(a) The progressive designation of approval status is not implied by the order of the following listing. Approval status is based upon each program's performance and demonstrated compliance to the Board's requirements and responses to the Board's recommendations. Change from one status to another is based on survey visits or other factors listed under this subsection. Types of approval include:
(1) Initial Approval.
(2) Approval With Warning.
(3) Conditional Approval. Conditional approval is granted for a time specified by the Board in order to provide additional time to correct the deficiencies.
(4) Denial of Approval. The Board may deny initial or ongoing approval of a program that fails to meet legal and/or educational requirements within the specified time. The program shall be removed from the list of Board-approved advanced practice registered nursing education programs.
(b) Factors Jeopardizing Program Approval Status. Approval may be changed or denied for any of the following reasons:
(1) When a program demonstrates non-compliance with Board requirements, approval may be changed to full with warning or conditional status, may be withdrawn, or the Board, in its discretion, may impose restrictions or conditions it deems appropriate and necessary. In addition to imposing restrictions or conditions, the Board may also require additional monitoring of the program. Board monitoring may include the review and analysis of program reports; extended communication with program directors; and additional survey visits. A monitoring plan may require the submission of quarterly reports of students' performance in courses and clinical learning experiences; remediation strategies and attrition rates; and reports from an assigned mentor to the program director. Additional survey visits by a Board representative may be conducted at appropriate intervals to evaluate the status of the program. The Board may alter a monitoring plan as necessary to address the specific needs of a particular program. When the Board requires monitoring activities to evaluate and assist the program, monitoring fees will apply.
(2) A change in approval status, requirements for restrictions or conditions, or a monitoring plan may be issued by the Board for any of the following reasons:
(c) Determination of Approval Status.
(1) Survey visit. Each advanced practice registered nursing education program will be visited as necessary once approval has been granted. A written report of the survey visit will be reviewed by the Board at a regularly scheduled meeting.
(2) Ongoing approval may be continued on the basis of pertinent data as determined by the Board when a program is not visited by staff.
(3) Notice of a program's approval status will be sent to the director, chief administrative officer of the governing institution, and others as determined by the Board.
(d) Withdrawal from the Approval Process.
(1) Board approval of an advanced practice registered nursing education program shall automatically be withdrawn with the first occurrence of any of the following:
(2) An advanced practice registered nursing education program approved by the Board may elect to withdraw from the Board approval process by notifying the Board of its intention to withdraw in writing.
(3) After withdrawal from the Board approval process, the advanced practice registered nursing education program shall be removed from the list of Board approved nursing education programs.
(4) Withdrawal of approval status will become effective on a date agreed upon by the Board and the program unless otherwise indicated in this subsection.
(5) Programs may reapply for initial approval at any time. Programs that have had Board approval withdrawn for failure to obtain accreditation by a national advanced practice registered nursing education accrediting agency recognized by the Board must reapply for initial approval by submitting a new proposal as described in this chapter and in Board guidelines.
Source Note: The provisions of this §219.4 adopted to be effective September 13, 2001, 26 TexReg 6889; amended to be effective January 8, 2008, 33 TexReg 184; amended to be effective December 9, 2018, 43 TexReg 7894