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About Accreditation

What Is Accreditation?

Accreditation is the process by which a voluntary, non-governmental agency or organization appraises and grants accredited status to institutions and/or programs or services which meet predetermined structure, process, and outcome criteria.

The ANCC Accreditation program includes:

Please Note: Accreditation for organizations is distinct from certification for individual nurses. For information on continuing education requirements for nursing certification, visit the ANCC Certification Center or email certification@ana.org or call 1.800.284.2378.

What is Nursing Continuing Professional Development Accreditation?

Accreditation in NCPD recognizes organizations which demonstrate excellence in the ability to deliver nursing continuing professional development (NCPD) or approve organizations or individuals that have demonstrated excellence in the ability to deliver NCPD. The Accreditation Program ensures the integrity of the accreditation process through systematic, evidence-based evaluation of application materials submitted by qualified applicants for Accredited Provider or Accredited Approver status. ANCC's NCPD Accreditation Program contributes to improving healthcare outcomes by providing a voluntary peer-review process that defines standards for high performance in providing quality NCPD and measures compliance with those standards for organizations that elect to apply for accreditation.

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Find an ANCC Accredited Organization

What is Joint Accreditation?

The Joint Accreditation Program is an organizational credential for organizations planning inter-professional continuing education. This program is managed collaboratively by ANCC, the Accreditation Council for Continuing Medical Education (ACCME), and the Accreditation Council for Pharmacy Education (ACPE).

Goals are to support inter-professional collaborative practice (IPCP) through inter-professional continuing education, and to streamline the accreditation processes. Inter-professional education (IPE) is designed to address the professional practice gaps of the healthcare team using an educational planning process that reflects input from all professionals who make up the team. The education is designed to change the skills/strategy, performance, or patient outcomes of the healthcare team.

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What is the Practice Transition Accreditation Program (PTAP)?

PTAP sets the global standard for nurse residency and fellowship programs that transition registered nurses (RNs) and advanced practice registered nurses (APRNs) into new practice settings. PTAP provides a road map for organizations to develop new residency or fellowship programs, or to evaluate the quality of their existing programs. These include the following types of transition programs: RN residency, RN fellowship, and APRN fellowship. Residencies or fellowships that meet PTAP criteria exhibit excellence in the domains of development and design, nursing professional development, organizational enculturation, practice-based learning, program leadership, and quality outcomes.

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Content Integrity

Standards for Integrity and Independence in Accredited Continuing Education

The Standards for Integrity and Independence in Accredited Continuing Education are designed to ensure that accredited continuing education serves the needs of patients and the public, is based on valid content, and is free from commercial influence.

The Standards were released in December 2020, replacing the Standards for Commercial Support: Standards to Ensure Independence in CME Activities.

Accredited CME providers need to comply with the Standards that are applicable to their organizations by January 1, 2022--(July 1, 2022 for Accredited ANCC Providers). Visit our Standards resources page for more information and resources. A PDF of the Standards is available here.

The Standards have been adopted by the following accrediting bodies representing multiple health professions:

  • Accreditation Council for Continuing Medical Education (ACCME)
  • Accreditation Council for Pharmacy Education (ACPE)
  • American Academy of Family Physicians (AAFP)
  • American Nurses Credentialing Center (ANCC)
  • Association of Regulatory Boards of Optometry’s Council on Optometric Practitioner Education (ARBO/COPE)
  • Joint Accreditation for Interprofessional Continuing Education™

Accreditation vs. Certification

What Is Certification?

Please Note: Accreditation applies to organizations. Certification applies to individuals. Questions about continuing education (CE) requirements for nursing certification should be addressed to ANCC Certification Program at certification@ana.org or 1.800.284.2378.

Learn more at the ANCC Certification Center

Can CE Be Used for License or Certification Renewal?

Contact the appropriate licensing or certifying body. For questions about ANCC certification please visit the ANCC Certification Center or address questions to certification@ana.org or 1.800.284.2378.

