SON Mission and Governance StructurePNP-PC Practicum Course OSCE Grading Rubric Program Directors Annually; Practicum Course 100% of students reach cut-off score of 80% SON CCNE Standard

1

TTUHSC SON Master Evaluation Plan Matrix CCNE Standard & Key Element (KE)

Evaluation Element

Measure and Analysis Method

Entity Responsible

Time Line and Source/ Location

Benchmark or Target Value

Outcome(comparison of

outcome with BM) Use or Outcome &

Results/IAP

SON Mission and Governance Structure

Standard I Mission Statement

KE I-A Mission Congruent with TTUHSC statement

Consistent w Nsg. Standards and Guidelines

[] Yes, [] No [] Yes, [] No

Coordinating Council and Dean

Annually SON Website

Congruence with TTUHSC

Yes

KE I-B Mission Review

Reviewed regularly [] Yes, [] No Coordinating Council and Dean

Annually SON Website

Regular Review (OP 10.060)

Yes

Standard I Program Governance, Documents, and

Publications

KE I-D Program Governance

Faculty Involvement Student Involvement

[] Yes, [] No [] Yes, [] No

Coordinating Council

Annually Gov. Website

100% Bylaws Compliance

Yes Yes

KE I-E Documents and Publications

Accuracy Inform Constituents

[] Yes, [] No [] Yes, [] No


Annually SON Websites

Policies and Pubs OP 10.045

Yes Yes

KE I-F Policies Congruent with TTUHSC

Support Mission, Goals, Outcomes Achievement

[] Yes, [] No [] Yes, [] No


Biennially SON Policy Websites/Minutes

Evidence of Review, Revision, Use

Yes Yes

SON Strategic Plan Structure

Standard I Strategic Plan Goal I (Students)

KE I-B Mission, Goals, Expected Outcomes Review

Increasing Student Enrollment

# AY enrollment compared to # of previous AY enrollments

Dean’s Office Annually Calculated Increase > 5%; OP 10.060;

15.64% increase Unduplicated: 2014 – 1995 2015 – 2307

KE I-B Review of Strategic Goals

Development of New Programs (needs assessment)

# new degrees compared to # for previous AY

Dean’s Office Annually Calculated Increase < 1%

0% increase 2014 – 5 2015 – 5

Standard II Strategic Plan Goal II (Faculty/Staff)

KE II-D Academic Prep.

Retention of Exemplary Faculty

# faculty with doctorates/total # faculty; Faculty-Student Ratio

Dean’s Office Annually 95% Specified ratio by degree track

2014 ___ 2015 ___

2

CCNE Standard & Key Element (KE)

Evaluation Element


Entity Responsible





Results/IAP

KE II-D Academic Preparation

Retention of Exemplary Staff

# Staff Perform Eval Mean/Total # Staff

Dean’s Office Annually 90% Staff with mean >4 Score


Faculty Development % Fac with Doctorate % Faculty w > 20 CEUs/Yr.

Faculty Annually > 80%

>20 CEUs/ Year

11 TUG faculty enrolled in doctoral studies.


Staff Development %Staff meeting required staff training

Assist. Dean for Finance and Academic Affairs

Annually % staff meeting required training

Standard II Strategic Plan Goal III

(Research and Scholarship)

KE II-A Fiscal and Physical Resources

External Funding Sources

# External Sources and $ Compared to Previous AY

Assist. Dean for Finances and Academic Affairs

Annually Calculated Increase

2014 ___ 2015 ___


Faculty Research and Scholarship Support

# Staff and $ of support Compared to Previous AY


Annually $ Amount of Increase

2014 ___ 2015 ___


Faculty Research and Scholarship Awards

$ Awards Compared to Previous AY


Annually $ Amount of Increase

2014 ___ 2015 ___

Standard III Strategic Plan Goal IV

(Outreach and Community

Engagement)

KE III-E Planned Clinical Experiences

Health Disparity Reduction

# Student hours at the Combest Center Clinical and # Fac. Practice Hours in a MUA

Exec. Dir. Combest and Faculty in a MUA

Annually # Hours compared to previous AY

2014 ___ 2015 ___ 2014 ___ 2015 ___

KE III-E Planned Clinical Experiences

Improved Global Health

# Student hours and # Fac. Hours in a international clinical site

Faculty Annually # Hours compared to previous AY

2014 ___ 2015 ___

Standard II Strategic Plan Goal V (Operations)


