Metric

No.

Weightage

6.1.1

Q_lM

The Institution has clearly stated Vision and Mission which are reflected in its academic and administrative governance.

Vision

• We have a responsibility to educate medical students to meet the primary and specialty health care needs of the region by providing highly skilled, cost effective, patient-centered care in a variety of settings.

Mission

§  To provide the finest education to the medical students, to deliver quality health care to all sections of society.

§  To develop as a regionally recognized leader in education through innovation and excellence.

§  To provide the community with a diverse cadre of highly-trained professionals capable of performing in a wide variety of clinical settings.

§  Faculty and graduates will contribute to the community by being active in social and health-care endeavors that promote the health and well being of the community.

§  Our Values

§  Commit to excellence in all that we do.

§  Show total unconditional regard for all patients.

§  Demonstrate respect for each patient's person, privacy, culture, beliefs, and rights.

§  Exhibit compassion for those entrusted to our care.

§  Treat other members of the health care team in a professional manner

Academic and administrative Governance:

§  JMFs ACPM Medial College, Dhule is registered under Bombay Public Trust Act 1950, dated - 17th July, 1984- Reg. No-MAH-/314/Jalgaon (Dhule).

§  ACPM Medial College has multi-level governance system with formulation, implementation and monitoring system.

§  The College governing council committee, having representation of members of management, senior faculty members, representative of non-teaching staff, is supreme decision-making body.

§  College council along with various committees of the college draft rules and regulations include policy formulation, methods of monitoring and periodic evaluation.

§  College Council also prepares Strategic plan to achieve essence of vision, mission and core values by developing necessary infrastructure and learning environment in phased manner to attain excellence.

§  Various stakeholders, playing role in governances, includes members of management, dean, professors, heads of the department, faculty members, administrative staff, students and representatives of student alumni.

§  There is defined organogram for governance of policy decision, implementation, quality assurance and monitoring.

§  Academic boards overseas the governance of interdepartmental administration & integration, alignment of vision & mission statement of the college with academic process.

§  IQAC of the college discuss and prepares the policy on quality assurance, implementation and evaluate achievement of intended goals. Necessary modifications for adherence to vision & mission are also recommended for approval of college council.

§  IQAC identifies areas of weakness & challenges for strategic planning to improve and to achieve prime goals of vision & mission statement with a focus on Quality and Continual improvement.

• Various college committees e.g. curriculum committee, anti-ragging committee, gender harassment redressal committee etc. have also been constituted with specific duties, power and responsibilities, thus contribute effectively in governance of college activities and recommends measures for action to be initiated by the college council.
• Institutional Ethical Committee is constituted and registered with government of India for a scientific & ethical appraisal of research projects being conducted by the postgraduate and faculty of the college.

Provide web link for:

• Vision and Mission documents approved by the College bodies
• Achievements which led to Institutional excellence
• Any other relevant information

5

6.1.2

Q_lM

Effective leadership is reflected in various Institutional practices such as decentralization and participative management.

• Chairman of the trust has all executive powers for granting approval of policies formulated from time to time with regard to administrative, academic, financial and patient care.
• Management gives all the administrative and academic power to the Dean.
• Dean is chief executive person, next in order of hierarchy of the organogram, primarily responsible for formulation and implementation of strategic plans, developed in consultation with college council and all stakeholders.
• Medical superintendent is responsible for execution of policy decisions, approved by the college council primarily related to compassionate health care service to the community.
• Chairman and Dean have constituted various committees in accordance with recommendations of NMC New Delhi , DMER (MS), MUHS (Nashik).
• Academic planning, implementation and  innovation is function of curriculum committee and academic boards. There are four academic boards constituted  for Phase-I, II, III (Part-1) and III (Part-2) comprises of heads of the department and faculties of respective phase. Recommendations of the academic boards are submitted to curriculum committee for perusal and further action.
• Medical Education Unit enhances the skill and competencies of faculty members. The resource faculty of medical education unit conducts workshops and seminars periodically for training of the faculty to update their knowledge and skills in teaching technology.
• The examination committee conducts internal and university examinations as per academic calendar. It overseas all the examination related activities such as timely conduct of   examination, declaration of result, redressal of examination related   grievances of students.
• Research committee of the college is constituted to promote and support research activities of the college and hospital. The committee identifies the broad research areas , requirement,  and facilities for conducting research. It also encourages the students to undertake short term projects on applied/clinical subjects to enhance their analytical and comprehensive skill.
• The college has institutional ethical committee for scientific appraisal of research projects and grants approval on ethical issues of research projects. All the scientific & research activities undergo review process by institutional ethical committee.
• Anti-ragging committee is constituted in pursuance of the statutory regulation of MCI/NMC/MUHS to address ragging issues  and complied with regulations of  Anti-ragging act. However, ACPM Medical College is a ragging free campus.
• Parent teacher committee of the college play important  role in identifying challenges of students during their stay in campus and areas of weakness and threats for improvement in order to provide conducive  environment to students and patients.
• Annual meeting of Parent–teacher Committee is held in the college for interaction on teaching learning process, performance of students, achievements linking excellence, areas for up gradation. Feedback of parent teacher committee is submitted to IQAC for quality assurance analysis.
• Student Council is constituted in accordance guidelines with aims and objectives prescribed under regulation of MUHS, Nashik.
• Student council is established to promotes leadership skill amongst the students assigning various academic, extra-curricular, co-curricular and extra-mural activities
• The College and hospital expenditures are regulated through structured purchase process govern by Central Purchase Committee, constituted by the college council. The funds for expenditures are sanctioned by the College governing council.  Purchase committee initiates the purchase process for institutional requirements.

