Md. Code Regs. 10.27.03.16 – Annual Review.

A. Annually, a program shall submit the following to the Board:
1. (1) An annual report on the form that the Board requires;
2. (2) A program catalog;
3. (3) Any annual reports to the BRNAA;
4. (4) Any correspondence related to the status of the program's accreditation;
5. (5) A summary of practices followed in safeguarding the health and well-being of students;
6. (6) An audited fiscal report covering the previous 2 years, including a statement of income and expenditures; and
7. (7) Accurate and complete data including, but not limited to, number of enrollments, admissions, graduates, and faculty.
B. Annually, the Board shall:
1. (1) Review each program’s annual report, supporting documentation, and the licensure examination performance of first-time candidates from each program;
2. (2) Notify each program achieving less than 90 percent of the national success rate; and
3. (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. (1) Noncompliance with this chapter;
2. (2) Failure to hire faculty who meet the qualifications as stated in Regulation .08 of this chapter;
3. (3) Noncompliance with the school’s stated philosophy, program design, objectives, or policies;
4. (4) Failure to submit records and reports to the Board in a timely manner;
5. (5) Failure to implement the approved curriculum;
6. (6) In accordance with §D of this regulation, failure to maintain the required passing rate on the licensing examination by first-time candidates;
7. (7) Failure to annually document that all faculty have current licenses; and
8. (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. (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. (2) For the first year a program does not meet the requirements of §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:
  1. (a) A report that identifies the factors believed to have contributed to the unacceptable performance; and
  2. (b) An action plan to be approved by the Board.
3. (3) Second Successive Year Not in Compliance.
  1. (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:
    1. (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
    2. (ii) Obtain the services of a Board-approved outside consultant with expertise in nursing education congruent with program needs.
  2. (b) The Board’s professional staff shall conduct a survey visit to the school and provide a report to the Board.
4. (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.

Authority: Health Occupations Article, §§8-205, 8-401, and 8-404, Annotated Code of Maryland

Effective date: April 16, 1975 (2:8 Md. R. 566)

Chapter revised effective August 30, 1982 (9:17 Md. R. 1708)

Regulation .01 amended effective November 21, 1983 (10:23 Md. R. 2064); August 11, 1986 (13:16 Md. R. 1827)

Regulation .03 amended effective August 11, 1986 (13:16 Md. R. 1827)

Regulation .04 amended effective August 11, 1986 (13:16 Md. R. 1827)

Regulation .05 amended effective August 11, 1986 (13:16 Md. R. 1827)

Regulation .06 amended effective August 11, 1986 (13:16 Md. R. 1827)

Regulation .08 repealed and new Regulation .08 adopted effective August 11, 1986 (13:16 Md. R. 1827)

Regulation .09 amended effective November 21, 1983 (10:23 Md. R. 2064)

Regulation .09 repealed and new Regulation .09 adopted effective August 11, 1986 (13:16 Md. R. 1827)

Regulation .10 amended effective November 21, 1983 (10:23 Md. R. 2064)

Regulation .13 adopted effective November 21, 1983 (10:23 Md. R. 2064)

Regulations .01—.13 repealed and new Regulations .01—.20 adopted effective September 30, 1991 (18:19 Md. R. 2100)

Regulations .01, .06, .07, .09, and .11 amended as an emergency provision effective April 11, 1994 (21:9 Md. R. 745)

Regulation .01B amended effective August 1, 1994 (21:15 Md. R. 1305)

Regulation .06 amended effective August 1, 1994 (21:15 Md. R. 1305); February 12, 1996 (23:3 Md. R. 169)

Regulation .06A, B amended effective February 15, 1993 (20:3 Md. R. 259)

Regulation .07 amended effective August 1, 1994 (21:15 Md. R. 1305)

Regulation .09 amended effective August 1, 1994 (21:15 Md. R. 1305)

Regulation .11D amended effective August 1, 1994 (21:15 Md. R. 1305)

Regulations .01—.20, Registered Nursing Education Programs, repealed and new Regulations .01—.19, Nursing Education Programs, adopted effective August 10, 1998 (25:16 Md. R. 1274)

Chapter revised effective March 5, 2001 (28:4 Md. R. 418)

Regulation .02G amended effective July 18, 2005 (32:14 Md. R. 1276)

Regulation .02I amended effective February 18, 2002 (29:3 Md. R. 220)

Regulation .03A amended effective February 18, 2002 (29:3 Md. R. 220); July 18, 2005 (32:14 Md. R. 1276)

Regulation .08 amended as an emergency provision effective August 1, 2003 (30:19 Md. R. 1327); amended permanently effective January 5, 2004 (30:26 Md. R. 1915)

Regulation .08B amended as an emergency provision effective May 23, 2008 (35:13 Md. R. 1178); amended permanently effective August 25, 2008 (35:17 Md. R. 1489)

Chapter revised as an emergency provision effective November 3, 2008 (35:24 Md. R. 2069); revised permanently effective January 26, 2009 (36:2 Md. R. 101)

Regulation .01B amended effective July 2, 2018 (45:13 Md. R. 667); February 22, 2021 (48:4 Md. R. 177)

Regulation .02 amended effective February 22, 2021 (48:4 Md. R. 177)

Regulation .03B amended effective February 22, 2021 (48:4 Md. R. 177)

Regulation .05 amended effective February 22, 2021 (48:4 Md. R. 177)

Regulation .07A amended effective July 2, 2018 (45:13 Md. R. 667)

Regulation .08 amended effective February 22, 2021 (48:4 Md. R. 177)

Regulation .08A, C amended effective July 2, 2018 (45:13 Md. R. 667)

Regulation .09A amended effective February 22, 2021 (48:4 Md. R. 177)

Regulation .11 amended effective February 22, 2021 (48:4 Md. R. 177)

Regulation .12D, E amended effective February 22, 2021 (48:4 Md. R. 177)

Regulation .13 amended effective February 22, 2021 (48:4 Md. R. 177)

Regulation .14 amended effective February 22, 2021 (48:4 Md. R. 177)

Regulation .15 amended effective February 22, 2021 (48:4 Md. R. 177)

Regulation .16 amended effective February 22, 2021 (48:4 Md. R. 177)

Regulation .17 amended effective February 22, 2021 (48:4 Md. R. 177)

Regulation .18 amended effective February 22, 2021 (48:4 Md. R. 177)