KANSAS STATE BOARD OF NURSING

LANDON STATE OFFICE BUILDING

900 SW JACKSON, SUITE 1051

TOPEKA, KS 66612-1230

Continuing Nursing Education Annual Report

Each approved long-term CNE provider shall pay a fee for the upcoming year and submit an annual report for the period of July 1 through June 30 of the previous year on or before the deadline designated by the board (K.A.R. 60-9-107).

Please review these instructions before completing the annual report:

1. The annual report is due no later than July 31 and covers data from July 1 of the prior year through June 30 of the present year. This report will be submitted electronically and there are attachments you need to submit with this annual report. The documents you attach need to be in Word or PDF format. You will attach the documents after you press the "Submit" button in the report.

2. Each approved long-term CNE provider must pay the annual fee of fifty ($50.00) dollars. An invoice will be emailed to the Coordinator listed for each long-term provider. Mail this fee to KSBN at the address listed on the invoice along with a copy of the invoice.

3. The Total Program Evaluation must be attached to this annual report before this annual report is submitted electronically. The Total Program Evaluation needs to be in Word or PDF format. One example of a total program evaluation is presented below.

4. For EACH of the first two years of the providership you must attach the following required materials for one CNE offering (ex: if initial approval occurred after July 1, 2012 you must submit the following for one CNE offering for EACH year):

a. A summary of the planning

b. A copy of the offering announcement or brochure

c. The title and objectives

d. The offering agenda or, for independent study, pilot test results

e. A bibliography

f. A summary of the participants' evaluations

g. Each instructor's education and experiences

h. Documentation to verify completion of the offering

Total Program Evaluation example:

It may be presented as a narrative or a chart or in any format appropriate for the provider.

Area	Frequency	Resp. Person	Criteria	Findings	Actions/ Recommendations
Administration			Review job description
Policies: Assess need, planning - written tool - evaluation summaries			Review survey for appropriateness; were survey findings and identified needs from evaluation summaries used in program planning
Policies: Fee Assessment			Policy meets organization and customer needs
Policies: Announcement			Review to be certain they reflect necessary information
Policies: Offering approval process			Review policies and compare to KSBN requirements
Policies: Awarding contact hours			Review agendas/pilot test results to verify contact hours awarded; review documentation of partial credit
Policies: Verifying participation/ completion			Review rosters and certificates; compare to KSBN requirements
Policies: Record keeping			Audit contents of files for compliance with KSBN requirements
Policies: Notification of changes			Review procedures for changes reported to KSBN
Total Program Evaluation effectiveness			Review total program evaluation and compare contents to KSBN requirements

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CNE Annual Report