Notification of Substantive Change Actions
September 2018

The following publicly available information is provided by the Accreditation Commission for Education in Nursing (ACEN) concerning actions taken on September 10, 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:

  • Alle-Kiski Medical Center (Diploma) New Kensington, PA related to the relocation of the nursing education unit to 590 Pittsburgh Mills Circle, Suite 539, Tarentum, PA 15084.
  • American Sentinel University (Clinical Doctorate) Aurora, CO related to an unplanned increase in enrollment of 25% or greater by headcount in one (1) academic year for the nursing program.
  • Arnot Ogden Medical Center (Diploma) Elmira, NY related to a decline in licensure examination pass rate.
  • Bucks County Community College (Associate) Newtown, PA related to a change in status by the Pennsylvania State Board of Nursing (PSBN) due to a decline in licensure examination pass rates.
  • Dickinson State University (Practical) Dickinson, ND related to a decline in program completion rate.
  • Edgecombe Community College (Associate) Rocky Mount, NC related to a decline in licensure examination pass rate.
  • La Roche College (Associate) Pittsburgh, PA related to a change in status by the Pennsylvania State Board of Nursing (PSBN) due to a decline in licensure examination pass rates.
  • Mountainland Technical College (Practical) Lehi, UT related to the relocation of the nursing education unit to 2801 West Ashton Boulevard in Lehi, Utah.
  • Navarro College (Associate) Corsicana, TX related to a decline in licensure examination pass rate.
  • Northland Community and Technical College (Associate) East Grand Forks, MN related to a decline in licensure examination pass rate.
  • Northwest State Community College (Associate) Archbold, OH related to the implementation of a partnership to deliver a seamless academic pathway program option from the associate degree in nursing at Northwest State Community College to a baccalaureate degree in nursing at Bluffton University.
  • Paul D. Camp Community College (Associate) Franklin, VA related to a change in status with the Virginia Board of Nursing (VBON) due to a decline in licensure examination pass rates.
  • Riverland Community College (Practical) Austin, MN related to the implementation of a part-time evening/weekend program option.
  • Rochester Community & Technical College (Practical) Rochester, MN related to the implementation of an increase in enrollment of 25% or greater by headcount in one (1) academic year for the nursing program.
  • Santa Fe Community College (Associate) Santa Fe, NM related to a change in approval status with the New Mexico Board of Nursing (NMBON) due to a decline in licensure examination pass rates.
  • University of Pittsburgh at Bradford (Associate) Bradford, PA related to a change in status by the Pennsylvania State Board of Nursing (PSBN) due to a decline in licensure examination pass rates.
  • Wytheville Community College (Associate) Wytheville, VA related to the implementation of a state-wide curriculum.

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

  • Calhoun Community College (Associate/Practical) Decatur, AL, related to the implementation of the off-campus instructional site at 102 Wynn Drive Northwest, Huntsville, Alabama 35805.
  • East Mississippi Community College (Associate) Mayhew, MS related to the implementation of curriculum revisions of greater than 25% and the implementation of an LPN-to-RN program option.
  • Lipscomb University (Baccalaureate) Nashville, TN related to the implementation of an RN-to-BSN nursing program option, the implementation of distance education for RN-to-BSN program option, and a potential increase in enrollment of greater than 25% in one (1) academic year.
  • Paul D. Camp Community College (Associate) Franklin, VA related to the implementation of a state-wide curriculum.
  • Riverland Community College (Associate) Austin, MN related to the implementation of curriculum revision of greater than 25% and a change in program length.

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.