The Annual Institutional Review-Key Performance Measures and Processes.

Area of Science:

• Graduate Medical Education
• Accreditation Processes
• Institutional Review

Background:

• The Accreditation Council for Graduate Medical Education (ACGME) mandates an Annual Institutional Review (AIR) for oversight.
• Designated Institutional Officials (DIOs) have discretion over AIR content, leading to reporting inconsistencies.
• Lack of standardized guidance creates uncertainty for DIOs regarding essential AIR components.

Purpose of the Study:

• To gather national data on key performance indicators (KPIs) within the AIR process.
• To understand the components and processes DIOs utilize for AIR reporting.
• To address the uncertainty and inconsistency in AIR requirements for DIOs.

Main Methods:

• A national survey was distributed to 847 DIOs in July 2019.
• The 16-question survey collected data on institutional demographics, AIR timelines, processes, and KPIs.
• Descriptive statistics and cross-tabulation with chi-square analysis were used to analyze responses.

Main Results:

• A 32% response rate (267 DIOs) was achieved.
• Seven institutional performance measures reached over 50% consensus among respondents.
• The majority of DIOs (62%) spent 5-20 hours on AIR, with only 30% reporting diversity data; 68% found AIR valuable.

Conclusions:

• This survey provides insights into the performance measures and processes employed in AIR by DIOs.
• While a wide variation in institutional reporting exists, consensus was reached on seven key performance measures.
• The AIR process is perceived as valuable by the majority of DIOs, despite variations in implementation.