Judicial Use of Fiscal Resources o State Funding o Grant Funding

$ Biennial State Funding $ Grant Funding

Assist Dean for Finance and Administrative Affairs

Annually $ Amount compared to previous AY

2014 ___ 2015 ___

3


Evaluation Element


Entity Responsible





Results/IAP


Key External Stakeholder Collaboration o Endowments o Professorships

$ Endowment Funding $ Professorship Funding

Assist Dean for Finance and Administrative Affairs

Annually $ Amount compared to previous AY

2014 ___ 2015 ___


KE II-B Academic Support Services

Physical Resources o Simulation

Learning Experiences

o Clinical Sites o Distance

Education Effectiveness

o IT Support o Electronic

Resource Use

# Simulation Experiences GAV; # Clinical Facility Experiences GAV; Distance Education Effectiveness GAV; IT Effectiveness GAV; # Courses requiring use of electronic resources/# courses in curriculum;

Program Directors OME Office

Each Semester aggregated annually

GAV < 0.45 for Clinical Facilities, IT Support, and DE Course Satisfaction Tool Items; 80% of courses require use of electronic services;

SON Undergraduate and Graduate Curricula

Standard III Curricula

KE III-A Curricula Development, Implementation, Revision

Course Objectives relate to SLOs

SLOs relate to grad. prepared roles

Course Objectives and SLOs Mapped Course Maps [] Yes, [] No

Program Directors Annually 100% of course maps

100% - DNP/MSN Leadership Studies

53.33% _ (8/15) Traditional Undergraduate Studies

KE III-B Curricula Reflection of Nsg Standards/Guide.

BON AACN Essentials Other (NTF . . .)

Documented in Course Maps [] Yes, [] No



53.33% - (8/15) Traditional Undergraduate Studies

KE III-C Curricula Logical Ordering

Built on Prev. Found. Rational Sequencing

Course Maps [] Yes, [] No




4


Evaluation Element


Entity Responsible





Results/IAP

KE III-D T-L Practices, Environ.

Support Individual. Student SLOs Achievement

Course Maps; Rubrics

Course Facilitators Program Directors

Annually 100% of course maps



KE III-E Planned Clinical Exper. [and KE II-E Preceptors]

Demo. Of SLOs Evaluation by Faculty Input by Preceptors

Course Maps, Rubrics, Cl. Evals.

Faculty/CFs Program Directors

Annually 100% of clinical courses Clinical Eval. OPs, Precep. OPs



KE III-F Community of Interest Needs, Expect.

Curric. and T-L Pract. Appropriate to students

Needs of Comm. of Int.

Objectives/Criteria in Course Maps, COI Minutes

Program Directors, Dean’s Office (COI Meeting Minutes)

Annually 100% course maps; at least one set of COI Min.

100% - Course Maps for DNP/MSN Leadership Studies


KE III-G Student Evaluation

Perform. Eval. By Fac.

Reflect SLO Achieve. Policies Applied

Rubrics/Evals.; SLOs Achieve. G/UG OPs

Faculty, Course Facilitators (CF), Program Directors

Annually 100% of student performance eval by fac./use of OP

100% -DNP/MSN Leadership Studies


KE III-H Curricula and T-L Practices Eval. Regularly

Use of Data and Satisf. GAVs for Decisions

Regular Evaluation

Council Minutes, EOC Reports, IAPs

Faculty, CFs, Program Directors

Annually 100% of EOC Reports/Council Minutes



5


Evaluation Element


Entity Responsible





Results/IAP

Standard III Simulation

Undergraduate Simulation Learning

KE III-D T-L practices and environments support achievement of expected student outcomes

Simulation Learning with Simulators and Standardized Patients

Grading Rubric Program Directors Each Semester, Aggregated AY

100% of students reach cut-off level of 75%

99% of TUG students reached cut-off level of 75% for the past year. .

