The University of Texas Health Science Center San Antonio
School of Nursing
Total Program Systematic Evaluation Plan (TPSEP)
2013-2014
Revised 2013-2014
Evaluation Component
Expected Outcome
Evaluation Data
STANDARD I - PROGRAM QUALITY: MISSION AND GOVERNANCE
1.1 Mission, goals and
Mission, goals and
SON mission, goals,
expected program outcomes are expected program
expected program
congruent with professional
outcomes are 100%
outcomes
nursing standards and
consistent with
guidelines for the preparation
professional nursing
Current AACN
of nursing professionals.
standards.
Essential Series:
BS MS DNP
IA
Differentiated Entry
Competencies for
Nursing Practice in
Texas
Current QSEN
Competencies
Current TIGER
Competencies
Current Core
Competencies for
Public Health
Professionals
Quad Council
Competencies for
Public Health Nurses
Current CCNE and
NTF Criteria
Current Population
Focused Nurse
Practitioner
Competencies
Current AONE Nurse
Executive
Competencies
White Paper CNL
Responsible for
Collection & Analysis
Collection Schedule
Committee on
Undergraduate Studies
Every 5 years
or earlier as needed.
Committee on
Graduate Studies
Next review is 20162017
Actual Outcome
FA – Faculty Assembly
FC –Faculty Council
Action Plan
Faculty Council Agenda
September, 2016
Faculty Council
Faculty Assembly
Action Result
Location of Document
Official minutes kept in
Dean’s Suite
Evaluation Component
Expected Outcome
Evaluation Data
STANDARD I - PROGRAM QUALITY: MISSION AND GOVERNANCE
1.2 Mission, goals, and
HSC and SON
HSC and SON
expected program outcomes of
mission, goals and
mission, goals, and
SON are congruent with HSC.
expected outcomes are expected student
100% congruent.
outcomes
IA
1.3 Mission, goals and expected
student outcomes are reviewed
periodically and revised as
appropriate to reflect
professional nursing standards
and guidelines.
IB
Mission, goals and
expected student
outcomes are reviewed
periodically and
revised to reflect
professional nursing
standards 100% of the
time.
SON mission, goals,
expected student
outcomes and
professional nursing
standards
Minutes of COUS and
COGS meetings
Responsible for
Collection & Analysis
Faculty Council
Collection Schedule
Every 5 years
or earlier as needed
Actual Outcome
Action Plan
Faculty Council Agenda
Action Result
Location of Document
Official minutes kept in
Dean’s Suite
January, 2016
Next review is 20162017
Committee on
Undergraduate Studies
(COUS)
Annual (January)
Faculty Council Agenda
January, 2014
Committee on Graduate
Studies (COGS)
COUS and COGS
minutes kept in Dean’s
Suite
Working Group
minutes kept in Office
for Academic Affairs
Faculty Assembly
Total Program
Systematic Evaluation
Plan (TPSEP)
1.4 Mission goals and expected
student outcomes are reviewed
periodically and revised as
appropriate to reflect needs and
expectations of community of
interest.
IB
Mission, goals and
expected student
outcomes are reviewed
periodically and
revised to reflect needs
and expectations of
community of interest
100% of the time.
SON mission, goals,
student outcomes and
needs and expectations
of community of
interest
Faculty Council
Every 3 years
or earlier as needed
Faculty Council Agenda
Official minutes kept in
Dean’s Suite
January, 2014
Next review is 20152016
Minutes of meetings
TPSEP
1.5 Expected faculty outcomes
are clearly identified by the
nursing unit, are written and
communicated to the faculty,
and are congruent with
institutional expectations.
IC
SON expected faculty
outcomes in teaching,
scholarship, service
and practice are
written and
communicated to the
faculty, and are
congruent with
institutional
expectations 100% of
the time.
