assessments?Is validation of resources being in action?What standards and benchmarks are used to assess this?Is the program delivery happening as per the plan and schedule?If the approach is not being pursued, why not, and how is this managed?Are educators and supporting staff appropriately trained, and resources appropriately deployed,to fulfill the approach?Review – The Monitoring and Evaluation PhaseThe ‘Review’ dimension looks at students’ progression as a means of determining how well the deliveryis achieving the planned approach. Some questions to consider:Is student learning achieving the intended objectives and outcomes?Are the results a consequence of the approach and delivery?How are the results reported and used within the program?Improvement – The Learning and Adapting PhaseThe ‘Improvement’ dimension focuses on whether the program is actively and continuously beenreviewed and updated in each of the A-D-R dimensions and is using this understanding to bring aboutimprovements. Some questions to consider:Is the program run as per how it can be improved?How is it executed (e.g., using external benchmarks)?How is the school acting upon this knowledge?Does the school have a sustained history of improvement?9.The Diagram below captures the activities that IHNA would consider while evolving measures forcontinuous improvement (Figure 2).Version 4.0November 2021Page 4 of 14E n h an c in g L i ve s th r ou g h Tr a in in gLegal entity: Health Careers International Pty Ltd ABN: 59 106 800 944 ACN: 106 800 944 RTO ID: 21985 CRICOS Provider Code: 03386G
Quality Assurance and ContinuousImprovement ProcedureFigure. 2Continuous Improvement Procedures and SchedulesFeedback SourceInternal and external auditsInternal and external audits areconducted to measureVersion 4.0Process tools/TemplatesVET QualityFrameworkexternal AuditResponsibilityDirector QualityManagementNovember 2021Frequency andScheduleAs required bythe RegulatorPage 5 of 14E n h an c in g L i ve s th r ou g h Tr a in in gLegal entity: Health Careers International Pty Ltd ABN: 59 106 800 944 ACN: 106 800 944 RTO ID: 21985 CRICOS Provider Code: 03386G
Quality Assurance and ContinuousImprovement Procedureperformance against VET QualityFramework requirementsAudit staff filesOngoing check by the HRDepartment to ensure staff filescontain the following informationVersion 4.0VET QualityFrameworkInternal AuditDirector QualityManagement&National TrainingManagerOnce in a yearNursing Board andAssociated BodiesAuditNational TrainingManagerAs required bythe BoardISO accreditationauditDirector QualityManagementAs requiredISO Internal AuditsDirector QualityManagementOnce a yearVET Student Loan Director QualityInternal AuditManagement &National RegistrarOnce a yearDTWD InternalAuditOnce a yearDirector QualityManagement,National Registrar,Campus Manager,Perth & Registrar,PerthSkills First Internal Director QualityAuditManagement,National Registrar,Campus Manager,Melbourne &Registrar, MelbourneOnce a yearResults to bepresented atExecutiveManagementCommitteeEvery six monthsHuman ResourcesDepartmentNovember 2021Page 6 of 14E n h an c in g L i ve s th r ou g h Tr a in in gLegal entity: Health Careers International Pty Ltd ABN: 59 106 800 944 ACN: 106 800 944 RTO ID: 21985 CRICOS Provider Code: 03386G
Quality Assurance and ContinuousImprovement Procedure Resume of employment andqualifications, signed by thestaff member as a true andfair record of theirqualifications and workexperience. Current practising license Verified copies of all relevantqualifications An induction checklist signedand dated An annual performanceappraisal and record ofprofessional developmentactivities Completed Trainer Skillsmatrix Position DescriptionEmployment Contract Industry Currency For allTeaching Staff Skills Matrix for all teachingStaffAudit student filesOngoing checks will be performedon a sample of student filesrandomly or towards thecompletion of every batch of acourse to ensure they comply withthe information on the student filechecklist information.Version 4.0Update report totaskNational Registrar andDirector QualityManagementNovember 2021MonthlyPage 7 of 14E n h an c in g L i ve s th r ou g h Tr a in in gLegal entity: Health Careers International Pty Ltd ABN: 59 106 800 944 ACN: 106 800 944 RTO ID: 21985 CRICOS Provider Code: 03386G
