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System Eligibility Requirements

Applicants applying as a system must meet each of the following requirements in addition to the requirements for individual organizations.

System Applications: For those organizations submitting as a system a separate Demographic Information Form (DIF), Research Table, and Nurse Manager Education Eligibility Table must be completed for each component organization of the system and submitted electronically via email to the Magnet Program Office at time of documentation submission.

System Written Documentation - In addition to the above required documents the data for 0012 and EP3EO (Nurse Satisfaction), 0023 and EP32EO (Nurse Sensitive Clinical Indicators), and 0026 and EP35EO (Patient Satisfaction) must be presented separately for each organization submitted in the system application. Separate tables and graphs must be presented for each organization. For NK4EO one completed research study must be presented for each organization or there must be clear representation by each organization if a combined study is presented. The outcome data must show an impact for each organization.

Transformational Leadership

  • There must be one organizational mission, vision, and set of values for the entire system.
  • There must be one chief executive officer for the entire system.
  • There must be one governing board for the entire system.
  • The same shared leadership/participative decision-making mechanism must be operationalized throughout the entire system.
  • There must be one chief nursing officer (CNO) for the entire system. The CNO must have at a minimum, a master's degree at the time of application. If the master's degree is not in nursing then either the baccalaureate degree or doctoral degree must be in nursing. The requirement must be maintained throughout the application phase, review phase and designation as a Magnet organization. Appointees as interim CNOs must also comply with this requirement.
  • Each component entity shall have a designated RN executive leader who:
    • Is prominently responsible for nursing service at that entity;
    • Has detailed knowledge and control over the day-to-day operations of the clinical practice of nursing within that entity; and
    • Meets the CNO educational requirements.
  • Nurse Managers and Nurse Leaders for each entity must meet the educational eligibility requirements at time of application:
  • Effective 1/1/2013 (at time of application) – 100% Nurse Managers and Nurse Leaders must have a degree in nursing (baccalaureate or graduate degree)
    • The Nurse Manager and Nurse Leader educational requirement table is submitted as a supporting document at time of application.
    • Applications will be processed only if the educational requirement is met
    • Updated Nurse Manager and Nurse Leader table is submitted when written documentation is submitted
    • Final verification will occur during the site visit.
Organizational Structure
  • There must be an established nursing council/committee in which representatives from all component entities participate in shared decision-making and developing strategy for system-wide nursing initiatives.
  • The component entities must demonstrate how nurses participate in shared decision-making.
Structural Empowerment
  • The same educational opportunities, to include orientation, certification, clinical ladders, and financial support in budget, must exist across the entire system.
  • There must be an integrated nursing education department serving the entire system.
  • There must be an established system-wide patient and family education committee.
  • The same support for nursing research, to include personnel and finance, must exist throughout the entire system.
  • There must be system-wide nursing participation in a community advisory committee.
  • There must be system-wide nursing participation in community-sponsored events.
  • There must be system-wide marketing and integration of publications that are promoted to the community and nursing staff.
Exemplary Professional Practice
  • The same mission, vision, and values must be used throughout the system.
  • The same performance appraisals must be used throughout the system.
  • The same pay practices must be used throughout the system.
  • The same policies and procedures must be used throughout the system.
  • The same policies supporting career development and advancement must be used throughout the system.
  • The same credentialing and privileging process for advanced-practice nurses must exist throughout the entire system.
  • The same clinical documentation system(s) must be used throughout the system to support integration of evidence-based practice into clinical and operational processes.
  • The same policies and procedures governing interdisciplinary relationships must be applied across the entire system.
  • The same performance improvement methodology/structure must exist throughout the entire system.
Knowledge Improvement
The same clinical documentation system(s) must be used throughout the system to support integration of research into clinical and operational processes. 

Application
A single application will be submitted for the system.

Written Documentation
Each component entity, a stand-alone group that is part of a multi-hospital or diversified single hospital system, must submit written documentation addressing each required source of evidence with examples occurring within that entity. For the purposes of the Magnet Recognition Program, the number of component entities within a system is equal to the number of designated RN executive leaders who are responsible for separate stand-alone groups within that system.

This evidence must independently demonstrate the full implementation of the Nursing Administration: Scope and Standards of Practice (2009) and the existence of a Magnet environment for nurses in the workplace. The documents and exhibits compiled to demonstrate compliance with the system eligibility requirements must be included in the written documentation submitted by each component entity. A separate DIF must be completed for each component entity.

Site Visit
Each component entity whose written documentation is scored within the range of excellence will receive a site visit by the team of appraisers who reviewed those written documents. The Magnet requirements must be fully evident across each component entity and at every level of each component entity.

System Recognition
If a healthcare organization with multiple entities opts to apply for Magnet recognition as a system and if any component entity fails to meet Magnet requirements, the system will not be designated as Magnet.

Biennial Monitoring
Each component entity must complete interim monitoring requirements with evidence specific to that entity. If during the period of recognition any component entity ceases to meet Magnet requirements as determined as a result of investigation by the Commission on Magnet Recognition (COM), the system loses Magnet recognition.