Provide weblink to:

• Relevant information / documents
• Any other relevant information

5

Metric

No.

Weightage

6.2.1

Q_lM

The Institutional has well defined organisational structure, Statutory Bodies/committees of the College with relevant rules, norms and guidelines along with Strategic Plan effectively deployed. Provide the write-up within 500 words

Response:

• The college has organogram with well-defined duties & responsibilities for execution of their functions to achieve vision and mission.
• The Statutory and non-statutory committees of the college functions independently according to specific assigned functions, duties & responsibility, following hierarchical order of organogram in pursuance of vision and mission.
• The College council has defined duties & responsibility, constitution & members of the committee, schedule of meeting, rules and regulations of the committee and hierarchy order of organogram for all statutory and non-statutory committee.
• All the committees of the college organises meeting to discuss the predefined agenda and submit its recommendations to college council with strategic action plan for implementation.
• Periodic feedback is obtained from stakeholder as a measure to ensured effective implementation of strategic plan of IQAC approved by the college council.
• Minutes of meeting of college council are circulated to all members and approved in subsequent meetings. Action taken report of all decisions are also discussed and approved in the meetings.
• Strategic plan/perspective plan  is developed by IQAC  by taking suggestions of faculty, and other stake holders at the dept level , Head of the depts. & various committees.
•  All the proposals are scrutinized for their necessity, feasibility, and cost effectiveness.
• IQAC, academic, administrative committees monitor the deployment of strategic plan periodically.

Provide web link to:

• Organisational structure
• Strategic Plan document(s)
• Minutes of the College Council/ other relevant bodies for deployment/ deliverables of the strategic plan
• Any other relevant information

5

6.2.2.

Q_nM

Implementation of e-governance in areas of operation

1. Academic Planning and Development
2. Administration
3. Finance and Accounts
4. Student Admission and Support
5. Examination

Upload:

• Data template
• Institutional budget statements allocated for the heads of E-governance implementation
• e-Governance architecture document
• Screen shots of user interfaces
• Policy documents
• Any other relevant information

5

Metric

No.

Weightage

6.3.1

Q_lM

The Institution has effective welfare measures for teaching and non-teaching staff

Response:

 ACPM Medical College & Hospital complied with statutory norms and continuously upgrades its policy for welfare of teaching and non-teaching staff. Following welfare measures have been undertaken for its employees to promote motivation, healthcare, morale, safety and job satisfaction.

Financial Assistance is given to teaching staff for presentation of research work conducted by them in their department in national and state level conferences, as well as for attending workshops/Seminar or academic training.

Leaves:-Grant of special leave for duration of scientific conferences/seminars and workshops for participation, chairing the session, presentation and delivering lectures.

 Grant of statutory leaves e.g. CL, Sick leave, Maternity leave, study leave, special leave for university assignments, compensatory leave as the case may be based on their eligibility criteria stipulated by statutory body or board of management.

Research: -Infrastructural support to the faculty for conducting research projects, encourage for pursuing Ph.D. and any other higher degree diploma or certificate courses.

Accommodation: - Semi-furnished free accommodation to the employees of the colleges with subsidized food facilities

Transport facilities: -. It is available for Student and staff.

Health Care: -Free medical and health care facilities existing at ACPM Medical College & Hospital to all its employees and students. Immunization of staff and students against communicable diseases.

Finance: -Infrastructural and partial financial support for organizing extra-curricular activities including staff annual meet, student and staff get-together events organized by staff club or student council.

Loan facilities: -Short term Employee loan facilities to special category of employee to fulfill their needs during extra-ordinary circumstances for children education and social needs.

