Associate Degree Nursing Program

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Austin Community College
Associate Degree Nursing Program
Systematic Plan of Evaluation (SPE)
2013 Standards & Criteria
(revised: 2/2014)
Standard 1: Mission and Administrative Capacity
The mission of the nursing education unit reflects the governing organization’s core values and is congruent with its mission/goals. The governing organization and
program have administrative capacity resulting in effective delivery of the nursing program and achievement of identified program outcomes.
Criteria 1.1: The mission/philosophy and outcomes of the nursing education unit are congruent with the core values and mission/goals of the governing organization.
(old standard 1.1)
Expected Level of Achievement (ELA):

The mission/philosophy and outcomes of the nursing education unit are congruent with the core values and mission/goals of the governing organization
Component
Documentation
Mission
ADN Home Page
Philosophy
ADN Faculty Handbook
Responsibility
Curriculum Committee
(http://www.austincc.edu/health/rnsgfac/resources.php)
Outcomes
Annually (May)
Assessment Method
Review of ADN Faculty
Handbook
Review of ADN Student
Handbook
ADN Student Handbook
(http://www.austincc.edu/health/rnsg/handbooks.php)
Core Values
Frequency Cycle
Review of ACC Catalog &
Website
ACC Catalog & Web Site
http://www.austincc.edu/catalog
Goals
Report of Data
Component
Mission
Philosophy
Outcomes
Core Values
Goals
Actions
Results
Development, Maintenance, Revision
Standard 1: Mission and Administrative Capacity
Criteria 1.2: The governing organization and nursing education unit ensure representation of the nurse administrator and nursing faculty in governance activities;
opportunities exist for student representation of governance activities.
(old standard 1.2)
Definitions:

College definition of governance: A system of decision-making processes in which trustees, administrators, faculty, staff, and students advance the mission,
goals, and values of the college through appropriate collaboration.

Nursing program definition of governance: The process of guiding the actions of the faculty, staff, and students associated with the nursing program in order to
meet the outcomes of the program and its members while ensuring quality and consistency.
Expected Level of Achievement (ELA):
Nurse Administrator:

The nurse administrator participates in governance activities.
Faculty:

25% of full-time nursing faculty participate on college-wide committees

100% of full-time nursing faculty participate on ADN committees
Students:

100% of the ADN standing committees (Educational Resources, Curriculum Committee, Admissions Committee) have student representation in accordance
with the ADN Faculty By-Laws

75% of currently enrolled students will complete course evaluations
Component
Nurse Administrator
Documentation
ADN Committee Minutes
Responsibility
Accreditation Committee
Frequency Cycle
Annually (May)
Assessment Method
Review of ADN Committee Minutes
Department Chair
Faculty
ADN Committee Minutes
Accreditation Committee
Annually (May)
From the ADN Faculty Survey,
tabulate percentage of faculty serving
on
-college-wide committees
or task force
-ADN committees
Accreditation Committee
Annually (May)
Assessment of faculty committee
minutes indicating student
representation on ADN committees
Faculty Data Forms
ADN Faculty Survey
Students
ADN Committees Minutes
Course & Program Evaluations
Response rate on course & program
evaluations
Report of Data
Component
Nurse Administrator
Faculty
Students
Actions
Results
Development, Maintenance, Revision
Standard 1: Mission and Administrative Capacity
Criteria 1.3: Communities of interest have input into program processes and decision making.
(old standard 1.3)
Definitions:

Communities of interest- Persons, groups, agencies, and organizations that influence the mission, services, and graduates of the nursing
education unit. (examples include: employers, students)

Healthcare Workforce Alliance of Central Texas- is an industry-led and community sponsored group that exists to collectively address the
workforce needs of the healthcare industry in the Greater Austin community.
ADN Advisory Committee - The Associate Degree Nursing Department Advisory Committee is composed of recognized leaders in the field in
Austin Community College’s service area. Members convene regularly to offer their combined expertise to influence the curriculum structure
and instructional methods of the Nursing program.
Associate Degree Nursing Student Association - to serve as the pre-professional organization for future nurses


Expected Level of Achievement (ELA):



The ADN program will have advisory committee meetings bi-annually with representation of persons and groups from community agencies,
organizations, and educational institutions
The ADN program will provide bi-annual information sessions, open to the community allowing for input from prospective students and the
public
The ADNSA will hold an annual brown bag meeting to allow for input from communities of interest
Component
Communities of
Interest
Documentation
HWACT committee meeting Minutes
Advisory committee meeting minutes
Annually (May)
Assessment Method
Review of advisory
committee & HWACT
meeting minutes
Review of advisory
committee minutes
Review of
correspondence from the
THECB and BON.
ADNSA meeting minutes
Review of ADNSA
minutes
Report of Data
Communities of
Interest
Frequency Cycle
Correspondence from THECB & BON
(electronic & written notifications)
http://www.austincc.edu/health/rnsg/adnsa.php
Component
Responsibility
Admissions
Actions
Results
Development, Maintenance, Revision
Standard 1: Mission and Administrative Capacity
Criteria 1.4: Partnerships exist that promote excellence in nursing education, enhance the profession, and benefit the community.
(old standard 1.4)
Definition:

Partnership- An agreement (formal relationship) between a nursing education unit/governing organization and an outside agent/agency to
accomplish specific objectives and goals over a period of time.
Expected Level of Achievement (ELA):

100% of the community partnerships are current, active and benefit the community
Component
Partnerships
Documentation
Partnership Agreements
Responsibility
Accreditation Committee
Report of Data
Component
Partnerships
Frequency Cycle
Assessment
Method
Annually (May)
Actions
Results
Development, Maintenance, Revision
Standard 1: Mission and Administrative Capacity
Criteria 1.5: The nursing education unit is administered by a nurse who holds a graduate degree with a major in nursing.
(old standard 1.5)
Expected Level of Achievement (ELA):

100% compliance with qualifications & responsibilities designated by the college position description and the BON rules & regulations:
- Master’s degree in Nursing
- Current licensure as a registered nurse in the state of Texas
Component
Qualifications
Documentation
Personnel File
Responsibility
Department Chair
Frequency Cycle
Annually (May)
Assessment
Method
Review of Faculty
Data Form
ADN Faculty Data Form
Review of
Personnel File
Department Chair CV
Review license
verification on BON
website.
License verification from BON
website
(https://www.bon.state.tx.us/olv/rninq.html)
Actions
Report of Data
Component
Qualifications
Results
Development, Maintenance, Revision
Standard 1: Mission and Administrative Capacity
Criteria 1.6: The nurse administrator is experientially qualified, meets governing organization and state requirements, and is oriented and mentored to the role.
(new standard)
Expected Level of Achievement (ELA):

100% compliance with qualifications & responsibilities designated by the college position description and the BON rules & regulations:
- Master’s degree in Nursing
- Current licensure as a registered nurse in the state of Texas

