2023 Manual Interim Monitoring Requirements

Policy: The Commission on Magnet designates the achievement of the Magnet credential for a period of four years. To maintain Magnet Recognition, an organization must remain in compliance with the components and policies of the ANCC Magnet Recognition Program® for the duration of its designation.

After designation, the organization moves into a monitoring and evaluation phase, Interim Monitoring. The Interim Monitoring Report (IMR) is due in year 2, by the final day of the organization’s designation anniversary month.

Designation Timeline

Designation Requirements

Year 1
Magnet Designation
No Reporting Due.

Your anniversary month is the month that you received your Magnet designation.
The DDCT is not required.

Year 2
Interim Monitoring Report

 The IMR is due by the last day of the anniversary month.

  • For organizations that received designation with a deficiency(ies) complete the PDCA action plan
    • Document located with Tables and Templates on MLC
  • CNO Attestation Letter (see below)
  • Nurse AVP/Nurse Director and Nurse Manager Education & Eligibility Table
  • OO11 Research Table
  • Five (5) graphs must be submitted. Each graph should meet the requirements in the Magnet application manual for graph presentation.

o    Graph 1 One graph for RN satisfaction/RN engagement (can represent any unit/ambulatory care setting)

o    Graph 2 One graph for one inpatient nurse-sensitive clinical quality indicator (can represent any inpatient unit)

o    Graph 3 - One graph for one ambulatory nurse-sensitive clinical quality indicator (can represent any ambulatory care setting).

o    Include a narrative describing how the selected measure is nurse-sensitive in your organization and a narrative to describe the benchmark used

o    Graph 4 - One graph for one inpatient experience category (can represent any inpatient unit)

o    Graph 5 - One graph for one ambulatory patient experience category (can represent any ambulatory care setting)

 

Once the required reports have been approved, a call will be scheduled with your Analyst to discuss any pertinent issues and answer all questions, including those involving documentation preparation for re-designation.

Year 3
Magnet Application

 The application is due by the last day of the anniversary month.

Application Requirements

  • Application fees (required for application completion)
  • CNO CV or resume
  • Current facility org chart
  • Current nursing org chart
  • List of externally managed databases for RN satisfaction, NSI’s, and patient satisfaction.
  • AVP/Director and Nurse Manager Education and Eligibility Table
  • IRB Attestation Letter
The DDCT is not required.

Year 4
Document Submission

Documentation Submission for Redesignation

Due on the 15th of the month before document submission.

    Due on the 1st business day of your scheduled submission month. Click here for additional information.
    Emailed to analyst:
    • Nurse AVP/Nurse Director and Nurse Manager Education and Eligibility Table
    • Unit Level Data CrosswalkTM (ULDCTM)
    Written Documentation (submitted via ADAMTM or ADAMplusTM)
    • Embedded within the written documentation:
      • Organization and Nursing Organization Charts (003)
      • Copy of the Nursing Research Table (0011)

    Systems

    Requirements for Systems

    The following must be submitted separately:

    • Demographic Data Collection Tool reports for each facility
    • Supporting documents for each entity in the system

    Magnet Application Manual

    When developing the Documentation for redesignation, organizations must comply with the Magnet Application Manual in effect when the Documentation is submitted. Magnet-designated organizations' responsibility is to remain current with any Manual updates and changes promulgated by the Magnet Recognition Program.  Please visit the Magnet website for all manual updates and changes as they occur. 

    Please contact your assigned Sr. Magnet Program Analyst with any questions related to the Interim Monitoring Report.

    <<< Click here to download the IMR CNO Attestation Template >>>