Md. Code Regs. 10.27.03.16

Current through Register Vol. 51, No. 22, November 1, 2024

Section 10.27.03.16 - Annual Review

A. Annually, a program shall submit the following to the Board:

(1) An annual report on the form that the Board requires;

(2) A program catalog;

(3) Any annual reports to the BRNAA;

(4) Any correspondence related to the status of the program's accreditation;

(5) A summary of practices followed in safeguarding the health and well-being of students;

(6) An audited fiscal report covering the previous 2 years, including a statement of income and expenditures; and

(7) Accurate and complete data including, but not limited to, number of enrollments, admissions, graduates, and faculty.

B. Annually, the Board shall:

(1) Review each program's annual report, supporting documentation, and the licensure examination performance of first-time candidates from each program;

(2) Notify each program achieving less than 90 percent of the national success rate; and

(3) If necessary, conduct a survey or site visit, issue recommendations, place a program on conditional approval, or issue a formal notice of violation and withdraw approval in accordance with Regulation .17 of this chapter.

C. Approval may be reduced to conditional status for the following reasons:

(1) Noncompliance with this chapter;

(2) Failure to hire faculty who meet the qualifications as stated in Regulation .08 of this chapter;

(3) Noncompliance with the school's stated philosophy, program design, objectives, or policies;

(4) Failure to submit records and reports to the Board in a timely manner;

(5) Failure to implement the approved curriculum;

(6) In accordance with §D of this regulation, failure to maintain the required passing rate on the licensing examination by first-time candidates;

(7) Failure to annually document that all faculty have current licenses; and

(8) Other activities or situations, as determined by the Board, that indicate a program is in jeopardy of violating statutory and regulatory requirements and standards.

D. Unacceptable Performance on Licensure Examination.

(1) The Board shall issue a warning to a program when the pass rate of first-time candidates does not comply with §B(2) of this regulation.

(2) For the first year a program does not meet the requirements §B(2) of this regulation and following the warning in §D(1) of this regulation, the program shall, within 30 calendar days, provide to the Board:

(a) A report that identifies the factors believed to have contributed to the unacceptable performance; and

(b) An action plan to be approved by the Board.

(3) Second Successive Year Not in Compliance.

(a) For the second successive year that a program is not in compliance with §B(2) of this regulation, the program shall be placed on conditional approval and shall:

(i) Provide the Board with a report analyzing all aspects of the educational program and identifying areas that may be contributing to the unacceptable performance; and

(ii) Obtain the services of a Board-approved outside consultant with expertise in nursing education congruent with program needs.

(b) The Board's professional staff shall conduct a survey visit to the school and provide a report to the Board.

(4) If compliance with the minimum licensure examination performance standard for first-time candidates is not made by the program within 1 examination year from the date of conditional approval, approval may be withdrawn.

Md. Code Regs. 10.27.03.16

Regulations .16 adopted effective September 30, 1991 (18:19 Md. R. 2100)
Regulations .16 adopted effective August 10, 1998 (25:16 Md. R. 1274); amended effective 48:4 Md. R. 177, eff. 2/22/2021