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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
Divisions of Family Practice
Published Date
2011-03
Link to File
/media/divresources/FinancialSystemsHandbookMarch2011.pdf
Description
"This Financial Systems Handbook is designed to provide local divisions with guidance regarding all financial matters and to enable a division to manage funds effectively. This handbook contains: An overview of the elements of the financial system The principles on which the financial system is based The major activities related to planning, recording and reviewing finances, and Processes and mechanisms for maintaining accountability for the finances of the organization."
Program
Divisions of Family Practice
Corporate Author
General Practice Services Committee
Published Date
2011-03
Topics
Finances
Resource Type
Manual
File Type
Pdf
Link to File
/media/divresources/FinancialSystemsHandbookMarch2011.pdf
Description
This Financial Systems Handbook is designed to provide local divisions with guidance regarding all financial matters and to enable a division to manage funds effectively. This handbook contains: An overview of the elements of the financial system The principles on which the financial system is based The major activities related to planning, recording and reviewing finances, and Processes and mechanisms for maintaining accountability for the finances of the organization.
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Program
Divisions of Family Practice
Published Date
2011-08
Link to File
/media/divresources/OrgDevGovernanceHandbookAugust2011FINAL.pdf
Description
"This Governance Handbook has been written as a resource to assist the boards and supporting staff/consultants1 of Divisions of Family Practice in the delivery of governance leadership. The purpose of this handbook is to: Provide information about standard requirements and best practices for non-profit organizations Identify the key roles and responsibilities of boards, directors and societies Provide a tool to assist in orienting and training board members Provide information about standard policies, along with some sample policies for the board to discuss and adapt to meet the Division’s unique needs Provide information that will assist Divisions in developing their own board handbooks"
Program
Divisions of Family Practice
Corporate Author
General Practice Services Committee
Published Date
2011-08
Topics
Governance
Resource Type
Manual
File Type
Pdf
Link to File
/media/divresources/OrgDevGovernanceHandbookAugust2011FINAL.pdf
Description
This Governance Handbook has been written as a resource to assist the boards and supporting staff/consultants1 of Divisions of Family Practice in the delivery of governance leadership. The purpose of this handbook is to: Provide information about standard requirements and best practices for non-profit organizations Identify the key roles and responsibilities of boards, directors and societies Provide a tool to assist in orienting and training board members Provide information about standard policies, along with some sample policies for the board to discuss and adapt to meet the Division’s unique needs Provide information that will assist Divisions in developing their own board handbooks
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Residential Care Initiative Billing Guide Fee Codes

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource933
Program
Long Term Care Initiative
Published Date
2015-08-04
Link to File
http://www.gpscbc.ca/sites/default/files/uploads/RCI%20%20Billing%20Guide%2020150604.pdf
Description
"This document summarizes the incentives available to support full-service family physician who provide residential care services."
Program
Long Term Care Initiative
Corporate Author
General Practice Services Committee
Published Date
2015-08-04
Topics
Incentive Fee Codes
Billing
Long Term Care
Resource Type
Handout
File Type
Pdf
Link to File
http://www.gpscbc.ca/sites/default/files/uploads/RCI%20%20Billing%20Guide%2020150604.pdf
Originating web page
http://www.gpscbc.ca/what-we-do/longitudinal-care/residential-care
Description
This document summarizes the incentives available to support full-service family physician who provide residential care services.
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