BC Ministry of Health NP4BC Workshop Pre-Questionnaire High Level Results

NP4BC Questionnaire 6 Questions: What is one key thing with respect to NP integration that is working well? What is one key thing with respect to NP integration that is not working well? What is the most important issue that needs to be addressed? If you could make one change to NP integration, what would it be? What would be the highest priority to accomplish over the next 6-12 months? 2 Purpose of Questionnaire To provide directional information to support the development of an appropriate agenda for the October 29 th session To identify some of the key issues facing NP integration, and subsequently allow for a more efficient use of time on October 29 th Not intended to be conclusive. 362 Respondents 141 Nurse Practitioners 73 Physicians who have worked with NPs 23 Patients of NPs 19 Physicians who have not worked with NPs 14 NP students 5 Specialists who have worked with NPs 3 Specialists who have not worked with NPs 84 “other” (or no response to profession)

3 There was a relatively narrow range of response themes Most questions had some clear themes that accounted for a vast majority of respondents’ opinions. There are some clear areas of common ground across professions Generally, respondents across professions identified similar issues in areas including education, funding, compensation, role clarity, collaboration, and evaluation. The results allowed the planning committee to shape the agenda for today. NP4BC Questionnaire Results

4 What is the most important issue to be addressed? 1. Professional continuing education and practice supports for NPs in the community (16%) 2. Provincial evaluation (13%) 2. Interprofessional education, practice support and training (13%) 2. NP funding mechanism (13%). What is one change you would make? 1. Change the funding mechanism/model/approach (30%) 2. Improve role clarity, understanding and/or acceptance (16%) 3. Improve collaboration/integration of NPs into practices, particularly with GPs (10%) What should be the highest priority for the next 6-12 months? 1. Funding/compensation and/or the funding mechanism (25%) 2. Improve role clarity, awareness, and/or acceptance of the role (12%) 3. Generally improve collaboration/integration of NPs into practices, particularly with GPs (10%) NP4BC Questionnaire Results What is working well? 1. Collaboration, coordination and teamwork (21% of respondents) 2. Various aspects of “Quality of Care” (18%) 3. The special nature of the role, and that it fills a unique need (12%). What is NOT working well? 1. Lack of an adequate funding model and/or funding (20%) 2. Lack of formal recognition or respect for the role (13%) 3. Lack of clarity about what the NP role is (11%).

NP4BC Conversation Themes 5 1. Interprofessional Education Continuing education supports for NPs and GPs and multidisciplinary team Ongoing inter professional curriculum development. 2. Multi-Disciplinary Practice Supports Building capacity for change management Provincial/regional resources and supports for change management. 3. Evaluation (Provincial / Regional / Local) What is important to measure? What is the business case? What are enablers of inter professional collaborative practice Functions based review of models of care Encounter codes and reporting by NPs as part of the multidisciplinary team If not encounter codes then what? 4. NP Funding Model Current provincial funding model does not incorporate overhead costs while FFS does Operational costs, overhead/benefits, office space Funding models that support multidisciplinary care based on population need. 5. Consultation Supports Compensation supports to enable NP integration and other members of the multidisciplinary team Physician’s time and support to NPs in co- developing patient care plans where patient is part of the NP panel. 6. Role Clarity Shared understanding of NP scope of practice (uneven across contracts, populations and models) Building awareness and understanding of what’s possible / what exists /what works/doesn’t work. 7. Integration and Collaboration Enablers of NP integration and integrated primary and community care Improve collaboration and integration of NPs into practices (specifically targeted to GPs) Reporting relationships in community. 8. Access to Primary Care in Communities Patient access to healthcare, particularly in remote communities and/or areas underserviced or not serviced by GP NP after hours care of own patients Business case for multidisciplinary team approach to increase primary care capacity in community.

Appendices 6

NP4BC Questionnaire Results What is one key thing with respect to NP integration that is working well? 7 Raw Data Responses

NP4BC Questionnaire Results What is one key thing with respect to NP integration that is NOT working well? 8 Raw Data Responses

NP4BC Questionnaire Results What is the most important issue that needs to be addressed? 9 Raw Data Responses

NP4BC Questionnaire Results If you could make one change to improve NP integration, what would that be? 10 Raw Data Responses

NP4BC Questionnaire Results What would be the highest priority to accomplish over the next 6-12 months? 11 Raw Data Responses