SON mission, goals,
and expected
outcomes
SON expected faculty
outcomes in teaching,
scholarship, service,
and practice
Faculty Council
Every 3 years
or earlier as needed
Faculty Assembly
Faculty Council Agenda
January, 2016
Next review is 20152016
Official minutes kept in
Dean’s Suite
Evaluation Component
Expected Outcome
Evaluation Data
STANDARD I - PROGRAM QUALITY: MISSION AND GOVERNANCE
1.6 Faculty and students
Faculty and students
Participation
participate in program
participate according
documented in
governance.
to the Faculty
minutes of formal
Assembly Bylaws
Faculty Assembly
ID 100% of the time.
Committees
1.7 Documents and publications
are accurate. A process is used
to notify constituents about
changes in documents and
publications.
IE
100% documents,
website and
publications are
accurate and
constituents are
notified of changes
100% of the time.
Program offerings
Program outcomes
Accreditation status
Responsible for
Collection & Analysis
Chairs of Faculty
Assembly Committees
Collection Schedule
Annual (May)
Actual Outcome
Action Plan
Faculty Council Agenda
Action Result
Location of Document
Official minutes kept in
Dean’s Suite
May, 2014
Associate Dean for
Admissions and Student
Services
Every semester review
documents and website
for accuracy
Associate Dean for
Academic Affairs
Faculty Council Agenda
Official minutes kept in
Dean’s Suite
December, 2013
May, 2014
Academic calendar
Chairs of COUS, COGS
Recruitment policies
Admission policies
Transfer credit policies
Grading policies
Degree completion
requirements
Tuition
Fees
1.8 Academic policies of the
parent institution and the
nursing program are congruent
and support achievement of the
mission, goals, and expected
student outcomes.
IF
Academic policies are
reviewed periodically
and congruent with
HSC 95% of time and
support achievement
of the mission, goals,
and expected student
outcomes 100% of the
time.
SON and HSC
academic policies in:
 Recruitment
 Admission
Associate Dean for
Admissions and Student
Services
Annual (May)
Faculty Council Agenda
May, 2014
Associate Dean for
Academic Affairs
 Retention
Chairs of COUS, COGS
 Progression
TPSEP
Minutes of meetings
1.9 Differences in policies are
identified and support
achievement of SON mission,
goals and expected outcomes.
IF
100% of SON polices
that differ from HSC
are identified and
support mission, goals
and expected
outcomes of SON.
Policies that differ
COUS
COGS
Associate Dean for
Academic Affairs
Annual (May)
Faculty Council Agenda
May, 2014
Official minutes kept in
Dean’s Suite
Evaluation Component
Expected Outcome
Evaluation Data
STANDARD I - PROGRAM QUALITY: MISSION AND GOVERNANCE
1.10 Academic policies are fair
100% of policies are
SON Academic
and equitable and implemented
fair, equitable and
policies in:
consistently.
implemented
consistently.
 Handbooks
IF
 HSC Catalog
 Course Syllabi
Responsible for
Collection & Analysis
Dean
Collection Schedule
Annual (May)
Associate Dean for
Admissions & Student
Services
Actual Outcome
Action Plan
Action Result
Location of Document
Faculty Council Agenda
May, 2014
Associate Dean for
Academic Affairs
 Course Packets
1.11 Academic policies are
published and accessible.
100% of policies are
published and
accessible.
SON Academic
policies in:
 Handbooks
IF
Dean
Annual (May)
Associate Dean for
Admissions & Student
Services
Faculty Council Agenda
Office for Academic
Affairs
May, 2014
 HSC Catalog
 Faculty/Staff
Associate Dean for
Academic Affairs
Handbook
 Course Syllabi
 Course Packets
1.12 Academic policies are
reviewed and revised as
necessary to foster program
improvement.
Academic policies are
reviewed periodically
and foster program
improvement 100% of
the time.
IF
SON Academic
policies in:
 Handbooks
Dean
Associate Dean for
Admissions & Student
Services
 HSC Catalog
 Course Syllabi
 Course Packets
Associate Dean for
Academic Affairs
Annual (May)
Faculty Council Agenda
May, 2014
Office for Academic
Affairs
Responsible for
Collection & Analysis
STANDARD II - PROGRAM QUALITY: INSTITUTIONAL COMMITMENT AND RESOURCES
2.1 Fiscal and physical
Resources are adequate
Physical resources and
Dean
resources are sufficient to
to meet the mission
fiscal resources
enable the program to fulfill
goals, and expected
Assistant Dean for
its mission, goals, and
outcomes.
