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QA & Accreditation Hub

International Accreditation Readiness System

TATim Akreditasi
Risk Register

Gap Analysis

Register modern untuk memantau gap terhadap kriteria IAAHEH/WFME, penyebab, rekomendasi, PIC, deadline, dan status tindak lanjut.

High Risk

3

Executive attention

Medium Risk

2

Improvement queue

Low Risk

1

Controlled items

Open Actions

6

Risk and improvement register

Accreditation Gap Register

TinggiCriteria 3

Missing signed SOP for assessment appeal.

PIC: Unit Assessment

Impact

Assessment transparency may be questioned during desk evaluation.

Recommended CAPA

Finalize, sign, and socialize the assessment appeal SOP.

Root Cause

Appeal process exists informally but has not been formally approved.

Evidence Needed

Signed SOP, socialization record, student handbook update.

Deadline

08 Jul 2026

Terbuka
SedangCriteria 2

Curriculum map not fully linked to assessment blueprint.

PIC: Unit Kurikulum

Impact

Outcome-based education traceability is incomplete.

Recommended CAPA

Create a single CPL-CLO-assessment traceability matrix.

Root Cause

Mapping templates differ across blocks.

Evidence Needed

Curriculum map, blueprint matrix, meeting minutes.

Deadline

28 Jul 2026

Berjalan
TinggiCriteria 7

CAPA closure evidence for internal audit findings incomplete.

PIC: GPM

Impact

Quality assurance cycle may appear not fully closed.

Recommended CAPA

Complete IQAS follow-up matrix and CAPA closure evidence.

Root Cause

Closure validation is not consistently attached to AMI findings.

Evidence Needed

AMI report, CAPA log, closure validation, RTM minutes.

Deadline

15 Jul 2026

Menunggu Evidence
SedangCriteria 4

Student support early warning records not fully standardized.

PIC: Kemahasiswaan

Impact

Student support effectiveness may be difficult to demonstrate.

Recommended CAPA

Standardize early warning and remediation documentation.

Root Cause

Academic counseling records use multiple formats.

Evidence Needed

Counseling log, remediation report, progress dashboard.

Deadline

30 Jul 2026

Terbuka
RendahCriteria 6

Clinical learning site evaluation needs updated stakeholder feedback.

PIC: Koordinator Klinik

Impact

Clinical site readiness may need additional validation.

Recommended CAPA

Refresh clinical site evaluation and summarize feedback.

Root Cause

Latest stakeholder feedback has not been consolidated.

Evidence Needed

Site evaluation form, stakeholder feedback, MoU/MoA review.

Deadline

12 Aug 2026

Direview
TinggiCriteria 8

Governance meeting decisions need clearer follow-up tracking.

PIC: Tata Usaha

Impact

Governance accountability may be considered inconsistent.

Recommended CAPA

Use standard minutes template and monthly decision tracker.

Root Cause

Meeting minutes do not always include PIC, timeline, and closure status.

Evidence Needed

Updated minutes, decision tracker, leadership review record.

Deadline

22 Jul 2026

Berjalan