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Frequently Asked Questions

Students

Part of ANMAC’s role is to monitor education providers and deal with complaints. If you have a concern with the program you are enrolled in, or a concern with your education provider, your first step is to address that concern with the education provider by following their policy on complaints. If you believe that your complaint has not been addressed after taking this first step, please contact us. ANMAC can only address complaints in relation to the relevant accreditation standard of the program. When writing to ANMAC about your complaint, please reference the standard and criteria you believe are involved.

For general information about the status of nursing or midwifery registration or endorsement contact the Australian Health Practitioner Regulation Agency (AHPRA). If you have further questions on registration or endorsement, including return-to-practice requirements contact AHPRA.

Assessment Process

Approved Program

All Education Providers will complete a Program Monitoring Report (PMR) on the anniversary of their accreditation (this replaces the Annual Declaration). Once the PMR is submitted to ANMAC it is reviewed by an Associate Director Accreditation Services (AD). If any further information is required, the AD will contact you.  A risk assessment is conducted by the AD as part of the review. The risk rating is endorsed by the Director Accreditation Services. Once this process is complete, you will be notified of your program’s risk rating.

Program awaiting approval

Providers who are currently having a program assessed for accreditation will receive the risk rating for the coming year with the Outcome of Accreditation Assessment Report. The risk assessment is conducted by the AD and endorsed by the Director Accreditation Services before your program is presented at the relevant accreditation committee.

There are four key risk determinants. Each has measured indicators which are weighted for importance.

Regulatory history, standing and governance (40%)

Includes measured indicators about:

  • registration with the TEQSA or ASQA
  • conditions from other regulators or previous ANMAC conditions
  • complaints
  • program changes

Human resources (30%)

Includes measured indicators about:

  • staffing changes
  • student to staff ratio
  • resources for program delivery

Physical resources (20%)

Includes measured indicators about:

  • number of campuses and geographic dispersion
  • quality, quantity and sustainability of resources

Student experience and outcomes (10%)

Includes measured indicators about:

  • assessment
  • student support
  • professional experience placement

This information is comprehensively detailed in ANMAC's Accreditation Services Risk Framework.

The tool used to assess an education program’s risk rating incorporates an algorithm that considers the likelihood of the program not meeting the accreditation standards in the measured indicators above. The tool was developed by ANMAC based on the ISO 31000:2009.

A risk assessment is conducted on every nursing and midwifery program to assign a risk rating of low, medium or high.

The risk rating of a program affects:

  1. Program accreditation
  2. Program changes
  3. Monitoring

High-risk rating

High-risk ratings may result when the majority of the measured indicators confirm there is increased likelihood of the program not being delivered as accredited. This means that:

  1. You will need to submit a tailored application pack
  2. All program changes will need to be notified prospectively
  3. Monitoring activities will increase and will include routine, targeted and random methods.

Medium-risk rating

Medium-risk ratings may result when some of the measured indicators confirm there is increased likelihood of the program not being delivered as accredited.

This means that:

  1. You will need to submit a tailored application pack
  2. Some program changes related to identified risk areas will need to be notified prospectively. Other program changes (outside of changes ANMAC considers to be significant risks) can be notified retrospectively
  3. Monitoring activities will be targeted to the identified risk areas and will include routine and random methods.

Low-risk rating

Low-risk ratings may result when few or none of the measured risk factors are present and therefore it is likely that the program will be delivered as accredited.

This means that:

  1. You will need to submit a tailored application pack
  2. Program changes (outside of changes ANMAC considers to be significant risks) can be notified retrospectively
  3. Monitoring activities will include routine and random methods

The Program Monitoring Report (PMR) replaces the Annual Declaration and is designed to confirm the program continues to be delivered as accredited, against the relevant accreditation standards. The PMR is completed annually and is due on the anniversary of approval of the program. The PMR template will be sent to the education provider one month before it is due.

The PMR is reviewed by an Associate Director who uses the information to complete a risk assessment. The risk assessment is endorsed by the Director Accreditation Services and communicated to the education provider in writing.

Program changes are classified into two different reporting requirements, retrospective of the change or prospective of the change The reporting requirements for program changes are determined by the risk rating of the program.  

However, ANMAC considers the following program changes to be significant risks that must be reported to ANMAC prospectively, regardless of the risk rating of the program:

  • Number and/or location of campuses
  • Program delivery mode
  • Number of students enrolled into the program.

High-risk programs

All program changes will need to be notified prospectively.

Medium-risk programs

Some program changes related to identified risk areas will need to be notified prospectively. Other program changes (outside of changes ANMAC considers to be significant risks) can be notified retrospectively.

Low-risk programs

Program changes (outside of changes ANMAC considers to be significant risks) can be notified retrospectively.

ANMAC is notified of retrospective changes by the Program Monitoring report (PMR). For prospective changes, education providers should complete an Intention to Submit form. ANMAC will contact the Education Provider on receipt of the document to discuss planned timeframes.