Quality Assurance and ContinuousImprovement ProcedureScope of RTO registrationCourse ReviewTemplateReview the current scope ofregistrationNotify of any qualifications to beremoved from the scope ofregistration.Academic Director and Annually or atCourse Administration every instance ofManagera change toscope.Identify new qualifications to beincluded on the scope ofregistration in the next 12 months.Stakeholder feedback/ feedbacktabulationStudent evaluation Registrars, Courseof IHNA SupportCoordinators andAdmin StaffCollect and analyse stakeholder and Servicesclient feedback on an ongoingbasis, ensuring that each batch ofstudents is surveyed.Version 4.0Collected fromevery studentevery quarter andreport to theLearning andTeachingCommitteeAQTF LearnerQuestionnaireCourse Coordinatorsand Admin StaffCollected fromevery student atthe end of thecourse and reportto the Learningand TeachingCommitteeAQTF EmployerQuestionnaireCourse Coordinatorsand Admin StaffCollected fromevery placementfacility and reportto the Learningand TeachingCommitteeTrainingEvaluation FormCourse Coordinatorsand Admin StaffCollected fromevery student atthe end oftraining for everyNovember 2021Page 8 of 14E n h an c in g L i ve s th r ou g h Tr a in in gLegal entity: Health Careers International Pty Ltd ABN: 59 106 800 944 ACN: 106 800 944 RTO ID: 21985 CRICOS Provider Code: 03386G
Quality Assurance and ContinuousImprovement Procedureunit and report tothe Learning andTeachingCommitteeStaff performance andprofessional developmentConduct staff performance reviewsand record professionaldevelopment activities once every3 months.Staff records ongoing professionaldevelopment activities in HRIS.Student Evaluation Course CoordinatorsForm Workand Admin StaffExperiencePlacementCollected fromevery student atthe end of everyplacement andreport to theLearning andTeachingCommitteeRefer toPerformanceManagementProcedure andProfessionalDevelopmentProcedureHuman Resources andLine ManagersEvery threemonthsTrainer/AssessorObservationReportCourse CoordinatorThe first threemonth ofemployment andthereafter oncein each year.Document identified staffdevelopment activities for eachstaff member for the next 12monthsTrainer/Assessor ObservationReportConduct Trainer/Assessorobservation to monitor theaccurate use of materials,resources and training andassessment processes.The reports will be saved in therelevant staff files.Version 4.0November 2021Page 9 of 14E n h an c in g L i ve s th r ou g h Tr a in in gLegal entity: Health Careers International Pty Ltd ABN: 59 106 800 944 ACN: 106 800 944 RTO ID: 21985 CRICOS Provider Code: 03386G
Quality Assurance and ContinuousImprovement ProcedureCourse ReviewsRefer to CourseReview ProcedureDeputy Director ofStudies/NationalTraining ManagersContinuous Improvement RegisterContinuousImprovementRegister onKnowledge Huband SharePointChief Executive Officer On-goingand Director QualityManagementRefer to RiskManagementPolicyDirector QualityManagement &Department HeadsOn-goingRefer to ValidationprocedureAcademic Director,Course AdministrationManager, AcademicDirector, DeputyDirector of Studies &National TrainingManagersAs per Validationand ModerationPlanIssues, non-compliances, andopportunities for improvementidentified through any one of thecontinuous improvement strategiesmust be added to the register.AnnuallyFor each item, an action plan thatincludes specific actions, individualresponsibilities and timelines forcompletion must be developed.Risk RegisterStaff records the risk identified ineach activity in IHNA Self-serviceportal.For each risk identified, a rootcause analysis and a mitigation planmust be developed.High risk items will be tabled atmeetings of the Audit and RiskCommitteeAssessment validation andmoderationThat assessment reflectscollaborative arrangementsbetween students, teaching staff,and health service providers.Conduct assessment validation andmoderation according IHNA’sVersion 4.0November 2021Page 10 of 14E n h an c in g L i ve s th r ou g h Tr a in in gLegal entity: Health Careers International Pty Ltd ABN: 59 106 800 944 ACN: 106 800 944 RTO ID: 21985 CRICOS Provider Code: 03386G
