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Ministry of Health

Nurse Practitioners Program

For information on the Advancing Nurse Practitioner Integration in Community Based Primary Care Survey please follow this link here.

Program Description:

The Nurse Practitioners for British Columbia (NP4BC) program supports the optimized use of Nurse Practitioner (NP) skills and competencies for primary health care by providing opportunities for NPs to be utilized as independent health practitioners, in collaborative interprofessional relationships with physicians and other health care providers.

To support the further integration of NPs into the system, funding for up to 45 new NP positions per year over the next three years will be made available (2012/13 – 2014/15). Supporting the integration of NP roles will support increased access to primary health care services for high need priority populations and local gaps in care – frail elderly, chronic co-morbid, mental health and substance use, maternity, and unattached patients.

Principles:

  1. NPs will practice to full scope as independent practitioners, but must be part of a multi-disciplinary team (e.g. funding is not to support NPs working in isolation).
  2. Targeted services must align with health sector identified strategic needs (e.g. seniors/frail elderly, persons with mental health and/or substance use disorders, maternity, unattached clients, persons with chronic diseases).
  3. Services must meet identified gaps within the community and be focused on longitudinal care and attachment – NPs work across the system, in collaborative practice with primary care physicians and other health professionals to integrate care and increase access for high need priority clients (frail elderly, chronic comorbid, mental health and substance use, maternity, unattached).
  4. Through this new initiative, clients are able to establish a continuous relationship with health care providers for comprehensive health care, closer to home.
  5. Funding under this initiative will not be used to fund NP positions in acute care practice settings. All submissions must be supported by the Health Authority.

Eligibility:

To support the further integration of NPs into the system, the Ministry will fund up to 135 new targeted positions over the next three years. Funding will flow from the Ministry of Health to Health Authorities to support the hiring of NPs. Funding will be awarded through a Call for Proposals process and will target NP positions, working with an identified multi-disciplinary health team, providing longitudinal care services to identified at-risk client group or vulnerable client population(s) and/or under-serviced area.

All submissions must be supported and approved by the Health Authority with signatures from the Chief Nursing Officer and Primary Health Care Lead and by health care provider(s) collaborating with the NP. Submissions that do not have signed Health Authority approval will not be considered.

NOTE: Funding under this initiative will not be used to fund NP positions in acute care practice settings.

Tools/Supports:

Application Shortfalls: Common themes were identified as needing more clarification and focus from application submissions. Specific criteria underscored by the evaluation committee during the review process included the following;

  • Identify community gaps and needs and how the proposed nurse practitioner position would fill these identified gaps.
  • Clearly define how the position would improve the accuracy, timeliness and efficiency of the health care system and explain what would be measured (i.e. what gaps would be bridged and how that would improve outcomes) and set clear and measurable patient outcomes to demonstrate savings to the health care system.
  • In terms of operational readiness, the health human resources capacity must be clearly demonstrated and resources and supports for the proposed nurse practitioner must be fully secured and clearly put in place (if possible, include details – e.g. MOA support, continuing education, etc).
  • Clearly define the role of the proposed nurse practitioner.
  • Ensure the role being proposed is suitable for a nurse practitioner and not a service that could be provided by another health professional (i.e. Registered Nurse).
  • Avoid service duplication and provide clarification on how patients will be rostered to prevent duplication of billing.
  • Demonstrate how the nurse practitioner will be practicing independently and to full scope of practice. Identify the patient demand and rostering of patients to the nurse practitioner (i.e. the nurse practitioner should not be linking patients to the general practitioners and not seen as a “physician extender” as opposed to a primary care provider performing to full scope).

Application Sample: Please note the sample application is from round one’s Call For Proposals application format.  While the current Call For Proposals application has been modified; much of the information required is similar to the first round. Content from this sample application is meant as a support to applicants to demonstrate the level of detail to consider in the development of an application.  http://www.primaryhealthcarebc.ca/pdf/sample-application.pdf

Summary List of Round 1 Approved Applications: http://www.primaryhealthcarebc.ca/pdf/np4bc-summary-of-approved-applications-first-intake.pdf

Summary List of Round 2 Approved Applications: http://www.primaryhealthcarebc.ca/pdf/np4bc-summary-of-approved-applications-second-intake.pdf

Other Considerations:

The funded organization is responsible to support the NP through the start-up phase and ongoing operations, and regularly submit reports as required per the funding agreement. Ability to successfully recruit and integrate the NP into a multidisciplinary team will also be taken into consideration.

2012/13 Intake Timelines: Friday December 20, 2013 at 12noon.

For more information:

Please see the Application Form and Evaluation Form for more information.
Fill out the Application Form.
Contact: NP4BC@gov.bc.ca