**Quality Improvement Assessment Rubric**

**1. OVERVIEW**

* Assessment Name: Quality Improvement Practical Assessment
* Total Points Available: 100 points
* Weight in Final Grade: 20%
* Assessment Format: Practical, written component (30%), and clinical scenario-based assessment (70%)

**2. GRADING SCALE**

* Letter Grades:
+ A (90-100%): Excellent mastery of quality improvement principles and competencies
+ B (80-89%): Proficient demonstration of quality improvement skills and knowledge
+ C (70-79%): Developing understanding of quality improvement concepts and competencies
+ D (<70%): Failing to demonstrate basic quality improvement knowledge and competencies
* Percentage Ranges:
+ 90-100%: A
+ 80-89%: B
+ 70-79%: C
+ Below 70%: F
* Pass/Fail Threshold: Pass with a minimum of 70%
* Honors Designation: Available for students achieving an A grade (90-100%)

**3. DETAILED RUBRIC**

1. **Quality Improvement Knowledge and Understanding**
* Description: Demonstrates in-depth understanding of quality improvement principles, concepts, and frameworks.
* Point Value: 10 points
* Performance Levels:
+ Excellent (9-10/10): Clearly articulates complex quality improvement concepts and applies them effectively.
+ Proficient (8/10): Demonstrates a good understanding of quality improvement principles and applies them with some accuracy.
+ Developing (6-7/10): Struggles to articulate quality improvement concepts or applies them inaccurately.
+ Beginning (<6/10): Fails to demonstrate basic understanding of quality improvement principles.

2. **Quality Improvement Methodologies**
* Description: Demonstrates proficiency in applying quality improvement methodologies, including design, implementation, and evaluation.
* Point Value: 15 points
* Performance Levels:
+ Excellent (14-15/15): Consistently applies quality improvement methodologies with high accuracy and effectiveness.
+ Proficient (12-13/15): Demonstrates a good understanding of quality improvement methodologies and applies them effectively most of the time.
+ Developing (8-11/15): Struggles to apply quality improvement methodologies accurately or effectively.
+ Beginning (<8/15): Fails to demonstrate basic application of quality improvement methodologies.

3. **Clinical Reasoning and Problem-Solving**
* Description: Demonstrates strong clinical reasoning and problem-solving skills, including the ability to analyze complex healthcare issues.
* Point Value: 25 points
* Performance Levels:
+ Excellent (24-25/25): Consistently demonstrates exceptional clinical reasoning and problem-solving skills.
+ Proficient (20-23/25): Demonstrates a good understanding of clinical reasoning and problem-solving principles and applies them effectively most of the time.
+ Developing (15-19/25): Struggles to demonstrate clinical reasoning and problem-solving skills accurately or effectively.
+ Beginning (<15/25): Fails to demonstrate basic clinical reasoning and problem-solving skills.

4. **Professional Behavior and Communication**
* Description: Demonstrates high levels of professional behavior, including effective communication and teamwork skills.
* Point Value: 20 points
* Performance Levels:
+ Excellent (19-20/20): Consistently demonstrates exceptional professional behavior, including effective communication and teamwork skills.
+ Proficient (16-18/20): Demonstrates a good understanding of professional behavior principles and applies them effectively most of the time.
+ Developing (11-15/20): Struggles to demonstrate professional behavior principles accurately or effectively.
+ Beginning (<11/20): Fails to demonstrate basic professional behavior principles.

5. **Practical Skills Assessment**
* Description: Demonstrates proficiency in practical skills, including data analysis, quality improvement tools, and healthcare systems.
* Point Value: 15 points
* Performance Levels:
+ Excellent (14-15/15): Consistently demonstrates exceptional practical skills with high accuracy and effectiveness.
+ Proficient (12-13/15): Demonstrates a good understanding of practical skills and applies them effectively most of the time.
+ Developing (8-11/15): Struggles to apply practical skills accurately or effectively.
+ Beginning (<8/15): Fails to demonstrate basic application of practical skills.

6. **Clinical Scenario-Based Assessment**
* Description: Demonstrates ability to analyze complex healthcare issues and develop effective quality improvement plans.
* Point Value: 40 points
* Performance Levels:
+ Excellent (38-40/40): Consistently demonstrates exceptional clinical scenario-based assessment skills with high accuracy and effectiveness.
+ Proficient (32-37/40): Demonstrates a good understanding of clinical scenario-based assessment principles and applies them effectively most of the time.
+ Developing (24-31/40): Struggles to demonstrate clinical scenario-based assessment skills accurately or effectively.
+ Beginning (<24/40): Fails to demonstrate basic clinical scenario-based assessment skills.

**4. ASSESSMENT COMPONENTS**

* Written Exam (30%):
* Quantitative score (70%)
* Qualitative feedback (20%)
* Practical Skills Assessment (15%):
* Quantitative score (75%)
+ Qualitative feedback (25%)
* Clinical Scenario-Based Assessment (40%):
+ Quantitative score (80%)
+ Qualitative feedback (20%)

**5. PERFORMANCE STANDARDS**

1. **Excellent**: Consistently demonstrates mastery of quality improvement principles, competencies, and clinical skills with high accuracy and effectiveness.
2. **Proficient**: Demonstrates a good understanding of quality improvement principles and competencies, applying them effectively most of the time.
3. **Developing**: Struggles to demonstrate quality improvement principles and competencies accurately or effectively.
4. **Beginning**: Fails to demonstrate basic quality improvement principles and competencies.

**6. CLINICAL COMPETENCY CHECKLIST**

* Must-pass clinical skills:
+ Basic patient assessment
+ Medication administration
+ Vital sign measurement
+ Basic wound care
* Safety requirements:
+ Hand hygiene
+ Sterilization and disinfection
+ Use of personal protective equipment (PPE)
* Professional conduct standards:
+ Respect for patients, families, and healthcare staff
+ Confidentiality and privacy

**7. FEEDBACK GUIDELINES**

* How students receive feedback: Regular feedback sessions with instructors and peers.
* Timeline for grade release: Grades will be released within two weeks of the assessment completion date.
* Regrade policy: Re-grades will only be considered in cases where there is clear evidence of error or misinterpretation.

**8. IMPROVEMENT PLAN**

For students not meeting standards:

1. **Remediation Options**: Additional coursework, workshops, or mentorship programs to address specific areas of weakness.
2. **Resources for Improvement**: Access to quality improvement resources, including books, articles, and online tutorials.
3. **Progress Monitoring**: Regular progress monitoring with instructors to ensure student understanding and application of quality improvement principles and competencies.

Note: This rubric is designed to assess the student's mastery of quality improvement principles, competencies, and clinical skills in a practical setting. It is intended to be fair, objective, and aligned with medical education standards.
Last modified: Sunday, 9 November 2025, 5:47 PM