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Cost Analysis of a Nurse Practitioner in a GP Clinic

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource509
Health Authority
Vancouver Coastal
Division
Powell River Division of Family Practice
Program
A GP for Me
Published Date
2015-12-22
Link to File
/media/divresources/AnalysisNPinGPClinicPowellRiver.pdf
Description
"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."
Health Authority
Vancouver Coastal
Division
Powell River Division of Family Practice
Program
A GP for Me
Corporate Author
Powell River Division of Family Practice
Personal Author
Christien Kaaij
Published Date
2015-12-22
Topics
Nurse Practitioners
Team-Based Care
Finances
Resource Type
Report
File Type
Pdf
Link to File
/media/divresources/AnalysisNPinGPClinicPowellRiver.pdf
Description
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.
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Health Authority
Vancouver Coastal
Division
Powell River Division of Family Practice
Program
A GP for Me
Published Date
2015-12-22
Link to File
/media/divresources/NPArticlePowellRiver.pdf
Description
"Article to raise awareness about Nurse Practitioner (NP) in Powell River. To support better care for patients, the Powell River Division and Vancouver Coastal Health piloted a new program to refer patients with chronic conditions to a nurse practitioner. Nurse practitioners can order and interpret diagnostic tests, make medical diagnoses, prescribe some medications, perform specific procedures, and refer to medical specialists."
Health Authority
Vancouver Coastal
Division
Powell River Division of Family Practice
Program
A GP for Me
Corporate Author
Powell River Division of Family Practice
Personal Author
Christien Kaaij
Published Date
2015-12-22
Topics
Nurse Practitioners
Team-Based Care
Communications and Marketing
Resource Type
Article
File Type
Pdf
Link to File
/media/divresources/NPArticlePowellRiver.pdf
Description
Article to raise awareness about Nurse Practitioner (NP) in Powell River. To support better care for patients, the Powell River Division and Vancouver Coastal Health piloted a new program to refer patients with chronic conditions to a nurse practitioner. Nurse practitioners can order and interpret diagnostic tests, make medical diagnoses, prescribe some medications, perform specific procedures, and refer to medical specialists.
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North Shore’s Proposed Governance Structure - PCH

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1578
Health Authority
Vancouver Coastal
Division
North Shore Division of Family Practice
Published Date
2017
Link to File
/media/divresources/Proposed_Governance_Structure.docx
Description
"This is a proposed governance structure from Oct 2016 for the planning & implementation of North Shore’s Primary Care Homes. This can be used as a template for other Divisions. This was previously published under the Patient Medical Homes and Primary Care Networks page on the divisionsbc.ca website which has since been archived."
Health Authority
Vancouver Coastal
Division
North Shore Division of Family Practice
Corporate Author
North Shore Division of Family Practice
Vancouver Coastal Health
Published Date
2017
Resource Type
Template
File Type
Word
Link to File
/media/divresources/Proposed_Governance_Structure.docx
Description
This is a proposed governance structure from Oct 2016 for the planning & implementation of North Shore’s Primary Care Homes. This can be used as a template for other Divisions. This was previously published under the Patient Medical Homes and Primary Care Networks page on the divisionsbc.ca website which has since been archived.
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Health Authority
Vancouver Coastal
Division
North Shore Division of Family Practice
Published Date
2017
Link to File
/media/divresources/Terms_of_Reference_ PCH_SubCommittee.docx
Description
"These are the terms of reference for the CSC Sub-Committee - Primary Care Homes. This committee was intended to provide a collaborative forum for the North Shore Division of Family Practice and Vancouver Coastal Health to engage in coordinated planning and support for the implementation of the primary care home on the North Shore, guided by the Triple Aim framework. These can be used as a template for other Divisions. This ToR was previously published under the Patient Medical Homes and Primary Care Networks page on the divisionsbc.ca website which has since been archived."
Health Authority
Vancouver Coastal
Division
North Shore Division of Family Practice
Corporate Author
North Shore Division of Family Practice
Vancouver Coastal Health
Published Date
2017
Topics
Patient Medical Home
Primary Care
Resource Type
Template
File Type
Word
Link to File
/media/divresources/Terms_of_Reference_ PCH_SubCommittee.docx
Description
These are the terms of reference for the CSC Sub-Committee - Primary Care Homes. This committee was intended to provide a collaborative forum for the North Shore Division of Family Practice and Vancouver Coastal Health to engage in coordinated planning and support for the implementation of the primary care home on the North Shore, guided by the Triple Aim framework. These can be used as a template for other Divisions. This ToR was previously published under the Patient Medical Homes and Primary Care Networks page on the divisionsbc.ca website which has since been archived.
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