Achieving Magnet Status: The Application Process
Earning Magnet status requires that a hospital undergo a rigorous review process. Hospitals must demonstrate that they are committed to sustaining nursing excellence, improving professional practice and transforming the culture of a work environment. Seventy-five percent of nurse managers of individual units must have at least a bachelor’s degree in nursing upon submission of the application.
Applicants must collect data reflecting nursing-sensitive outcomes and quality indicators at the unit level, assess changes at least quarterly, and compare benchmark aggregate hospital-level performance of that data against a national benchmark database for at least two years prior to submitting written documentation. CKHS has completed this phase for all five hospitals.
This fall, written documentation will be prepared incorporating all data and evidence of nursing achievements for all five Crozer-Keystone hospitals. This will be submitted to the ANCC on February 1, 2011.
This documentation must reflect the innovative, dynamic, excellence-focused features of the organization that are developed, disseminated and embedded in the nursing culture throughout CKHS. It also must demonstrate how CKHS implements ANA’s Scope and Standards for Nurse Administrators within the health system’s structure, leadership and management philosophy, as well as how the standards are incorporated within the nursing service. Crozer-Keystone’s documentation is expected to total approximately 2,000 pages, including written narratives, exhibits and demographics.
The Magnet application process is capped off with an intensive site visit which is made by credentialing representatives from the ANCC if the scores for the sources of evidence fall within a range of excellence. This team of professional nurse appraisers verifies the content of the written documentation and evaluates the organizational setting in which nursing is practiced. Most site visits are three days in duration. Crozer-Keystone’s site visit is expected to take place in March or April 2011.
Following the site visit, the Commission on Magnet reviews the completed appraisal report, and votes whether to confer Magnet recognition. Once the Commission makes a decision, the health system will be notified immediately.