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KUHS QAS 2025
8.5 Employee Accountability Framework& Documentation and Tracking System
8. INSTITUTIONAL GOVERNANCE
8.5 Employee Accountability Framework& Documentation and Tracking System
1 INFRASTRUCTURE FACILITIES
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1.1 College & Hospital system
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1.1.1 Bed strength
1.1.2 Bed occupancy
1.1.3 Adequate clinical and allied staff
1.1.4 Clinical facilities
1.1.5 Support facilities
1.1.6 Bank/Blood Storage Unit
1.1.7 Student patient ratio for a period of not less than 6 months
1.1.8 Hospital Information System/ Electronic Medical Records/HER
1.1.9 Hospital Safety Management
1.1.10 Biomedical Waste Management
1.2 Building and Land(As per KUHS Norms)
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1.2.1 Approved building with Local Self Government Number
1.2.2 Pollution Control Board certification
1.2.3 Built in area
1.2.4 Water/ electricity facility
1.2.5 Transport facility
1.2.6 Recreation facility
1.2.7 Canteen facility
1.2.8 Common rooms for boys and girls
1.2.9 Adequate toilet facilities
1.2.10 Stationery facilities
1.3 Library Facilities
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1.3.1 Automated library
1.3.2 Plinth area as per KUHS Norms
1.3.3 Number of books, periodicals, journals as per KUHS Norms
1.3.4 e- journals
1.3.5 Internet facility and Availability of software (eg: Plagiarism)
1.3.6 Photocopier facility
1.3.7 Book/ journal borrowing system
1.3.8 Gate Register
1.3.9 CDs and e-learning facility
1.3.10 10% reference books
1.4 Sports and Cultural Facilities
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1.4.1 Physical Facilities for Sports (Indoor and Outdoor
1.4.2 Logistics (sports items/ jersey)
1.4.3 Training available with an assigned trainer/coach
1.4.4 Student Participation in Sports (minimum 5%)
1.4.5 Medals in sports events (KUHS/State/National)
1.4.6 Physical facilities for cultural activities (auditorium)
1.4.7 Student participation in cultural events (min 5%)
1.4.8 Achievements in Cultural events
1.4.9 Medals in cultural events (KUHS/State/National)
1.4.10 Hosting of Cultural/Sports events
1. 5 Hostel facilities
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1.5.1 Building as per KUHS Norms
1.5.2 Separate hostel for men and women
1.5.3 Housekeeping facilities as per norms
1.5.4 Water/ electricity facilities
1.5.5 Generators for contingencies
1.5.6 Sick room and health care facility
1.5.7 Student dining facility
1.5.8 Quality control (food and water)
1.5.9 Recreation facility
1.5.10 Hostel Management Committee
2 TEACHER PROFILE AND TEACHING LEARNING
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2.1 Teacher Profile
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2.1.1 80% faculty available as per KUHS Norms
2.1.2 80% post graduate faculty
2.1.3 10% Doctoral/M.Phil faculty
2.1.4 Faculty representation in KUHS Academic Bodies
2.1.5 Teachers’ participation in University examination works
2.1.6 Teachers’ participation in KUHS Inspection for Affiliation and Scrutiny
2.1.7 Teachers guiding student projects
2.1.8 Teachers attending career progression/refresher courses/orientation courses/continuing education programs of KUHS and other organizations
2.1.9 Paper presentation for Conferences and Seminars
2.1.10 Faculty as Resource Person
2.2 Teaching Methodology
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2.2.1 80% of teachers using Information and Communication Technology (ICT) tools in teaching learning ( percentage must be calculated with total number of teachers)
2.2.2 10% of teachers using Problem Based Learning(PBL)/Competency Based Learning
2.2.3 10% of teachers using Self Directed Learning (SDL)/Peer teaching/reflective learning
2.2.4 10% of teachers using Simulation based teaching
2.2.5 Proper and timely Conduct of internal evaluation (prepared schedules and adherence)
2.2.6 Student Centric Learning Enhancement methods
2.2.7 Patient-Evidence based learning
2.2.8 Project-based learning
2.2.9 Problem solving methodology
2.2.10 Role-play learning
2.3 Learning applications
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2.3.1 Time bound student feedback on theory and practical teaching and on assignments to students ( within 5 days of submission of assignment)
2.3.2 Pass percentage per year (more than 50%)
2.3.3 No of working days per year excluding examination, study leave, holidays as per University norms.(minimum 220 days)
2.3.4 Only < 2%of drop outs from course
2.3.5 Special programs for advanced learners
2.3.6 Peer/participatory learning
2.3.7 Self learning
2.3.8 Presentations in seminar /journal club
