FK UHN International AccreditationExecutive Report untuk Pimpinan
Ringkasan pimpinan untuk keputusan strategis 30 hari menuju internal review akreditasi internasional.
Readiness
72%
Overall Accreditation Readiness
Evidence Valid
186
Evidence valid dan siap Desk Evaluation
SER Status
64%
Preliminary SER
Open Gap
21
Gap aktif lintas kriteria
Accreditation Readiness
72%
Board-level readiness score
Evidence Maturity
78%
Verified and traceable documents
SER Completion
64%
Preliminary SER baseline
Survey Visit Readiness
66%
Mock readiness room
CAPA Closure Rate
61%
Closed and validated actions
3 Kekuatan Utama
01
Mission and values telah tersosialisasi dengan kesiapan evidence tinggi.
02
Educational resources dan fasilitas pembelajaran memiliki basis evidence yang kuat.
03
SER workspace sudah terhubung dengan evidence dan risk register lintas kriteria.
3 Risiko Utama
01
Closure CAPA dan tindak lanjut AMI Criteria 7 belum sepenuhnya tervalidasi.
02
SOP banding nilai dan blueprint assessment Criteria 3 masih perlu penguatan.
03
Traceability keputusan tata kelola Criteria 8 perlu standar tindak lanjut yang lebih konsisten.
30/60/90 Day Action Plan
30 Days
Tutup evidence prioritas untuk Criteria 7, Criteria 3, dan Criteria 8.
60 Days
Validasi SER final, document room, dan paket desk evaluation.
90 Days
Lakukan mock survey visit, leadership briefing, dan monitoring pasca-akreditasi.
5 Gap Terbesar
Evidence tindak lanjut mutu belum lengkap
PIC GPM - deadline 15 Jul 2026
Appeal mechanism belum terdokumentasi
PIC Unit Assessment - deadline 08 Jul 2026
Notulen keputusan tata kelola belum konsisten
PIC Tata Usaha - deadline 22 Jul 2026
Curriculum review belum menutup semua rekomendasi
PIC Unit Kurikulum - deadline 28 Jul 2026
Data student support belum terintegrasi
PIC Kemahasiswaan - deadline 30 Jul 2026
5 Tindak Lanjut Prioritas
Lengkapi evidence closure PDCA untuk Criteria 7 Quality Assurance.
Sahkan dan sosialisasikan SOP appeal mechanism Criteria 3 Assessment.
Standarisasi template notulen keputusan tata kelola Criteria 8.
Buat traceability matrix masukan stakeholder ke revisi kurikulum.
Integrasikan dashboard student support untuk bukti Survey Visit.
Status SER
Status Evidence
Valid
186
Need Review
34
Missing
11
Draft
23
Rekomendasi Keputusan
Fokus prioritas 30 hari ke depan adalah memperkuat Criteria 7 Quality Assurance, Criteria 3 Assessment, dan Criteria 8 Governance and Administration.
Rekomendasi Strategis 30 Hari
Lengkapi evidence closure CAPA untuk Criteria 7 Quality Assurance.
Lengkapi matriks tindak lanjut SPMI dan closure CAPA untuk Criteria 7 Quality Assurance.
Finalisasi blueprint assessment dan evidence analisis butir untuk Criteria 3.
Perkuat traceability curriculum mapping untuk Criteria 2.
Standarisasi dokumentasi student support dan remediasi untuk Criteria 4.
Perbarui evidence evaluasi wahana klinik untuk Criteria 6.
Kesiapan Desk Evaluation
Criteria 1
Siap Review InternalThe mission narrative is strong, but stakeholder understanding evidence should be summarized more clearly for desk evaluation.
Missing: Vision and mission workshop minutes, Evidence of vision and mission dissemination
Criteria 2
Dalam ReviewThe curriculum is structured, but traceability from outcomes to assessment blueprints needs clearer evidence.
Missing: Block syllabus/lesson plans, Outcome-CLO-assessment matrix
Criteria 3
Dalam ReviewAssessment is likely an assessor focus because grade appeal SOP and item analysis evidence are incomplete.
Missing: Tutorial/PBL rubric, Assessment SOP
Criteria 4
Dalam ReviewStudent support evidence should be standardized for easier tracing during survey visit.
Missing: Academic handbook, Academic counseling system
Criteria 5
Dalam ReviewFaculty development portfolio should demonstrate impact on learning.
Missing: Academic ranks, Teaching workload
Criteria 6
Siap Review InternalFacilities are strong, but clinical site stakeholder feedback needs updating.
Missing: Skills lab and CBT center, Library and e-library
Criteria 7
Menunggu EvidenceCriteria 7 is a priority area. CAPA closure and internal audit follow-up evidence must be strengthened before desk evaluation.
Missing: Internal audit SOP, Internal audit report
Criteria 8
Dalam ReviewGovernance decision minutes need clearer follow-up tracking.
Missing: Governance documents and governance SOPs, Strategic/operational plans
Monitoring Pasca-Akreditasi
Monitoring siklus mutu tahunan
68%Dashboard monitoring evidence, indikator mutu, dan tindak lanjut tahunan.
CAPA pasca akreditasi
55%Pelacakan action plan lanjutan setelah keputusan akreditasi diterima.
Laporan mutu tahunan
61%Ringkasan mutu tahunan untuk pimpinan, SPMI, dan monitoring eksternal.
Dashboard pembaruan evidence
74%Kontrol pembaruan evidence per kriteria dan status reviewer.