The nurse administrator agrees that they were oriented and mentored to this role
Component
Qualifications
Documentation
BON & ACC qualifications
Responsibility
Department Chair
Frequency Cycle
Annually (May)
Assessment Method
Review of BON & ACC
qualifications
ADN Faculty Data Form
Review of Faculty Data Form
Personnel File
Review of Personnel File
License Verification from BON
website
Review license verification on
BON website.
(https://www.bon.state.tx.us/olv/rninq.html
Oriented and Mentored
College wide Deans &
Department Chair meetings
Department Chair
Accreditation Committee
Annually (May)
Review of ADN Nurse
Administrator Survey
Health Science Department
Chair
Actions
Report of Data
Component
Qualifications
Oriented and Mentored
Results
Development, Maintenance, Revision
Standard 1: Mission and Administrative Capacity
Criteria 1.7: When present, nursing program coordinators and/or faculty who assist with program administration are academically and experientially qualified.
(new standard)
Expected Level of Achievement (ELA):

Nursing program coordinators and/or faculty who assist with program administration are academically and experientially qualified
Component
Coordinators & Qualifications
Documentation
Responsibility
Personnel File
Assistant Department Chair
Coordinators & Qualifications
(ex: Jeanie Ward, Gwen Scott)
Annually (May)
Assessment Method
Review of Personnel File
ADN Faculty Data Form
Review of ADN Faculty Data Form
Program Coordinator CV
Review of Program Coordinator CV
License verification from BON
website
Review of License verification from
BON website
(https://www.bon.state.tx.us/olv/rninq.html)
(https://www.bon.state.tx.us/olv/rninq.html
Report of Data
Component
Frequency Cycle
Actions
Results
Development ,Maintenance, Revision
Standard 1: Mission and Administrative Capacity
Criteria 1.8: The nurse administrator has authority and responsibility for the development and administration of the program and has adequate time and
resources to fulfill the role responsibilities.
(old standard 1.6)
Expected Level of Achievement (ELA):

100% compliance with qualifications & responsibilities designated by the college position description and the BON rules & regulations:
- Responsible and accountable for program administration
- LEH & Workload

The nurse administrator will agree that they have adequate time and resources to fulfill role responsibilities
Component
Documentation
Responsibility
Frequency Cycle
Assessment Method
Authority & Responsibility
Job description
Department Chair
Annually (May)
Review and Evaluation of
Department Chair Job Description
duties and responsibilities.
Time & Resources
Human Resources time release,
LEH, & workload release for
Department Chair
Department Chair
Annually (May)
Review and Evaluation of
Human Resources time release,
LEH, & workload release for
Department Chair
Report of Data
Component
Authority & Responsibility
Time & Resources
Actions
Results
Development ,Maintenance, Revision
Standard 1: Mission and Administrative Capacity
Criteria 1.9: The nurse administrator has the authority to prepare and administer the program budget with faculty input .
(old standard 1.7)
Expected Level of Achievement (ELA):

The department chair has the authority to prepare and administer the budget

The department chair participates in the annual master plan budget process

The faculty will have input into the program budget
Component
Program Budget
Documentation
Responsibility
Department Chair job
description
Assistant Department Chair
Frequency Cycle
Annually (May)
General Budget Ledgers
ADN Faculty Meeting minutes
Assistant Department Chair
Report of Data
Component
Program Budget
Faculty Input
Review of Department Chair job
description
Review of Master plan budget
initiatives.
Program Budget
Faculty Input
Assessment Method
Annually (May)
Review of ADN Faculty Meeting
minutes
Actions
Results
Development ,Maintenance, Revision
Standard 1: Mission and Administrative Capacity
Criteria 1.10: Policies for nursing faculty and staff are comprehensive, provide for the welfare of faculty and staff, and are consistent with those of the
governing organization; differences are justified by the goals and outcomes of the nursing education unit.
(old standard 1.8)
Definition:

Welfare of Faculty and Staff – policies affecting faculty and staff promulgated by the governing organization and nursing education unit
including, but not limited to: non-discrimination, appointment, rank, grievance, promotion, rights and responsibilities, salaries/benefits, and
workload.
Expected Level of Achievement (ELA):

100% of specified nursing policies will be comprehensive and consistent with those of the governing organization:
- Non-discrimination
- Faculty appointment
- Academic rank
- Grievance procedures
- Promotion
- Salary & benefits (full-time faculty)
- Rights & responsibilities
- Termination
- Workload
Component
Faculty Policies
Documentation
ADN Program Faculty
Handbook
Responsibility
Admissions Committee
Frequency Cycle
Annually (May)
Assessment Method
Comparative Analysis
ACC Faculty Handbook
ACC Board Policies
Report of Data
Component
Faculty Policies
Welfare of faculty and
staff
Actions
Results
Development, Maintenance, Revision
Standard 1: Mission and Administrative Capacity
Standard 1.11: Distance education, when utilized, is congruent with the mission of the governing organization and the mission/philosophy of the
nursing education unit.
(old standard 1.10)
Definitions:

Distance Education – an educational process in which the majority of the instruction occurs when a student and instructor are not in the same
place. Instruction may be synchronous or asynchronous.
Expected Level of Achievement (ELA):

This standard is not applicable to our program. The ACC ADN program does not offer distance education
Component
Not applicable
Documentation
Responsibility
Assessment Method
Not applicable
Report of Data
Component
Frequency Cycle
Actions
Results
Development ,Maintenance, Revision
Standard 2: Faculty and Staff
Qualified and credentialed faculty are sufficient in number to ensure the achievement of the student learning outcomes and program outcomes. Sufficient
qualified staff are available to support the nursing education unit.
Criteria 2.1: Full-time faculty hold a minimum of a graduate degree with a major in nursing.
(Full-and part-time faculty include those individuals teaching and/or evaluating students in classroom, clinical, or laboratory settings.)
(old standard 2.1)
Definitions:
 Full-time faculty (defined by ACEN) - persons who teach and/or evaluate students and have full-time faculty employment status as defined by the
governing organization and the nursing education unit.

Full-time faculty (defined by ACC) - full-time refers to anyone paid on the full-time faculty pay scale.
Expected Level of Achievement (ELA):
 100% of full –time nursing faculty will have a Master’s degree in nursing, or higher
Component
Qualifications
Documentation
Personnel File
Responsibility
ADNSA
Report of Data
Component
Qualifications
Frequency Cycle
Assessment Method
At time of hire
Transcript Evaluation
Annually (May)
Application Review
Actions
Results
Development, Maintenance, Revision
Standard 2: Faculty and Staff
Criteria 2.2: Part-time faculty hold a minimum of a baccalaureate degree with a major in nursing; a minimum of 50% of the part-time faculty also hold a graduate
degree with a major in nursing.
(new standard)
Definitions:

Part-time faculty (defined by ACEN)- Persons who tech and/or evaluate students whose appointment is less than full-time as defined by the governing
organization and the nursing education unit.

