Notification of Substantive Change Actions
March 2018

The following publicly available information is provided by the Accreditation Commission for Education in Nursing (ACEN) concerning actions taken on March 8, 2018, 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 2017 Standards and Criteria by program type:

Substantive Change Actions


The Board of Commissioners approved the substantive change report for the following programs:

  • Baptist Health College Little Rock (Practical) Little Rock, AR related to curriculum revisions of greater than 25%.
  • Danville Area Community College (Associate) Danville, IL related to a decline in licensure examination pass rates.
  • EDP University of Puerto Rico – Hato Rey (Associate) Hato Rey, PR related to the consolidation of the nursing education units and associate programs at EDP University of Puerto Rico – Hato Rey and EDP University of Puerto Rico – San Sebastian.
  • Koc University (Baccalaureate) Topkapi, Istanbul, Turkey related to curriculum revisions of greater than 25%.
  • Purdue University Northwest (Master’s/Post-Master’s Certificate) Hammond, IN related to the implementation of a new Nursing Education program option, curriculum revisions to the Nursing Education post-master’s certificate option and the Nurse Executive program option of greater than 25%, and an increase in enrollment by greater than 25%.
  • Rasmussen College – Overland Park (Associate) Overland Park, KS related to an increase in enrollment of greater than 25%.
  • Rasmussen College – Wausau (Associate) Wausau, WI related to an increase in enrollment of greater than 25%.
  • Seminole State College (Associate) Seminole, OK related to a decline in licensure examination pass rates.
  • Sharon Regional Health System (Diploma) Sharon, PA related to an increase in enrollment of greater than 50%.
  • Southern Arkansas University (Baccalaureate) Magnolia, AR related to a decline in licensure examination pass rates.
  • West Georgia Technical College (Associate) Waco, GA related to a decline in licensure examination pass rates.

The Board of Commissioners approved the substantive change report and authorized a focused visit for the following programs

  • None

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

  • None

 


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 the 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 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.