International theological accreditation, recognition and quality assurance
Operations guide

How to Conduct Institutional Reviews

Clear, practical steps for planning and running institutional reviews that evaluate governance, academic standards, student protection and continuous improvement.

Overview

Institutional reviews are scheduled, evidence-based evaluations of an institution’s systems, governance, academic provision and student safeguards. Reviews protect students by ensuring transparency, assessing compliance with institutional policy and promoting continuous improvement. Reviews consider governance, academic standards, staffing, student support, learning resources, assessment and public information.

Planning the review

Begin with a clear scope and timetable agreed by the governing body. Define objectives (for example: governance, curriculum quality, compliance, financial sustainability, student experience). Appoint an internal review team and, where appropriate, one or more external reviewers with relevant experience. Provide reviewers with a self-evaluation report, key policies, strategic plans, recent external reports and sampled student records.

  • Set a realistic timetable for evidence submission, site visits or virtual meetings, draft report circulation and response.
  • Ensure conflict-of-interest declarations for all reviewers and transparent terms of reference.
  • Communicate the purpose and process to staff and students in advance.

Conducting evidence-based assessment

Use a mix of documentary review, interviews and sampling. Typical evidence includes governance minutes, programme specifications, assessment records, staff CVs, student feedback, policies on academic integrity and student complaints, and financial statements. Focus on whether systems operate effectively in practice, not only on the existence of policies.

  1. Interview senior leaders, academic staff, support staff and a representative sample of students.
  2. Observe teaching where possible and review assessment moderation practices.
  3. Record findings against clear criteria and provide illustrative evidence for each finding.

Reporting findings

The review report should be structured, evidence-based and include: executive summary, strengths, areas for improvement, mandatory actions (if any), timescales and recommended good-practice examples. Classify recommendations by priority and assign responsible persons. Draft reports should be shared with institutional leadership for factual accuracy before finalisation.

Where governance or legal non-compliance is identified, the report should advise immediate corrective action and recommend escalation steps to the governing body.

Follow-up and action plans

Effective institutional reviews include monitored follow-up. Require a formal action plan with clear milestones, responsible officers and measurable success criteria. Schedule progress reports and, where necessary, interim visits or checkpoint reviews. Use follow-up outcomes to inform strategy, staff development and future review cycles.

Using reviews for continuous improvement

Treat reviews as formative as well as summative. Disseminate good practice across departments, integrate findings into staff training and update policies and student-facing information. Use longitudinal review data to track improvement across cycles and to support institutional ranking or maturity assessments where relevant.

Practical checklist

  • Agree scope, timetable and reviewers.
  • Compile self-evaluation and core evidence set.
  • Conduct interviews, observations and document sampling.
  • Draft, review and finalise an evidence-based report.
  • Produce and monitor an action plan with milestones.

Frequently asked questions

How often should reviews take place?

Most institutions operate a full institutional review cycle every 3’5 years with lighter annual monitoring; adjust frequency to risk and institutional context.

Who should be external reviewers?

External reviewers should have relevant academic, governance or regulatory experience and declare any conflicts of interest.

ITAA accreditation equals government recognition.

ITAA is an independent theological accreditation body and does not grant governmental recognition or statutory degree powers.

A positive review lets an institution ignore local laws.

ITAA accreditation and institutional reviews never override or replace local, regional or national legal requirements.

ITAA’s Role

The International Theological Accreditation Association (ITAA) supports institutions to develop robust quality-assurance systems and conducts or recognises institutional review processes that emphasise student protection, transparency and continuous improvement. ITAA accreditation and review outcomes describe the maturity of institutional systems and governance; they do not confer governmental recognition or statutory degree-awarding powers. Institutions must maintain legal compliance in their jurisdictions and keep public information accurate.

For full legal and policy details, see the Important Accreditation Information link below.