Maintain standards including remediation at earliest time of need

Graduate MSN OSCE Simulation Learning and Assessment


AGACNP Practicum Course OSCE Grading Rubric

Program Directors Annually; Practicum Course

100% of students reach cut-off score of 80%


FNP Practicum Course OSCE Grading Rubric




NMW Practicum Course OSCE Grading Rubric




PNP-AC Practicum Course OSCE Grading Rubric



6


Evaluation Element


Entity Responsible





Results/IAP


PNP-PC Practicum Course OSCE Grading Rubric



SON CCNE Standard IV Components

Standard IV Evaluation Plan

KE IV-A SON Evaluation Plan

KE IV-H Use of Data Analysis for Improvement

Determination of SON Outcomes

Timeline Regular Review Use of Data Analysis

Master Evaluation Plan Matrix (MEP Matrix)

Evaluation Committee

Annually 100% completion of Outcomes and Use of Outcomes/ IAP columns of MEP Matrix; Min

Standard IV Student Outcomes

Student Completion Rates by Degree Track

Traditional Undergraduate Completion Rate

KE IV-B Completion Rate

Traditional UG degree completion rate

# of on-time grads/total # of on-time graduates

Program Directors Annually 95% of students complete degree on time

RN-BSN Completion Rate


RN-BSN degree completion rate


Program Director Annually 95% of students complete degree on time

Second Degree Completion Rate


Second Degree degree completion rate



MSN Completion Rate

7


Evaluation Element


Entity Responsible





Results/IAP


MSN degree completion rate




Post-MSN certificate completion rate

# of on-time completers/ total # of on-time completers


DNP Completion Rate


DNP degree completion rate

# of on-time grads/ total # of on-time graduates


Standard IV Pass Rates by Degree Track

Traditional Undergraduate NCLEX-RN Pass Rate

KE IV-C Pass Rate

Traditional UG NCLEX-RN Pass Rate

# of grads passing NCLEX-RN on first sitting/total # of first-time test takers

Department Chair Annually 85% of on-time grads pass NCLEX-RN at first test taking

95.33% Sustain current efforts

Second Degree NCLEX-RN Pass Rate

KE IV-C Pass Rate

Second Degree NCLEX-RN Pass Rate

# of grads passing NCLEX-RN on first sitting/total # of first-time test takers

Department Chair Annually 85% of on-time grads pass NCLEX-RN at first test taking

81.82%

MSN APRN Certification Exam Pass Rate

KE IV-C Pass Rate

MSN Certification Pass Rate

# of grads passing certification exam on first sitting/total # of first-time test takers

Department Chair Annually 85% of on-time grads pass certification exam at first test taking

KE IV-C Pass Rate

Post-MSN Certification Pass Rate

# of completers passing certification exam

Department Chair Annually 85% of on-time grads pass certification

8


Evaluation Element


Entity Responsible





Results/IAP

on first sitting/total # of first-time test takers

exam at first test taking

Standard IV Employment Rates by Degree Track

Traditional Undergraduate Employment Rate

KE IV-D Employment Rate

Traditional UG Employment Rate

# of on-time grads/ total # on-time grads

Department Chair Annually 90% of on-time graduates

RN-BSN Employment Rate


RN-BSN Employment Rate



Second Degree Employment Rate


Second Degree Employment Rate



MSN Employment Rate


MSN Employment Rate



>90% employed

DNP Employment Rate


DNP Employment Rate



>90% employed

Standard IV SLOs Achievement by Degree Track

Traditional Undergraduate SLOs

KE IV-E SLOs Achievement

Provide patient-centered care for individuals, families, and communities.

Capstone Course Clinical Evaluation Tool

Program Directors Annually 100% of students reach cut-off level of 75%

Of the 221 students enrolled in the final semester of the Traditional Program during AY 2015, 221 passed the capstone assignment, which

9


Evaluation Element


Entity Responsible





Results/IAP equals a 100% pass rate.


Work as an effective member of inter-professional teams to ensure continuous and safe pt. care.



Of the 221 students enrolled in the final semester of the Traditional Program during AY 2015, 221 passed the capstone assignment, which equals a 100% pass rate.


Employ EBP by integrating current research with clinical expertise and patient values to provide optimal patient care.





Apply quality improvement measures to continually improve health outcomes consistent with current professional knowledge.





Utilize informatics to enhance patient safety, manage knowledge and information, make decisions, and communicate more effectively.





Provide safe care to individuals, families, and communities through individual performance and system effectiveness.




10


Evaluation Element


Entity Responsible





Results/IAP

RN-BSN SLOs



RN-BSN SLOs Assessment Rubric (in revision)

Program Director Annually To be derived The Non-Traditional Undergraduate Department has constructed a task force to create measures to evaluate student achievement of the SLO’s, Project is scheduled to be completed by April 2016.


