International Information for the Pathway Program
ANCC's prestigious recognition programs for healthcare organizations are now accepting international applications.
Healthcare organizations around the world are searching for ways to improve patient care and quality. Our organizational accreditation programs for nursing excellence offer proven strategies to reach these goals.
For hospitals located outside of the United States, ANCC offers additional support and resources to assist you in pursuing Pathway designation.
Educational Requirements and Validation of Credentials
International applicants for the Pathway to Excellence Program must meet the CNO eligibility requirements for academic preparation and licensure.
Commission on Graduates of Foreign Nursing Schools (CGFNS)
To validate international credentials, applicants must present verification from CGFNS International.
ANCC will not accept verification documents from other credential evaluating organizations.
The following eligibility requirements apply to organizations applying for the Pathway to Excellence Program.
Chief Nursing Officer and Nursing Leadership
The applicant organization must designate one individual as the chief nursing officer (CNO) who is ultimately accountable for the standards of nursing practice throughout the organization.
- The CNO is responsible for all nursing practice; therefore, all areas and campuses under the CNO's accountability where nursing is present must be included in the application, regardless of reporting relationships.
- The CNO, as part of the organization's highest governing, decision- making, and strategic-planning body, advocates for nursing to the Board of Directors.
- At the time of application, the CNO must hold, at a minimum, a baccalaureate degree in nursing.
- All requirements must be maintained through the application phase, the review phase, and designation as a Pathway to Excellence organization.
- Appointees as interim CNOs and subsequent CNOs must also comply with all requirements.
Individual organizations within the system may apply; however, a multi-facility healthcare system cannot apply as a whole. (For those with campuses, please refer to the campus definition below.)
The organization must be compliant with all state and/or federal laws as they relate to registered nurses in the workplace.
For Pathway purposes, campuses are remote care sites of an applicant organization. The CNO of the applicant organization is accountable for nursing practice at the remote sites. Campuses typically provide services to augment the full set of services offered at the primary site.
For LTC, DON instead of CNO
The following terms are referenced several times in the Elements of Performance (EOP).
chief nursing officer
The highest-level nurse with ultimate responsibility for all nursing practice within the organization. In long-term care, this role is synonymous with the "director of nursing" (DON).
A registered nurse responsible for the supervision of registered nurses and other health care providers who deliver nursing care in an inpatient or outpatient area. The nurse manager’s primary domains of activity are planning, organizing, leading, and evaluating. The term “nurse manager” is not synonymous with the chief nursing officer. In long-term care, “nurse manager” may be used interchangeably with “associate director,” “charge nurse,” or “supervisor.”
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