Content

What Content Is Eligible for ANCC Nursing Continuing Professional Development (NCPD) Contact Hours?

Providers must develop educational activities that address a gap in knowledge, skills, and/or practices for the professional registered nurse. Content chosen for educational activities must be evidence-based or based on the best-available evidence, and the educational activity must be planned independently from the influence of Ineligible Companies.

Continuing education may be awarded for content provided through orientation, skills training, BLS, ACLS, PALS, or similar if the content addresses a gap in knowledge, skills, and/or practices for the target audience.

Content developed by an ineligible company may NOT be used in educational activities awarding ANCC NCPD contact hours.

Logos

Ineligible Companies
Logos of an ineligible company are not permitted within or associated with the content of an educational activity with the exception of required disclosure to learners. Logos of an eligible company are permitted at the discretion of the Provider.

May Previously Developed Content Be Used?

The Nurse Planner is responsible for adhering to and complying with the ANCC NCPD Accreditation Criteria. 

The Nurse Planner and the Planning Committee must adhere to the following guidelines when incorporating previously developed content into educational activities:

  1. Verify that the previously developed content meets the definition of nursing continuing professional development. 
  2. Professional Practice Gap:
    - Identify previously developed educational content that validates the professional practice gap.
  3. Learning Outcomes:
    - Develop learning outcomes independent of any prior outcomes or objectives for the content and/or provide evidence to support why the previously developed learning outcomes do not require modification.
  4. Evidence supporting the Professional Practice Gap:
    - Provide evidence that the previously developed content is current, evidence-based, and meets current standards or practice guidelines.
  5. Assessing and Analyzing for Relevant Finanical Relationships:
    - Ensure that previously developed content is permissible for use. -Ensure the previously developed content is objective and unbiased; and excludes any promotional influence.

The Nurse Planner and Planning Committee may not provide a previously developed educational activity and award continuing nursing education credit without complying with these guidelines. Failure to adhere to these guidelines may result in loss of accreditation status.

Updated 5/2022

Contact Hours (NCPD)

How To Award Contact Hours (NCPD)

There are three ways to award ANCC contact hours (nursing continuing professional development (NCPD) ) for successful completion of nursing continuing professional development activities. An organization can:

  • become an Accredited Provider of nursing continuing professional development,
  • become an Approved Provider through a constituent and state nursing association, or
  • seek and receive Individual Activity Approval for an educational activity from an ANCC Accredited Approver.

Note: An ineligible company is not eligible to award NCPD contact hours. To determine if your organization ineligible, pleae visit the Standards for Integrity and Independence in Accredited Continuing Education.

Accredited Provider
Organizations may apply to become an Accredited Provider of nursing continuing professional development. This organizational credential enables an organization to plan and present as many educational activities as it chooses throughout the period of accreditation, domestically and internationally.

An Accredited Provider must have a currently licensed registered nurse who holds a graduate degree, and either the graduate degree or baccalaureate degree must be in nursing. Initial applicants may receive accreditation for up to two years, and re-accrediting applicants may receive accreditation for up to four years. View fee schedule. NCPD Resources available here: Writing to the ANCC NCPD Accreditation Criteria Self-Learning Guide and/or ANCC NCPD Accredited Provider Applicant Journey Guide

Find ANCC Accredited Providers

Approved Provider
Organizations may apply to become an Approved Provider through a constituent or state nurses association (C/SNA) that is an ANCC Accredited Approver. This organizational credential enables an organization to plan and present as many educational activities as it chooses throughout the period of approval. An Approved Provider is required to have a currently licensed registered nurse who holds a baccalaureate or higher degree in nursing.

An Approved Provider must target at least 50% of its educational activities within its local geographic region (see Boundary Rule for Approved Providers under the Eligibility). Each C/SNA has its own application process and fee schedule. An approval period is no longer than 3 years.