Work as an effective member of inter-professional teams to ensure continuous and safe pt. care


Program Director Annually 100% of students reach cut-off level of 75%

The Non-Traditional Undergraduate Department has constructed a task force to create measures to evaluate student achievement of the SLO’s, Project is scheduled to be completed by April 2016.











11


Evaluation Element


Entity Responsible





Results/IAP











Second Degree SLOs



Second Degree SLOs Graduate Appraisal Rubric




Work as an effective member of inter-professional teams to ensure continuous and safe pt. care.




12


Evaluation Element


Entity Responsible





Results/IAP





















13


Evaluation Element


Entity Responsible





Results/IAP

MSN SLOs


Provide patient-centered care in the master’s prepared nursing role.

Diagnostic Readiness Test (DRT) Score for APRN Students; MSN Administration SLOs Evaluation Rubric; MSN Education SLOs Evaluation Rubric; MSN Informatics SLOs Evaluation Rubric

Program Directors for each Track

Annually 100% of students reach >60 DRT raw score for APRN students; 100% of students reach >80% SLOs Rubric Score

100% - Leadership students who graduate


Work in interprofessional teams to address the needs of patients, using master’s prepared nursing role skills.

Diagnostic Readiness Test (DRT) Score for APRN Students; MSN Administration SLOs Evaluation Rubric; MSN Education SLOs Evaluation Rubric; MSN Informatics SLOs Evaluation Rubric.


Annually 100% of students reach >60 raw score for APRN students; 100% of students reach >80% SLOs Rubric Score



Employ evidence-based practice by integrating the best research evidence into the master’s prepared nursing role.





14


Evaluation Element


Entity Responsible





Results/IAP


Apply quality improvement as a master’s prepared nurse.






Use informatics in the master’s prepared nursing role to reduce errors, manage knowledge and information, make decisions, and communicate effectively.






Integrate best practices in implementation of master’s prepared nursing roles to ensure safety and risk reduction for patients and populations.





15


Evaluation Element


Entity Responsible





Results/IAP

DNP SLOs


Integrate nursing science with knowledge from ethics, biophysical, psychosocial, analytical, and organizational sciences to advance health and health care delivery systems.

Capstone Course E-Portfolio and Clinical Immersion evaluation and Clinical e-Log review

Course Facilitator Annually 100% of students reach >80% Evaluation Outcome



Develop and operationalize effective, culturally relevant, and evidence-based care delivery approaches that meet current and future needs of patient populations.





Design and implement scholarly evidence-based processes to analyze and improve outcomes of care at the practice, health care organization, or population levels.





Select, use, and evaluate health care information systems and patient care technology to advance quality, patient safety, and organizational effectiveness.





Exercise leadership to analyze, develop, influence, and implement health policies that advocate

Capstone Course E-Portfolio and Clinical Immersion evaluation and



16


Evaluation Element


Entity Responsible





Results/IAP

social justice, equity, and Integrate nursing science with knowledge from ethics, biophysical, psychosocial, analytical, and organizational sciences to advance health and health care delivery systems.

Clinical e-Log review


Develop and operationalize effective, culturally relevant, and evidence-based care delivery approaches that meet current and future needs of patient populations.





Design and implement scholarly evidence-based processes to analyze and improve outcomes of care at the practice, health care organization, or population levels.





Select, use, and evaluate health care information systems and patient care technology to advance quality, patient safety, and organizational effectiveness.





Exercise leadership to analyze, develop, influence, and implement health policies that advocate social justice, equity,




17


Evaluation Element


Entity Responsible





Results/IAP

and ethics within all health care arenas.


Employ health professional team building and collaborative leadership skills to create positive change and improve outcomes in complex health care systems.





Analyze epidemiological, biostatistical, environmental, and other appropriate scientific data to develop culturally relevant and scientifically based health promotion and disease prevention initiatives.





Employ advanced levels of clinical judgment, systems thinking, and accountability to design, deliver, and evaluate evidence-based care to improve patient and population outcomes.





Employ advanced leadership skills systems thinking, and ability to design, deliver, and evaluate evidence-based management practices to improve patient, population, and health system outcomes.