Quality Assurance and ContinuousImprovement ProcedureValidation Policy. All assessmentvalidation and moderation activitiesare to be recorded in the IHNAContinuous Improvement Register.Learning and Teaching ResourcesreviewReview the learning and teachingmaterial like PowerPoints,Handouts, etc. to name a few toensure that they are up to date andreflecting current industry practicesand guidelinesComplaints and appealsRefer toComplaints andAppeals Policy andComplaints andAppeals ProcedureComplaints are managed throughthe IHNA Complaints and AppealsProcess.Marketing ReviewAcademic Director,Course AdministrationManager, DeputyDirector of Studies &National TrainingManagersAs per validationand moderationplanAcademic Director,National TrainingManagers, Course Coordinator, CampusManager, Registrars &National RegistrarAs required.Procedurechecked annuallythrough internalauditWebsite AuditChecklistWebsite AuditMarketingapproval isrequired forevery marketingand promotionalmaterialRefer to Advertising and MarketingpolicyChief OperationsMarketingOfficer and Marketingapprovals checklist ManagerIndustry Consultation andEngagementIndustryConsultation FormAny staffOn-goingPre-trainingReviewNational TrainingManagers, AcademicDirector, CourseAnnually or atevery instance ofAny staff can use the form while ona visit to a stakeholder and receivefeedback from the industry.Application and Enrolment ProcessVersion 4.0November 2021Page 11 of 14E n h an c in g L i ve s th r ou g h Tr a in in gLegal entity: Health Careers International Pty Ltd ABN: 59 106 800 944 ACN: 106 800 944 RTO ID: 21985 CRICOS Provider Code: 03386G
Quality Assurance and ContinuousImprovement ProcedureCorrective Preventive ActionReportAny staff can raise the IHNA’sCorporate Corrective PreventiveAction Report Online throughKnowledge Hub.Facility ReviewReview to be conducted to ensurecampus buildings, rooms, toilets,and resources comply with relevantbuilding requirements includingaccess for people with disabilities.IHNA Meetings Board of Directors Academic BoardEnrolment FormAdministrationManager & NationalRegistrara change to scopeof course.MarketingMaterialsMarketing Managersand National TrainingManagersAnnually or atevery instance ofa change to scopeof course.Post EnrolmentSurveyRegistrars/Admin Staff After studentcommences thecourseCorrectivePreventive ActionReport (IHNAForm CPAR)Director QualityManagementOn-goingWork Health andSafety ReportCampus ManagerEvery six monthsMeeting minutesand agendatemplatesIHNA SecretaryMeetingSchedule. Executive ManagementCommittee Audit and Risk ManagementCommittee Aboriginal and Torres StraitIslanders Education andSupport CommitteeVersion 4.0November 2021Page 12 of 14E n h an c in g L i ve s th r ou g h Tr a in in gLegal entity: Health Careers International Pty Ltd ABN: 59 106 800 944 ACN: 106 800 944 RTO ID: 21985 CRICOS Provider Code: 03386G
