NPLC Meeting Minutes – April 2019

NPLC Monthly Teleconference

Wednesday April 10, 2019

10:30am – 12:00

Conference Dial-in Info:

Conference Dial-in Numbers:

Toronto                                              1-416-764-8607

Toll Free – North America            1-888-886-8047

Guest Code:                                       3471300

Co-chairs: Leanna Lefebvre and Jenn Clement

Agenda

Check in and roll call:  19/25 clinics in attendance

1. Approval of the minutes – March 13^th –posted on the Portal – correction – 19 clinics in attendance
   1. Action – NPLCA will draft a letter asking MOH to ask them to reconsider operating budgets as well as changing to envelope funding agreements so we don’t have to always ask permission to move money from area to area – Pending – action
2. Kudos to North Bay – celebrate success
3. COUPN support letter – reviewed, please submit from your NPLC if in agreement; if in an area with provincial MPP, please copy
4. NPAO advocacy day
   1. March 26^th – Claudia, Dawn, Jenn, Amanda, Leanna
   1. Meetings with Minister of Health, Patrick Dicerni, Rueben Devlin/Fredrika Scarth, France Gelinas, Minister of Labour, Premier’s office staff, Mike Schreiner
      1. Asks – double number of NPLCs, reinstate PLP coverage for NPs, secure funding for PHCNP program in Ontario, address issue of forced unionization of NPs
      1. Very successful day
      1. Locally, NPs are meeting with several MPPs to ensure that the understanding
      1. Suzanne – Peterborough 360 – meeting with MPP
      1. Georgina – had MPP come to the clinic
      1. Waterloo – roundtable of status of engagement
5. QIMSS update
   1. Looking for feedback – planning to attend in person meeting in June
   1. Currently three steering committees with regional priorities
   1. Aiming to find cross region priorities and next steps for the projects
   1. Standardization of diagnostic codes, most robust social determinants of health documentation, creating a set of outcome measures for NPLC s
   1. Also interested in submitting abstracts for NPAO and AFHTO conference to review QIMSS role
      1. Abstracts should promote interprofessional work of the NPLCs and patient work and access – less support for abstract to support QIMSS roles
   1. Suggestion – standardization and ease of collection quarterly stats
6. OHT document release and movement to webinar format
   1. Engagement status
   1. Beth – standing committee Bill 74 updates
      1. 1600 applications to speak on the standing committee
      1. Beth had the opportunity to speak to the committee as AFHTO president
      1. Recommendations from AFHTO – PHC is a key leader in the new OHTs; increase consultation time
7. Move to Webinar for members with NDA
   1. Welcome to Rouhan Couthino – consultant
      1. Introduction provided
   1. Overview of OHT concept and documents – Current direction more economic focused
   1. Economy of change discussed
   1. Cultural shift – movement ground up vs top down
   1. Government wants increased front line health care workers decision and leadership
   1. The power imbalance between NPs and MDs is only one of perception – we have more power than we think we do, we need to exercise it
   1. Hospitals may not clamour to lead OHTs as many don’t have linkages with community agencies
   1. NPs should consider asking for OHIP billing to level playing field – much discussion ensued
   1. The ACO model in the US is the basis for the OHT model here
   1. Not for profit organizations can still make a profit but it must be redirected into patient care and programs
   1. As an economist speaker feels NPs are the highest value for health care dollars
   1. Supports leadership in OHT development
   1. Suggest strategy of identifying a population not currently well served and develop a plan to fill the gaps – – “don’t propose something you will lose money on”
   1. Q&As
8. Meeting was adjourned at 1200