18


Evaluation Element


Entity Responsible





Results/IAP

Standard IV Student Satisfaction

Assessment by Degree Track

Traditional Undergraduate Satisfaction

KE IV-E Student Satisfaction

Overall Orientation Satisfaction

Overall GAV [Import. GAV – Agree GAV]

Outcomes Management and Evaluation (OME)

Each Semester and AY Aggregate

Overall GAV < 0.4500

0.4012 (AY 2015) (SUMMER 2015) (SPRING 2015) (FALL 2014)


Overall Course Satisfaction


OME Office Each Semester and AY Aggregate


0.4108 (AY 2015) 0.4592 (SUMMER

2015) 0.4303 (SPRING

2015) 0.3833 (FALL

2014)


Overall Satisfaction at Graduation




0.1636 (AY 2015 (SUMMER 2015) 0.1920 (SPRING

2015) 0.1292 (FALL

2014)


Overall Alumni Satisfaction


OME Office Six Months Past Graduation


0.2500 (AY 2015) N/A (SUMMER

2015) 0.4571 (SPRING

2015) 0.1020 (FALL

2014)


Overall Employer Satisfaction




N/A (AY 2015 N/A (SUMMER

2015) N/A (SPRING

2015) N/A (FALL 2014)

RN-BSN Satisfaction













0.1790 (AY 2015) 0.1803 (SUMMER

2015)

19


Evaluation Element


Entity Responsible





Results/IAP 0.1916 (SPRING

2015) 0.1676 (FALL

2014) KE IV-E Student

Satisfaction Overall Satisfaction at Graduation




0.0862 (AY 2015) (SUMMER 2015) 0.1240 (SPRING

2015) 0.0579 (FALL

2014)






0.2242 (AY 2015) N/A (SUMMER

2015) 0.5495 (SPRING

2015) -0.0672 (FALL

2014)






N/A (AY 2015) N/A (SUMMER

2015) N/A (SPRING

2015) N/A (FALL 2014)

Second Degree Satisfaction













0.5138 (AY 2015) 0.4308 (SUMMER

2015) 0.5696 (SPRING

2015) 0.5047 (FALL

2014)






0.3403 (AY 2015) (SUMMER 2015) N/A (SPRING

2015) 0.3403 (FALL

2014)






0.3016 (AY 2015) 0.2143 (SUMMER

2015)

20


Evaluation Element


Entity Responsible





Results/IAP N/A (SPRING

2015) 0.3714 (FALL

2014) KE IV-E Student

Satisfaction Overall Employer Satisfaction





N/A 2015) (SPRING 2015) N/A (FALL 2014)

MSN Satisfaction













0.3589 (AY 2015) 0.4577 (SUMMER

2015) 0.3211 (SPRING

2015) .03173 (FALL

2014)






0.1220 (AY 2015) (SUMMER 2015) (SPRING 2015) 0.0511 (FALL

2014)






0.5268 (AY 2015) 0.4714 (SUMMER

2015) N/A (SPRING

2015) 0.6190 (FALL

2014)







2015) N/A (SPRING

2015) N/A (FALL 2014)

DNP Satisfaction







0.4660 (AY 2015) (SUMMER 2015) (SPRING 2015)

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Evaluation Element


Entity Responsible





Results/IAP (FALL 2014)






0.3401 (AY 2015) 0.2299 (SUMMER

2015) 0.2602 (SPRING

2015) 0.4847 (FALL

2014)






0.0000 (AY 2015) (SUMMER 2015) -0.0429 (SPRING

2015) -0.1429 (FALL

2014)






0.0857 (AY 2015) N/A (SUMMER

2015) 0.0857 (SPRING

2015) N/A (FALL 2014)







2015) N/A (SPRING

2015) N/A (FALL 2014)

Standard IV Faculty Outcomes

Faculty Role Criteria Achievement KE IV-F Faculty

Outcomes [and KE I-C Fac. Outcomes; KE II-F Environ. for Teaching, Scholarship, Practice]

Teaching # Faculty Met or Exceeded Criterion/ Total # Faculty per Yr

Department Chairs

Annually Annual Evaluation Tool

95% 11 met or exceeded/11 total = 100% - Leadership Studies

Traditional Undergraduate goal met

Continue with revised curriculum – Traditional Undergraduate

KE IV-F Faculty Outcomes [and KE I-C Fac. Outcomes; KE II-F Environ. for Teaching,

Scholarship # Faculty Research Studies/ Yr # Presentations/ Yr # Pubs /Yr

AD Research and AD Clinical Services and Community Engagement

Annually >5 research studies/Yr >50 present./Yr >25 pubs/Yr >5 grants/Yr

$82,000 seed grants (per Alyce Ashcraft)