Adjunct faculty (defined by ACC) - refers to those faculty appointed on a course-by-course basis for a term not to exceed one semester per contract period,
except where the adjunct faculty member has a Multiple Semester Term Appointment, which guarantees courses during the academic year term (subject to
sufficient enrollments).
Expected Level of Achievement (ELA):

100% of part-time (adjunct) faculty will have a Masters Degree in Nursing or higher
Component
Faculty Credentials
Documentation
Personnel File
Responsibility
Sheila Rodriquez
Frequency Cycle
At time of hire
Annually (May)
Assessment Method
Transcript Evaluation
Application Review
Review of Faculty Data Form
Report of Data
Component
Faculty Credentials
Actions
Results
Development, Maintenance, Revision
Standard 2: Faculty and Staff
Criteria 2.3: Faculty (full-and part-time) credentials meet governing organization and state requirements.
(old standard 2.2)
Expected Level of Achievement (ELA):
 100% of full-time and part-time (adjunct) faculty credentials meet governing organization and state requirements
Component
Faculty Credentials
Documentation
Faculty Credentials
Assistant Department Chairs
Frequency Cycle
Assessment Method
Personnel File
Transcript Evaluation
Application Review
Faculty Data Form
Review of Faculty Data Form
BON standards
Review of SACs Requirements
ACC standards for
credentialing
Review of BON standards
SAC Requirements
Report of Data
Component
Responsibility
Annually (May)
Review of ACC standards for
credentialing
Actions
Results
Development, Maintenance, Revision
Standard 2: Faculty and Staff
Criteria 2.4: Preceptors, when utilized, are academically and experientially qualified, oriented, mentored, and monitored, and have clearly documented roles and
responsibilities.
(new standard)
Expected Level of Achievement (ELA):

The Associate Degree Nursing program at Austin Community College does not utilize preceptors
Component
Not Applicable
Documentation
Responsibility
Assessment Method
None – Not Applicable
Report of Data
Component
Frequency Cycle
Results
Results
Development ,Maintenance, Revision
Standard 2: Faculty and Staff
Criteria 2.5: The number of full-time faculty is sufficient to ensure that the student learning outcomes and program outcomes are achieved.
(old standard 2.4)
Expected Level of Achievement (ELA):

75% of the nursing faculty will be full-time

100% compliance with BON guidelines re: faculty to student ratio in the clinical setting
--1 faculty : 10 students
--1 faculty + 1 teaching assistant: 15 students

The number of full-time faculty is sufficient to ensure that the student learning outcomes and program outcomes are achieved
Component
Staffing & Utilization
Documentation
Faculty Roster
Responsibility
Curriculum Committee
Frequency Cycle
Assessment Method
Annually (May)
Calculate % full-time faculty
College Standard
Review Faculty Roster
SACS requirements
Review College Standard
Faculty Survey (overloads)
Review SACS
requirements
Review Faculty Survey
(overloads)
Staffing & Utilization
BON requirements
Curriculum Committee
Review clinical alpha roster
with faculty/student ratio
for compliance
Annually (May)
Teaching Assignments
Report of Data
Component
Staffing & Utilization
Staffing & Utilization
Results
Results
Development ,Maintenance, Revision
Standard 2: Faculty and Staff
Criteria 2.6: Faculty (full- and part-time) maintain expertise in their areas of responsibility and their performance reflects scholarship and evidence-based
teaching and clinical practices.
(old standard 2.5)
Definitions:

Scholarship - Activities that facilitate the enhancement of expertise and achievement of goals and outcomes of the nursing education unit. This may
include, but are not limited to: application of knowledge, teaching, service, practice, and research.

Functions of Scholarship - Scholarship of teaching – the transfer of the science and art of nursing from the expert to the novice, building bridges between the teacher’s own
understanding and the student’s learning.
- Scholarship of application – the maintenance of clinical competency of faculty and the advancement of clinical knowledge, including self
development to improve competency beyond the basic practice of professional nursing.
- Scholarship of integration – joining of interdisciplinary ideas, research, or practice between two or more disciplines, one of which is nursing.
- Scholarship of discovery (research) – the development of new and unique knowledge through conducting research or scholarly investigation.

Evidenced based teaching – teaching based on actions, processes, or methodologies that are grounded in and flow from the translation of substantive
and current research.
Expected Level of Achievement (ELA):

100% of the functions of scholarship will be demonstrated by the diversity of the nursing faculty

100% of the faculty incorporate evidenced based teaching into their teaching methodologies
Component
Scholarship
Documentation
ACC Faculty Evaluation
Summary Form
Responsibility
Department Chair
Frequency Cycle
Annually (May)
Review of Faculty
Evaluation Summary Forms,
Faculty Data Form, and/or
Faculty Portfolio
Annually (May)
Review of course modules
and clinical focus
Assistant Department Chair
ADN Faculty Data Form;
Faculty Portfolio
Evidence-based teaching
Theory - Course modules
Curriculum Committee
Assessment Method
Clinical – Clinical focus
Report of Data
Component
Scholarship
Evidence-based teaching
Actions
Results
Development, Maintenance, Revision
Standard 2: Faculty and Staff
Criteria 2.7: The number, utilization, and credentials of staff and non-nurse faculty with the nursing education unit are sufficient to achieve the program goals
and outcomes.
(old standard 2.6)
Definitions:

Non-Nurse Faculty - Non-nurses who are academically qualified and teach a nursing course such as dietician, pharmacologist, or physiologist.
Expected Level of Achievement (ELA):

The Associate Degree Nursing program at Austin Community College does not utilize non-nurse faculty or staff
Component
Documentation
Frequency Cycle
Assessment Method
None – Not applicable
Not applicable
Report of Data
Component
Responsibility
Actions
Results
Development, Maintenance, Revision
Standard 2: Faculty and Staff
Criteria 2.8: Faculty (full- and part-time) are oriented and mentored in their areas of responsibility.
(old standard 2.7)
Expected Level of Achievement (ELA):

100% of newly hired ADN full-time will attend the ACC New Faculty Orientation

100% of newly hired ADN adjunct faculty will attend the ACC New Adjunct Faculty Orientation

100% of newly hired ADN faculty (full-time and adjunct) are oriented and mentored

100% of newly hired ADN faculty (full-time and adjunct) are assigned a mentor
Component
New Faculty Orientation and
Mentoring
Documentation
Mentor/Mentee Agreements
Responsibility
New Faculty Committee
Frequency Cycle
Assessment Method
Review of Mentor/Mentee
Assignments
Annually (May)
Mentor/Mentee Checklists
Review of Mentor/Mentee
Checklists
New Faculty Committee
Minutes
Review of New Faculty
Committee Minutes
Report of Data
Component
New Faculty Orientation and
Mentoring
Actions
Results
Development, Maintenance, Revision
Standard 2: Faculty and Staff
Criteria 2.9: Systematic assessment of faculty (full- and part-time) performance demonstrates competencies that are consistent with program goals and
outcomes.
(old standard 2.8)
Expected Level of Achievement (ELA):

100% of faculty (full-time & part-time) will be evaluated annually

95% of faculty (full-time & part-time) will have a performance rating of Excellent, Very Good, or Good in the evaluative areas of instructional performance
(classroom, lab, and clinical)
Component
Faculty Evaluation
Documentation
Responsibility
Faculty Evaluation Summary
Form, and/or
Department Chair
Frequency Cycle
Assessment Method
Review of Faculty Evaluation
Summary Form, and/or
Annually (May)
Faculty Input Form, and/or
Review of Faculty Input Form,
and/or
Faculty Portfolio
Review of Faculty Portfolio
Performance Rating
ACC Faculty Evaluation
Summary
Department Chair
Review of ACC Faculty
Evaluation Summary
Annually (May)
Faculty Rating Reports
Review of Faculty Rating
Reports
Student Evaluations
Review of Student Evaluations
Report of Data
Actions
Component
Results
Faculty Evaluation
.
Performance Rating
.
Development, Maintenance, Revision
Standard 2: Faculty and Staff
Criteria 2.10: Faculty (full- and part-time) engage in ongoing development and receive support for instructional and alternative methods of delivery.
(old standard 2.10)
Definitions:

Alternative Methods of Delivery – The way in which a nursing course, track, or program is shared with students including non-traditional means of studentfaculty interaction, length required for the program of study, and/or varying intervals of class and/or clinical schedules. Examples include but are not limited
to: accelerated or condensed formats, ITV, videotape/DVD learning packages, and online delivery.
Expected Level of Achievement (ELA):

The faculty receive support in instructional and alternative methods of delivery
Component
Hybrid Faculty - Faculty
Development
Documentation
Google Sites?
All ADN committee minutes
Responsibility
Educational Resources
Committee
Frequency Cycle
Annually (May)
Assessment Method
Review of Google Sites?
Review of All ADN committee
minutes
Faculty Survey
Review of Faculty Survey
Report of Data
Component
Hybrid Faculty - Faculty
Development
Actions
Results
Development, Maintenance, Revision
Standard 3: Students
Student policies and services support the achievement of the student learning outcomes and program outcomes of the nursing education unit.
Criteria 3.1: Policies for nursing students are congruent with those of the governing organization, publically accessible, non-discriminatory, and consistently
applied; differences are justified by the student learning outcomes and program outcomes.
(old standard 3.1)
Expected Level of Achievement (ELA):
100% of nursing student policies will be:
-
Congruent with those of the college or differences justified
-
Publicly accessible
-
Non-discriminatory
-
Consistently applied
Component
Student Policies
Documentation
ADN Handbook
Responsibility
Admissions Committee
Frequency Cycle
Assessment Method
Comparative Analysis/Policy
review
Annually (May)
Course Syllabi
College Catalog
ACC Student Handbook
Report of Data
Component
Student Policies
Actions
Results
Development, Maintenance, Revision
Standard 3: Students
Criteria 3.2: Public information is accurate, clear, consistent, and accessible, including the program’s accreditation status and the contact information of the
accrediting body.
(old standard 3.5)
Expected Level of Achievement (ELA):
100% of the information regarding the program and its accreditation status as well as accrediting body contact information is accurate and publicly
accessible
Component
Program Information
Documentation
Responsibility
ADN Website
Admissions Committee
Frequency Cycle
Annually (May)
Assessment Method
Review of the ADN Webpage
(http://www.austincc.edu/health/rnsg/)
Admissions Committee Minutes
Review of Admissions Committee
Minutes
ACEN
Review of ACEN website
http://www.acenursing.us/accreditedpro
grams/programsearch.asp
Report of Data
Component
Program Information
Actions
Results
Development, Maintenance, Revision
Standard 3: Students
Criteria 3.3: Changes in policies, procedures, and program information are clearly and consistently communicated to students in a timely manner.
(old standard 3.6)
Expected Level of Achievement:
 The nursing program has a process in place to notify students about changes in policies, procedures, and program information
Component
Policies
Documentation
ADN Student Handbook
Responsibility
Admissions Committee
Frequency Cycle
Annually (May)
Assessment Method
Review of Student and
ADN Faculty Handbook
Faculty Handbooks
Signed amendment forms
Review of student files
Signed student signature
sheets for handbook
Procedures
ADN Student Handbook
Admissions Committee
Annually (May)
Review of Student and
ADN Faculty Handbook
Faculty Handbooks
Signed amendment forms
Review of student files
Signed student signature
sheets for handbook
Program Information
ADN Student Handbook
Admissions Committee
Annually (May)
Review of Student and
ADN Faculty Handbook
Faculty Handbooks
Signed amendment forms
Review of student files
Signed student signature
sheets for handbook
Report of Data
Component
Policies
Procedures
Program Information
Actions
Results
Development, Maintenance, Revision
Standard 3: Students
Criteria 3.4: Student services are commensurate with the needs of the nursing students, including those receiving instruction using alternative methods of delivery.
(old standard 3.2)
Definitions:

Alternative Methods of Delivery – The way in which a nursing course, track, or program is shared with students including non-traditional means of studentfaculty interaction, length required for the program of study, and/or varying intervals of class and/or clinical schedules. Examples include but are not limited
to: accelerated or condensed formats, ITV, videotape/DVD learning packages, and online delivery.
Expected Level of Achievement (ELA):

The student services offered by the college are appropriate, available and accessible to all students, including:
-
Health services – provision of information regarding Optional Student Health Insurance
-
Counseling services
-
Academic advising
-
Career assessment and placement
-
Financial aid staff/services
-
Individual academic tutoring
Component
Support Services
Documentation
Responsibility
Course Evaluations
Admissions Committee
Frequency Cycle
Fall & Spring semesters
Student Handbooks
Assessment Method
Review Course Evaluations
Review Student Handbooks
(ADN & ACC)
Review ADN resource page
ADN website
(http://www.austincc.edu/health/rnsg/)
Report of Data
Component
Health Services
Counseling services
Academic advising
Career assessment &
placement
Financial aid staff/services
Individual academic tutoring
Actions
Results
Development, Maintenance, Revision
Standard 3: Students
Criteria 3.5: Student educational records are in compliance with the policies of the governing organization and state and federal guidelines.
(old standard 3.3)
Expected Level of Achievement (ELA):

Policies re: maintenance of education records is in compliance with college and program policies
Component
Education Records Policy
Documentation
Responsibility
ADN Faculty Handbook
Admissions Committee
ACC Catalog – FERPA (2013-3014)
Frequency Cycle
Annually (May)
Assessment Method
Policy audit
Review of ACC Catalog – FERPA
page 4.
ACC Records Management
http://www.austincc.edu/records/index.htm
Review of Records Management
website
Texas Administrative Code
Review of BON-TAC Rule 2.15.12
Rule 215.12
http://info.sos.state.tx.us/pls/pub/readtac$ext.TacP
age?sl=R&app=9&p_dir=&p_rloc=&p_tloc=&p_plo
c=&pg=1&p_tac=&ti=22&pt=11&ch=215&rl=12
Review of Administrative Rules
Administrative Rules
3.03.14 - Records Management Program
related to records
http://www.austincc.edu/admrule/3.03.014.htm
3.03.014 – Disposition of College Records
http://www.austincc.edu/admrule/3.03.014Guidelin
eDisposition.htm
Storage audit
3.03.014 – Records Center
http://www.austincc.edu/admrule/3.03.014Guidelin
eRecordsCenter.htm
Report of Data
Component
Educational Records Policy
Actions
Results
Development, Maintenance, Revision
Standard 3: Students
Criteria 3.6: Compliance with the Higher Education Reauthorization Act Title IV eligibility and certification requirements is maintained, including default rates and
the results of financial or compliance audits.
(old standard 3.4)
Definitions:
Title IV of the Higher Education Reauthorization Act established rules and regulations for Student Financial Assistance Programs that went into effect October
1, 1998 (ACC institution code = 012015).
Expected Level of Achievement (ELA):
 Compliance with the Higher Education Reauthorization Active Title IV eligibility and certification requirements is maintained
Component
Compliance HER Title IV
eligibility
Documentation
Responsibility
Financial Aid Office
Admissions Committee
Frequency Cycle
Annually (May)
Assessment Method
Default rate review
http://www.austincc.edu/handbook/
financial-aid
Student loan default rate
Financial/Compliance Audits
Report of Data
Component
Student loan default rate
Actions
Results
Development, Maintenance, Revision
Standard 3: Students
Criteria 3.6.1: A written, comprehensive student loan repayment program addressing student loan information, counseling, monitoring, and cooperation with
lenders is available.
(old standard 3.4.1)
Definition:

Student Loan Repayment Program / Mapping Your Future:
-is a neutral, non-proprietary, and non-commercial resource of information and services for students, families, and schools;
-has no requirements for those who use Mapping Your Future to participate in any loan program, or use any guarantor or lender;
-is a charitable, 501(c)3 nonprofit organization;
-is a non-commercial website which does not accept any advertising;
-is supported by a wide range of organizations with no marketing advantage to any one specific company or agency to support Mapping Your Future
-contributes to national student loan default prevention efforts by providing information and services to students and their families, including:
i. borrow conservatively,
ii. consider all options for funding higher education, and
iii. understand rights and responsibilities
Expected Level of Achievement (ELA):
 A written, comprehensive student loan repayment program addressing student loan information, counseling, monitoring, and cooperation with lenders is
available
Component
Student Loan Repayment
Program
Documentation
Responsibility
ACC web site
Admissions Committee
Frequency Cycle
Assessment Method
Review web site and college
catalog
Annually (May)
http://www.austincc.edu/
College catalog
http://www.austincc.edu/catalog
Financial Aid Office
http://www.austincc.edu/handbook/
financial-aid
Report of Data
Component
Student Loan Repayment
Program
Actions
Results
Development, Maintenance, Revision
Standard 3: Students
Criteria 3.6.2: Students are informed of their ethical responsibilities regarding financial assistance.
(old standard 3.4.2)
Expected Level of Achievement (ELA):

The college’s student loan repayment program provides information regarding ethical responsibility regarding repayment of loans
Component
Ethical Responsibilities re:
Student loans
Documentation
Responsibility
ACC web site
Admissions Committee
Frequency Cycle
Assessment Method
Review college’s student loan
repayment program on the web
site and college catalog
Annually (May)
http://www.austincc.edu/
Review of Exit Counseling
Documents
College catalog
http://www.austincc.edu/catalog
Financial Aid Office
http://www.austincc.edu/handbook/
financial-aid
Report of Data
Component
Ethical Responsibilities re:
Student loans
:
Actions
Results
Development, Maintenance, Revision
Standard 3: Students
Criteria 3.6.3: Financial aid records are maintained in compliance with policies of the governing organization, state, and federal guidelines.
(old standard 3.3)
Expected Level of Achievement (ELA):

Policies re: maintenance of financial records is in compliance with college policies
Component
Financial Records Policy
Documentation
Responsibility
ADN Faculty Handbook
Admissions Committee
Frequency Cycle
Annually (May)
Assessment Method
Policy audit
ACC Records Management
Review of Records Management
website
http://www.austincc.edu/records/index.
htm
Review of BON-TAC Rule 2.15.12
Texas Administrative Code
Rule 215.12
http://info.sos.state.tx.us/pls/pub/readta
c$ext.TacPage?sl=R&app=9&p_dir=&p
_rloc=&p_tloc=&p_ploc=&pg=1&p_tac=
&ti=22&pt=11&ch=215&rl=12
Review of Administrative Rules
Administrative Rules
related to records
3.03.14 - Records Management
Program
http://www.austincc.edu/admrule/3.03.0
14.htm
3.03.014 – Disposition of College
Records
Storage audit
http://www.austincc.edu/admrule/3.03.0
14GuidelineDisposition.htm
3.03.014 – Records Center
http://www.austincc.edu/admrule/3.03.0
14GuidelineRecordsCenter.htm
Report of Data
Component
Financial Records Policy
Actions
Results
Development, Maintenance, Revision
Standard 3: Students
Criteria 3.7: Records reflect that program complaints and grievances receive due process and include evidence of resolution.
(old standard 1.9)
Definitions:

Complaints and Grievances – a formal allegation against a party or program usually expressed in a written, signed statement. A grievance is a wrong or
hardship suffered which is the grounds for complaint; the formal expression of a grievance is a complaint. The record of student complaints must include
all complaints filed during the time period since the last accreditation review.
Expected Level of Achievement (ELA):

100% of complaints about the program are addressed, available for review, and include evidence of resolution
Component
Complaints
Documentation
Complaint File
Responsibility
Department Chair
Frequency Cycle
Annually (May)
Assessment Method
File Review
ADN Handbook
Health Science Grievance
Policy
ACC Grievance Policy
Report of Data
Component
Complaints
Actions
Results
Development, Maintenance, Revision
Standard 3: Students
Criteria 3.8: Orientation to technology is provided and technological support is available to students.
(old standard 3.7)
Expected Level of Achievement (ELA):
 Orientation to technology is provided and technological support is available to students
Component
Tech Support
Documentation
Responsibility
Student Theory Course
Evaluation
Educational Resources
Frequency Cycle
Annually (May)
Assessment Method
Student Theory Course Evaluation
Survey
ACC Website
Review of ACC Website
(http://www.austincc.edu/health/rnsg/)
Review of ACC Student Handbook
ACC Student Handbook
Report of Data
Component
Tech Support
Actions
Results
Development, Maintenance, Revision
Standard 3: Students
Criteria 3.9: Information related to technology requirements and policies specific to distance education is clear, accurate, consistent, and accessible.
(old standard 3.8)
Definitions:

Distance Education – an educational process in which the majority of the instruction occurs when a student and instructor are not in the same place.
Instruction may be synchronous or asynchronous.
Expected Level of Achievement (ELA):

This standard is not applicable to our program. The ACC ADN program does not offer distance education
Component
Not applicable
Documentation
Responsibility
Assessment Method
Not applicable
Report of Data
Component
Frequency Cycle
Actions
Results
Development, Maintenance, Revision
Standard 4: Curriculum
The curriculum supports the achievement of the identified student learning outcomes and program outcomes of the nursing education unit consistent with safe practice in
contemporary health care environments.
Criteria 4.1: The curriculum incorporates established professional standards, guidelines, and competencies, and has clearly articulated student learning outcomes and
program outcomes consistent with contemporary practice.
(old standard 4.1)
Expected Level of Achievement:
 The curriculum incorporates established professional standards, guidelines, and competencies, and has clearly articulated student learning outcomes and program
outcomes consistent with contemporary practice
Component
Curriculum
Documentation
Curriculum Design
Responsibility
Curriculum Committee
Curriculum
Annually (May)
Assessment Method
Review of Curriculum
Curriculum Committee meeting
minutes
Review of Curriculum
Committee Meeting
Minutes
Program Educational Outcomes
Course Syllabi
Review of Program
Educational Outcomes
Course Syllabi
Report of Data
Component
Frequency Cycle
Actions
Results
Development, Maintenance, Revision
Standard 4: Curriculum
Criteria 4.2: The student learning outcomes are used to organize the curriculum, guide the delivery of instruction, direct learning activities, and evaluate student
progress.
(old standard 4.3)
Expected Levels of Achievement:
 The educational outcomes are used to:
- organize the curriculum
- guide the delivery of instruction
- direct learning activities
- evaluate student progress
Component
Curriculum development
Documentation
Course syllabi
Responsibility
Curriculum Committee
Frequency Cycle
Annually - May
Program Educational
Outcomes
Course objectives
Assessment Method
Comparative Analysis of Course
Syllabi
Clinical Evaluation Tools
Comparative Analysis of Clinical
Evaluation Tools
Curriculum committee minutes
Review of Curriculum Committee
Minutes
ADN website
Review of ADN website
Course Syllabi
Conceptual Framework
(http://www.austincc.edu/health/rnsg/ )
Report of Data
Actions
Component
Course objectives
Course Syllabi
Conceptual Framework
Results
Development, Maintenance, Revision
Standard 4: Curriculum
Criteria 4.3: The curriculum is developed by the faculty and regularly reviewed to ensure integrity, rigor and currency.
(old standard 4.2)
Expected Levels of Achievement:

