Full Scope, Full Value: Why the Private NP Model Matters

Nurse practitioners are educated to deliver comprehensive, autonomous, relationship-based care. Yet the structures in which we practice inevitably shape how that care is delivered.
In this session, Alexandra Milne, Chief Medical Officer of Canada’s largest private NP-led family practice, explores how practice models influence scope, sustainability, and professional identity. Drawing from real-world operational experience, she will examine how independent NP-led practices can preserve clinical autonomy, enhance patient outcomes, and create career longevity while protecting the integrity of NP practice.
This session challenges participants to think beyond reimbursement structures and invites NPs to consider how we can build systems that align with our training, values, and vision for the future of primary care.

Objectives:
Compare high-volume public funding structures with private NP-led care models in relation to scope and care delivery.
Describe the defining characteristics of a private NP-led practice model.
Analyze how practice structures influence professional autonomy, identity, and long-term career sustainability.