Find ANCC Accredited Approvers 
Organizations listed as state nurses associations may approve providers.

Individual Activity Approval 
Organizations may submit individual activities to an ANCC Accredited Approver to have a specific educational activity approved for two years. Each Accredited Approver sets fees and review time. Some Accredited Approvers offer an expedited review process for a higher fee. 

Each educational activity must include a qualified nurse (Nurse Planner) in planning, implementing, and evaluating the educational activity. The qualified nurse must hold a current, valid nursing license as an RN and a baccalaureate degree or higher in nursing.

Find ANCC Accredited Approvers 
Any organization listed as an ANCC Accredited Approver can approve an individual activity.

 

How to Find Organizations that offer ANCC NCPD?

An organization accredited or approved to award ANCC nursing continuing professional development (NCPD) must use the appropriate ANCC accreditation statement on its materials for learners. To determine if an organization is awarding ANCC nursing continuing professional development (NCPD):

Contact the provider of the educational activity and ask if the provider is awarding ANCC contact hours.

Look for an ANCC Accreditation statement, such as:

  • Company ABC is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.
  • Company ABC is an approved provider of nursing continuing professional development by (name of Accredited Approver) an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation.
  • This activity has been submitted to the (name of Accredited Approver) for approval to award contact hours. The (name of Accredited Approver) is accredited an approver of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.
  • This nursing continuing professional development activity was approved by (name of Accredited Approver), an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation.

Find an ANCC Accredited Organization

Eligibility

Boundary Rule For Approved Providers

The boundary rule applies to approved providers only, not individual activity applicants. An organization must apply to ANCC if more than 50% of its activities are marketed to nurses in multiple noncontiguous regions (based on the HHS regions), regardless of the marketing method (Internet, flyers, print advertisement, or similar).

The actual audience make up (from local or multiple regions) does not determine whether the organization must apply to ANCC. How the organization markets its activities is the determining factor. The audience make up, however, may provide evidence for the Accredited Approver in order to make an appropriate decision. The marketing method also does not determine whether an organization must apply to ANCC, but may provide additional evidence.

Example #1: An organization provides 100 activities annually and advertises them within a 5 hospital system using a web-based link on its intranet. Only nurses from the local state attend.

  • Eligible to be an approved provider because the organization markets all activities to nurses within a local region.

Example #2: An organization provides 100 activities annually and advertises 60 of them through a national publication. Only nurses from the local state attend.

  • Not eligible to be an approved provider because the organization is marketing greater than 50% of activities to nurses in multiple regions.

Example #3: An organization provides 100 activities annually and advertises 10 of them through a national database of CE activities. Nurses from multiple regions attend the 10 activities. Nurses from the local area attend the other 90 activities.

  • Eligible to be an approved provider because the organization is marketing less than 50% of activities to nurses in multiple regions.

Example #4: An organization provides 100 activities and only advertises in a small, local nursing publication. Nurses from the local area attend.

  • Eligible to be an approved provider because the organization is marketing all activities to nurses within a local region.

Example #5: An organization provides 100 activities annually and states that it advertises them only within a small, local nursing publication. Nurses from multiple regions attend.

  • Requires further investigation. Nurses attending from multiple regions seem to contradict small, localized advertising

To view the HHS Regions and Boundary Map visit: U.S. Department of Health & Human Services Region Map

International Organizations

Organizations outside the US may apply to become ANCC Accredited Providers and to have individual educational activities approved by an ANCC Accredited Approver.