Administration
expected outcomes.
Associate Deans
IIA
Chairs
Evaluation Component
2.2 Adequacy of resources is
reviewed and resources are
modified as needed.
Expected Outcome
Review process is
transparent and follows
university policies.
Evaluation Data
Budgets prepared by
Chairs and Associate
Deans and Directors
Consultation with
student leadership
IIA
Dean
Collection Schedule
Actual Outcome
Annual (October)
Action Plan
Faculty Council
Agenda
Action Result
Location of
Document
SON Business Office
November, 2013
Annual (October)
Faculty Council
Agenda
Assistant Dean for
Administration
SON Business Office
November, 2013
Associate Deans
Chairs
Directors
2.3 Academic support
services are sufficient to
ensure quality.
IB
2.4 Academic support
services are evaluated on a
regular basis to meet
program and student needs.
Academic support
services are sufficient
and a process is in place
to review and assure
quality improvement in
services.
Evaluation data
Associate Dean for
Academic Affairs
100% of Academic
support services are
evaluated regularly.
Evaluation data
Chairs
Student and faculty
surveys
Associate Deans
Board of Nursing
license
HSC President
Student and faculty
surveys
Annually in October
or more frequently as
needed
Faculty Council
Agenda
Office for Academic
Affairs
November, 2013
Annual (October)
Faculty Council
Agenda
Office for Academic
Affairs
November, 2013
IIB
2.5 The chief nurse
administrator is a registered
nurse, holds a graduate
degree, and is academically
and experientially qualified
to accomplish the mission,
goals and expected program
outcomes.
IIC
Meets criteria as stated
100% of the time.
Official transcripts
Dean’s CV
Annual
Chief nurse
appropriately
credentialed
None Indicated
HSC President’s
Office
Responsible for
Collection & Analysis
STANDARD II - PROGRAM QUALITY: INSTITUTIONAL COMMITMENT AND RESOURCES
2.6 The chief nurse
100% congruence with
HSC Handbook of
HSC President
administrator is vested with
other deans of schools
Operating Procedures
the administrative authority
authority.
to accomplish the mission,
goals, and expected program
outcomes.
IIC
Evaluation Component
Expected Outcome
2.7 The chief nurse
administrator provides
effective leadership to the
nursing unit in achieving its
mission, goals and expected
program outcomes.
IIC
Effective leadership is
demonstrated 100% of
the time.
2.8 There is sufficient faculty
to accomplish the mission,
goals and expected program
outcomes.
100% of the faculty is
engaged in at least one
of the
research/scholarship,
practice/service and,
teaching missions of the
school.
IID
Evaluation Data
Annual evaluation by
HSC President
President
5 year comprehensive
(360) evaluation
Data from letters of
appointment which
includes FTE formula
for program
commitments
Department Chairs
Collection Schedule
Actual Outcome
Action Plan
Action Result
Location of
Document
Annual
100% congruence with
other Deans of schools
authority.
None Indicated
HSC Handbook policy
Annual
Positive evaluation by
President – letter on file
None Indicated
Dean’s Suite
5 years
5 year evaluation due
2013
Every semester:
Faculty Council
Agenda
(December)
approved
Faculty Workload
document completed
by Department Chairs
December, 2013
(May)
May, 2014
Documents housed in
Dean’s Suite.
Student-faculty ratio in
classroom and clinical
activities meet BON
Rules and Regulations
and National Standards
100% of the time.
2.9 Faculty members are
academically and
experientially qualified for
their teaching
responsibilities.
IID
100% of faculty have
role and functional
preparation in area of
teaching; academic
background in area of
teaching.
Current CV
TX Board of Nursing
(BON) Report
Department Chairs
Annual (October)
Faculty Council
Agenda
October, 2013
Departmental Offices
Responsible for
Collection & Analysis
STANDARD II - PROGRAM QUALITY: INSTITUTIONAL COMMITMENT AND RESOURCES
2.10 Preceptors when used
100% of preceptors are
Current CV
Associate Dean for
by the program as an
academically and
Academic Affairs
extension of the faculty are
experientially prepared.
