grow your own nurse practitioner application guidelines · grow your own np clinical practicums:...

Ministry of Health and Long-Term Care Nursing Secretariat 1

Grow Your Own Nurse Practitioner

Application Guidelines

2006

APPLICATION GUIDELINES


Background

Grow Your Own NP

Clinical Practicums:

Goals of this initiative:

Nurse practitioners (NPs) are an integral part of the Ontario Government’s vision for primary health care. The Grow Your Own (GYO) NP initiative was developed to address some of the challenges that communities face in recruiting NPs. This program will allow sponsoring agencies, that currently have a funded NP position that has been vacant for at least one year, the flexibility to use those funds to sponsor a local registered nurse (RN) to pursue his/her Primary Health Care NP education, and subsequently fill the vacant position. The purpose of this program is to fill existing NP vacancies so that communities can have access to primary health care services closer to home. At the same time, this is a unique program that addresses a key barrier facing nurses wanting to pursue their Primary Health Care NP education – that is, loss of income during their education. While this is not meant to be a wide-scale tuition support program for nurses seeking to obtain their NP education, the nurses who participate will benefit by receiving a salary while in school, and having many of their education related costs covered. This program requires participation of both sponsoring agencies and nurses. In order to complete the application, sponsoring agencies must identify an eligible RN in advance, one who is interested in obtaining his/her NP certificate and meets the education program’s admission requirements. This will require some preparatory time and involve liaison with RNs in your geographic region. Application to the GYO NP initiative occurs after the RN has been accepted to the Primary Health Care NP education program. A return of service agreement is part of the program and this involves shared financial risk between the sponsoring agency and the nurse applicant. This necessitates a positive and functional ongoing relationship between both parties. Sponsoring agencies and nurses are advised to carefully consider their obligations before agreeing to participate. An “at a glance” overview of the program is attached to the end of these guidelines. The program will begin in time for the September 2006 academic year. Both full time and part time schooling options are available under this initiative as outlined later in this document. Ideally, the NP student will be able to complete at least one clinical practicum with the sponsoring agency. In general, sponsoring agencies that are able to offer NPs a clinical practicum opportunity are encouraged to contact the Primary Health Care Nurse Practitioner Program Co-ordinator in their region:

http://np-education.ca/np/index.cfm?main=coordlist.html

1. To create new opportunities for communities to recruit NPs. 2. To promote NP retention. 3. To reduce the number of NP vacancies among Ministry funded

positions. 4. To increase the supply of NPs employed in the province.



Who can apply:

Eligible Costs

Full Time Studies Option

Costs:

Part Time Studies Option

Costs

This application is open to agencies that currently receive funding from the government for an NP position. To be eligible to apply for funding the sponsoring agency must meet the following criteria: 1. NP position must be vacant for a minimum of twelve consecutive

months. This excludes any locum less than 8 weeks in length. A locum is defined as when an NP substitutes temporarily for another NP (e.g. to fill vacation time).

2. Sponsoring agency must demonstrate that reasonable recruitment

attempts were made to fill the NP position. 3. Sponsoring agency must identify an RN applicant who meets the

following eligibility requirements: o voluntarily agrees to participate; o has been accepted to the NP education program

(documented proof required); o lives in the community (within 100 km) where the NP

position is housed; o agrees to the return of service agreement. (Please see

section “Return of Service Agreement”. )

Note: The RN applicant and/or sponsoring agency must not be receiving other sources of Ministry funding for similar purposes, such as the Nursing Education Initiative for the same nurse.

4. Applicants to the “part time studies” option, must demonstrate a

significant impact/hardship related to the reduction in RN services while the RN attends the NP program. (Please see the section “Part Time Option” for further details.)

Total funding per year varies depending on whether the full of part time studies option is used. In either case, the funds may be used to: pay the RN’s salary & benefits (proof of current salary – i.e. pay

stub, overtime excluded) while s/he attends school reimburse tuition costs upon successful completion of the program

(original receipts required); and reimburse a portion (up to the maximum dollar amount set as per

the funding agreement) of other eligible educational expenses (books / custom course ware, accommodations, travel) with original receipts upon successful completion of the program.