View Benefits 
Learn How to Become Eligible
Learn How to Apply
Find Accredited Approvers
Email ANA Accreditation Program 

About NARS

The ANCC's Nursing Activity Reporting System (NARS) is a web-based portal designed to streamline and support the collection of program and activity data from Accredited Providers, Accredited Approvers, and Approved Providers (Providers approved by an ANCC Accredited Approver Unit). The ANCC uses the information in NARS to evaluate/support provider accreditation criterion which is a part of the educational design process for initial accreditation, reaccreditation, and progress report reviews (refer to chapter 4 of the provider/approver manual). In addition, the ANCC will use data from NARS to produce annual reports as a service to ANCC Accredited Organizations and other stakeholders. This system will replace the current Annual Reporting. All Providers and Approvers accredited directly by the ANCC are required to use NARS. Providers approved by a Constituent State Nursing Association (C/SNA) or Federal Nursing Service (FNS) (Approved Providers), should check with their Approver Unit for details.

Nursing Activity Reporting System (NARS)

For updated templates and detailed NARS Instructions, please log in to the NCPD Learning Communities and go to the NARS folder.

Convention terms for description of activity characteristics in database to ANCC terms

Please read each activity type definition carefully and choose the best option to categorize your activity. Please note that some activities that are blended may need to be recorded as separate activities and this information is listed in each description.

ACRONYM CURRENT TERM ANCC HELP TOOL
S Synchronous Live
A Asynchronous Enduring
B Blended Blended

 

ACRONYM

NARS TERM

ANCC HELP TOOL

One of the following Activity Type Codes:

Code Key:

 

C Course

A course is a live educational activity where the learner participates in person. A course is planned as an individual event. Examples: annual meeting, conference, seminar.

For events with multiple sessions, such as annual meetings, accredited (approved) providers report one activity and calculate the hours of instruction by totaling the hours of all educational sessions offered for CNE/NCPD credit. To calculate the numbers of learners, accredited (approved) providers report the number of learners that were awarded contact hours or OBCE credit. Accredited (approved) providers are not required to calculate participant totals from the individual sessions.

If a course is held multiple times for multiple audiences, then each instance is reported as a separate activity.

RSS

Regularly Scheduled Series

A regularly scheduled series (RSS) as a course that is planned as a series with multiple, ongoing sessions, e.g., offered weekly, monthly, or quarterly; and is primarily planned by and presented to the accredited (approved) provider's professional staff. Examples include grand rounds, tumor boards, and morbidity and mortality conferences.

Accredited (approved) providers report each RSS as 1 activity. In addition, accredited (approved) providers follow the following guidelines:

The cumulative number of hours for all sessions within a series equals the number of hours for that activity and each nurse is counted as a learner for each session he/she attends in the series.

For example: Nursing Grand Rounds is planned for the entire year as 1 series. Participants meet weekly during the year for 1 hour each week. The accredited (approved) provider reports the series as 1 activity with 52 hours of instruction. If 20 nurses participated in each session, total nurse participants would be 1,040 (20 nurses per session multiplied by 52 sessions) for that single activity.

IL

Internet Live Course

An Internet live activity is an online course available via the Internet at a certain time on a certain date and is only available in real-time, just as if it were a course held in an auditorium. Once the event has taken place, learners may no longer participate in that activity unless it is again presented on a specific date and time and is only available in real-time. If an Internet live activity is presented on multiple occasions, each event is counted as one activity. Example: webcast.

EM

Enduring Material (Homestudy)

An enduring material is an activity that is printed or recorded and does not have a specific time or location designated for participation. Rather, the participant determines where and when to complete the activity.

Sometimes, accredited (approved) providers will create an enduring material from a live CNE/NCPD activity. When this occurs, ANCC considers the provider to have created two separate activities – one live activity and one enduring material activity. Both activities must comply with all ANCC requirements.

Enduring materials can be available for less than a year, a year, or multiple years. Each enduring material is counted as 1 activity for each year it is available, whether it is active for the entire year or part of the year. The accredited (approved) provider reports the number of learners who participated during the year. Accredited (approved) providers do not report cumulative data for an enduring material activity spanning multiple years. When reporting the number of participants for an enduring material activity, the accredited (approved) provider should count all learners that were awarded contact hours or OBCE credit. ANCC would not consider individuals that only received the enduring material activity but did not actually complete all of it to be participants.