Uniform: -Free uniforms to class –III and class IV employee once in a year and aprons to teaching staff once in two years at subsidized cost.

Exercise & Yoga facility: -Infrastructural facilities for physical exercise in equipped gymnasium and services of yoga trainers.

Day care facility: provided for staff of the college & hospital during working hours.

Insurance: -Employee group insurance scheme is applicable to staff. Teaching and Non-teaching staff are also covered under Covid-19 insurance.

Provident Fund: -EPF scheme for employee as per applicable regulation of EPF Act 1952.

  Compensation: We are providing compensation to the dependent in form of Job according to qualification and eligibility to appropriate designation in lieu of demise of employee during service period.

Provide web link to:

• Policy document on the welfare measures
• List of beneficiaries of welfare measures
• Any other relevant document  

5

6.3.2

Q_nM

Average percentage of teachers provided with financial support to attend conferences/workshops and towards membership fee of professional bodies during the last five years

Number of teachers provided with financial support to attend conferences/workshops and towards membership fee of professional bodies year-wise during the last five years

Data Requirement for the last five years: (As per Data Template)

• Name of the teacher
• Name of conference/ workshop attended for which financial support was provided
• Name of the professional body for which membership fee is provided

Percentage per year =

Average percentage =

Upload:

• Details of teachers provided with financial support to attend conferences, workshops etc. during the last five years (Data Template)
• Policy document on providing financial support to teachers
• List of teachers provided membership fee for professional bodies
• Receipts to be submitted
• Any other relevant information

7

6.3.3

Q_nM

Average number of professional development / administrative training  programmes organized by the Institution for teaching and non- teaching/technical staff during the last five years

(Continuing education programmes, entrepreneurship development programmes, Professional skill development programmes, Training programmes for administrative staff etc.,)

Total number of professional development /administrative training programmes organized by the Institution for teaching and non-teaching /technical staff year-wise during the last five years

Data Requirement for last five years: (As per Data Template)

• Title of the professional development Programme organised for teaching staff
• Title of the administrative raining Programme organised for non-teaching staff
• Dates (From- to)

Formula:

Upload:

• List of professional development / administrative training programmes organized by the Institution during the last five years and the lists of participants who attended them (Data template)
  • Reports of Academic Staff College or similar centers  Verification of schedules of  training programs

• Copy of circular/ brochure/report of training program  self conducted program may also be considered
• Any other relevant information

6

6.3.4

Q_nM

Average percentage of teachers undergoing Faculty Development Programmes (FDP) including online programmes during the last five years (Orientation / Induction Programmes, Refresher Course, Short Term Course etc.)

Number of teachers who have undergone Faculty Development Programmes including online programmes, Orientation / Induction Programmes, Refresher Course, Short Term Course and any other course year-wise during the last five years

Data Requirement for the last five years: (As per Data Template)

• Names of teachers who have undergone such programmes
• Title of the Programme
• Duration (From –to)

Formula:

   Percentage per year =  

Average percentage = 

Upload:

• AQARs for the last five years

• Details of teachers who have attended FDPs during the last five years (Data Template)
  • E-copy of the certificate of the program attended by teacher

• Days limits of program/course as prescribed by UGC/AICTE or Preferably Minimum one day programme conducted by recognised body/academic institution
• Any other relevant information

6

6.3.5

Q_lM

Institution has Performance Appraisal System for teaching and non-teaching staff

Performance Appraisal System for teaching and non-teaching staff

• The performance appraisal system of employee of the ACPM Medical College & Hospital is well structured and carried out annually. The entire exercise is executed by Head of Departments, Dean & management.
• Objectives of the performance appraisal system is to quantitative assessment of ability of employee to upgrade their skills, behaviours with peers, compliance of job profile, degree of satisfaction of stakeholders, eligibility for increments/incentives, promotion to higher post/position, leadership quality, role in achieving excellence of college services in pursuance of vision & mission.
• Process of performance appraisal system is discrete and allows the employee to state their contribution in achieving defined objectives and compliance of job profile in structured questionnaire.
• Each item of the questionnaire is given numerical score for assessment of performance.
• The questionnaire filled by the employee is verified by the departmental head/reporting officer and rating is obtained.
• Scores and grading is carried out by HR for generating key performance index [KPI] and compared with previous KPI for consideration of incentives/increments/award/ appreciation.
• The verified assessment report with KPI and HR report is submitted to Dean who is head of institution for final review and recommendations to college council for consideration.
• Items for annual performance appraisal for non-teaching staff includes key issues related with their job profile comprises of  their   involvement and dedication to their work, participation in co-curricular and extra-curricular activities, while faculty assessment also includes publication of research papers, extramural research projects funded by research/industrial institutions, books, development of learning resources for students, besides behavioural, administrative and social matrices.
• The summary of the appraisal system with the recommendation by the Dean is submitted to management/ governing body for further processing

