"This document examines the financial impact of the work environment of a Nurse Practitioner (NP) on Vancouver Coastal Health’s (VCH) budget. It evaluates the cost effectiveness of having the NP work from a General Practitioners (GP) clinic compared to the community healthcare clinic in the hospital. NPs are working in many different primary care areas, as a specialist or as generalist in a primary care setting. Compared to physicians, patient satisfaction and quality of care have been equal or higher than care provided by physicians. NPs are effective in the reduction of patient unattachment and reduction of emergency department (ED) visits. Although NPs take often more consultation time and sometimes conduct more preventative actions, their work can be comparable or even more effective compared to other providers.
This study hypothesized that the NP’s direct patient time and accessibility increases in the GP clinic, leading to a reduction of ED cost. ED and hospitalization cost of NP patients one year prior to attachment is compared with one year after attachment. Cost effectiveness is calculated by deducting incremental work environment cost by avoided ED and hospitalization cost."
This document examines the financial impact of the work environment of a Nurse Practitioner (NP) on Vancouver Coastal Health’s (VCH) budget. It evaluates the cost effectiveness of having the NP work from a General Practitioners (GP) clinic compared to the community healthcare clinic in the hospital. NPs are working in many different primary care areas, as a specialist or as generalist in a primary care setting. Compared to physicians, patient satisfaction and quality of care have been equal or higher than care provided by physicians. NPs are effective in the reduction of patient unattachment and reduction of emergency department (ED) visits. Although NPs take often more consultation time and sometimes conduct more preventative actions, their work can be comparable or even more effective compared to other providers.
This study hypothesized that the NP’s direct patient time and accessibility increases in the GP clinic, leading to a reduction of ED cost. ED and hospitalization cost of NP patients one year prior to attachment is compared with one year after attachment. Cost effectiveness is calculated by deducting incremental work environment cost by avoided ED and hospitalization cost.
"This Financial Systems Handbook is designed to provide local divisions with guidance regarding all financial matters and to enable a division to manage funds effectively.
This handbook contains:
An overview of the elements of the financial system
The principles on which the financial system is based
The major activities related to planning, recording and reviewing finances, and
Processes and mechanisms for maintaining accountability for the finances of the organization."
This Financial Systems Handbook is designed to provide local divisions with guidance regarding all financial matters and to enable a division to manage funds effectively.
This handbook contains:
An overview of the elements of the financial system
The principles on which the financial system is based
The major activities related to planning, recording and reviewing finances, and
Processes and mechanisms for maintaining accountability for the finances of the organization.