IEM Internet Activity Enduring Material

An Internet enduring material activity is an "on demand activity," meaning that there is no specific time designated for participation. Rather, the participant determines when to complete the activity. Examples: online interactive educational module, recorded presentation, podcast.

Internet enduring materials can be available for less than a year, a year, or multiple years. Each Internet enduring material is counted as one activity for each year it is available, whether it is active for the entire year or part of the year. The accredited (approved) provider reports the number of learners who participated during the year. Accredited (approved) providers do not report cumulative data for an Internet enduring material activity spanning multiple years. When reporting the number of participants for an internet enduring material activity, the accredited (approved) provider should count all learners that were awarded contact hours or OBCE credit. ANCC would not consider individuals that only received the enduring material activity but did not actually complete all of it to be participants.

JN Journal-based CNE

A journal-based CNE activity includes the reading of an article (or adapted formats for special needs), an accredited (approved) provider learner engagement strategy (that may include reflection, discussion, or debate about the material contained in the article(s), and/or a requirement for the completion by the learner of a pre-determined set of questions or tasks relating to the content of the material as part of the learning process.

The ANCC does not consider a journal-based CNE activity to have been completed until the learner documents participation in that activity to the provider.

Each article is counted as 1 activity. To calculate hours of instruction, the accredited (approved) provider specifies the amount of time required to complete the activity. The number of participants reported by the accredited (approved) provider equals the total number of individuals who completed the activity. Each participant is counted once, regardless of how many times they worked on the activity.

For example, an accredited (approved) provider produces a journal that contains an article that is designated as a journal-based CNE activity. Twenty nurses read the article, reflect on the content, and complete questions related to the content of the article. The nurses spend 1 hour on this activity. The provider would report this as 1 journal-based CNE activity with 20 nurse participants and 1 hour of instruction.

MR

Manuscript Review

Manuscript review is based on a learner's participation in the prepublication review process of a manuscript.

TIW Test Item Writing Test item writing is an activity based on a learner's participation in the pre-publication development and review of any type of test-item (e.g., multiple choice questions, standardized patient cases).
CML Committee Learning Committee learning is an activity that involves a learner's participation in a committee process where the subject of which, if taught/learned in another format would be considered within the definition of continuing education.
PI Performance Improvement Performance improvement activities are based on a learner's
participation in a project established and/or guided by a provider in which a learner identifies an educational need through a measure of his/her performance in practice, engages in educational experiences to meet the need, integrates learning into patient care and then reevaluates his/her performance.
ISL Internet Searching and Learning Internet searching and learning activities are based on a learner identifying a problem in practice and then accessing content in search of an answer from sources on the Internet that are facilitated by a provider.
LFT Learning from Teaching Learning from teaching is a descriptive label for a type of activity. (The identification of activity types allows the reporting of data and information on the range of educational formats offered nationally. This helps dispel the myth that accredited CE is mostly lecture, or didactic, in format.)

We want to assist accredited providers who are seeking to further support, facilitate, and recognize the personal professional development associated with the preparation and presentation of education. "Learning from Teaching" activities are essentially personal learning projects designed and implemented by the learner with facilitation from the accredited provider. Guidance has been provided for providers on how "Learning from Teaching" activities can be incorporated into the accredited (approved) provider’s program.

As is the case for all activities, an accredited (approved) provider’s "Learning from Teaching" activities are expected to be developed in compliance with all applicable requirements. "Learning from Teaching" represents a range of activities in which an accredited (approved) provider can facilitate practice-based learning and improvement – where the ‘practice’ could be the person’s professional “teaching practice” or “clinical practice” or “research practice”.