Analysis of appraisal

• The total score received by the staff is computed by adding the scores in self appraisal form.
• Appropriate grades would be given.
• The strengths, responsibilities undertaken, achievements are consolidated and identified.
• Additionally, the areas of improvement are listed..
• The progress based on the previous year’s feedback is also reviewed

Outcome of appraisal system

• To assist teachers to reflect about their potential and to carry out their duties more effectively
• To provide judgment to support promotions, demotions, confirmation or termination.
• To provide feedback to staff about their behaviour, attitudes, skills or subject expertise.

How the outcomes are communicated to the employees

• After a consolidation of the appraisal across academic year has been undertaken, the faculty would be invited for an individualized meeting to discuss the same.
• The Dean is expected to acknowledge and appreciate achievements, encourage and motivate the faculty to further improve or convey the implications of poor performance.

Output from the performance appraisal system includes:

• Strength of the employees
• Weakness of the employees
• Research orientation of the faculties
• Employees due for promotions
• Salary increments.

All the appraisal records are compiled and maintained in HR department. Protection and confidentiality is ensured.

Provide web link to:

• Performance Appraisal System
• Any other relevant information

6

Metric

No.

Weightage

6.4.1

Q_lM

Institutional strategies for mobilisation of funds and the optimal utilisation of resources

Response:

• · The primary source of income of the college is tuition fees, hostel fees and mess fees collected from the students against academic and supportive services and medical fees from the patients for health care services, being rendered by the college & hospital.
• · Tuition fees from the students are determined by “Fees Regulatory Authority” a quasi-judiciary committee constituted by state Government of Maharashtra on yearly basis based on the cost analysis.
• · The fees charged for hospital services are highly subsidized, hence revenue generation from medical fees against hospital services are much less than expenditures incurred on the services. However ACPM Medical College & hospital caters to very under-privileged rural and tribal population as social commitment to quality health in the region and trained the young aspirants of the area for need of tomorrow.
• · The institution attempts to explore all possible avenues to enhance financial income making request/proposals for CSR funds of industries/philanthropists, voluntary donation or term loan from the bank to meet the deficient funds.
• · The college has formulated policy documents envisage methodology for optimum fund mobilisation and utilization
• · The dean office seeks annual requirement including up gradation of facilities from each department/section of the college and hospital with justification.
• · Requirements of the department are consolidated under plan and non-plan expenditures heads with financial budget estimates.
• · College council discuss the budget estimates and approve final budget allocation.
• · Central purchase committee meet as per the need and finalised quotation specifications and final purchase order to the suppliers after due negotiation of rates and specifications.
• · Annual stock verification of the stock is carried under the supervision of three faculty members and store department representatives to update the status of inventory.
• · Monthly income expenditure statement is prepared by the accounts department for strict monitoring of budget allocation.
• · All accounts and store inventory is subject to internal and external monitoring team designated by the Chartered Accountant consultants appointed by the College.
• · Operating expenses like salary, purchasing, interest payable, maintenance, statutory financial compliances, direct expenses are incurred from the tuition fees, hostel fees and hospital fees.
• · Approximate 20-25% funds are utilize for infrastructure and facility development.

Provide web link to:

• Resource mobilization policy document duly approved by College Council/other administrative bodies
• Procedures for optimal resource utilization
• Any other relevant information

7

  6.4.2      QlM

Institution conducts internal and external financial audits regularly

Response

• Our financial goals are achieved and maintained by using internal and external audits.
• The internal and external audit of financial resource mobilization and utilization of funds on the objects of the college is carried out by team of account dept of Institute and external auditing agency.
• The internal audit ensures that the overall financial system is working efficiently.
• A team of account dept under chief accountant of institute scrutinizes all the transactions of income and expenditures on quarterly basis and submits the report of financial accounting based on the standard accounting conventions and methods.
• Account department check and verify the vouchers, ledgers for the transactions during the period of audit within the year.
• Internal audit is carried out by the chief accountant on regular basis and submit trial balance sheet including income expenditure schedules to dean for perusal.
• The external audit is carried out by an External Auditing Agency headed by a Charted Accountant appointed by the Board of Management.
• External audit carried out once in a financial year and to verify and evaluate that the expenditures have been incurred in accordance with the guidelines, as per established norms/system of the institute
• Consideration of budgetary provisions, particular head of funds, purpose for which expenditure is incurred  is monitored strictly by the audit team and ensure optimum utilization of funds in accordance to budgetary provisions.
  • The income obtained from student’s fees, medical fees from the patients, expenditures on infrastructure development, salary and wedges, direct and indirect expenditures & operating expenses are tabulated in the audit report with objections or queries,  if any, are raised during the audit process by the external auditor. The external auditor submits the final audit report with audit findings. The compliances, if any, are settled by the accounting department with the consultation of dean within a specified time schedule.