2.3.9 Debates /quizzes
2.3.10 Journaling /Posters
2.4 Students assessment
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2.4.1 Minimum 3 sessional exam
2.4.2 Model Examination
2.4.3 Clinical Evaluation
2.4.4 OSCE/OSPE
2.4.5 Question bank for each subject
2.4.6 Assignment as per KUHS Syllabus
2.4.7 Post Examination Evaluation
2.4.8 Pass percentage per year (more than 50%)
2.4.9 Examination automated process
2.4.10 Adherence to KUHS Examination Manual
2.5 Student Assessment process
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2.5.1 Exam scrutiny cell
2.5.2 Schedule of examinations
2.5.3 Internal Examination policy and process
2.5.4 Internal examination question paper design on par with University Regulations
2.5.5 Students’ attendance monitoring system
2.5.6 Transcript Generation and maintenance
2.5.7 Assignment feedback on time
2.5.8 Transparent system of internal examination
2.5.9 Declaration of internal examination result within 7 working days
2.5.10 Outcome analysis
3 CURRICULUM IMPLEMENTATION MONITORING
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3.1 Syllabus of the University
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3.1.1 Syllabus of university followed
3.1.2 Mechanism to identify slow learners and advance learners (GAP Test, Induction)
3.1.3 Measures practiced to tackle the needs (Bridge course, tutorials)
3.1.4 Special projects and initiatives for advanced learners
3.1.5 Add on courses /Value added courses
3.2 Curriculum frame work
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3.2.1 Curriculum Delivery document
3.2.2 Curriculum delivery plan-Adherence to Academic calendar, Master plan, unit plan, lesson plan, time table with assigned faculty
3.2.3 Work assignment (Theory, clinical, lab, weekly work plan)
3.2.4 Program/ Course outcome statements specified
3.2.5 Curriculum Monitoring Committee
3.3 Curriculum Enrichment Measures
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3.3.1 Add on courses
3.3.2 Value Added Courses
3.3.3 Curriculum Planning Workshop
3.3.4 External Experts invited.
3.3.5 Innovation /publications
3.4 Academic Monitoring Cell
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3.4.1 Academic monitoring cell
3.4.2 Minutes of the Committee Meeting and Corrective Action.
3.4.3 Regular updating of various curriculum plans
3.4.4 Availability of curriculum framework
3.4.5 UG/PG Program Monitoring Committee
3.5 Feedback on syllabus and Curriculum
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3.5.1 Student
3.5.2 Faculty –Internal/External
3.5.3 Alumni
3.5.4 Employer/Hospital
3.5.5 PTA
4 QUALITY ASSURANCE SYSTEM
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4.1 Quality assurance unit
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4.1.1 Institutional Quality Assurance Unit
4.1.2 Accreditation by other agencies
4.1.3 Quality policy with objectives
4.1.4 Workshops and conferences/seminars by quality assurance cell for employees
4.1.5 Training and traning calendar
4.2 Audit system
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4.2.1 Internal Academic Audit
4.2.2 Internal Administrative Audit
4.2.3 External Academic Audit
4.2.4 External Administrative Audit
4.2.5 Transparent Remuneration system
4.3 Employees
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4.3.1 Employees Satisfaction Survey
4.3.2 Corrective action based on survey for faculty & employees
4.3.3 Annual Health Check Up
4.3.4 Immunisation for employees
4.3.5 Employees Welfare Schemes
4.3.6 Credentialing of employee qualification
4.3.7 Privileging of employees
4.3.8 Health Insurance
4.3.9 Recreational facilities for faculty and employees
4.3.10 Subsidized canteen facility
4.4 Students
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4.4.1 Student Satisfaction Survey
4.4.2 Annual Health Check Up
4.4.3 Immunization for students
4.4.4 Health Insurance
4.4.5 Corrective action based on survey for students
4.4.6 Subsidized canteen facility
4.4.7 %of students sensitized on Quality assurance
4.4.8 80% of students in trained in quality related tools
4.4.9 Participation of students in quality committee/ internal quality
4.4.10 Quality projects by students.
4.5 Quality Indicators
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4.5.1 Bed occupancy rate
4.5.2 Average length of stay
4.5.3 Number of OP/IP Per month
4.5.4 HAI surveillance indicators
4.5.5 Staff Attrition rate
4.5.6 Library Utilization Index
4.5.7 Students satisfaction score
4.5.8 Employees satisfaction score
4.5.9 Number of CC/MC meeting conducted
4.5.10 % of performance appraisal done
5 RESEARCH ENABLING ENVIRONMENT
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5.1 Administrative Frame work
