Notification of Substantive Change Actions
July 2017

The following publicly available information is provided by the Accreditation Commission for Education in Nursing (ACEN) concerning actions taken on July 20 and 21, 2017, by the ACEN Board of Commissioners related to substantive changes. Commission staff will not speculate on what decision might be made by the ACEN Board of Commissioners the next time a program is reviewed. For additional information regarding ACEN accreditation process, access the Accreditation Manual at http://www.acenursing.org/accreditation-manual

Access the ACEN 2013 Standards and Criteria by program type:

Access the ACEN 2017 Standards and Criteria by program type:

Substantive Change Actions


The Commission accepted the substantive change report for the following programs:

  • Bethel College (Master’s) Mishawaka, IN related to for curriculum revisions greater than 25% and an increase in enrollment of greater than 25%.
  • Bethel College (Baccalaureate) Mishawaka, IN related to curriculum revisions greater than 25%.
  • Bryant and Stratton College – Richmond (Associate) North Chesterfield, VA related to an increase in enrollment of greater than 25%.
  • Carrington College – Reno (Associate) Reno, NV related to curriculum revisions greater than 25% an increase in enrollment of greater than 25%.
  • Georgia State University – Perimeter College (formerly Georgia Perimeter College) (Associate) Clarkston, GA related to a consolidation/merger of governing organizations between Georgia Perimeter College, and Georgia State University.
  • Grand Rapids Community College (Associate) Grand Rapids, MI related to curriculum revisions greater than 25%.
  • Grand Rapids Community College (Practical) Grand Rapids, MI related to curriculum revisions greater than 25%.
  • Harcum College Bryn (Associate) Mawr, PA related to curriculum revisions greater than 25%.
  • Motlow State Community College (Associate) Lynchburg, TN related to curriculum revisions greater than 25%.
  • New England Institute of Technology (Baccalaureate) East Greenwich, RI related to curriculum revisions greater than 25%.
  • North Carolina Central University (Baccalaureate) Durham, NC related to curriculum revisions greater than 25%.
  • Northeast State Community College (Associate) Kingsport, TN related to curriculum revisions greater than 25%.
  • Notre Dame of Maryland University (Baccalaureate) Baltimore, MD related to the addition of distance education.
  • Panola College (Associate) Carthage, TX related to curriculum revisions greater than 25% for the LVN-to-RN program option.
  • Prospect Education – Charter College (Associate) Anchorage, AK related to an increase in enrollment and an implementation of distance education.
  • Southern State Community College (Associate) Hillsboro, OH related to curriculum revisions greater than 25%.
  • Thomas More College (Baccalaureate) Crestview Hills, KY related to the addition of distance education.

The Commission accepted the substantive change report and authorized a focused visit for the following programs

  • Bethel College (Baccalaureate) Mishawaka, IN related to the implementation of distance education for 100% of the credits in the BSN-Completion program option.
  • Chipola College (Associate) Marianna, FL related to a decline in licensure examination pass rates and a change in status with the Florida Board of Nursing.
  • Cloud County Community College (Associate) Concordia, KS related to the addition of a pre-licensure associate program option and curriculum revisions greater than 25% for the LPN-to-RN program option.
  • Coastal Alabama Community College (Formerly Alabama Southern Community College, Faulkner State Community College, and Jefferson Davis Community College) (Associate, Practical) Bay Minette, AL related to the merger between Alabama Southern Community College, Faulkner State Community College, and Jefferson Davis Community College to form Coastal Alabama Community College.
  • Dickinson State University (Baccalaureate) Dickinson, ND related to the implementation of distance education for 100% of the credits in the ADRN-to-BSN Competition program option.
  • Councill Trenholm State Community College (Practical) Montgomery, AL related to implementation of a new curriculum.
  • Lansing Community College (Associate) Lansing, MI related to curriculum revisions greater than 25%.
  • Northwest State Community College (Associate) Archbold, OH related to the implementation of new curricula for the pre-licensure and LPN-to-RN program options.
  • Park University (Baccalaureate) Parkville, MO related to the addition of a pre-licensure baccalaureate program option.
  • Regis College (Baccalaureate) Weston, MA related to the implementation of the Regis North off-campus instructional site and for the implementation of distance education.
  • Sharon Regional Health System (Diploma) Sharon, PA related to a change in ownership.
  • Southeast Community College (Associate) Lincoln, NE related to the implementation of the Beatrice Campus off-campus instructional site and the implementation of distance education.
  • Catherine University (Clinical Doctorate) Saint Paul, MN related to the implementation of a clinical doctorate nurse practitioner program option.
  • Swedish Institute College of Health Sciences (Associate) New York, NY related to a decline in licensure examination pass rates and program completion rates.
  • UPMC Presbyterian Shadyside(Diploma) Pittsburgh, PA a decline in licensure examination pass rates and change in status with the Pennsylvania State Board of Nursing.
  • Utah State University – College of Eastern Utah (Associate, Practical) Logan, UT related to for the implementation of the Tooele and Moab off-campus instructional sites for the associate and practical programs and a decline in licensure examination pass rates.
  • Vincennes University (Associate) Vincennes, IN related to curriculum revisions greater than 25%.
  • Vincennes University (Practical) Vincennes, IN related to curriculum revisions curriculum revisions greater than 25%.

