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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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Program
A GP for Me
Published Date
2015
Link to File
http://divisionsbc.ca/sites/default/files/Divisions/Provincial/Data%20Request%20Guidance.pdf
Description
"This document provides an overview of the kind of data available and the process for requesting data from the Ministry of Health, and Health Authorities in different regions"
Program
A GP for Me
Corporate Author
Ministry of Health
Doctors of BC
General Practice Services Committee
Published Date
2015
Topics
Privacy
Evaluation
Resource Type
Presentation
File Type
Pdf
Link to File
http://divisionsbc.ca/sites/default/files/Divisions/Provincial/Data%20Request%20Guidance.pdf
Originating web page
http://divisionsbc.ca/provincial/resources/assessment-measurement/data-requests
Description
This document provides an overview of the kind of data available and the process for requesting data from the Ministry of Health, and Health Authorities in different regions
Less detail
Published Date
2015-01
Link to File
https://www.youtube.com/watch?v=EmZ2mVP_0ug&feature=youtu.be
Description
"This video introduces Developmental Evaluation, talks about what this approach means, how it can be used, and in what settings it is most appropriate."
Personal Author
Jamie Gamble
Published Date
2015-01
Topics
Evaluation
Resource Type
Video Recording
File Type
Web page
Link to File
https://www.youtube.com/watch?v=EmZ2mVP_0ug&feature=youtu.be
Originating web page
http://divisionsbc.ca/provincial/resources/assessment-measurement/developing-evaluation-planframework
Recording Length
1hour, 30min and 50sec
Description
This video introduces Developmental Evaluation, talks about what this approach means, how it can be used, and in what settings it is most appropriate.
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Introducing Most Significant Change to A GP for Me

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1348
Published Date
2015-01
Link to File
https://www.youtube.com/watch?v=-c4pwUYhsE4
Description
"This video introduces Most Significant Change as a qualitative evaluation method suitable for evaluation A GP for Me across British Columbia."
Personal Author
Terry Smutylo
Gaelle Bombereau
Published Date
2015-01
Topics
Evaluation
Resource Type
Video Recording
File Type
Pdf
Link to File
https://www.youtube.com/watch?v=-c4pwUYhsE4
Originating web page
http://divisionsbc.ca/provincial/resources/assessment-measurement/evaluation-tools-most-significant-change-sample-survey
Recording Length
33min, 46sec
Description
This video introduces Most Significant Change as a qualitative evaluation method suitable for evaluation A GP for Me across British Columbia.
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