Approved program without a risk rating

If a program has not yet received a risk rating and a change is proposed, an Intention to Submit form should be completed and provided to ANMAC. ANMAC will contact the Education Provider on receipt of the document to discuss planned timeframes.

Approved program with a risk rating

ANMAC is notified of retrospective changes by the Program Monitoring Report (PMR). For prospective changes, education providers should complete an Intention to Submit form. ANMAC will contact the Education Provider on receipt of the document to discuss planned timeframes.

For more information, please see 'How does the risk rating affect changes to the program?'

Section 50 of the National Law requires ANMAC to monitor programs. ANMAC’s monitoring methods include; routine, targeted and random.

Routine

Routine monitoring occurs annually. ANMAC will send a link for the Program Monitoring Report to the education providers 30 days before the due date (the anniversary of approval of the program). A reminder will be sent 14 days before the report is due. Routine monitoring activities will occur regardless of the risk rating of the program.

Targeted

Targeted monitoring will occur based on the measured indicators that confirm increased risk. Targeted monitoring may include requests for information relating to a specific standard or criteria, an additional program monitoring report or a site visit. Targeted monitoring will occur for medium and high risk programs.

Random

A random monitoring activity may be a request for information relating to a specific standard or criteria, an additional program monitoring report or a site visit. Random monitoring activities can occur regardless of the risk rating of a program.

The measured indicators for regulatory history, standing and governance are strongly weighted (40%). Identified risk in these areas may result in a high risk rating regardless of the measured indicators in the other areas.

Risk assessment results are treated confidentially by ANMAC. Only ANMAC and the Education Provider will be aware of a program’s risk rating. The risk rating will be communicated to the provider in writing and stored in ANMAC’s secure database.

Yes.

The risk ratings are attached to education program's not providers.

No.

The risk rating applies to the coming 12 months. Adhering to the requirements associated with the risk rating and ensuring the program continues to meet the accreditation standards during this time, may result in subsequent risk ratings for the program being lower.

The risk rating applies to the coming 12 months. To decrease your risk rating, consider the four key risk determinants and the associated measured indicators and adhere to the requirements associated with the risk rating, ensuring the program continues to meet the relevant accreditation standards.

No.

The risk assessment is ANMAC’s determination of risk and is based on an algorithm using the measured indicators. The risk assessment is an objective measurement of likelihood of the program not meeting the accreditation standards, and has been developed using ISO31000:2009.

Complete the Intention to Submit form on the website. On receipt of this document, ANMAC will contact the education provider to discuss timeframes. An Accreditation Schedule and the relevant application pack will be sent to the education provider confirming timeframes for the accreditation assessment of application.

Applications currently with ANMAC, and applications due to be submitted within the next 18 months will enter the new risk-based process when the risk assessment is conducted at the end of the assessment process before the program is presented to the relevant accreditation committee.

Note: The six-month processing timeframe only applies to programs that have a signed Accreditation Schedule.

If you have already downloaded and commenced work on an application pack, continue with this pack and submit it to ANMAC. Once the program receives a risk assessment (during accreditation or at the review of the Program Monitoring Report), it will enter the new process.

ANMAC is undertaking a review of the fees for accreditation and program changes. Information regarding changes to fees will be published on the fee schedule page as it is available.

The risk-based approach launches in February 2017. Education providers will enter into the new process once they have completed their first Program Monitoring Report or when their program or a significant change is being accredited.

ANMAC will communicate the risk rating to the education providers in writing. For programs rated as medium risk, ANMAC will also include information about program changes and what should be reported prospectively.

An education provider can ask for more information on risk assessment results. ANMAC can share more details if deemed appropriate.

Please contact ANMAC as soon as you know you will be offering a new program, to discuss timeframes. You will then need to fill in the 'intention to submit form'. ANMAC will provide you with an Accreditation Schedule and application pack with confirmed dates for your submission and other significant dates for the program assessment. The ANMAC accreditation process will be approximately six months from submission of the application pack, with the NMBA approval process separate and subsequent to this.

By implementing the risk-based approach, it has enabled streamlining of the accreditation process. The ANMAC accreditation process will be approximately six months from submission of the application pack.

Note: This only applies to programs that have a signed Accreditation Schedule.

Each program requires its own site visit. In part this is because the assessment team needs to meet with the education provider for a face-to-face discussion and assess the resources relevant to the program being assessed.

Education providers need to notify ANMAC of intended changes to accredited programs.

The risk rating of a program determines how an education provider reports program changes to approved programs to ANMAC. Program changes are classified into two different reporting requirements, retrospective of the change or prospective of the change.

However, ANMAC considers the following program changes to be significant risks that must be reported to ANMAC prospectively, regardless of the risk rating of the program:

  • Number and/or location of campuses
  • Program delivery mode
  • Number of students enrolled into the program.

Approved Program without a risk rating

If a program has not yet received a risk rating and a change is proposed, an 'intention to submit' form should be completed and provided to ANMAC. ANMAC will contact the education provider on receipt of the document to discuss planned timeframes.

