Twenty Plus Years of Distance Learning: Lessons Learned.

Private institutions of higher education in the United States were hesitant to institute programs of distance learning for fear that they could not maintain the quality of the education they had delivered in face-to-face programs. Vanderbilt University allowed their School of Nursing to embark on such an endeavor in 1996, as long as quality measures were incorporated. The result has been a comprehensive resource support team using Quality Matters and an increase in program rankings.