22


Evaluation Element


Entity Responsible





Results/IAP

Scholarship, Practice]

# Grant Awards /Yr

KE IV-F Faculty Outcomes [and KE I-C Fac. Outcomes; KE II-F Environ. for Teaching, Scholarship, Practice]

Research Focus # Research Focus Faculty/Yr

AD Research Annually >5 research faculty


Practice Focus # Practice Focus Faculty/Yr

AD Clinical Services and Community Engagement

Annually >15 APRN faculty


Professional Service (defined as SON, TTUHSC, or nursing org. service)

# Academic Focus Faculty/ total # FT Faculty

Department Chairs

Annually 80% 11 met or exceeded/11 total = 100% - Leadership Studies

97% of TUG faculty have fulfilled professional service


Licensure # Nursing Faculty with RN Licensure/ total # Nursing Faculty

Dean’s Office Annually 100%


Certification # APRN Faculty/ total # APRN Faculty

Faculty Annually 100%

23


Evaluation Element


Entity Responsible





Results/IAP

Standard IV Formal Complaints

KE IV-G Formal Complaints

Definition Policy Review of Policy

[] Yes, [] No [] Yes, [] No [] Yes, [] No

Student Affairs Office

Annually OP procedure followed in 100% of cases

Yes Yes Yes

Standard IV

Combest Center UDS Performance Achievement

KE IV-H Data Analysis for Ongoing Improvement

Fully Immunized 2-yr-olds

# 2-yr-olds Immunized/Total # 2-yr-old Eligible Pts.

Combest Center Executive Director

Annually State and National Averages

83.33% - LCCHWC 74.26% - STATE 77.19% - NATIONAL

KE IV-H Data Analysis for ongoing improvement

Pap Tests # Pt w Pap in 3 yrs/#Eligible Pts





Child/Adolescent Wt. Screen and Counseling

#Screened/# Eligible





Tobacco Assessment # Pts Assessed/# Total Pts





Tobacco Cessation Intervention.

# Intervention Pts/# Eligible Pts





Asthma Treatment Plan

# Pts with Plan/# Total Asthma Pts





Lipid Therapy # Pts with Therapy/# Eligible Pts





ASA or Other Antithrombotic Therapy

# Pts w ASA or Antithrombotic Therapy/# Eligible Pts





Colorectal CA Screening

# Stool Screens/# Eligible Pts; # > 50 yrs w




24


Evaluation Element


Entity Responsible





Results/IAP

colonoscopy/ # eligible Pts


New HIV Cases with Timely F/U

# HIV Pts w FU/# New HIV Pts





Controlled HTN # HTN Controlled Pts/# Total HTN Pts





Controlled DM o HgbA1c<7 o HgbA1c>7,<8 o HgbA1c>8, <9 o HgbA1c>9 or No

Test

# Pts Meeting Each Criterion/# Total DM Pts





Depression Screening

# Pts Screened/# Total Pt Encounters




Standard IV Patient Satisfaction Overall


LCCHWC Satisfaction

Overall GAV [Imp – Agree GAV]


Twice Annually GAV = 0.0000-0.4500

0.0732


SHC Satisfaction Overall GAV [Imp – Agree GAV]

Outcomes Management and Evaluation


0.1818


Sunrise Canyon Satisfaction




0.0748


Overall Patient Satisfaction




0.0927

Approved: Coordinating Council 4/27/2015 *Definitions of Terms and full statements of accreditation Key Elements are itemized below: AY is the acronym for academic year. DE is the acronym for Distance Education.

25

EOC is the acronym for End of Course Report. ESS is the acronym for Education Support Services. Eval. is an abbreviation for evaluation. F-S Ratio is the abbreviation for the Faculty-Student Ratio. G or Grad is the abbreviation for Graduate. IAP is the acronym for Improvement Action Plan. Imp is the abbreviation for Improvement. IT is the acronym for Information Technology. MEP is the acronym for Master Evaluation Plan. Nsg. is an abbreviation for Nursing. On-Time Completion Rate is calculated as the number of students who entered in AY 1 and graduated within 150% of the full time completion

divided by the total number of students from the entering cohort. OSCE is the acronym for Objective Structured Clinical Examination. Sat, Satis, or Satisf are abbreviations for Satisfaction. UG is an abbreviation for Undergraduate. W is an abbreviation for with. Full statements of the Key Element Statements are listed below: Standard I Key Element I-A. The mission, goals, and expected program outcomes are

o congruent with those of the parent institution; and o consistent with relevant professional nursing standards and guidelines for the preparation of nursing professionals.