Any sponsoring agency that meets the eligibility criteria may apply for this option. The RN is required to complete the Primary Health Care NP education program on a full time basis in one year. Total funding must not exceed $110,000/year. Only eligible expenses, as identified above, will be considered. Only sponsoring agencies serving Aboriginal populations and / or those located in under serviced communities are eligible for this option. The list of under serviced communities is attached in Appendix A, agencies located in these communities are eligible for the part time option. Also attached is a non-exhaustive list of agencies serving Aboriginal



Ineligible Costs:

Return of Service (ROS) Agreement:

populations. If your agency is not on this list, but serves a primarily Aboriginal population, it is also eligible for the part time option. The RN must complete the Primary Health Care NP education program within two years. Total funding must not exceed $55,000/year (or $110,000 over 2 years). Only eligible expenses, as identified above, will be considered. Note: To be eligible for this option, sponsoring agencies must demonstrate that the reduction in RN services creates gaps in essential care that will be difficult to fill. This option is meant to prevent an immediate loss in local nursing services. Regardless of whether the full or part time option is used, the following costs are not eligible for Ministry reimbursement through this program: costs associated with applying to the program costs associated with writing the RN(EC) exam purchase of IT equipment.

The full time studies option requires a 2-year ROS. The part time studies option requires a 3-year ROS. In both cases, proof of employment must be confirmed annually (by NP and sponsoring agency) and the ROS agreement is to begin within 3 months of registration in the extended class. The recipient must inform the Ministry within 30 days of changes that impact ROS obligations (i.e. termination of employment). Failure to meet the ROS requirements will result in reconciliation of a portion of the funds as outlined below. Table 1: Return of Service Reconciliation Full Time Student Part Time Student 1-2 years of service, 20% reconciled (10% sponsoring agency, 10% RN)

2-3 years of service, 10% reconciled (5% sponsoring agency, 5% RN)

< 1 year of service, 50% reconciled (25% sponsoring agency, 25% RN)

1-2 years of service, 20% reconciled (10% sponsoring agency, 10% RN)

<1 year of service, 50% reconciled (25% sponsoring agency, 25% RN)

Please see Appendix B for a draft copy of the ROS agreement.



How to Get Started on Your Application

You may want to print a copy of these guidelines to facilitate completion of the application. Step One: Review eligibility criteria carefully. Before proceeding you must determine that you meet the eligibility requirement regarding the length of vacancy, and have identified an eligible RN candidate in your geographic region. If you would like to participate in the program but require assistance connecting with interested RNs in your community, you can post your contact information on the Nursing Secretariat website. Please visit the site listed in step two for further information.

Step Two: To access the program application, please go to the following web site:

http://www.health.gov.on.ca/english/providers/program/nursing_sec/materials.html Step Three: Complete the application. Step Four: Review your application, please ensure: you have completed the correct application (full time or part time

option) all questions are answered all signatures are obtained.

Only complete applications will be considered for funding. Please ensure application is accurate as it will be attached to the funding agreement. Step Five: 1) Keep a photocopy of the application for your records. 2) Submit a hard copy application to your appropriate Ministry contact.

If you are unsure of the appropriate contact, please consult the letter you received notifying you of this program.

Long-Term Care Homes Cathy Crane Program Consultant (A) Ministry of Health & Long-Term Care South West Regional Office 231 Dundas Street, London N6A 1H1 Tel: 519-675-7631 email: [email protected]



Deadline:

Prenatal and Postnatal Nurse Practitioner Services Loretta Rowan R.N. B.Sc.N. Program Consultant Ministry of Children and Youth Services Policy Development and Program Design Division Early Years Programs Branch 6th floor, 800 Bay St. Toronto M5S 3A9 Tel: 416-325-2450 Fax: 416-327-0570 email: [email protected] Community Health Centres Gordina Schellenberg Program Consultant Community Health Division 393 University Ave. Suite 2100, Toronto, ON M5G 1E6 Phone: (416) 212-6405 Email: [email protected] Interdisciplinary Practitioner Program Primary Health Care Team 80 Queen Street, 3rd Floor Kingston ON K7K 6W7 Phone: 1 – 866 – 766 - 0266 Underserviced Area Program Primary Health Care Team Underserviced Area Program Suite 402, 159 Cedar Street Sudbury ON P3E 6A5 Phone: 1 – 866 – 766 - 0266 Aboriginal Healing & Wellness Strategy Martin John, Team Lead - Operations Aboriginal Healing and Wellness Strategy 880 Bay Street, 2nd Floor Toronto, ON M7A 2B6 Phone: (416) 326-5136 (416) 326-3905 Email: [email protected] All applications must be submitted by 4:00 pm EST on June 16, 2006. Late applications will only be considered if an RN is notified of acceptance into the Primary Health Care NP education program after this deadline has passed. Late applicants must submit documentation (e.g. letter/email dated from the school notifying them of admission) in order for the application to be considered.



