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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."

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.

Description: "The Collaborative Toolbox is a ‘one stop shop’ of tools and resources created and curated by members of the Child and Youth Mental Health and Substance Use (CYMHSU) Collaborative. Whether you’re interested in working with local schools, planning events, implementing the new ER protocol in your local hospital, or ACEs in your practice, the tools and resources are all available. The goal is to make it easy to share successful strategies for CYMHSU from anywhere in the province."

Topics: Adverse Childhood Experiences; Children and Youth; Community Engagement; Engagement; Mental Health and Substance Use; Community Resources

Description: The Collaborative Toolbox is a ‘one stop shop’ of tools and resources created and curated by members of the Child and Youth Mental Health and Substance Use (CYMHSU) Collaborative. Whether you’re interested in working with local schools, planning events, implementing the new ER protocol in your local hospital, or ACEs in your practice, the tools and resources are all available. The goal is to make it easy to share successful strategies for CYMHSU from anywhere in the province.