The curriculum is developed by the faculty and regularly reviewed to ensure integrity, rigor and currency
Component
Curriculum development
Documentation
FOC and curriculum
committee minutes
Responsibility
Curriculum Committee
End of Year Reports
from Committee
Frequency Cycle
Annually - May
Assessment Method
Review of FOC and curriculum
committee minutes
Review End of Year Reports from
Committees
Report of Data
Actions
Component
Curriculum development
Results
Development, Maintenance, Revision
Standard 4: Curriculum
Criteria 4.4: The curriculum includes general education courses, included in the degree plan, that enhance professional nursing knowledge and practice.
(new standard)
Expected Levels of Achievement:

100% compliance with SACS general education requirements

The curriculum includes general education courses, included in the degree plan, that enhance professional nursing knowledge and practice
Component
Curriculum (general
education) courses
Documentation
Current degree plans
Responsibility
Curriculum Committee
SACS General Education
Requirements
Frequency Cycle
Annually - May
Assessment Method
Review of current degree plans
Review of SACS
Report of Data
Actions
Component
Curriculum (general education) courses
Results
Development, Maintenance, Revision
Standard 4: Curriculum
Criteria 4.5: The curriculum includes cultural, ethnic, and socially diverse concepts and may also include experiences from regional, national, or global
perspectives.
(old standard 4.4)
Expected Level of Achievement:

The curriculum includes cultural, ethnic, and socially diverse concepts and may also include experiences from regional, national, or global
perspectives
Component
Documentation
Curriculum
Degree plans
(Cultural/Ethical/Socially
Diverse)
Course Syllabi
Responsibility
Curriculum Committee
Frequency Cycle
Annually (May)
Review of course
syllabi & modules
Course Modules
Review of course
projects
Course projects
Report of Data
Component
Curriculum
(Cultural/Ethical/Socially
Diverse)
Assessment
Method
Review of degree
plans
Actions
Results
Development, Maintenance, Revision
Standard 4: Curriculum
Criteria 4.6: The curriculum and instructional processes reflect educational theory, inter-professional collaboration, research, and current standards of
practice.
(old standard 4.6)
Expected Level of Achievement:
 The curriculum and instructional processes reflect educational theory, inter-professional collaboration, research, and current standards of
practice
 Each Level in ADN Program will participate in simulated learning experience
Component
Simulation
Research and Best
practices
Interdisciplinary
collaboration
Documentation
Course and Lab Calendars
Responsibility
Accreditation Committee
Frequency Cycle
Annually (May)
Assessment
Method
Comparative Analysis
Simulation objectives
Course Objectives
Course Modules
Level Meeting Minutes
Report of Data
Component
Simulation
Research and Best
practices
Interdisciplinary
collaboration
Actions
Results
Development, Maintenance, Revision
Standard 4: Curriculum
Criteria 4.7: Evaluation methodologies are varied, reflect established professional and practice competencies, and measure the achievement of
student learning outcomes.
(old standard 4.5)
Expected Level of Achievement:

Evaluation methodologies are varied, reflect established professional and practice competencies, and measure the achievement of student
learning outcomes
Component
Evaluation
Methodologies
Documentation
Student clinical evaluations
Responsibility
Curriculum Committee
Frequency Cycle
Annually May
Assessment
Method
Review of
Student evals
Clinical assignments
Careplans
Grading rubrics
Grading Rubrics
Exams
Exams
Actions
Report of Data
Component
Student evaluations
Varied
Methodologies
Professional and
Practice
Competencies
Achievement
Results
Development, Maintenance, Revision
Standard 4: Curriculum
Criteria 4.8: The length of time and the credit hours required for program completion are congruent with the attainment of identified student learning
outcomes and program outcomes and consistent with the policies of the governing organization, state and national standards, and best practices.
(old standard 4.7)
Expected Level of Achievement:

The ADN program will have between 60 and 72 hours in its curriculum which is consistent with the national standards for AD nursing
Component
Documentation
Responsibility
Degree Plan
Credit hours
College requirements for
graduation
Review of college
requirements for graduation
ADN curriculum
Review of ADN curriculum
Report of Data
Component
Program length
Credit hours
Program Outcomes
(Student Learning)
Annually (May)
Assessment Method
Program length
Program Outcomes
(Student Learning)
Curriculum Committee
Frequency Cycle
Review of degree plan
Actions
Results
Development ,Maintenance, Revision
Standard 4: Curriculum
Criteria 4.9: Practice learning environments support the achievement of student learning and program outcomes.
(old standard 4.8)
Expected Level of Achievement:
 Practice learning environments support the achievement of student learning and program outcomes
Component
Student learning
environments
Documentation
Student Clinical Course
Evaluation
Responsibility
Educational Resources
Frequency Cycle
Annually (May)
Student Evaluations
(each semester)
List of Clinical sites by
level
Assessment
Method
Student clinical
course evaluations
Review of List of
Clinical sites by level
Clinical site review
(each semester)
Report of Data
Component
Student learning environments
Results
Actions
Development ,Maintenance, Revision
Standard 4: Curriculum
Criteria 4.10: Students participate in clinical experiences that are evidence –based and reflect contemporary practice and nationally established
patient health and safety goals.
(old standard 4.8.1)
Expected Level of Achievement:

Students participate in clinical experiences that are evidence –based and reflect contemporary practice and nationally established patient
health and safety goals

Hospital nationally established patient health and safety goals are incorporated into the curriculum
Component
Clinical experiences
Documentation
Clinical syllabi
Evidence- based and
contemporary practice
Clinical objectives and foci
Responsibility
Curriculum Committee
Frequency Cycle
Annually (May)
Assessment Method
Review of clinical syllabi,
objectives, and clinical foci
National patient health
and safety goals
Report of Data
Component
Clinical experiences
Evidence- based and
contemporary practice
National patient health
and safety goals
Actions
Results
Development ,Maintenance, Revision
Standard 4: Curriculum
Criteria 4.11: Written agreements for clinical practice agencies are current, specify expectations for all parties, and ensure the protection of students.
(part of old standard 4.8))
Expected Level of Achievement:

100% of clinical affiliation agreements are current and specify expectations and ensure protection of students
Component
Clinical practice
agencies
Documentation
Affiliation agreements
Responsibility
ADNSA
Report of Data
Component
Clinical practice
agencies
Frequency Cycle
Annually (May)
Assessment Method
Affiliation agreements
Actions
Results
Development ,Maintenance, Revision
Standard 4: Curriculum
Criteria 4.12: Learning activities, instructional materials, and evaluation methods are appropriate for all delivery formats and consistent with the
student learning outcomes.
(old standard 4.9)
Expected Level of Achievement:

Learning activities, instructional materials, and evaluation methods are appropriate for all delivery formats and consistent with the student
learning outcomes
Component
Learning activities
Instructional materials
Evaluation methods
Documentation
Course syllabi
Course objectives
Responsibility
Accreditation Committee
(this committee to get this criteria
started)
Course projects
Frequency Cycle
Annually-May
Assessment Method
Review of course
Syllabi
Objectives
Projects
Evaluations
Course evaluations
Report of Data
Component
Learning Activities
Instructional materials
Evaluation methods
Actions
Results
Development ,Maintenance, Revision
Standard 5: Resources
Fiscal, physical, and learning resources are sustainable and sufficient to ensure the achievement of the student learning outcomes and program
outcomes of the nursing education unit.
Criteria 5.1: Fiscal resources (personnel, supplies, materials, equipment, and services) are sustainable, sufficient to ensure the achievement of the
student learning outcomes and program outcomes, and commensurate with the resources of the governing organization.
(old standard 5.1)
Definition:
 Fiscal Resources: The financial support required for securing the personnel, supplies, materials, equipment, and services necessary to
ensure the achievement of the program outcomes.
Expected Level of Achievement:
 The fiscal resources will:
- Support the number of faculty needed for student enrollment
- Purchase equipment and supplies
- Supplement faculty development
- Be commensurate with resources of the governing organization
Component
Fiscal Resources
Documentation
Program/college
budget
Responsibility
Department Chair
Frequency Cycle
Annually (May)
Assessment Method
Comparative analysis
Review of FOC minutes
FOC minutes
Report of Data
Component
Fiscal Resources
Actions
Results
Development ,Maintenance, Revision
Standard 5: Resources
Criteria 5.2: Physical resources (classrooms, laboratories, offices, etc.) are sufficient to ensure the achievement of the nursing education unit outcomes, and
meet the needs of the faculty, staff, and students.
(old standard 5.2)
Definition:

Physical Resources: Classrooms, laboratories, offices, and other common spaces that are used by the program.
Expected Level of Achievement:

Physical resources (classrooms, laboratories, offices, etc.) are sufficient to ensure the achievement of the nursing education unit outcomes, and meet
the needs of the faculty, staff, and students

75% of students surveyed strongly agree or agree that the physical resources are appropriate to support the achievement of program outcomes

90% of faculty surveyed strongly agree or agree that the physical resources are appropriate to meet the needs of the faculty and staff
Component
Instructional Space
Non-instructional Space
Documentation
Student Overall Program
Evaluation
Responsibility
Educational Resources
Committee
ADN Faculty Survey
Frequency Cycle
Students-Every Semester
Faculty-Annually
Assessment Method
Review Student Overall
Program Evaluation
Review ADN Faculty
Survey
Report of Data
Actions
Component
Instructional Space
Non-instructional Space
Results
Development, Maintenance, and Revisions
Standard 5: Resources
Criteria 5:3: Learning resources and technology are selected with faculty input and are comprehensive, current, and accessible to faculty and students.
(old standard 5.3)
Definition:

Learning Resources: the materials, activities, and technologies that facilitate the development of student knowledge and skills.
-
Examples include, but are not limited to: library resources, nursing skills laboratory, nursing tutor
Expected Level of Achievement:

Learning resources and technology are selected with faculty input and are comprehensive, current, and accessible to faculty and students

75% of the students surveyed strongly agree or agree that the learning resources (library resources, nursing skills laboratory, and nursing tutor) are
comprehensive, current, and accessible
Component
Documentation
Library Resources
Theory Course Evaluations
Nursing Skills Laboratory
Educational Resources
Committee Meeting Minutes
Responsibility
Educational Resources
Committee
Frequency Cycle
Assessment Method
Annually (May)
Theory Course Evaluations
Students (Every Semester)
Review of Educational
Resources Committee Meeting
Minutes
Nursing Tutor
FOC Meeting Minutes
Review of FOC Meeting
Minutes
Report of Data
Component
Library Resources
Nursing Skills Laboratory
Nursing Tutor
Actions
Results
Development, Maintenance, Revision
Standard 5: Resources
Criteria 5.4: Fiscal, physical, technological, and learning resources are sufficient to meet the needs of the faculty and students engaged in alternative
methods of delivery.
(old standard 5.4)
Definition:

Alternative methods of delivery: The way in which a nursing course, track, or program is shared with students including non-traditional means of
student-faculty interaction, length required for the program of study, and/or varying intervals of class and/or clinical schedules.
Examples include, but are not limited to: accelerated or condensed formats, ITV, videotape/DVD learning packages, and online delivery

Fiscal Resources: The financial support required for securing the personnel, supplies, materials, equipment, and services necessary to ensure the
achievement of the program outcomes.

Physical Resources: Classrooms, laboratories, offices, and other common spaces that are used by the program.

Learning Resources: the materials, activities, and technologies that facilitate the development of student knowledge and skills.
-
Examples include, but are not limited to: library resources, nursing skills laboratory, nursing tutor
Expected Level of Achievement:
 The fiscal resources will:
- Support the number of faculty needed for student enrollment
- Purchase equipment and supplies
- Supplement faculty development
- Commensurate with resources of the governing organization

Physical resources (classrooms, laboratories, offices, etc.) are sufficient to ensure the achievement of the nursing education unit outcomes, and
meet the needs of the faculty, staff, and students


75% of students surveyed strongly agree or agree that the physical resources are appropriate to support the achievement of program outcomes
90% of faculty surveyed strongly agree or agree that the physical resources are appropriate to meet the needs of the faculty and staff

Learning resources and technology are selected with faculty input and are comprehensive, current, and accessible to faculty and students

75% of the students surveyed strongly agree or agree that the learning resources (library resources, nursing skills laboratory, and nursing tutor) are
comprehensive, current, and accessible
Component
Alternative Methods of
Delivery
Fiscal Resources
Documentation
Responsibility
Frequency Cycle
Assessment Method
Educational Resources
Committee
Program/college budget
Annually (May)
FOC minutes
Comparative analysis
Review of FOC minutes
Students-Every Semester
Instructional Space
Non-instructional Space
Student Overall Program
Evaluation
Faculty-Annually
ADN Faculty Survey
Library Resources
Nursing Skills Laboratory
Nursing Tutor
Review Student Overall
Program Evaluation
Review ADN Faculty Survey
Theory Course Evaluations
Annually (May)
Theory Course Evaluations
Educational Resources
Committee Meeting Minutes
FOC Meeting Minutes
Students (Every
Semester)
Review of Educational
Resources Committee Meeting
Minutes
Review of FOC Meeting
Minutes
Actions
Report of Data
Component
Alternative Methods
of Delivery
Fiscal
Physical
Learning
Results
Development, Maintenance, Revision
Standard 6: Outcomes
Program evaluation demonstrates that students and graduates have achieved the student learning outcomes, program outcomes, and role-specific graduate competencies
of the nursing education unit.
Criteria 6.1: The systematic plan for evaluation of the nursing education unit emphasizes the ongoing assessment and evaluation of each of the following:
-
Student learning outcomes;
-
Program outcomes;
-
Role-specific graduate competencies; and
-
The Accrediting Body Standards
The systematic plan of evaluation contains specific, measurable expected levels of achievement; appropriate assessment methods; and a minimum of three (3) years of
data for each component within the plan.
(old standard 6.1)
Expected Level of Achievement:

