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Dr. NAACLS



Dr. NAACLS
Advice for Accredited and Approved Programs

Dear Dr. NAACLS:
My program has just been awarded initial accreditation! However, the award says that I must submit a progress report on Standards 18, 19, 20 and 21 - the program evaluation Standards. What should I be doing to meet those Standards?
Sincerely,
New Program Directo
r

Dear New Program Director:
Accreditation reviews analyze your program at a specific point in time. The day after your review, you might have a change in personnel, or an affiliate site may close, or the biggest employer of your graduates calls and says, "We are looking for employees with a little more emphasis in chemistry." Change is constant, but the accreditation review is once every five to seven years.

NAACLS requires notification when a new program director takes over or affiliates change, but NAACLS does not review curriculum revisions or the new student handbook until the next review. NAACLS expects the program to evaluate those changes. In fact, NAACLS expects the program to evaluate the program as a whole, even if there have not been changes. The Standards addressing program evaluation assure quality education in an ever-changing environment.

There must be a mechanism for continually and systematically reviewing the effectiveness of the program to include survey and evaluation instruments that incorporate feedback from a combination of students, employers, faculty, graduates, exit or final examinations, and accreditation review. (Standard 18)

Breaking this Standard to components, there needs to be a mechanism, which is generally considered a formal, written process, that is both continuous and systematic. Continuous is often a difficulty; there is no way to meet this Standard a month before your Self-Study, as it should have been a regular part of running the program. Systematic is that it should be formalized and cover different components of the program. As a helpful tip, any areas where there have been recent changes should be components covered. Finally, it should gather data from a variety of sources.

Standards 19 and 20 require that outcomes measures from the previous three active years are documented, analyzed and used in the program evaluation. Standard 19 specifically mentions external certification exam pass rates, but gives alternative options for programs where many students opt not to take those exams. Capstone projects, mock certification exams and other activities can also be accepted as addressing Standard 19. Standard 20 requires graduation and placement rates to be included. For both Standards 19 and 20, the requirement for data from the previous three active years means that a year or two of inactivity may require data from four to five years previous.

Finally, Standard 21 requires, ".results of program evaluations must be documented and reflected in ongoing curriculum development and program modification, followed by an analysis of the effectiveness of any changes implemented." The result of the program evaluations must first be documented. Then, they must be reflected in ongoing curriculum development and program modification. Then, any changes must be analyzed for effectiveness. This is a continuous loop, where evaluation leads to changes, which leads to evaluation of those changes. It satisfies the Standard if your analysis of a change's effectiveness was that it was not effective, so you changed it back!

I spoke too soon. It would only satisfy the Standard if you documented it. What you should be doing to meet these Standards, then, is gathering a wide variety of data, reviewing the data in a continuous and systematic manner, looking for areas to improve the program, evaluating the changes you make, and documenting all of the above! Dr. Cearlock, CEO, recommends the strategy of having this process be built into an annual schedule, with gathering and analyzing certification scores in one month, surveying of employers of graduates another month, tracking placement of each graduating class six months after their graduation, and an annual meeting of an advisory committee dedicated to reviewing the evaluation data and developing strategies for improvement!

There is no other grouping of Standards more closely related to the long-term viability of a NAACLS program than Standards 18-21, and programs that are cited for marginal compliance or non-compliance in these Standards are historically the most likely programs to withdraw accreditation, either by request or involuntarily. It makes sense that this is true; while any citation is an indication that there is an issue in the program, a citation on the program evaluation Standards is an indication that the program might not be addressing issues in an effective or consistent manner.
Thank you,
Dr. NAACLS
 






- Summer 2008

Advice for Accredited and Approved Programs - Spring 2008

Advice for Accredited and Approved Programs - Winter 2007

Advice for Accredited and Approved Programs - Summer 2007

Advice for Accredited and Approved Programs - Spring 2007

Advice for Accredited and Approved Programs - Winter 2006

Advice for Accredited and Approved Programs - Spring/Summer 2006

Advice for Accredited and Approved Programs - Winter 2005

Advice for Accredited and Approved Programs - Fall 2005

Advice for Accredited and Approved Programs - Spring/Summer 2005

Advice for Accredited and Approved Programs - Spring/Summer 2004

Advice for Accredited and Approved Programs - Fall 2003

Advice for Accredited and Approved Programs - Spring/Summer 2003

Advice for Accredited and Approved Programs - Winter 2003

Adding Clinical Affiliates - Spring / Summer 2002

Inactive status and billing - Winter 2002

New Standards and Self-Studies - Winter 2002

Accreditation and approval costs - Fall 2001

Site visit cost - Spring / Summer 2001

Essential 5 compliance - Winter 2001

Financial obligations of accreditation - Winter 2000

Reactivating a Program - Winter 2000

Suggested Reading Lists for Phlebotomy Programs - Fall 1999

Definition of Primary Faculty - Spring / Summer 1999

Proposed Changes for CLS/MT Essentials - Spring / Summer 1999

Systematic program review - Winter 1999

Annual review of affiliation agreements - Fall 1998

Newly revised publications - Spring / Summer 1998

Program length - Winter 1998

CLT/MLT program increasing credit hours - Fall 1997

Complying with 1995 Essentials - Spring 1997

Honesty and disclosure on the part of the program - Winter 1996

Clinical sites vs. enrichment sites - Summer 1996

How to prepare to be a good site visitor - Spring 1996

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