Review of

Applications:

Notification:

The applications will be reviewed by the Ministry to ensure that all eligibility criteria have been met. Please ensure your applications are complete. All applicants will be notified of decisions in writing. Every effort will be made to notify successful applicants by August 1, 2006. Unsuccessful applicants will be notified. Notification of approval will include a return of service agreement that will outline the terms and conditions of the funding. The terms and conditions of this agreement are non-negotiable. Funding will be flowed to the sponsoring agency when the agreement has been signed by all parties and returned to the Ministry.

Grow Your Own Nurse Practitioner (GYO NP): Full Time and Part Time Options √ A nurse who substitutes temporarily for another nurse

Funding agreement signed by SA

ROS agreement signed by RN

Salary dollars flow to SA on monthly basis

RN enters NP education program

Does RN graduate? (medical leave excepted)

No

Yes

25% of funding reconciled from SA 25% reconciled from RN

No 12.5% of funding reconciled from SA 12.5% of funding reconciled from RN

No

Yes

Successful completion of program

P/T Option Funding reconciled from SA & RN: - 2-3 years of service, 10% reconciled

(%5 SA & 5% RN) - 1-2 years of service, 20% reconciled

(10% SA & 10% RN) - < 1 year of service, 50% reconciled

(25% SA & 25% RN)

F/T Option - 1-2 years of service, 20% reconciled

(10% SA & 10% RN) - < 1 year of service, 50 % reconciled

(25% SA & 25% RN)

RN reimbursed for tuition/education expenses

Application approved for September 2006

Does RN successfully complete exam?

(Now an NP)

Does NP complete ROS?

No

Yes

Sponsoring agency (SA) applies to participate in the GYO program: -Is funding currently allocated for NP position? -Has the NP position been vacant for at least 12 consecutive months (short term locums excepted)? -Is the application for 1 year full time completion / or 2 year part time? -If 2 year, has a contingency plan been developed for backfilling RN position?

Has sponsoring agency identified an eligible RN applicant?

RN eligibility requirements: - Has been accepted to the program

(documentation required). - Lives within 100km of work site. - Has agreed to Return of Service (ROS) requirements.

APPLICATION FORM Grow Your Own NP – Full Time Studies Option

Date of Application ________________________ Sponsoring Agency Information

Sponsoring Agency Name

Address City Postal Code

LHIN Contact Information for Sponsoring Agency

Sponsoring Agency Contact Person’s Name

Title Fax E-mail Phone # Contact Information for RN Applicant

Name of RN applicant: Title Address E-mail Phone # Current Employer

APPLICATION FORM Grow Your Own NP – Full Time Option

Sponsoring Agency 1. Is funding currently allocated to your agency/institution for a Primary Health Care

Nurse Practitioner (PHCNP) position? YES □ NO □ 2. Has the PHCNP position been vacant for at least 12 consecutive months (locums less

than 8 weeks in length are excluded)? If yes, please state how many months.

YES □ _______months NO □

3. Please describe your recruitment attempts to fill the position. For example, provide a list of advertising efforts, job fairs attended, and job website postings, etc. (Point form; 1/4 page maximum) [Textbox]

RN Candidate Details 4. Have you (the Sponsoring Agency) identified an eligible RN Candidate?