Clinical Agencies’
academically and
MOUs
Clinical Liaison
experientially qualified for
50% of preceptors are
their role in assisting in the
serving more than two
Department Chairs
achievement of the SON’s
years hold Adjunct
mission, goals and expected
appointments w/o salary
student outcomes.
Evaluation Component
Expected Outcome
Evaluation Data
Collection Schedule
Every semester:
Actual Outcome
Action Plan
Action Result
Location of
Document
Faculty Council
Agenda
Office for Academic
Affairs
December, 2013
Departmental Offices
(December)
(May)
May, 2014
IIE
2.11 HSC and SON provide
and support an environment
that encourages faculty
teaching, scholarship,
service, and practice in
keeping with the mission,
goals, and expected faculty
outcomes.
IIF
Internal and external
sources of funding
available for faculty
development in
research, instruction,
practice/service.
Expected outcomes for
faculty role engagement
are clearly defined
100% of the time.
Consultants are
regularly utilized for
program review.
Funded faculty
research
Associate Dean for
Research
Faculty development
programs/appointments
Associate Dean for
Academic Affairs
Consultants
Department Chairs
Faculty Handbook has
faculty role
delineation, promotion
and tenure
Faculty Assembly
Assistant Dean for
Administration
Annual (September)
Faculty Council
Agenda
October, 2013
SON Business Office
Responsible for
Collection Schedule
Actual Outcome
Action Plan
Collection & Analysis
STANDARD III - PROGRAM QUALITY: CURRICULUM, TEACHING-LEARNING PRACTICES AND INDIVIDUAL STUDENT LEARNING OUTCOMES
3.1 The curriculum is
Curricula are 100%
Minutes of Faculty
Faculty Assembly
Annual (September)
Faculty Council
developed, implemented,
consistent with the SON Assembly
Agenda
and revised to reflect clear mission and goals.
Faculty Council
statements of expected
Minutes of COUS
September, 2013
student outcomes that are
Curriculum reflects
COUS
congruent with the
clear statements of
Minutes of COGS
program’s mission and
student outcomes 100%
COGS
goals.
of the time.
Minutes of GSBS
GSBS
IIIA
Minutes of Faculty
Council
Associate Dean for
Academic Affairs
Course Syllabi
Evaluation Component
Expected Outcome
Evaluation Data
Action Result
Location of
Document
Office for Academic
Affairs
Program assessment
data
3.2 Expected individual
learning outcomes are
congruent with the roles
for which the program is
preparing graduates.
I00% of learning
outcomes are consistent
with roles for which the
program prepares
students.
IIIA
3.3 Curricula are
developed, implemented,
and revised to reflect
relevant professional
nursing standards and
guidelines, which are
clearly evident within the
curriculum and within the
expected student outcomes
(individual and
aggregate).
Expected learning
outcomes
COUS
Annual (September)
Faculty Council
Agenda
COGS
Minutes of COUS and
COGS
September, 2013
Course syllabi
Curricula are 100%
consistent with:
Minutes of Faculty
Assembly
BSN: The Essentials of
Baccalaureate
Education for
Professional Nursing
Practice (AACN 2008)
Minutes of COUS
MSN: The Essentials of
Master’s Education in
Nursing (AACN, 2011)
Minutes of Faculty
Council
Faculty Assembly
Annual (September)
Faculty Council
Agenda
Faculty Council
September, 2013
COUS
Minutes of COGS
COGS
Minutes of GSBS
GSBS
IIIB
Course Syllabi
MSN and DNP:
Criteria for Evaluation
of Nurse Practitioner
Programs (NTF, 2012)
DNP: The Essentials of
Doctoral Education for
ANP (AACN, 2006)
Other standards of
practice (graduate and
Program assessment
data
Associate Dean for
Academic Affairs
Office for Academic
Affairs
Evaluation Component
Expected Outcome
Evaluation Data
Responsible for
Collection & Analysis
Collection Schedule
Actual Outcome
Action Plan
Action Result
Location of
Document
undergraduate
programs)
3.4 The curriculum is
logically structured to
achieve expected student
outcomes.