Examples of learning from teaching activities:
  1. A faculty member is asked to give an interactive skills-based workshop on “Sinusitis” designed to address medical students’ inability to evaluate patients appropriately for this condition. The faculty member identifies, through self-assessment, that he/she does not know the anatomy of the sinuses, does not know the pathophysiology of these processes, and does not have a personal strategy in place for taking a history regarding sinusitis or for examining the patient. Therefore, he/she conducts his/her own personal learning project to address these needs—and can then describe what new strategies he/she develops as a result. Also during this process, he/she learns several new skills associated with including x-ray images and 3D-imaging videos in his/her educational presentations using software tools.
  2. To prepare for teaching a skills workshop at a surgical specialty society meeting, physician faculty find that they need to learn how to operate a new laparoscopic device that will be used during the workshop. The specialty society, as an accredited provider, facilitates their training on the new device as a “Learning from Teaching” activity for the faculty prior to their teaching engagement.
  3. An accredited provider makes available a "Learning from Teaching" activity for community learner who have recently been recruited as new faculty for undergraduate and graduate school instruction in the form of "individualized learning projects" where new faculty assess what knowledge and skills they need to teach more effectively, and then makes available training and feedback to improve their teaching skills. It includes one-to-one mentorship and training with educational experts that is scheduled by the learners.
  4. In the process of revising a series of educational seminars provided each year for the orientation of new staff members, an administrator in the risk-management department finds that he/she has to learn and incorporate new medical coding knowledge and strategies that have been published since the last orientation he/she taught. As an accredited (approved) provider, his/her institution makes it possible for his/her to receive credit for his/her “Learning from Teaching” that involves modifications to his/her own coding practices while preparing for the seminars.

 



Pharmacotherapeutics Contact Hour Requirements

Information for re-certifying ANCC Certified Clinical Nurse Specialists (CNS) and Nurse Practitioners (NP), effective January 1, 2014:

  1. 25 of the 75 required contact hours must be in pharmacotherapeutics.  Important note: If you double category 1, there is NO requirement to double the number of pharmacotherapeutic hours.
  2. These 25 pharmacotherapeutic hours do not need to be formally ANCC accredited/approved, provided the certified nurse meets the requirements for Category 1 contact hours.  (That requirement is: at least 51% of the total number of contact hours must be in your certification role and specialty and at least 50% must be formally ANCC accredited/approved.)
  3. If an educational program includes pharmacy content, please refer to equivalency tables to determine the number of pharmacotherapeutic hours that could be counted towards re-certification. Align calculation with the agenda or content (e.g. 60 minutes of a 2 hour presentation was devoted to pharmacotherapeutics = 1 contact hour).
  4. The educational presentation or conference agenda may be submitted as evidence to validate the contact hour calculation. A narrative note describing pharmacology content within agenda may be necessary to validate content.
  5. The same hours submitted to renew certification may be submitted to a State Board of Nursing for re-licensure.
  6. Pharmacotherapeutic content does not need to be presented by a nurse for the hours to be eligible for re-certification however the presenter must have content expertise in pharmacology.

Providers:

  1. If a provider is developing content to meet the ANCC pharmacotherapeutic hour requirement, content must specifically address pharmacotherapeutics.
  2. Pharmacotherapeutic content does not need to be presented by a nurse for the hours to be eligible for re-certification however the presenter must have content expertise in pharmacology.
  3. When developing the content for an educational activity, it is recommended that the provider delineate the number of pharmacotherapeutic contact hours.
  4. Existing continuing education courses/programs that include pharmacotherapeutic content may be reviewed to calculate the appropriate number of pharmacotherapeutic contact hours.
  5. When a speaker develops content for an educational activity, it would be advised that pharmacotherapeutic contact hours contained within the presentation be calculated at that time.

**Pharmacotherapeutic content may include but is not limited to drug specific information, safe prescribing practices, safe medication administration, prescribing methodologies, new regulations or similar content.

Recordkeeping Requirement

Activity file records must be maintained in a retrievable file (electronic or hard copy) accessible to authorized personnel for 6 years.

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FAQs

Answers to frequently asked questions about accreditation and Nursing continuing professional development from the American Nurses Credentialing Center (ANCC)

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