Director of Accreditation and Continuous Quality Improvement

McGovern Medical School

Position Summary

UTHealth Houston’s McGovern Medical School (MMS) is seeking a Director of Accreditation and Continuous Quality Improvement to develop, administer, evaluate and assure the quality of all MMS academic programs. This newly created position reports directly to the Dean of Education and will work in close coordination with the assistant dean for accreditation and educational quality improvement, MMS leadership, the Office of Educational Programs and the Office of Admissions and Student Affairs.

The Director of Accreditation will develop and oversee processes for compliance within the established accreditation requirements for the Liaison Committee on Medical Education (LCME), the Southern Association of Colleges and Schools Commissions on Colleges (SACSCOC), and other educational accreditation bodies. The data-informed leader will coordinate all institutional and annual reporting for accrediting bodies and produce data reports to support continuous improvement assessing educational components around areas such as DEI, student satisfaction and curriculum during clinical rotations. This leader will also oversee the processes for monitoring compliance with accreditation standards and continuous quality improvement initiatives.

Founded in 1969, McGovern Medical School (MMS) was established to aid in closing the gap in physician shortages and accepted 19 students in its first class in 1970. Today, MMS is the eighth largest and most diverse medical school in the United States with over 2,000 faculty members and 1,000 residents and fellows. With 240 medical students currently enrolled in each class, MMS is positioned to meet the growing demand of physicians throughout the state of Texas and beyond. Accredited by the Liaison LCME and by SACSCOC, MMS is affiliated with Memorial Hermann in the Texas Medical Center (which was recently named the second top-teaching hospital in the nation), MD Anderson Cancer Center, and Harris Health System.

Position Key Accountabilities

1. Develops and/or reviews processes, timelines, and workflows for all degree programs at MMS to

ensure compliance with accreditation.

2. Oversees effective quality improvement plans and process improvement practices related to

academic programs.

3. Assesses, tracks, and demonstrates successful outcomes relevant to accreditation standards,

campus, and state policies.

4. Provides leadership of, or participation in, special projects related to the academic mission of the

institution as determined by the Dean of Education or other members of the Dean's Leadership

Team.

5. Directs strategic planning initiatives and creates unit objectives and goals to ensure compliance

with established rules and regulations.

6. Develops operating policies and procedures to comply with regulations, institutional policies, and

unit objectives.

7. Works with MMS Leadership to establish and implement a methodology for recording and tracking

MMS policies and their approval and review processes.

8. Coordinates with key stakeholders on updates to the MMS Strategic Plan.

9. Assesses, tracks, and demonstrates successful outcomes relevant to Strategic Plans.

10. Engages at the regional and national level with accreditation leaders to identify best practices, and

participate in ongoing accreditation workshops and seminars.

11. Performs other duties as assigned.