Quality Assurance and ContinuousImprovement Procedure Learning and TeachingCommittee Finance Committee Curriculum Developmentand Monitoring Committee Student RepresentativeCouncil Student Misconduct andAppeals Committee Educators Meetings Industry ConsultationMeetings Marketing Meetings RTO ManagementAssociated informationRelated InternalDocuments Related Legislation,Standards, and Codes Standards for RTOs 2015 Education Services for Overseas Students Act 2000 National Code of Practice for Providers of Education and Trainingto Overseas Students 2018 Work Health and Safety Act 2011 Data Provision Requirements 201210/03/202112/03/202101/11/202112/03/2024Audit and Risk Management CommitteeDirector Quality ManagementExecutive Management CommitteeDate ApprovedDate EndorsedDate of EffectDate of ReviewApproval AuthorityDocument CustodianCommittee ResponsibleVersion 4.0Quality Assurance and Continuous Improvement PolicyContinuous Improvement RegisterRisk RegisterValidation and Moderation PlanComplaints and Appeals ProcedureNovember 2021Page 13 of 14E n h an c in g L i ve s th r ou g h Tr a in in gLegal entity: Health Careers International Pty Ltd ABN: 59 106 800 944 ACN: 106 800 944 RTO ID: 21985 CRICOS Provider Code: 03386G
Quality Assurance and ContinuousImprovement ProcedurePinPoint DocIDQAQC-QAACIP-08Change HistoryVersion ControlChangeDateSummary10/03/2021Version 4.0Version 4.0Brief description of the change, incl version number, changes,who considered, approved, etc.Separated Policy document from Procedure, revised and updatedwith pertinent sectionsNovember 2021Page 14 of 14E n h an c in g L i ve s th r ou g h Tr a in in gLegal entity: Health Careers International Pty Ltd ABN: 59 106 800 944 ACN: 106 800 944 RTO ID: 21985 CRICOS Provider Code: 03386G
Continuous Improvement Register Issues, non-compliances, and opportunities for improvement identified through any one of the continuous improvement strategies must be added to the register. For each item, an action plan that includes specific actions, individual responsibilities and timelines for completion must be developed. Continuous Improvement
Quality Assurance and Improvement Framework Guidance 2 Contents Section 1: Quality Assurance and Improvement Framework 1.1 Overview 1.1.1 Quality Assurance (QA) 1.1.2 Quality Improvement (QI) 1.1.3 Access 1.2 Funding Section 2: Quality Assurance 2.1 General information on indicators 2.1.1 Disease registers 2.1.2 Verification
[11, 396], continuous improvement includes quality assurance for all activities of the company and is characterized by applying best practices and continuous improvement to achieve customer satisfaction. The three key elements of continuous improvement are: The importance of customers, The need to manage processes, The quality chain.
critical issues the University has established a Quality Assurance Directorate, which is mandated to develop a Quality Assurance Framework and a Quality Assurance Policy. The Quality Assurance Framework would clearly spell out the Principles, Guidelines and Procedures for implementing institutional quality assurance processes.
Quality Assurance and Quality Improvement Plan I. Purpose The Quality Assurance and Improvement Plan (QA/QI Plan) is a guide designed to assess, enhance, . The steps include: F ind a process to improve O rganize an effort to work on improvement C l
strategies, but instead identifies the key components of continuous quality improvement for child welfare. Overview of CQI Continuous quality improvement means different things to different people. For the purposes of this framework, continuous quality improvement (CQI) is the complete
Aug 26, 2015 · Continuous Quality Improvement Program Manual 8/26/2015 Page 6 Continuous Quality Improvement Policy Analyst Duties General Description A Continuous Quality Improvement (CQI) Policy Analyst (PA) is assigned to each Child Welfare Servic
Section 1 - Principles of continuous improvement; Section 2 - Strategies for continuous improvement; Section 3 - Gathering the evidence for continuous improvement; Section 4 - Recording the outcomes of continuous improvement; and Section 5 - Useful links and resources. 6
standard on Asset Management, is a key waypoint on the journey to Asset Management Excellence, and the maturity scale is aligned with the Institute of Asset Management's (IAM's) de nition of Asset Management Excellence (see www.theiam.org): This is broadly the equivalent of ISO 55001 (or BSI PAS 55) compliance. If the organisation can demonstrate its processes are also e ective and .