Provide weblink to:

• Documents pertaining to internal and external audits year-wise for the last five years

• Any other relevant information

8

6.4.3

Q_nM

Funds / Grants received from government/non-government bodies, individuals, philanthropists (INR in Lakhs) during the last five years (not covered in Criterion III)

Total Grants received from government/non-government bodies, individuals, philanthropist’s year-wise during the last five years (INR in Lakhs)

Upload:

• Audited statements of accounts for the last five years.

• Copy of letter indicating the grants/funds received by respective agency as stated in metric
• Provide the budget extract of audited statement towards Grants received from Government / non-government bodies, individuals, philanthropist duly certified by charteredaccountant/ Finance Officer

• Information as per Data template
• Any other relevant information

5

Metric

No.

Weightage

6.5.1

Q_lM

Instituion has a streamlined Internal Quality Assurance Mechanism

Response:

The Internal Quality Assurance Cell (IQAC )of the ACPM Medical College has been constituted to ensure quality assurance in academics, administrative, pateint center health care and research activities of the college & hospital.

• IQAC in consultation with representatives of all stakeholders designs SOP for implementation of Strategic plan and submit to college council for approval.
  • IQAC has prepared structured feedback system with scores to receive prevailing status of the services and sugestions for improvements from all its stakeholders.
  • After receipts of feedback from stakeholder in academic, administration, health care personels and beneficiaries, research, members of the IQAC discuss the situation analysis and feasible improvement strategies for implementation in the college.
  • After approval of college council, SOP is implemented by relevant college committee and monitored by IQAC member.
  • IQAC periodically submitts monitoring report to college council for updates and suggestions if any.

Some of IQAC activities undertaken  are highlighted below:

• Identification of areas of monitoring for improvement in academics, research, patient centered health care services  and upgradation of infrastructural facilities.
• Gap analysis of intended and actual professional competencies  in veiw of implementation of CBME medical curriculum
• Initiative of NABH acreditation process of ACPM Hospital
• Initiative for improvements in central library services and digital learning system.
• Initiative for developing dedicated customised learning management system.
• Initiation of NPTEL local chapter.
• Suggest value added courses for the acedemic year for students.
• In consultion with Dean & research committee, organise conferences, seminars, workshops, contiuing medical education [CME].
• To develop research and development culture and motivate faculty for various publication and patent activity.
• To conduct various programs for the students,employees and faculties.
• To support various grievances committee and suggest nessesary action for that.

Provide web link to

• The structure and mechanism for Internal Quality Assurance
• Minutes of the IQAC meetings.
• Any other relevant information

10

6.5.2

QnM

Average percentage of teachers attending programs/workshops/seminars specific to quality improvement in the last 5 years. 

(Please exclude participations in Faculty Development Programmes (FDP) mentioned in metric 6.3.4)

Number of quality initiatives by IQAC for promoting quality year-wise for the last five years

Percentage per year =  

Average percentage = 

Upload:

• Details of programmes/workshops/seminars specific to quality improvement attended by teachers year-wise during the last five years
• List of teachers who attended programmes/workshops/seminars specific to quality improvement year-wise during the last five years
• Certificate of completion/participation in programs/ workshops/seminars specific to quality improvement
• Information as per Data Template
• Any other relevant information

10

6.5.3

Q_nM

The Institution adopts several Quality Assurance initiatives

The Institution has implemented the following QA initiatives :

1. Regular meeting of Internal Quality Assurance Cell (IQAC)
2. Feedback from stakeholder collected, analysed and report submitted to college management for improvements
3. Organization of workshops, seminars, orientation on quality initiatives for teachers and administrative staff.
4. Preparation of documents for accreditation bodies (NAAC, NBA, ISO, NIRF, NABH, NABL etc.,)

Upload :

• Information as per Data Template
• Annual report of the College
• Minutes of the IQAC meetings
• Copies of AQAR
• Report of the feedback from the stakeholders duly attested by the Board of Management
• Report of the workshops, seminars and orientation program
• Copies of the documents for accreditation
• Any other relevant information

10