1. CNEA Accreditation: A Workshop for Faculty By Dr. Sue Field April 2016

2. Objectives for Presentation  Identify specifics in CNEA accreditation that are required to have 3 years of data.  Write a quality improvement plan and meeting minutes from data from a faculty survey.  Explain how the NLN integrating concepts are reflected in your curriculum.

3. Standards & Criteria CNEA  5 Standards  32 Quality Indicators  With Interpretive Guidelines  (NOT mandates but ideas on how to meet the Quality Indicators)  and Suggestions for Supporting Evidence Exemplars  http://www.nln.org/accreditation-services/proposed- standards-for-accreditation http://www.nln.org/accreditation-services/proposed- standards-for-accreditation

4. Title IV Gatekeeper  CNEA: Not a Title IV gatekeeper  1/4 less criteria needs to be covered  Title IV: Higher Learning Commission for MnSCU  CNEA does NOT address Financial Aid or Program Length as ACEN does 4

5.  January 1 st 2018 Deadline (New Years Day)  Received by the Board of Nursing  by December 31 st, 2017 Candidacy Timeline

6. SEP for CQI (HANDOUT)  Systematic Evaluation Plan: SEP, SPE =  Continuous Quality Improvement Plan (CQI)  CNEA has no standard template for this  See front page of handout  CNEA SEP Workshop on Friday in Washington DC

7. Systematic Evaluation Plan  SEP: 3 yrs of data for  NCLEX  Satisfaction surveys  Program completion and job placement  Faulty outcomes: NEW to Programs  Program budget  Dr. Halsted is not interested in a 100 page SEP.  Keep it simple.

8. Brain Study…

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11. Can you read this?  I can read this.  I have a STRANGE mind!  If you can raed this, you have a sgtrane mnid, too.  Olny 55 people out of 100 can.

12.  I cdnuolt blveiee that I cluod aulaclty uesdnatnrd what I was rdanieg. The phaonmneal pweor of the hmuan mnid, aoccdrnig to a rscheearch at Cmabrigde Uinervtisy, it dseno't mtaetr in what oerdr the ltteres in a word are, the olny iproamtnt tihng is that the frsit and last ltteer be in the rghit pclae. The rset can be a taotl mses and you can still raed it whotuit a pboerlm. This is bcuseaethe huamn mnid deos not raed ervey lteter by istlef, but the word as a wlohe. Azanmig huh? Yaeh and I awlyas tghuhot slpeling was ipmorantt! Amazing Huh?

13.  This could be used for qualification for a Director of Nursing!!!!  Time for a drawing!!!  Raise your hand if you could read the brain study!!!

14. Let’s Pretend…  Let’s pretend…TODAY…  You get a call from your Dean stating that the Director of Nursing for your program, has suddenly taken ill and he is asking you to take the interim director position…  You agree TEMPORARY ONLY! After 2 months, you realize the Director will not be coming back…  You realize you are now the NEW Interim Director of Nursing!!!! Oh NO!!!

15. Oh NO!!!  You realize that you need to get your program ready to meet the deadline for the Board of Nursing’s requirement of being in candidacy by January 1, 2018!!!!

16. This is how I reacted!!!

17.  What is the first thing you’d like to know for accreditation?  You are unable to call the director…she is too ill to phone.  Discussion What do you need to know?

18.  Page 3 Quick Check list for Preparing for Accreditation

19. Let’s start by looking at the Standards NEXT…

20. Standard I: Culture of Excellence – Program Outcomes Program outcomes could be FOR:  NCLEX, Program Completion, Job Placement, Satisfaction Surveys,  faculty achievement  curriculum (end-of-program, level, or course outcomes);  student learning and achievement;  and any other indicator of program quality that faculty determine to be important to the overall success of the program.

21. Standard I: Culture of Excellence – Program Outcomes  What are the program outcomes  Are there BENCHMARKS/Goals set?  Is there a plan in place for obtaining the outcomes?  Has the plan been implemented and recorded? If so where is it?  Has the plan been evaluated?