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5.1.1 Research policy
5.1.2 Institutional Scientific Research Committee
5.1.3 Minutes of the Meeting.
5.1.4 Action taken report
5.1.5 Institutional registered ethics committee
5.1.6 Meeting frequency and its minutes
5.1.7 Research manpower
5.1.8 Research logistics
5.1.9 Budgetary allocation for research
5.1.10 Research Day Celebration
5.2 Research Support Services
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5.2.1 Research Advisory Committee
5.2.2 Minimum 1 publication per faculty per year in peer reviewed/indexed/ KUHS journals
5.2.3 50% of UG Projects published in last one year
5.2.4 80% of PG Dissertation published in last one year
5.2.5 40% faculty available as PG/UG guides
5.2.6 5% faculty available as PhD guides
5.2.7 Approved research centres of KUHS
5.2.8 Research Methodology
5.2.9 Grant Proposal Writing Workshop
5.2.10 Evidence for utilization of Research grant/seed money
5.3 . Research Collaborations
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5.3.1 Stakeholders are registered
5.3.2 Inter institutional /inter university collaboration
5.3.3 National/ International stakeholders
5.3.4 Stakeholders’ involvement (Stakeholders Management, Administration)
5.3.5 National linkages and MoUs for collaborative research activities
5.4. Research Grants
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5.4.1 Intramural Grants received
5.4.2 Extramural grants received
5.4.3 Fellowship awarded
5.4.4 Minimum 5 research proposals submitted for grants.
5.4.5 Audited statements
5.5 Research Achievements
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5.5.1 Institutional Awards
5.5.2 Institutional incentive
5.5.3 University Awards
5.5.4 Institutional specific journal
5.5.5 Patents /copyright
6. OUT REACH PROGRAMMES
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6.1 Community extension activities
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6.1.1 Adoption of community block with designated service projects
6.1.2 Functional NSS unit
6.1.3 15% of faculty initiatives/ volunteering for community extension activities
6.1.4 Field Research
6.1.5 100% student participation as per log
6.2 Type of services
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6.2.1 Health Camps
6.2.2 Health Awareness Programs
6.2.3 Health exhibition
6.2.4 Observation of Health days
6.2.5 School Health
6.2.6 Palliative care
6.2.7 Geriatric services
6.2.8 Adolescence health services
6.2.9 Dental Screening
6.2.10 Services for differentially challenged children
6.3 Laision with LSG
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6.3.1 Linkage with LSG Project Committee
6.3.2 Involvement in LSG Health Projects
6.3.3 Stakeholder for open defecation free panchayath (ODF)
6.3.4 Capacity Building for local people
6.3.5 Establishment of a permananent sustainable project
6.4 Collaborative activities with NGOs
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6.4.1 Awareness Programs
6.4.2 Health Care camps
6.4.3 Technical Support
6.4.4 Consultancy
6.4.5 MOU and the NGO is a registred agency
6.5 Collaborative activities with Government Agencies
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6.5.1 Department of Health and National Health Mission
6.5.2 Department of Social Justice and Social Security Mission
6.5.3 Department of Education
6.5.4 Total Sanitation Campaign
6.5.5 Interdisciplinary Collaborations
7. STUDENT SUPPORT AND GUIDANCE PROGRAMME
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7.1 SSGP UNIT
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7.1.1 Functional SSGP with Minimum 2 teachers trained
7.1.2 Mentor mentee ratio and supporting documents
7.1.3 Quarterly Review Meetings and Report
7.1.4 Outreach Activities
7.1.5 Students counselled
7.2 Scholarships & Freeships
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7.2.1 Government
7.2.2 University
7.2.3 Institution
7.2.4 NGOs
7.2.5 Sponsored freeships
7.3 Grievance Redressal
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7.3.1 Formation of Grievance Redressa
7.3.2 Policy
7.3.3 Procedure
7.3.4 Compliance with procedure
7.3.5 Anti-ragging committee
7.4 Career Guidance & Career progression
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7.4.1 Career Guidance and Placement Cell
7.4.2 One Seminar per year organized
7.4.3 Minimum 2 organizations approached for placement
7.4.4 20% placement through placement cell
7.4.5 Percentage of Student progression to higher studies
7.5 Alumni Association
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7.5.1 Registered Alumni Association
7.5.2 Alumni activities
7.5.3 Contributions
7.5.4 Sponsorships
7.5.5 Overseas Chapters
8. INSTITUTIONAL GOVERNANCE
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8.1 Documented Strategic plan
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8.1.1 Institution has a well-defined vision, mission and core values
8.1.2 Department wise vision, mission and core values
8.1.3 Documented and Exhibited in prominent places of the institution
8.1.4 Organogram
8.1.5 Well documented road map(Gantt Chart) for the next five years
8.1.6 Office Procedure Manua
8.1.7 Office manuals depicting office policies
8.1.8 Students Governance