YES □ NO □

5. Is the RN Candidate currently employed at your agency?

YES □ NO □

Page 2 of 4


6. Does the RN candidate meet the following eligibility criteria:

a. Has the RN candidate been accepted to a PHCNP program? (Please attach documentation)

YES □ NO □ b. Does the RN candidate live within 100km of the sponsoring agency’s work site? YES □ NO □ c. Has the RN candidate agreed to sign the Return of Service (ROS) requirements

outlined in the guidelines? YES □ NO □

Program Details 7. Are you (the sponsoring agency) able to offer at least one of the clinical placements

as part of the NP’s education?

YES □ NO □

8. If no, please explain why a clinical placement is not possible. (1/4 page maximum) [Textbox]

Page 3 of 4


9. What is the total annual budget required for RN salary and benefits?

$____________________(salary) $____________________(benefits)

$____________________(total)

Signatures SPONSORING AGENCY I ____________________________________ confirm that the information contained [Name of contact at Sponsoring Agency] in this application is true and accurate to the best of my knowledge. ______________________________________ _____________________ (signature) (date) RN APPLICANT I ____________________________________ confirm that the information contained [Name of RN Candidate] in this application is true and accurate to the best of my knowledge. ______________________________________ _____________________ (signature) (date) By signing, both the sponsoring agency & applicant confirm that they are not currently in receipt of other Ministry funding for similar purposes (e.g. Nursing Education Initiative).

Page 4 of 4

APPLICATION FORM Grow Your Own NP – Part Time Studies Option

Date of Application ________________________ Sponsoring Agency Information

Sponsoring Agency Name

Address City Postal Code

LHIN Contact Information Sponsoring Agency Contact Person’s Name

Title Fax E-mail Phone # Contact Information Name of RN applicant: Title Address E-mail Phone # Current Employer

APPLICATION FORM Grow Your Own NP – Part Time Option

Sponsoring Agency 1. Is funding currently allocated to your agency/institution for a Primary Health Care

Nurse Practitioner (PHCNP) position? YES □ NO □ 2. Has the NP position been vacant for at least 12 consecutive months (locums less

than 8 weeks in length are excluded)? If yes, please state how many months.

YES □_______months NO □

3. Please describe your recruitment attempts to fill the position. For example, provide a list of advertising efforts, job fairs attended, and job website postings, etc. (Point form; 1/4 page maximum) [Textbox]

RN Candidate Details 4. Have you (the Sponsoring Agency) identified an eligible RN Candidate?

YES □ NO □

2


5. Is the RN Candidate currently employed at your agency?

YES □ NO □

6. Does the RN candidate meet the following eligibility criteria:

a. Has the RN candidate been accepted to a PHCNP program? (Please attach documentation)

YES □ NO □ b. Does the RN candidate live within 100km of the sponsoring agency’s work site? YES □ NO □ c. Has the RN candidate agreed to sign the Return of Service (ROS)

requirements outlined in the guidelines? YES □ NO □

Program Details 7. Please describe why your agency requires the part time option. (1/4 page maximum)

[Textbox]

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8. If the RN applicant is currently employed by your agency, please describe your

contingency plan for backfilling the RN position. (1/4 page maximum) [Textbox]

9. Are you (the sponsoring agency) able to offer at least one of the NP’s clinical

placements?

YES □ NO □

10. If no, please explain why a clinical placement is not possible. (1/4 page maximum) [Textbox]

11. What is the total annual budget required for RN salary and benefits?

$____________________(salary) $____________________(benefits) $____________________(total)

4


SPONSORING AGENCY I ____________________________________ confirm that the information contained [Name of contact at Sponsoring Agency] in this application is true and accurate to the best of my knowledge. ______________________________________ _____________________ (signature) (date) RN APPLICANT I ____________________________________ confirm that the information contained [Name of RN Candidate] in this application is true and accurate to the best of my knowledge. ______________________________________ _____________________ (signature) (date) By signing, both the sponsoring agency & applicant confirm that they are not currently in receipt of other Ministry funding for similar purposes (e.g. Nursing Education Initiative).