High-risk programs

All program changes will need to be notified prospectively.

Medium-risk programs

Some program changes related to identified risk areas will need to be notified prospectively. Other program changes (outside of changes ANMAC considers to be significant risks) can be notified retrospectively. 

Low-risk programs

Program changes (outside of changes ANMAC considers to be signficiant risks) can be notified retrospectively.

ANMAC is notified of retrospective changes by the Program Monitoring report (PMR). For prospective changes, education providers should complete an 'intention to submit' form. ANMAC will contact the education provider on receipt of the document to discuss planned timeframes.

Further information regarding changes can be found in the N (770 KB)ational Accreditation Guidelines.

Education providers

Yes, however you must include a clear note in your advertisement that the program of study is subject to accreditation by ANMAC and approval by the NMBA.

Following the site visit, the Associate Director Accreditation Services (AD) provides you with a site visit report identifying if you need to provide further evidence. The AD will give you timeframes for doing so. You can discuss and clarify outstanding issues with the AD as required.

The accreditation standards for nurses, midwives and nurse practitioners all require that an education provider demonstrates suitable resources to run the proposed program. The assessment team therefore needs to conduct a site visit to ensure the education provider has adequate resources for the anticipated number of students to be enrolled. The assessment team needs to see evidence of teaching spaces, nursing or midwifery laboratory spaces and equipment, student services and support services. The assessment team also interviews students and industry partners, preferably face-to-face.

The outcome of the assessment team’s initial review of your program forms the Draft Collated Review and is the basis of the agenda ANMAC sends to you before our site visit. The Associate Director Accreditation Services is responsible for providing updates and communicating information on your assessment process, such as the outcomes of assessment team meetings or site reviews.

Yes. If you believe there is a real or perceived conflict of interest with a nominated assessment team member you should write to the Director Accreditation Services, within 3 business days, at accreditation@anmac.org.au outlining your objection. If we do not hear from you within this timeframe the assessment team will remain as nominated.

Your contact is the Associate Director Accreditation Services assigned to coordinate your accreditation process. The director will liaise with you on all matters relating to your application and assessment process.

You can send all electronic submissions to ANMAC by posting a USB or using a Cloud-based link to the document (such as DropBox).

Initial submission—1 electronic (USB or Cloud-based link) and 1 hard copy

You need to submit 1 electronic copy (UBS or Cloud-based link, such as DropBox) and 1 hard copy for the preliminary review by the assigned Associate Director Accreditation Services (AD).

Final submission—1 electronic copy (USB or Cloud-based link)

After the site visit the AD will ask you to provide a final submission. This updated submission must include all additional evidence requested by the assessment team. One electronic copy is required. Once your program is accredited, you need to provide ANMAC with a final electronic copy of your submission on USB or via Cloud-based link, such as DropBox. This copy is kept on file as your accredited program.

All programs leading to registration or endorsement must be first accredited by ANMAC's Board and approved as a qualification for registration by the NMBA before students can enrol into the program. Students who are applying to undertake a program of study leading to a qualification that enables graduates to register or be endorsed as nurses or midwives, must be advised of the accreditation status of the program prior to enrolling. The students must be assured that they will be able to complete an approved course of study leading to registration or endorsement.

 

The ANMAC accreditation process will be approximately six months from submission of the application pack. Submissions with multiple sites or programs may take longer. Our process is detailed and comprehensive, this is to ensure academic quality, public accountability and public safety. For more information, please read the National Accreditation Guidelines.

Yes. It is mandatory to use ANMAC’s application pack (forms, checklists and templates). Each qualification has its own template which address the relevant standards and criteria for a nursing and midwifery education programs. If you do not use the correct forms, checklists and templates, we cannot progress your application for accreditation and will experience delays. ANMAC will provide the appropriate application pack with the Accreditation Schedule approximately 18 months before the expiry date of the approved program.

Assessors

ANMAC will contact you as vacancies for teams arise requiring your skills and qualifications. If you are contacted by ANMAC to be part of an assessment team, it is important you respond as soon as possible, so there aren’t delays in appointing the assessment team.

ANMAC is revising the recruitment process for team members and will contact assessors soon, to update them on the changes.

Please contact ANMAC on accreditation@anmac.org.au if any of your contact details have changed.

If you have an question that is not included on this FAQ page, please contact us.

Yes.

You will need to keep a log of the hours you have worked as a part of an assessment team for ANMAC, for it to count towards your continuing professional development (CPD) hours.

For more information, please visit the NMBA website for the fact sheet and FAQs on CPD.

ANMAC needs you to review submissions independently and not discuss your views or work with other members of the assessment team until the teleconference is held to exchange views. Doing so damages the integrity of the accreditation assessment process at an early stage and can, ultimately, delay program accreditation. If you have questions, contact your Associate Director Accreditation Services.

Yes, assessors are paid for their time and expenses. For more information please refer to the assessor handbook (633 KB)

If you are interested in becoming an ANMAC assessor please visit become an assessor for an overview of what is involved.