Policy on Continuous Quality Improvement


As part of commitment to the highest standards of quality, XUSOM will engage in a process of continuous quality improvement (CQI) to ensure that the medical education program activities and the administrative activities align with the XUSOM’s mission, vision, goals and Strategic Plan, and to ensure compliance with accreditation standards.



  1. This policy ensures that the Xavier University School of Medicine is engaging in a continuous and intentional process aimed at supporting medical educational program improvement and ensuring a positive outcome during accreditation review.
  2. To describe the processes that will be used, the frequency of monitoring, and the committee responsible for managing the process and receiving/acting upon the results.
  3. This policy also ensures the medical school complies with Accreditation Commission on Colleges of Medicine (ACCM) standards for Continuous Quality Improvement.
  4. To ensure that all of the above supports the XUSOM’s achievement of its programmatic and institutional goals and objectives.



  1. Continuous Quality Improvement efforts related to the educational mission of the school are the responsibility of the CARQI Committee who are under the purview of the Chief Academic Officer.
  2. All employees, faculty, administrators, support staff, and non-employees are responsible for complying with this policy and, when appropriate, participating in the CQI process. 



Monitoring of XUSOM’s medical education program will occur regularly. Areas of monitoring include, but are not limited to:

  1. Engage in ongoing monitoring of ACCM accreditation standards
  2. Coordinate quality improvement initiatives associated with deficiencies in meeting ACCM standards
  3. Identification of risk areas based on current ACCM Standards
  4. Ongoing citations of Standards from prior accreditation visits
  5. Institutional strategic plan objectives that impact the medical education program, services, or resources in such instances where they overlap or align with accreditation standards


Policy Contact: Chair, CARQI Committee

Approved in the Faculty Senate: January 2020

Updated: August 2021