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Appendix A - Part Time Studies Option List of Eligible Communities: Underserviced Communities and

Agencies Serving Aboriginal Populations

If the sponsoring agency is located in one of the following communities or serves a primarily Aboriginal population it may apply for either the full or part time studies option. *Note: Please see page 8 for a non-exhaustive list of agencies serving Aboriginal populations. Sponsoring Agencies Serving Underserviced Communities

LHIN County/Region New Municipality Name Central East Northumberland Trent Hills, Municipality of Central East Haliburton Minden Hills, Township of Hamilton Niagara Haldimand Brant Haldimand Haldimand County South East Hastings Hastings Highlands, Municipality of South East Hastings Wollaston, Township of South East Hastings Faraday, Township of South East Hastings Bancroft, Town of South East Hastings Carlow/Mayo, Township of South East Hastings Limerick, Township of Champlain Renfrew Head, Clara and Maria, Township of Champlain Renfrew Laurentian Hills, Town of Champlain Renfrew Deep River, Town of North East Cochrane Mattice-Val Côté, Township of North East Cochrane Hearst, Town of North East Cochrane Val Rita-Harty, Township of North East Cochrane Fauquier-Strickland, Township of North East Cochrane Moonbeam, Township of North East Cochrane Kapuskasing, Town of North East Sudbury District Chapleau, Township of North East Timiskaming Larder Lake, Township of North East Timiskaming McGarry, Township of North East Timiskaming Englehart, Town of North East Cochrane Smooth Rock Falls, Town of North East Timiskaming Gauthier, Township of North East Timiskaming Kirkland Lake, Town of North East Cochrane Cochrane, Town of North East Timiskaming Temiskaming Shores, City of North East Cochrane Iroquois Falls, Town of North East Algoma Blind River, Town of North East Algoma Elliot Lake, City of North East Nipissing West Nipissing, Municipality of North East Sudbury District Espanola, Town of

Appendix A - Part Time Studies Option List of Eligible Communities: Underserviced Communities and Communities

Serving Aboriginal Populations

2

North East Sudbury St.Charles, Municipality of North East Sudbury District Markstay-Warren, Municipality of North East Sudbury District French River, Municipality of North East Algoma Bruce Mines, Town of North West Kenora Red Lake, Municipality of North West Thunder Bay Manitouwadge, Township of North West Rainy River Atikokan, Township of North West Thunder Bay Greenstone, Municipality of North West Kenora Ignace, Township of North West Rainy River Alberton, Township of North West Rainy River Fort Frances, Town of North West Thunder Bay Schreiber, Township of North West Kenora Sioux Lookout, Municipality of North West Kenora Dryden, City of South West Bruce South Bruce Peninsula, Town of South West Huron Central Huron, Municipality of North Simcoe Muskoka Muskoka Lake of Bays, Township of North Simcoe Muskoka Muskoka Muskoka Lakes, Township of North Simcoe Muskoka Muskoka Georgian Bay, Township of North Simcoe Muskoka Muskoka Bracebridge, Town of North Simcoe Muskoka Muskoka Gravenhurst, Town of

Central East Peterborough Galway-Cavendish and Harvey, Township of

Central East Peterborough Asphodel-Norwood, Township of Central East Peterborough Douro-Dummer, Township of

Central East Peterborough Cavan-Millbrook-North Monaghan, Township of

Central East Peterborough Smith-Ennismore-Lakefield, Township of

Central East Peterborough North Kawartha, Township of

Central East Peterborough Havelock-Belmont-Methuen, Township of

Central East Peterborough Otonabee-South Monaghan, Township of

Central East Kawartha Lakes Kawartha Lakes, City of Central East Northumberland Alnwick-Haldimand, Township of Central East Northumberland Hamilton, Township of Central East Northumberland Cramahe, Township of Central East Northumberland Port Hope, Municipality of Central East Northumberland Cobourg, Town of Waterloo Wellington Wellington Minto, Town of



3

Waterloo Wellington Wellington Wellington North, Township of Central West Dufferin Melancthon, Township of Central West Dufferin Mulmur, Township of Central West Dufferin Amaranth, Township of Central West Dufferin Mono, Town of Central West Dufferin Shelburne, Town of Champlain Renfrew Admaston/Bromley, Township of Champlain Renfrew Whitewater Region, Township of South East Hastings Marmora and Lake, Municipality of Champlain Renfrew Horton, Township of Champlain Renfrew Greater Madawaska, Township of Champlain Renfrew Renfrew, Town of

