I. Baseline Information - Accreditation Commission for ...



center533400Substantive Change Report InstructionsComplete each section of the following template and submit to the ACEN online using the Substantive Change Portal (). For changes involving multiple program types, please complete and submit a single report for EACH program type.Substantive Change Reports must be submitted as searchable PDF files or Word docs. Please do not submit the report as a scan of a physical document. Only appendices may be submitted as PDFs from scanned documents.For help creating a searchable PDF, see the following video: Review Policy #14 Reporting Substantive Changes here: 0Substantive Change Report InstructionsComplete each section of the following template and submit to the ACEN online using the Substantive Change Portal (). For changes involving multiple program types, please complete and submit a single report for EACH program type.Substantive Change Reports must be submitted as searchable PDF files or Word docs. Please do not submit the report as a scan of a physical document. Only appendices may be submitted as PDFs from scanned documents.For help creating a searchable PDF, see the following video: Review Policy #14 Reporting Substantive Changes here: SUBSTANTIVE CHANGE REPORTState Regulatory Agency Status A change in approval status with the state regulatory agency for nursing; see ACEN Policy #17SECTION I.BASELINE INFORMATIONGoverning Organization (Institution) InformationGoverning Organization:Street Address:City, State, Zip:Chief Executive Officer Name, Title, and Credentials:Campus Chief Executive Officer Name, Title and Credentials (if applicable):Institutional Accreditation Status Accrediting Agency:Current Accreditation Status:Last Review:Next Review:Program InformationNursing Education Unit:Street Address:City, State, Zip:Nurse Administrator Name, Title, and Credentials:Nursing Program (Degree) Type (select ONE per substantive change):? Clinical Doctorate/DNP Specialist Certificate? Associate ? Master’s/Post-Master’s Certificate? Diploma? Baccalaureate ? PracticalACEN Accreditation StatusLast Review:Outcome:Next Review:State Regulatory Agency Approval StatusAgency:Last Review:Outcome:Next Review:Is the ACEN the program’s Title IV gatekeeper?? Yes? NoInstructions – Program of Study and Program Options:List the program options, including the traditional/generic option (if applicable), only for the program (degree) type being addressed in the report. Do not include program options for other nursing program (degree) types offered within the nursing education unit.Note: ALL options must have a separate table. Please add additional tables if necessary. Please note that part-time is checked only if there is an official published part-time program of study option for the program.Instructions – Program of Study and Program Options:List the program options, including the traditional/generic option (if applicable), only for the program (degree) type being addressed in the report. Do not include program options for other nursing program (degree) types offered within the nursing education unit.Note: ALL options must have a separate table. Please add additional tables if necessary. Please note that part-time is checked only if there is an official published part-time program of study option for the program.Program of Study and Program Options Name of Program Option/Track (as cited in the program of study): Program of study: ? Full-time ? Part-time ? Both Frequency of Admission: ? Fall ? Winter ? Spring ? Summer ? Rolling ? Other: Type of Academic Term: ? Quarter ? Trimester ? Semester ? Other: Number of Weeks in an Academic Term: Distance Education:? Not Applicable? All nursing courses use distance education? The following nursing courses use distance education:Course Name/NumberCredits/Contact HoursAdd more tables as needed Instructions – Locations, Program Options, Enrollment, and Methods of Delivery:List the program locations and specify the program options, number of students, and methods of delivery offered at the locations. Do not include locations where the nursing program (degree) type being address in the report is not offered.Instructions – Locations, Program Options, Enrollment, and Methods of Delivery:List the program locations and specify the program options, number of students, and methods of delivery offered at the locations. Do not include locations where the nursing program (degree) type being address in the report is not offered.Program Locations, Program Options, Enrollment, and Methods of Delivery Program Location: Name/AddressProgram Options/Tracks OfferedTotal Number of FT and PT Students Enrolled in Each Program OptionMethods of Delivery for Each Program Option (e.g., face-to-face, online, hybrid) Add more rows as needed Current Total Number of Faculty Full-time faculty for the program type (degree) being addressed:Part-time faculty for the program type (degree) type being addressed:SECTION II.DISCUSSION OF THE SUBSTANTIVE CHANGEInstructions – Discussion of the Substantive Change:Provide a brief narrative for each question/prompt. This section should not exceed 10 pages.Instructions – Discussion of the Substantive Change:Provide a brief narrative for each question/prompt. This section should not exceed 10 pages.Effective Date of Change_____/_____/_____Month/Date/Year:Provide a brief description of why the state regulatory agency changed the program’s approval status. Please note any standards, policies, and or procedures cited by the state regulatory agency.Narrative:Describe the institution’s timeline for reporting progress to the state regulatory agency and/or the timeline for re-evaluation by the accrediting agency.Narrative:Specify any stipulations (change in approval status, interim reports, site visits, etc.) imposed by the program’s state regulatory agency.Narrative:Describe the action plan to address identified contributing factors, including plans for ongoing and/or further analysis and evaluation.Narrative:If the change in status is related to licensure examination pass rates, indicate approximately how many program graduates have yet to test.Narrative:If applicable, provide the year-to-date pass rate for the program, including the number of testers. Sources may include state regulatory agency quarterly reports or data collected by the program. Narrative:SECTION III.PROGRAM OUTCOMESInstructions – Program Outcomes:Complete the following for the three (3) most recent years. Instructions – Program Outcomes:Complete the following for the three (3) most recent years. First-time Performance on Licensure/Certification Examination Aggregated for Entire ProgramMethod Used to Determine Compliance with Criterion 5.3 YearLicensure Examination Pass Rate%(Number of testers=___ ) %(Number of testers=___ )%(Number of testers=___ )Performance on Program Completion – Aggregated for Entire ProgramExpected Level ofAchievementYearProgram Completion RateELA:%ELA:%? Same as aboveELA:%? Same as aboveSECTION IV. REQUIRED DOCUMENTATION (to be included as an Appendix)?Improvement Plan for Addressing Licensure/Certification Examination Rates (including plans for monitoring), if applicable?Copies of all related correspondence/reports, if any, required by and/or submitted to the state regulatory agency for nursing?Copies of notification sent to students and/or other constituents (as appropriate) ................
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