IIIC
100% of the
baccalaureate
curriculum builds upon
a foundation of the arts,
sciences, and
humanities.
100% of the master’s
curricula build on a
foundation comparable
to baccalaureate level
nursing knowledge.
Program’s course
sequence
Faculty Assembly
Annually (October)
Faculty Council
Agenda
Office for Academic
Affairs
Faculty Council
Graduation/retention
rates
COUS
October, 2013
Minutes of meetings
COGS
NCLEX pass rates
Associate Dean for
Academic Affairs
Certification pass rates
100% of the DNP
curricula build on a
baccalaureate and/or
master’s foundation,
depending on the level
of entry of the student.
100% of post-masters
APRN certificate
programs build on
graduate level nursing
competencies and
knowledge base.
3.5 Teaching-learning
practices and
environments support
achievement of expected
student outcomes.
90% of students rate
teaching-learning
experiences sufficient to
achieve expected
student outcomes for
each course.
Student course
evaluations
(classroom, clinical,
teacher)
90% of the planned
clinical practice
experiences enable
students to integrate
new knowledge and
demonstrate attainment
of program outcomes.
Agency Evaluations
Associate Dean for
Academic Affairs
Every semester:
Faculty Council
Agenda
Office for Academic
Affairs
(December)
Department Chairs
December, 2013
(May)
May, 2014
IIID
3.6 The curriculum
includes planned clinical
practice experiences that
enable students to
integrate new knowledge
and demonstrate
attainment of program
outcomes; and are
evaluated by faculty.
III E
100% of the planned
clinical practice
experiences are
evaluated by faculty.
Associate Dean for
Academic Affairs
Every semester:
Faculty Council
Agenda
(December)
Department Chairs
December, 2013
(May)
May, 2014
Office for Academic
Affairs
Evaluation Component
Expected Outcome
3.7 Curriculum and
teaching-learning practices
consider the needs and
expectations of the
identified community of
interest.
90% of students,
faculty, and employers
agree that teachinglearning practices meet
their needs and
expectations for each
program.
Evaluation Data
Student exit surveys
Alumni evaluation of
program
Faculty course
evaluations
Responsible for
Collection & Analysis
Associate Dean for
Academic Affairs
Collection Schedule
Every semester:
Actual Outcome
Action Plan
Faculty Council
Agenda
Action Result
Location of
Document
Official minutes kept
in Dean’s Suite
(December)
Associate Dean for
Admissions and Student
Services
(May)
December, 2013
COUS
Every semester:
COGS
(December)
May, 2014
IIIF
Student course
evaluations
3.8 Individual student
performance is evaluated
by faculty and reflects
achievement of expected
student outcomes.
IIIG
3.9 Evaluation policies
and procedures for
individual student
performance are defined
and consistently applied.
Faculty evaluate student
performance 100% of
the time.
100% of faculty
evaluations of students
reflect achievement of
expected student
outcomes.
100% of evaluation
policies are written,
clearly communicated
to students and applied
consistently.
Course syllabievaluation criteria
Examines learning
activities, and clinical
evaluation tools are
reflective of expected
learning outcomes
Office for Academic
Affairs
December, 2013
(May)
May, 2014
Course syllabi
COUS
Every semester:
Student evaluation of
courses
COGS
(December)
Faculty Council
Agenda
Office for Academic
Affairs
December, 2013
Departmental Offices
(May)
Student performance
evaluations
IIIG
Faculty Council
Agenda
May, 2014
Examples of student
work
3.10 Curriculum and
teaching-learning practices
are evaluated at regularly
scheduled intervals to
foster ongoing
improvement.
100 % of curriculum
and teaching- learning
practices are evaluated
regularly to foster
ongoing improvement.