22.  Collectively engaging in the identification and development of ASSESSMENT Expected program outcomes and determining the  BENCHMARKS to measure success, GOALS  ensures that the program administrators, faculty, staff, and students are working collaboratively to achieve and maintain program excellence. IMPLEMENTATION Standard I: Culture of Excellence – Program Outcomes

23. Comparison What is the Nursing Process? What is a Systematic Evaluation Plan or a Plan for Continuous Quality Improvement?  Organized  Systematic way  To meet the needs of patients  Organized  Systematic way  To meet standards of quality for your program and  Criteria for Accreditation and for  Board of Nursing Approval

24. Nursing Process Vs. SEP or CQI Nursing Process Systematic Evaluation Plan (SEP) OR Continuous Quality Improvement (CQI)

25. Nursing Diagnosis vs Systematic Evaluation Plan Nursing Process  Assessment  Diagnose  Plan/Goal  Implementation  Evaluate SEP or CQI Table of contents for SEP/CQI  Assessment of Program Excellence  Diagnosis of Standards & Quality Indicators  Plan: Goal/Benchmark/Survey/Data Gathering  Implementation of Survey/Data Gathering  Evaluate if you met the goal and if not, develop action plan to achieve goal

26.  Let’s take a look at Assessment in your Handout  Page 7: Assessment: Completed by CNEA  Page 9: Nursing Diagnosis: Completed by CNEA Start with Assessment

27. Now you dig around the previous directors files and you find this! A GOLD Mine!

28.  Turn to P. 13 for Instructions and P 14-23 The Nursing Plan has been completed! It shows:  Your programs plan on how to gather data and analyze it…  Which surveys your program will use  How the student database is kept  It even already includes measureable goals!!!  It includes how your program collect the data, who is responsible, how often will you do it.  It even gives directions on where to record your findings and  Who you disseminate the findings to. You Found the Programs’ Nursing Plan for gathering data for accreditation!!!!

29.  This is your Program’s Plan!!!  Let’s review a couple of the PLANS for Standard 1 Outcomes Let’s Review Standard 1: Outcomes on your PROGAM Plan page 14

30.  Let’s review the Student Exit and Faculty Surveys  Student Exit Survey: p. 17  Faculty Survey: p. 17  BOTH measure MULTIPLE standards and quality indicators What about Surveys Plans? Turn to page 17

31. Standard III: Faculty Outcomes  Specific Yearly Plans for Faculty: Turn to P. 18  Faculty Survey  PDP  Faculty Evaluations  PROGRAM FACULTY OUTCOMES

32.  Student Exit Survey: On page 17 +  Student Handbook: On page 19  QI Student Rep Meetings Standard IV: Students

33.  Course Surveys  Clinical Surveys  Integrated Exams from Companies (ATI, KAPLAN, HESI, etc)  Specific Assignments: Inter Rater Reliability Standard V: Curriculum: Page 19

34.  P. 22 and 23  Yearly Review  Every 2 year review  Choose 2 or 3 times a year for review for small programs Nursing Plan: Calendar

35.  Part I: Yearly Evaluation: Pages 25-37 Page through  Part II: Every 2 years: Pages 39-57  Look at Standard I on pages 25-31. Standard I:A-F  Has the entire Standard I been completed on the SEP Part I?  Do you need to redo this portion in SEP Part II then? See Page 39…  Look at the green Quality Indicators  Look at the writing in red below… SEP Part I and Part II OR CQI Part I and Part II

36.  TIME FOR A DRAWING!!! TRANSITION

37.  Take out the handout with the Meeting Minutes Template on it.  Review the Program Completion data under Standard 1  68% with 26/38 completing on time  How did you determine the program completion?  See the EXCEL Data base  See the SEP Part I on Page 26  Now Analyze the data and write a summary and action plan. CNEA I-C Program Completion

38.  Meeting Minutes for NCLEX  SEP Part I: P. 27 and 28  See Gray Excel Data Sheet NCLEX: p 27

39.  Meeting Minutes  SEP Part I: Page 32 Student Exit Survey P. 32

40.  P. 33 Faculty Survey SEP  Meeting Minutes Faculty Survey

41.  Time for a Drawing!!! Questions and Discussion