South East Lennox and Addington Addington Highlands, Township of

South East Frontenac Frontenac Islands, Township of

Champlain

Stormont, Dundas & Glengarry North Dundas, Township of

South East Hastings Tudor and Cashel, Township of South East Hastings Madoc, Township of South East Hastings Centre Hastings, Municipality of

Champlain

Stormont, Dundas & Glengarry South Dundas, Township of

North East Parry Sound East Ferris, Township of North East Parry Sound Callander, Municipality of North East Parry Sound Parry Sound, Town of North West Kenora Kenora, City of South West Bruce Saugeen Shores, Town of South West Huron North Huron, Township of South West Perth North Perth, Town of South West Grey Grey Highlands, Municipality of South West Elgin Bayham, Municipality of South West Huron Huron East, Municipality of South West Huron Bluewater, Municipality of South West Middlesex North Middlesex, Municipality of South West Perth Perth East, Township of South West Grey Southgate, Township of South West Perth West Perth, Municipality of South West Grey Hanover, Town of Erie St. Clair Essex Amherstburg, Town of



4

South West Huron South Huron, Municipality of Central East Northumberland Brighton, Municipality of North Simcoe Muskoka Simcoe Tiny, Township of North Simcoe Muskoka Simcoe Tay, Township of North Simcoe Muskoka Simcoe Penetanguishene, Town of North Simcoe Muskoka Simcoe Midland, Town of North Simcoe Muskoka Simcoe Wasaga Beach, Town of North Simcoe Muskoka Simcoe Adjala-Tosorontio, Township of North Simcoe Muskoka Simcoe New Tecumseth, Town of Central East Durham Brock, Township of North Simcoe Muskoka Simcoe Oro-Medonte, Township of North Simcoe Muskoka Simcoe Severn, Township of North Simcoe Muskoka Simcoe Ramara, Township of North Simcoe Muskoka Simcoe Orillia, City of North Simcoe Muskoka Simcoe Springwater, Township of Hamilton Niagara Haldimand Brant Brant Brant, County of Hamilton Niagara Haldimand Brant Niagara Wainfleet, Township of Hamilton Niagara Haldimand Brant Niagara Port Colborne, City of Hamilton Niagara Haldimand Brant Norfolk Norfork County Waterloo Wellington Wellington Erin, Town of Waterloo Wellington Waterloo Wellesley, Township of Central West Dufferin East Garafraxa, Township of

Central West Dufferin East Luther Grand Valley, Township of

Central West Dufferin Orangeville, Town of South East Hastings Tweed, Municipality of

Champlain Leeds and Grenville North Grenville, Municipality of

Champlain Renfrew North Algona-Wilberforce, Township of

Champlain Renfrew Bonnechere Valley, Township of Champlain Renfrew Petawawa, Town of Champlain Renfrew Laurentian Valley, Township of Champlain Renfrew Pembroke, City of Champlain Renfrew McNab-Braeside, Township of Champlain Renfrew Arnprior, Town of

South East Lennox and Addington Greater Napanee, Town of



5

South East Lennox and Addington Stone Mills, Township of

South East Lennox and Addington Loyalist, Township of

Champlain Leeds and Grenville Edwardsburgh/Cardinal, Township of

Champlain Leeds and Grenville Front of Yonge, Township of

Champlain Leeds and Grenville Augusta, Township of

Champlain Leeds and Grenville Elizabethtown-Kitley, Township of

Champlain Leeds and Grenville Athens, Township of

Champlain Leeds and Grenville

Leeds and the Thousand Islands, Township of

Champlain Leeds and Grenville Prescott, Town of

Champlain Leeds and Grenville Gananoque, Town of

South East Leeds and Grenville Brockville, City of

South East Hastings Tyendinaga, Township of South East Hastings Deseronto, Town of South East Hastings Quinte West, City of South East Hastings Belleville, City of South East Prince Edward Prince Edward County, City of

Champlain Prescott and Russell The Nation, Municipality of

Champlain Prescott and Russell Casselman, Village of

North East Sudbury Greater Sudbury, City of Erie St. Clair Essex Kingsville, Town of Erie St. Clair Chatham-Kent Chatham-Kent, Municipality of Erie St. Clair Essex Essex, Town of South West Elgin Malahide, Township of South West Elgin Aylmer, Town of Erie St. Clair Essex Lakeshore, Town of Erie St. Clair Lambton Lambton Shores, Municipality of South West Grey Georgian Bluffs, Township of South West Grey Owen Sound, City of South West Oxford Norwich, Township of



