Notification of Substantive Change Actions
October and November 2017
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The following publicly available information is provided by the Accreditation Commission for Education in Nursing (ACEN) concerning the accreditation status of the following programs reviewed by the ACEN Board of Commissioners during its meeting on October 27, 2017 and November 3, 2017. 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:
- Clinical Doctorate/DNP Specialist Certificate
- Master’s/Post-Master’s Certificate
- Baccalaureate
- Associate
- Diploma
- Practical
Access the ACEN 2017 Standards and Criteria by program type:
- Clinical Doctorate/DNP Specialist Certificate
- Master’s/Post-Master’s Certificate
- Baccalaureate
- Associate
- Diploma
- Practical
Notification of Substantive Change Actions
The Board of Commissioners approved the substantive change report for the following programs:
- Broward County Public Schools (Practical) Coconut Creek, FL related to the addition of an off-campus instructional site at Sheridan Technical High School.
- Clark College (Associate) Vancouver, WA related to curriculum revisions of greater than 25%.
- Colorado State University – Pueblo (Master’s) Pueblo, CO related to curriculum revisions of greater than 25% and the addition of distance education.
- Community College Rhode Island (Practical) Lincoln, RI related to curriculum revisions of greater than 25%.
- Everett Community College (Associate) Everett, WA related to curriculum revisions of greater than 25%.
- Franciscan Health Lafayette (Diploma) Lafayette, IN related to curriculum revisions of greater than 25%.
- La Roche College (Master’s) Pittsburgh, PA related to curriculum revisions of greater than 25%.
- Lawson State Community College (Associate, Practical) Birmingham, AL remove the requirement for a focused visit and approve the substantive change related to the implementation of a new curriculum.
- Lincoln Memorial University (Master’s) Harrogate, TN related to the addition of an online nursing business administration (NBA) program option and implementation of distance education for the program option.
- Louisiana State University at Alexandria (Baccalaureate) Baton Rouge, LA related to curriculum revisions greater than 25% and an increase in enrollment of greater than 25%.
- Nicolet Area Technical College (Associate) Rhinelander, WI related to an increase in enrollment of greater than 25%.
- Northern Kentucky University (Clinical Doctorate) Highland Heights, KY related to curriculum revisions of greater than 25%.
- Pennsylvania College of Technology (Baccalaureate) Williamsport, PA related to curriculum revisions of greater than 25%.
- Quinsigamond Community College (Practical) Worcester, MA related to an increase in enrollment of greater than 25%.
- Sharon Regional Health System (Diploma) Sharon, PA related to an increase in enrollment of greater than 25%.
- Southwest Baptist University (Master’s) Springfield, MO related to an increase in enrollment of greater than 25%.
- Tacoma Community College (Associate) Tacoma, WA related to curriculum revisions of greater than 25%.
- Universidad de Puerto Rico en Humacao (Baccalaureate) Humacao, PR remove requirement for focused visit and approve the substantive change related to non-compliance with Standard 1 Mission and Administrative Capacity.
- UPMC Mercy (Diploma) Pittsburgh, PA related to curriculum revisions of greater than 25%.
- UPMC Presbyterian Shadyside (Diploma) Pittsburgh, PA related to curriculum revisions of greater than 25%.
- UPMC St. Margaret (Diploma) Pittsburgh, PA related to curriculum revisions of greater than 25%.
- Webster University (Master’s) St. Louis, MO related to curriculum revisions of greater than 25%.
- Webster University (Baccalaureate) St. Louis, MO related to curriculum revisions of greater than 25% and implantation of a new off-campus instructional site at Saint Anthony’s Medical Center.
The Board of Commissioners approved the substantive change report and authorized a focused visit for the following programs
- Alderson Broaddus University (Baccalaureate) Philippi, WV related to non-compliance with Standard 1 Mission and Administrative Capacity.
- Albany State University (Master’s, Baccalaureate) Albany, GA related to the merger of the master’s and baccalaureate nursing programs at Albany State University and the baccalaureate and associate nursing programs at Darton State College.
- Brookdale Community College (Associate) Lincroft, NJ related to curriculum revisions greater than 25%.
