NPLC Meeting Minutes – May 2019

Jun 3, 2019 | Uncategorized

NPLC Monthly Teleconference

Wednesday May 08, 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: 16 /25 clinics in attendance

NPLC   NPLC   NPLC  
Algoma N Health Zone Y Peterborough 360 Y
Belleville Y HF Connecting Health N Smith’s Falls Y
Capreol N Huronia N Sudbury District Y
CMHA Durham Y Ingersoll Y Twin Bridges Y
Emery Keelsdale N Lakehead N VON – Belle River Y
Essex County Y North Bay Y Waterloo Region Y
Georgian Y North Channel N WPSHC Rural Y
Georgina Y North Muskoka Y Claudia Mariano Y
Glengarry Y Northern Neighbours N Dawn Tymianski Y
  1. Approval of the minutes –
  2. ECHO – 1030 Rhonda – project ECHO – new opportunities to share
    1. UHN – project ECHO manager
    1. Mutual learning, client de-identified information
    1. Quick access to team based learning
    1. Started with chronic pain and opioid stewardship
    1. Currently 20 ECHOs running in Ontario, program is growing, new areas include ECHO epilepsy, pediatric focused, bariatric ECHO, wound care echo
    1. Link and register via ECHO website – care register for one or many
    1. Some flexibility built in to certain sessions – can register for as many as possible; never de-registered so this can be used as an opportunity to continue to be involved
    1. Some sessions are closed cohort which may require a more long term commitment
  3. Conference Updates
    1. Agenda has been sent
    1. Nadia will be attending
    1. OHT discussions planned
    1.  
  4. Provincial Updates
    1. Claudia – meeting with Nadia Surayni – tomorrow to discuss NPLC in OHTs, roll outs
    1. Michelle Acorn has a webinar today for Nurse’s Week – question to her today is how to position the NPs and NPLCs today at noon
    1. PLP survey was completed with good response rates thus far – MOH has requested this information to reinstate PLP
    1. Recruitment and retention funds have been distributed
    1. Discussion of potential budget reductions based upon returned surplus
    1. Would there be an opportunity to respond?  Understanding is that each clinic would have an opportunity to discuss in detail
    1. Sudbury – with expansion site, NP Lead, and Admin lead now have 27 staff
    1. Peterborough – can we advocate collectively?
    1. Sue – pull NPLCs apart from CHC and FHTs; located in areas difficult to get staff, predominately female profession = maternity leaves, welcome a line by line audit as a first step
    1. Clinics have been asking for years to realign budgets to work for the communities – each year they need to reverse and reapply for changes
    1. If this is a question of optics, what is the plan to rebuild next year?
    1. Several clinics have pockets of overfunding (i.e. housing costs after fire, mat leave); clinics are happy to sign back unused funds but how may this affect budgets and finances going forward?
    1. Cost efficiency data – does MOH understand cost efficiency?
    1. Value add of NPLCs needs to be focused part of discussion
    1. Should we ask for global funding going forward –
      1. Principle – must keep salaries in line with Hay and funding
    1. Contingency funds – i.e. legal fees
    1. Unfilled positions
  5. OHTs
    1. Can we compare community to community how the OHTs are structuring themselves? – Jenn has early information to compile and share
    1. Paula – will be involved in early submission and will share
    1. Erie St Claire – primary care will take the lead; local physician group has refused to sign off stating OMA lack of support
    1. Belleville – momentum has stalled as MDs won’t sign off
    1. Advice – sign a letter to support exploration, building on collaboration that we have already; steering committee with representation from each organization
    1. Governance – some variety – most are collaborative networks or steering committee
    1. Funding would continue to flow directly to organizations; only in surplus situation would funding would be moved to the OHT collectively
    1. Collective statement of principles
      1. Add to the conference agenda to clarify
      1. Ensure that there is inter professional team representation at the table in planning and ongoing
      1. Operational budget is preserved; surplus dollars flow to the OHT
      1. Community-based solutions – will need to determine what works best for us; behooves each to be involved, present and clear about the value add of NP primary care leadership
      1. Preservation and extension of NP role to roster a set of primary care clients
      1. Development dollars – understanding across the province is that there will be no investments; bottom line is that this is meant to save money; they will not be looking at any new dollars
      1. Understanding is that they will not prefer one model over another in regards to OHT
      1. Discussions need to be about how to use what we have better
      1. Some regions have governance models
      1. Question – what’s the plan with care coordinators – sounds like OHT will be the home