"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.
"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."
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.
"The PMH Practice Characteristics Matrix supports physicians to understand what the 12 attributes of the PMH model mean in concrete terms in the context of their practice, and what a transition towards the PMH could entail for them. As well, it helps GPSC and other health system partners to organize their thinking around the practice-level realities of the PMH model, and the strategic development of provincial supports for physicians to achieve the model. The Matrix—intended to be read from left to right--illustrates both the 12 attributes of the PMH model, as well as their corresponding sub-attributes, several of which are to be achieved cumulatively."
The PMH Practice Characteristics Matrix supports physicians to understand what the 12 attributes of the PMH model mean in concrete terms in the context of their practice, and what a transition towards the PMH could entail for them. As well, it helps GPSC and other health system partners to organize their thinking around the practice-level realities of the PMH model, and the strategic development of provincial supports for physicians to achieve the model. The Matrix—intended to be read from left to right--illustrates both the 12 attributes of the PMH model, as well as their corresponding sub-attributes, several of which are to be achieved cumulatively.
"The PMH Practice Characteristics Matrix supports physicians to understand what the 12 attributes of the PMH model mean in concrete terms in the context of their practice, and what a transition towards the PMH could entail for them. As well, it helps GPSC and other health system partners to organize their thinking around the practice-level realities of the PMH model, and the strategic development of provincial supports for physicians to achieve the model. The Matrix—intended to be read from left to right--illustrates both the 12 attributes of the PMH model, as well as their corresponding sub-attributes, several of which are to be achieved cumulatively."
The PMH Practice Characteristics Matrix supports physicians to understand what the 12 attributes of the PMH model mean in concrete terms in the context of their practice, and what a transition towards the PMH could entail for them. As well, it helps GPSC and other health system partners to organize their thinking around the practice-level realities of the PMH model, and the strategic development of provincial supports for physicians to achieve the model. The Matrix—intended to be read from left to right--illustrates both the 12 attributes of the PMH model, as well as their corresponding sub-attributes, several of which are to be achieved cumulatively.