8.1.9 College students’ union activities document
8.1.10 Quality Assurance Manual
8.2 Institutional Councils & Hospitals Shared Governance
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8.2.1 Management Council (MC)
8.2.2 College Council (CC)
8.2.3 Institutional Academic Committee (IAC)
8.2.4 Minutes of the Meetings (MoM)&Action Taken Report (ATR)
8.2.5 Hospital Management Committee/Council (HMC)
8.2.6 Quality Assurance Committee (QAC)
8.2.7 Pharmacy and Therapeutic Committee (PTC)
8.2.8 Infection Control Committee (ICC)
8.2.9 Safety Committee (SC)
8.2.10 Quality Circle formation & Meeting Minutes
8.3 Administrative /HR Policies
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8.3.1 Recruitment/HR policy
8.3.2 Policy for increment and promotion
8.3.3 Employee Induction/Refresher Training
8.3.4 Employee/ Women empowerment
8.3.5 Admission Prospectus
8.3.6 Student Handbook /Faculty Handbook
8.3.7 Approval from Regulatory Bodies
8.3.8 Grievance Redressal for Employees
8.3.9 Performance appraisal of faculty and employees
8.3.10 System of appraisal& ATR
8.4 Budget and Audit Report
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8.4.1 Presence of a qualified finance team
8.4.2 Presence of Institutional Budget
8.4.3 Cash register /Acquittance register
8.4.4 Internal Audited Account Statements
8.4.5 External Audited Account Statements
8.4.6 Action Taken on Audit Objections
8.4.7 Transparent Remuneration System
8.4.8 Rules for Meeting Contingencies/Imprest cash
8.4.9 Finance committee formation
8.4.10 Finance Committee meetingbiannually
8.5 Employee Accountability Framework& Documentation and Tracking System
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8.5.1 Job description& Job specification for each category
8.5.2 Work Assignment Book
8.5.3 Documents: ownership/ deeds/ building plans
8.5.4 Office automation
8.5.5 Software: student management system/ IT enabled/ LAN
8.5.6 Admission Register &Permanent registers related students
8.5.7 Maintenance of various registers:
8.5.8 Stewardship of assets: purchase, maintenance, inventory, gate
8.5.9 Annual Maintenance Contract (AMC) for various equipment
8.5.10 Attendance register and biometric punch reports
9. INNOVATION AND BEST PRACTICES
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9.1 Innovation
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9.1.1 On Teaching Methodology
9.1.2 .Slow learners’ teaching methodology
9.1.3 Product innovation
9.1.4 Students projects
9.1.5 On improving quality of tests and assignments and TL methods
9.2 Best practices
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9.2.1 Best practices in clinical departments
9.2.2 Best practices in administration
9.2.3 Best practices in hospitality
9.2.4 Best practices in Food and Beverages (Hostel & Canteen)
9.2.5 Best practices in energy and water conservation.
9.3 Environment friendly projects
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9.3.1 Solid, liquid and e-Waste management system
9.3.2 Plastic free
9.3.3 Rain water harvesting/signages for water conservation
9.3.4 Vegetable garden/Herbal garden
9.3.5 Green Campus Initiative and biofencing
9.4 Energy conservation projects
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9.4.1 Energy /power Audit
9.4.2 Solar paneling
9.4.3 50% Replacement with nonconventional energy
9.4.4 Safe sound technology
9.4.5 Signage on Energy conservation
9.5 Special projects
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9.5.1 Building landscape suitable for physically challenged
9.5.2 Internal counsel committee
9.5.3 College/Hospital day
9.5.4 Honouring faculty
9.5.5 Endowment talks /speeches
10. FEEDBACK
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10.1 - Feedback from Stakeholders
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10.1.1 Employers: Parent institutions, Others
10.1.2 Students, Alumni, Parents
10.1.3 Student and peer feedback on faculty
10.1.4 Percentage of faculty obtained excellent score in student feed back
10.1.5 Percentage of faculty obtained excellent score in peer feed back
10.2 - Community Feedback
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10.2.1 CSR activity
10.2.2 Social media
10.2.3 Community recognition of the institution
10.2.4 - Annual Community Survey Form
10.2.5 - Action Taken Based On Community Feedback
10.3 - PR IMAGE BUILDING PROGRAMME
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10.3.1 Publication of news letters
10.3.2 Participation in local health care activity
10.3.3 Representing the institute in public function
10.3.4 Participating in disaster management
10.3.5 Media coverage
10.4 – University
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10.4.1 Year wise Academic performance
10.4.2 Nonconformities pointed out by KUHS & Corrective action
10.4.3 Collaboration with professional societies
10.4.4 Healthy and meaningful Collaboration with KUHS
10.4.5 No Disciplinary action
10.5 - Feedback Implementation Process
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10.5.1 Feed back Implementation committee and policy& processes
10.5.2 Listing of suggestions category wise
10.5.3 prioritising the suggestions
10.5.4 Preparation of Action plan with timeline
10.5.5 Adherence to Action plan