A written plan for systematic program evaluation is published for faculty use and is used to guide all of the ADN Faculty Committee’s end of year reports

100% of required elements are included in the systematic plan of evaluation
Component
Documentation
Responsibility
Frequency Cycle
Assessment method
Written plan for systematic
program review
Systematic Plan of Evaluation
Accreditation Committee
Each semester
Comparative analysis of SPE
data
Report of Data
Component
Written plan for systematic
program review
Actions
Results
Development, Maintenance, Revision
Standard 6: Outcomes
Criteria 6.2: Systematic plan of evaluation findings are aggregated and trended by program option, location, and date of completion and are sufficient to inform program
decision making for the maintenance and improvement of the student learning outcomes and the program outcomes.
(old standard 6.2)
Expected Levels of Achievement:

Trended and aggregated evaluation findings are utilized to maintain or improve student learning outcomes and program outcomes
Component
Evaluation Findings
Documentation
Responsibility
AdHoc Evaluation Committee
SPE
Findings of data in End of Year
Reports
Course Evaluation Response
Forms from Levels
Report of Data
Component
Written plan for systematic
program review
Frequency Cycle
Annually (May)
Assessment Method
Review of SPE
Review of End of Year Committee
Reports
Review of Course Evaluation
Response Forms from Levels
Actions
Results
Development, Maintenance, Revision
Standard 6: Outcomes
Criteria 6.3: Systematic plan of evaluation findings are shared with communities of interest.
Expected Level of Achievement:

100% of the evaluation findings are available for sharing with communities of interest
Component
Communities of interest
Documentation
Responsibility
Minutes from the advisory
committee meetings
Department Chair
Minutes from the HWACT meetings
Report of Data
Component
Communities of interest
Results
Frequency Cycle
Annually (May)
Assessment Method
Review of minutes from the
advisory committee meetings
Review of minutes from the
HWACT meetings
Actions
Development, Maintenance, Revision
Standard 6: Outcomes
Criteria 6.4: The program demonstrates evidence of achievement in meeting the program outcomes.
(old 6.5 ---- see new 6.4.1 -6.4.5)
Expected Level of Achievement:

The program demonstrates evidence of achievement in meeting the program outcomes, including:
- Performance on licensure exam
- Program completion
- Graduate Program Satisfaction
- Employer Program Satisfaction
- Job Placement Rates
Component
Outcomes
Documentation
See 6.4.1 – 6.4.5
Responsibility
Accreditation Committee
Report of Data
End of Spring & Fall
Semesters
Assessment Method
See 6.4.1 – 6.4.5
Actions
Component
Outcomes
Frequency Cycle
Results
See 6.4.1 – 6.4.5
Development, Maintenance, Revision
Standard 6: Outcomes
Criteria 6.4.1 Performance on licensure exam: The program’s 3 year mean for the licensure exam pass rate will be at or above the national mean for
the same 3 year period.
(old 6.5.1)
Expected Level of Achievement:

Annual NCLEX program pass rate will be > or equal 95%.

The program’s 3 year mean pass rate will be > or equal to the national mean
Component
Documentation
NCLEX Pass Rates
BON NCLEX reports
National Means:
BON Website
www.bon.state.tx.us
Responsibility
Accreditation Committee
Report of Data
Component
NCLEX Pass Rates
National Means:
Frequency Cycle
End of Spring & Fall
Semesters
Assessment
Method
Analysis of NCLEX
pass rates
Actions
Results
Development, Maintenance, Revision
Standard 6: Outcomes
Criteria 6.4.2: Program Completion: Expected levels of achievement for program completion are determined by the faculty and reflect student
demographics and program options.
(old standard 6.5.2)
Expected Level of Achievement:

Expected levels of achievement for program completion are determined by the faculty

Expected levels of achievement for program completion reflect the student demographics

Expected levels of achievement reflect program options

80% of Traditional Track graduates will complete the program within 2.5

80% of Mobility graduates will complete program within 2 years
Component
Expected Levels of
Achievement in SPE
(program completion)
Documentation
ADN FOC minutes
Responsibility
Accreditation Committee
Component
Student demographics
Program options
Completion rate
-
RRC
-
Hybrid
-
CEC
-
EVC
-
Mobility
End of Spring & Fall
Semesters
Assessment Method
Review of ADN FOC
minutes
Datatel
Review of Datatel
Actions
Report of Data
ELA determined by
faculty
Frequency Cycle
Results
Development, Maintenance, Revision
Standard 6: Outcomes
Criteria 6.4.3: Graduate Program Satisfaction: Qualitative and quantitative measures address graduates six to twelve months post-graduation.
(old standard 6.5.2)
Expected Level of Achievement:
 90% of graduating students surveyed will strongly agree or agree that they were satisfied with their educational experience in the nursing
program
Component
Graduate Program
Satisfaction
Documentation
Graduate Survey
Responsibility
Accreditation Committee
Report of Data
Graduate Program
Satisfaction
-
RRC
-
Hybrid
-
CEC
-
EVC
-
Mobility
Annually-May
Assessment Method
Graduate Survey in survey
monkey
Alumni Reunion Luncheon?
Alumni Reunion Luncheon?
Component
Frequency Cycle
Actions
Results
Development ,Maintenance, Revision
Standard 6: Outcomes
Criteria 6.4.4: Employer Program Satisfaction: Qualitative and quantitative measures address employer satisfaction with graduate preparation for
entry level positions six to twelve months post-graduation.
(old standard 6.5.3 & 6.4)
Expected Level of Achievement:
 90% of employers surveyed will strongly agree or agree that they are satisfied with the graduates educational preparation for entry level
Registered Nurse positions
Component
Employer Program
Satisfaction with
Graduates
Documentation
Employer Survey
Responsibility
Accreditation Committee
Report of Data
Component
Employer Program
Satisfaction with
Graduates
Frequency Cycle
Annually-May
Assessment Method
Employer Survey in survey
monkey
Actions
Results
Development ,Maintenance, Revision
Standard 6: Outcomes
Criteria 6.4.5: Job placement Rates: Expected levels of achievement are determined by the faculty and are addressed through quantified measures
six to twelve months post-graduation.
(old standard 6.5.4)
Definition:

Job Placement Rates: % of graduates who seek employment within 6 months to 12 months of graduation who are employed as a Registered
Nurse
Expected Level of Achievement:

Expected levels of achievement for job placement rates are determined by the faculty

90% of graduates who seek employment within 6 months to 12 months of graduating will be employed as a registered nurse
Component
Post-Graduation
Employment
Documentation
FOC minutes
Responsibility
Accreditation Committee
Frequency Cycle
Each Semester
Graduate
Employment form
Graduate Employment form
Report of Data
Component
Post-Graduation
Employment
-
RRC
-
Hybrid
-
CEC
-
EVC
-
Mobility
Assessment
Method
FOC minutes
Actions
Results
Development ,Maintenance, Revision
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