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February 2015
Conference 2015 – 10 Years, Celebrating Success – Focusing on the Future

The Conference Committee has been working hard to develop an exciting program of plenary and workshop speakers. We are pleased to announce that keynote speaker and workshop presenters have been secured. Call for abstracts is now closed, however registration for the conference is expected to open in the next couple of weeks.

Visit www.bcnpa.org for more information.

Membership Renewal

BCNPA membership renewal is fast approaching. If you are a health authority employed Nurse Practitioner please review your terms and conditions of employment as there is an opportunity for your employer to support you in becoming a member or maintaining your membership with BCNPA.

Excerpt from Health Authority PROFESSIONAL DEVELOPMENT & MEMBERSHIPS terms and conditions below:

  • Approved, budgeted business-related memberships may be paid for by (Health Authority), subject to available funding and only by prior approval of the manager.
Nominations – BCNPA Board

Nurse Practitioners this is your opportunity to shape the future for NPs in BC. The following Board of Director terms will end in June 2015. If you are an NP who is interested in participating in the nominations committee please email info@bcnpa.org. We look forward to your support and nominations.

  • President
  • Treasurer
  • Vancouver Regional Director
  • Northern Regional Director
  • Interior Regional Director
Research

CASN Nursing Workplace Readiness

The Nursing Workplace Readiness, a project funded by Health Canada will attempt to identify which strategies being used by educational institutions, and which strategies being used by employers, most effectively prepare NP students and new NP graduates to bridge the gap between education and the workforce. It will include a scoping review of literature, interviews, surveys and focus groups. BCNPA has been invited to participate in this project. Stay tuned for details.

The i-GAP Study – Improving Advance Care Planning in General Practice

Improving Advance Care Planning in General Practice (i-GAP) is a national research project to assess and stimulate Advance Care Planning (ACP) in primary care settings. i-GAP is funded by Technology Evaluation in the Elderly Network (TVN), the Canadian Institute for Health Research (CIHR) and the Ontario Ministry of Health and Long Term Care. To learn more about the i-GAP study and how you can participate, please contact Louise Hanvey, Director – Advance Care Planning in Canada Initiative at lhanvey@rogers.com.

Primary Care Providers' Attitudes and Experiences Concerning Recommending Cancer Screening to Individuals with Intellectual Disabilities

Genevieve Breau, a PhD candidate in the Interdisciplinary Oncology Program at the University of British Columbia, is conducting a study as part of her dissertation to examine primary care providers'; and primary care provider students';(including family physicians and nurse practitioners) attitudes concerning recommending cancer screening to individuals with Intellectual Disabilities. Participating in the study involves completing an online questionnaire, which will take approximately 15 minutes to complete. If you have any questions, you may reach Genevieve at genevieve.breau@alumni.ubc.ca.

Link for the questionnaire: www.surveyfeedback.ca/surveys/wsb.dll/s/1g3c9b.

Practice Support

Communities of Practice

BCNPA commenced attending community of practice meetings in health authorities around the province in the fall of 2014. The purpose of these meeting is twofold: to gain insight into issues impacting NPs and the communities in which they work, and to explore ways in which we can work together to find solutions. Through these face-to-face meetings, NPs can hear the latest on what the organization is doing and ask questions about issues of importance to them.

  • Vancouver Coastal Health – December 5, 2014
  • Fraser Health – January 7, 2015
  • Island Health – March 5, 2015
  • Provincial Health – April 21, 2015

RACE-ED

Rapid Access to Consultation & Evaluation is trialing a new RACE service for 3 months in the lower mainland. The new service is RACE ED and it will start on February 03, 2015. RACE ED can assist you with providing care for your patients 604-696-2131. For more information on RACE ED go to www.RACEconnect.ca.

Nurse Practitioner Leaders

Fraser Health and Northern Health have taken the opportunity to establish a Nurse Practitioner in a leadership role to facilitate the integration of the role into health service delivery. Congratulations and thank you to Northern Health and Fraser Health for your innovation. Congratulations to Helen Bourque–Northern Health and Wendy Bowles–Fraser Health, we look forward to working with you and for further NP leadership roles to be established in BC.

Ministry of Health

Stakeholder Engagement

BCNPA continues to meet with the Ministry of Health on a monthly basis, exploring how we can address barriers to practice and further integrate Nurse Practitioners into British Columbia's Health System.

Issues discussed to date:

  • Rural & remote support for Nurse Practitioners
  • Legislative, regulatory and policy barriers
  • MSP Fee code barriers
  • Policy review and consultation

Most recently BCNPA had the opportunity to provide consultation on:

  • Health Information Management Policy Framework
  • Doctors of BC/MOH Requisition Committee Revitalization QI project

New Fee Codes

The following diagnostics have been added to list of insured MSP services that Nurse Practitioners may access for their patients

  • Renal B Scan with Doppler – Fee Code 08660 (effective January 1, 2015)
  • Bone Scans with flow – Fee Code 09866 (effective October 1, 2014)
  • GP Consultations now available to Nurse Practitioners. NP requests the opinion of a general practitioner competent to provide consultation in the area of expertise requested. See the following link for details: www.health.gov.bc.ca/msp/infoprac/physbilling/payschedule/pdf/7-general-practice.pdf.

Legislative/Regulatory/Policy Barriers

BCNPA continues to work with the Ministry of Health and the College of Registered Nurses of BC on barriers to Nurse Practitioner practice. BCNPA will continue to work with government and the regulator to facilitate change.

  • MRI/PET Scan – requires legislative change to 2 acts (Hospital Insurance Act Regulation and Health Professions Act)
  • BC Transit Act – requires legislative change to BC Transit Act
  • Controlled Drugs & Substances – requires legislative change to Health Professions Act and Pharmaceutical Services act in addition to regulatory having operational requirements (QA and triplicate prescription program), NP's meeting educational requirements
  • Employment & Assistance for Persons with Disabilities & Employment Assistance Act – changes made to legislation under Bill 17 in March 2014. BCNPA has requested an update from the Ministry of Social Development & Social Innovation as to when these changes will be operationalized.
  • Mental Health Act – changes made to legislation under Bill 10 in 2012, however changes were not enacted. Government and regulator embarking on further consultation with stakeholders to explore how we may move forward.
  • School Act – changes made to legislation under Bill 10 and 17. Update to come from Ministry regarding operationalization of changes.
  • Do Not Resuscitate – recognition of Nurse Practitioners as a provider who can make decisions with patient & family remains outstanding.
  • Prescribing of Post-Exposure Prophylaxis Anti-Retrovirals– NP's are currently restricted from prescribing ARV's beyond the 5 day initiation. BCNPA has sent a letter to Dr. Julio Montaner–Director of the BC Center for Excellence to lobby for change to the current CFE policy.
CRNBC

BCNPA continues to meet with the college to discuss issues that impact Nurse Practice. Issues discussed in the recent meeting include:

  • Legislative/Regulatory/Policy barriers to practice – collaborative work between CRNBC and MOH
  • Personal Liability Protection – provide feedback to CRNBC/ARNBC on policy needs for Nurse Practitioners
  • Regulatory Practice Support – what does this look like now and for the future
  • Examination of Nurse Practitioners (Written exam and OSCE) – Outcomes, need for exam support
  • NP Scope of Practice Review – CRNBC will be conducting review of scope of practice as part of 5 year review
  • NP registration – implementation of new fields to capture NP's accepting new patients
  • NP Practice Analysis – explore findings and recommendations once available
   
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