Book excerpt: Understand the steps to achieve and maintain status as an approver for ANCC primary accreditation! This publication outlines primary accreditation, approver eligibility and application requirements, standards for educational design process, plus approver accreditation criteria. This manual includes revised program criteria that demonstrate focus on structure, process, and quality outcomes that impact the professional practice of nursing and/or patient or system outcomes. It also addresses continuing education that is team-based or interprofessional. In addition, this manual provides a comprehensive overview of the educational design process for continuing education activities. Recommendations of experts in the field of continuing education, including the Commission on Accreditation (COA), the Josiah Macy Jr. Foundation, and the Institute of Medicine (IOM), are incorporated into these updated standards.