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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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Designing a Supportive Primary Care System for Family Physicians

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1258
Health Authority
Fraser
Division
Surrey / North Delta Division of Family Practice
Published Date
2019-02-11
Link to File
http://www.divisionsbc.ca/sites/default/files/inline-files/January%20Redesigning%20Primary%20Care%20Event%20Report_0.pdf
Description
"The report provides a snapshot into the discussions that took place aong 50 community physicians in the Surrey-North Delta area."
Health Authority
Fraser
Division
Surrey / North Delta Division of Family Practice
Corporate Author
Surrey / North Delta Division of Family Practice
Published Date
2019-02-11
Topics
Primary Care Network
Primary Care
Patient Medical Home
Resource Type
Report
File Type
Pdf
Link to File
http://www.divisionsbc.ca/sites/default/files/inline-files/January%20Redesigning%20Primary%20Care%20Event%20Report_0.pdf
Originating web page
http://www.divisionsbc.ca/surrey-north-delta/local-initiatives/patient-medical-home
Description
The report provides a snapshot into the discussions that took place aong 50 community physicians in the Surrey-North Delta area.
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Evaluation of the Multidisciplinary Care Provider Grants in White Rock-South Surrey

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1261
Health Authority
Fraser
Division
White Rock South Surrey Division of Family Practice
Published Date
2014-12
Link to File
http://www.divisionsbc.ca/sites/default/files/vgrewal1/WRSS201412MDCGrantsEvaluation.pdf
Description
"This report summarizes the evaluation of the multidisciplinary care provider grants in White Rock-South Surrey through A GP for Me. The grants allowed practices to hire registered nurses (RN) or licensed practical nurses (LPN) or increase the hours of those already working in the practices."
Health Authority
Fraser
Division
White Rock South Surrey Division of Family Practice
Corporate Author
White Rock South Surrey Division of Family Practice
Personal Author
Marina Niks
Marla Steinberg
Published Date
2014-12
Topics
Evaluation
Nurse
Nurse Practitioners
Team-Based Care
Resource Type
Report
File Type
Pdf
Link to File
http://www.divisionsbc.ca/sites/default/files/vgrewal1/WRSS201412MDCGrantsEvaluation.pdf
Originating web page
http://www.divisionsbc.ca/white-rock-south-surrey/initiatives/multidisciplinary-care
Description
This report summarizes the evaluation of the multidisciplinary care provider grants in White Rock-South Surrey through A GP for Me. The grants allowed practices to hire registered nurses (RN) or licensed practical nurses (LPN) or increase the hours of those already working in the practices.
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Neighbourhood Networks - Integration of Health Professionals

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1546
Health Authority
Vancouver Coastal
Division
Richmond Division of Family Practice
Published Date
2016-10
Link to File
https://www.divisionsbc.ca/sites/default/files/Divisions/Richmond/FINAL-Integration%20of%20AHP-October%202016.pdf
Description
"Richmond is comprised of many smaller, unique neighbourhoods, each with distinct socioeconomic, cultural, language and healthcare needs. The Richmond Division’s Neighborhood Networks strategy saw the creation of geographically clustered GPs. The Division began to trial a more systematic approach to coordinated multidisciplinary care, patient attachment, physician recruitment, peer support and practice coverage. This paper is part of a series that highlights their processes and learnings specifically on their integration of Allied Health Professionals."
Health Authority
Vancouver Coastal
Division
Richmond Division of Family Practice
Corporate Author
Richmond Division of Family Practice
Published Date
2016-10
Topics
Primary Care
Patient Medical Home
Primary Care Network
Event
Implementation Launch Day with PCN Partners
Resource Type
Report
File Type
Pdf
Link to File
https://www.divisionsbc.ca/sites/default/files/Divisions/Richmond/FINAL-Integration%20of%20AHP-October%202016.pdf
Originating web page
https://www.divisionsbc.ca/richmond/our-impact/neighbourhood-networks
Description
Richmond is comprised of many smaller, unique neighbourhoods, each with distinct socioeconomic, cultural, language and healthcare needs. The Richmond Division’s Neighborhood Networks strategy saw the creation of geographically clustered GPs. The Division began to trial a more systematic approach to coordinated multidisciplinary care, patient attachment, physician recruitment, peer support and practice coverage. This paper is part of a series that highlights their processes and learnings specifically on their integration of Allied Health Professionals.
Less detail