 

The Commission denied the substantive change report for the following programs:

  • Park University (Baccalaureate) Parkville, MO related to a change in nurse administrator and non-compliance with Standard 1 Mission and Administrative Capacity.
  • Universidad de Puerto Rico en Humacao (Baccalaureate) Humacao, PR related to a change in nurse administrator non-compliance with Standard 1 Mission and Administrative Capacity.

 


Definitions


Continuing Accreditation: A determination by the ACEN Board of Commissioners that a nursing program is in compliance with all Accreditation Standards.

Continuing Accreditation with Conditions: A measure imposed by the ACEN Board of Commissioners following the determination of non-compliance with one (1) or two (2) Accreditation Standards. Next review and follow-up action(s) are determined by the Board of Commissioners.

Continuing Accreditation with Warning: A measure imposed by the ACEN Board of Commissioners following the determination of non-compliance with three (3) or more Accreditation Standards. Next review and follow-up action(s) are determined by the Board of Commissioners.

Continuing Accreditation for Good Cause: A measure imposed by the ACEN Board of Commissioners following the determination that a nursing program has not remedied deficiencies at the conclusion of its maximum monitoring period and the program has (a) has demonstrated significant recent accomplishments in addressing ; (b) has documented that it has the potential to remedy all deficiencies within the extended period as defined by the Commission; that is, that the program provides evidence which makes it reasonable for the Commission to determine it will remedy all deficiencies within the extended time defined by the Commission; and (c) provides assurance to the Commission that it is not aware of any other reasons, other than those identified by the Commission, why the nursing program could not be continued for good cause.

Denied Initial Accreditation: A determination by the ACEN Board of Commissioners that a nursing program is in non-compliance with one or more Accreditation Standard.

Denied Continuing Accreditation: A determination by the ACEN Board of Commissioners that a nursing program on conditions, warning, or for good cause is found to be in continued non-compliance with any Accreditation Standard. Thereafter the nursing program is removed from the listings of accredited programs.

Focused Visit: A site visit authorized by the ACEN Board of Commissioners to review significant accreditation-related information disclosed about a program as a result of:

A substantive change;

Information revealed about a program between periods of scheduled review;

Information received from the governing organization’s accrediting body related to an adverse action;

Information received from the program’s state regulatory agency for nursing related to a change in its status;

Information revealed by a program during the Evaluation Review Panel process;

Information received from the U.S. Department of Education regarding a program’s compliance responsibilities under Title IV of the Higher Education Act such as information related to a program’s most recent student loan default rates, the results of financial or compliance audits, program reviews, and any other information that may be provided by the U.S. Department of Education.

Follow-up Report: A report prepared by a program addressing the Standard(s) for which the nursing program was found to be in non-compliance during the program’s previous review by the ACEN Board of Commissioners.

Initial Accreditation: A determination by the ACEN Board of Commissioners that a nursing program is in compliance with all Accreditation Standards.

Remove the Conditions Status and Grant Continuing Accreditation: A determination by the ACEN Board of Commissioners that a nursing program is in compliance with the Accreditation Standard(s) that the program was found to be in non-compliance during the program’s previous review by the ACEN Board of Commissioners.

Remove for Good Cause Status and Grant Continuing Accreditation: A determination by the ACEN Board of Commissioners that a nursing program is in compliance with the Accreditation Standards that the program was found to be in non-compliance during the program’s previous review by the ACEN Board of Commissioners.

Remove the Warning Status and Grant Continuing Accreditation: A determination by the ACEN Board of Commissioners that a nursing program is in compliance with the Accreditation Standard(s) that the program was found to be in non-compliance during the program’s previous review by the ACEN Board of Commissioners.

Standard:
See ACEN 2013 Standards and Criteria
Clinical Doctorate/DNP Specialist Certificate
Master’s/Post-Master’s Certificate
Baccalaureate
Associate
Diploma
Practical
See ACEN 2017 Standards and Criteria
Clinical Doctorate
Master’s/Post-Master’s Certificate/DNP Specialist Certificate
Baccalaureate
Associate
Diploma
Practical

Substantive Change Report: A report submitted by an accredited program informing the ACEN of a significant modification or expansion of the nature and scope of a nursing program and/or nursing education unit.