Key Element I-B. The mission, goals, and expected student outcomes are reviewed periodically and revised as appropriate, to reflect: o professional nursing standards and guidelines; and o the needs and expectations of the community of interest

Key Element I-C. Expected faculty outcomes are clearly identified by the nursing unit, are written and communicated to the faculty, and are congruent with institutional expectations.

Key Element I-D. Faculty and students participate in program governance Key Element I-E. Documents and publications are accurate. A process is used to notify constitutes about changes in documents and

publications. Key Element I-F. Academic policies of the parent institution and the nursing program are congruent and support achievement of the mission,

goals, and expected student outcomes. The policies are: o fair and equitable; o published and accessible; and

26

o reviewed and revised as necessary to foster program improvement. Standard II Key Element II-A. Fiscal and physical resources are sufficient to enable the program to fulfill its mission, goals, and expected outcomes.

Adequacy of resources is reviewed periodically and resources are modified as needed. Key Element II-B. Academic support services are sufficient to ensure quality and are evaluated on a regular basis to meet program and student

needs. Key Element II-C. The chief nurse administrator:

o is a registered nurse (RN): o holds a graduate degree in nursing; o holds a doctoral degree if the nursing unit offers a graduate program in nursing; o is academically and experientially qualified to accomplish the mission, goals, and expected program outcomes; o is vested with the administrative authority to accomplish the mission, goals, and expected program outcomes; and o provides effective leadership to the nursing unit in achieving its mission, goals, and expected program outcomes.

Key Element II-D. Faculty are: o sufficient in number to accomplish the mission, goals, and expected program outcomes; o academically prepared for the areas in which they teach; and o experientially prepared for the areas in which they teach.

Key Element II-E. Preceptors, when used by the program as an extension of faculty, are academically and experientially qualified for their role in assisting in the achievement of the mission, goals, and expected student outcomes.

Key Element II-F. The parent institution and program provide and support an environment that encourages faculty teaching, scholarship, service, and practice in keeping with the mission, goals, and expected faculty outcomes.

Standard III Key Element III-A. The curriculum is developed, implemented, and revised to reflect clear statements of expected student outcomes that are

congruent with the program’s mission and goals, and with the roles for which the program is preparing its graduates. Key Element III-B. Curricula are developed, implemented, and revised to reflect relevant professional nursing standards and guidelines, which

the program is preparing its graduates. Key Element III-C. The curriculum is logically structured to achieve expected student outcomes.

o Baccalaureate curricula build upon a foundation of the arts, sciences, and humanities. o Master’s curricula build on a foundation comparable to baccalaureate level nursing knowledge. o DNP curricula build on a baccalaureate and/or master’s foundation, depending on the level of entry of the student. o Post-graduate APRN certificate programs build on graduate level nursing competencies and knowledge base.

Key Element III-D. Teaching-learning practices and environments support the achievement of expected student outcomes.

27

Key Element III-E. The curriculum includes planned clinical practice experiences that: o enable students to integrate new knowledge and demonstrate attainment of program outcomes; and o are evaluated by faculty.

Key Element III-F. The curriculum and teaching-learning practices consider the needs and expectations of the identified community of interest. Key Element III-G. Individual student performance is evaluated by the faculty and reflects achievement of expected student outcomes.

Evaluation policies and procedures for individual student performance are defined and consistently applied. Key Element III-G. Curriculum and teaching-learning practices are evaluated at regularly scheduled intervals to foster ongoing improvement. Standard IV Key Element IV-A. A systematic process is used to determine program effectiveness. Key Element IV-B. Program completion rates demonstrate program effectiveness. Key Element IV-C. Licensure and certification pass rates demonstrate program effectiveness. Key Element IV-D. Employment rates demonstrate program effectiveness. Key Element IV-E. Program outcomes demonstrate program effectiveness Key Element IV-F. Faculty outcomes, individually and in the aggregate, demonstrate program effectiveness. Key Element IV-G. The program defines and reviews formal complaints according to established policies. Key Element IV-H. Data analysis is used to foster ongoing program improvement.