- Cedar Crest College (Master’s) Allentown, PA related to the addition of new program options, curricula revisions, and an increase in enrollment of greater than 25%.
- College of Southern Idaho (Associate) Twin Falls, ID related to curriculum revisions of greater than 25%.
- Community College of Beaver County (Associate) Monaca, PA related to the addition of the Canonsburg off-campus instructional site.
- East Central Community College (Associate) Decatur, MS related to a decline in licensure examination pass rates.
- East Tennessee State University (Master’s) Johnson City, TN related to the withdrawal from the partnership with the Tennessee Board of Regents collaborative program and the implementation of the psychiatric mental health nurse practitioner program option and psychiatric mental health nurse practitioner post-master’s certificate program option.
- Endicott College (Baccalaureate) Beverly, MA related to the addition of an off-campus instructional site at the Beverly Hospital and increase in enrollment of greater than 25%.
- Franciscan Missionaries of Our Lady University (Master’s) Baton Rouge, LA related to the addition of a family nurse practitioner (FNP) program option.
- George Corley Wallace Community College-Selma (Associate, Practical) Selma, AL related to implementation of a new curriculum.
- Germanna Community College – Locust Grove (Associate) Locust Grove, VA related to implementation of a new curriculum.
- Gordon State College (Baccalaureate) Barnesville, GA relate to the addition of a pre-licensure baccalaureate nursing program.
- Hillsborough Community College (Associate) Tampa, FL related to implementation of a new curriculum.
- Indiana University East (Baccalaureate) Richmond, IN related to implementation of a new curriculum.
- J. Sargeant Reynolds Community College (Associate) Richmond, VA related to implementation of a new curriculum.
- Jefferson State Community College (Associate) Birmingham, AL related to implementation of a new curriculum.
- John Tyler Community College (Associate) Midlothian, VA related to implementation of a new curriculum.
- Kansas City Kansas Community College (Associate) Kansas City, KS related to a decline in licensure examination pass rates.
- Mercy College of Health Sciences (Associate) Des Moines, IA related to a decline in licensure examination pass rates.
- Middle Tennessee State University (Master’s) Murfreesboro, TN related to the withdrawal from the partnership with the Tennessee Board of Regents collaborative program.
- North Idaho College (Associate) Coeur d’Alene, ID related to curriculum revisions of greater than 25%.
- Northeastern State University (Master’s) Muskogee, OK related to the re-activation of the master’s nursing program and the addition of two (2) program options, including the administrative leadership option and the nursing informatics option.
- Quincy College (Practical) Quincy, MA related to a decline in licensure examination pass rates and a change in status with the Massachusetts Board of Registration in Nursing.
- Rappahannock Community College (Associate) Glenns, VA related to curriculum revisions of greater than 25%.
- Roxbury Community College (Associate) Boston, MA related to curriculum revisions of greater than 25%.
- Seminole State College (Associate) Seminole, OK related to implementation of a new curriculum.
- Snow College (Associate) Richfield, UT related to a decline in licensure examination pass rates.
- Southeast Arkansas College (Associate) Pine Bluff, AR related to a decline in licensure examination pass rates.
- Southern Adventist University (Baccalaureate) Collegedale, TN related to implementation of a pre-licensure program option.
- Southwest Baptist University (Associate) Springfield, MO related to the addition of the Dobbs Nursing Department of Mercy College of Nursing and Health Science off-campus instructional site and the implementation of distance education.
- St. Catherine University (Baccalaureate) Saint Paul, MN related to the implementation of a College for Adults: Baccalaureate of Science in Nursing section program option.
- Universidad Metropolitana (Baccalaureate) San Juan, PR related to the implementation of the Jayuya off-campus instructional site.
- University of Maine at Augusta (Baccalaureate) Augusta, ME related to a decline in program completion rates.
- University of New Mexico – Gallup (Associate) Gallup, NM related to implementation of a new curriculum.
- University of Pikeville (Baccalaureate) Pikeville, KY related to implementation of distance education for 100% of the credits in the RN-to-BSN program option.
- Washtenaw Community College (Associate) Ann Arbor, MI related to curriculum revisions of greater than 25%.
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 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.