TPSEP
Faculty Council
Course meeting
minutes
Faculty Assembly
Student evaluations
COUS minutes
COGS minutes
Faculty Council
Agenda
May, 2014
COUS
COGS
IIIH
Annual (May)
Office for Academic
Affairs
Responsible for
Collection Schedule
Actual Outcome
Collection & Analysis
STANDARD IV -PROGRAM EFFECTIVENESS: AGGREGATE STUDENT PERFORMANCE AND FACULTY ACCOMPLISHMENTS
4.1 A systematic process
The SON TPSEP is
Program assessment
Evaluation Specialist
Annual (September)
is used to determine
reviewed annually and
data and analysis in
program effectiveness.
outcomes are evaluated
WEAVE on-line
Associate Dean for
to determine program
Academic Affairs
IVA effectiveness.
Evaluation Component
4.2 Program completion
rates demonstrate
program effectiveness.
Expected Outcome
Graduation rates for
each program are
greater than 90%.
Exit Surveys
Alumni surveys
Certification Pass
Rates
NCLEX
Associate Dean for
Academic Affairs
NCLEX-RN pass rates
are greater than 90%.
Reports from TBON
and certification
bodies
Associate Dean for
Academic Affairs
Evaluation Specialist
IVB
4.3 Licensure and
certification pass rates
demonstrate program
effectiveness.
IVC
Evaluation Data
Annual (September)
Action Plan
Faculty Council Agenda
Action Result
Location of
Document
Office for Academic
Affairs
October, 2013
Faculty Council Agenda
Office for Academic
Affairs
October, 2013
Annual (September)
Faculty Council Agenda
Office for Academic
Affairs
October, 2013
Certification
examination pass rates
by specialty are greater
than 90%.
4.4 Employment rates
demonstrate program
effectiveness.
IVD
Employments rates for
each program are 90%
after 1 year and 80%
after 3 years
Exit and Alumni
Surveys
4.5 Program outcomes
demonstrate program
effectiveness.
Aggregate student
outcome data are
reported to faculty
annually.
Program assessment
data and analysis in
WEAVE on-line
Annual (September)
Associate Dean for
Academic Affairs
Associate Deans
Faculty Council Agenda
Office for Academic
Affairs
October, 2013
Annual (September)
Faculty Assembly
Agenda
Official minutes kept
in Dean’s Suite
October, 2013
IVE
Assembly in September
evidencing evaluation
of the programs at 90%
4.6 Faculty outcomes,
individually and in the
aggregate demonstrate
program effectiveness.
IVF
100% of faculty’s
teaching is evaluated
annually.
Faculty effectiveness is
rated by students with a
minimum mean of 4.0
or higher on a 1–5 scale
with 5 being highest
100% of faculty with
greater than 50%
appointments are
engaged in scholarly
Aggregate faculty data
as relates to teaching
effectiveness,
scholarly activity and
faculty practice
Department Chairs
Associate Dean for
Research
Vice Dean for Practice
and Engagement
Annual (January)
Faculty Council Agenda
January, 2014
Departmental Offices
Responsible for
Collection Schedule
Actual Outcome
Collection & Analysis
STANDARD IV -PROGRAM EFFECTIVENESS: AGGREGATE STUDENT PERFORMANCE AND FACULTY ACCOMPLISHMENTS
activity and/or
practice/service
activities.
Evaluation Component
Expected Outcome
Evaluation Data
4.7 The program defines
and reviews formal
complaints according to
established policies.
100% of formal
complaints that indicate
a need for program
improvement result in
appropriate faculty or
administrative action
being taken.
Formal complaints
Faculty/administrative
action taken
100% of program
assessment data is
reviewed by faculty and
program improvements
are documented.
Program assessment
data and analysis in
WEAVE on-line
IVG
4.9 Data analysis is used
to foster ongoing
program improvement.
IVH
Faculty
Administration
Action Result
Location of
Document
Faculty Council Agenda
October, 2013
Office of Admission
and Student Services
Office for Academic
Affairs
Evaluation Specialist
Associate Dean for
Academic Affairs
Faculty Council
Faculty Assembly
COUS
COGS
Revised August 26, 2013
Annual (September)
Action Plan
Annual (September)
Faculty Council Agenda
October, 2013
Office for Academic
Affairs