6

South West Oxford Ingersoll, Town of South West Oxford Tillsonburg, Town of Erie St. Clair Lambton Dawn-Euphemia, Township of Erie St. Clair Lambton St. Clair, Township of Erie St. Clair Lambton Point Edward, Village of Erie St. Clair Lambton Sarnia, City of Central East Durham Uxbridge, Township of Central York East Gwillimbury, Town of North Simcoe Muskoka Simcoe Essa, Township of North Simcoe Muskoka Simcoe Innisfil, Town of North Simcoe Muskoka Simcoe Barrie, City of Central York Georgina, Town of Central East Durham Clarington, Municipality of Central East Durham Whitby, Town of Central East Durham Oshawa, City of Hamilton Niagara Haldimand Brant Niagara West Lincoln, Township of Hamilton Niagara Haldimand Brant Niagara Fort Erie, Town of Hamilton Niagara Haldimand Brant Niagara Pelham, Town of Hamilton Niagara Haldimand Brant Niagara Niagara-on-the-Lake, Town of Hamilton Niagara Haldimand Brant Niagara Thorold, City of Hamilton Niagara Haldimand Brant Niagara Lincoln, Town of Hamilton Niagara Haldimand Brant Niagara Grimsby, Town of Hamilton Niagara Haldimand Brant Niagara Welland, City of Hamilton Niagara Haldimand Brant Brant Brantford, City of Hamilton Niagara Haldimand Brant Niagara Niagara Falls, City of Hamilton Niagara Haldimand Brant Niagara St. Catharines, City of Waterloo Wellington Waterloo Woolwich, Township of Waterloo Wellington Wellington Guelph/Eramosa, Township of Waterloo Wellington Wellington Puslinch, Township of Waterloo Wellington Wellington Guelph, City of Mississauga Halton Halton Milton, Town of



7

Waterloo Wellington Waterloo North Dumfries, Township of Waterloo Wellington Waterloo Cambridge, City of Mississauga Halton Halton Halton Hills, Town of Hamilton Niagara Haldimand Brant Halton Burlington, City of

Champlain Prescott and Russell Clarence-Rockland, City of

Champlain

Stormont, Dundas &Glengarry Cornwall, City of

North East Cochrane Timmins, City of North East Algoma Sault Ste. Marie, City of North East Nipissing North Bay, City of North West Thunder Bay Thunder Bay, City of South West Perth Perth South, Township of South West Perth Stratford, City of South West Middlesex Southwest Middlesex, Municipality of South West Middlesex Newbury, Village of Erie St. Clair Essex Tecumseh, Town of Erie St. Clair Essex LaSalle, Town of Erie St. Clair Essex Windsor, City of South West Elgin Southwold, Township of South West Elgin St. Thomas, City of South West Oxford Woodstock, City of

Appendix A - Part Time Studies Option List of Sponsoring Agencies Serving Aboriginal Populations

8

The following is not an exhaustive list. If a sponsoring agency meets the eligibility criteria outlined in the guidelines, serves a primarily Aboriginal population, and is not on the list below, it is also eligible for the part-time option.

Aboriginal Health Access Centres (AHACs) Kanonkwa'tesheio: Social Health Access Centre PO Box 579 Cornwall ON K6H 5T3 Phone: 613-575-2341

N’Mninoeyaa Community Health Access Centre Hwy. 17, Serpent River First Nation Cutler, ON P0P 1B0 Tel: 705-844-2021

Gizhewaadiziwin Access Centre Fort Frances Tribal Area Health Authority 1460 Idylwild Drive P O Box 686 Fort Frances, ON P9A 3M9 Tel: 807-274-2042

De dwa da dehs nyes Aboriginal Health Centre 678 Main St. E. Hamilton ON L8M 1K2 Phone: 905-544-4320

Wassay-Gezhig Na-Nahn-Dah-We-Igamig Kenora Area Health Access Centre Box 320 Keewatin, ON P0X 1C0 Tel: 807-543-1065

Southern Ontario Aboriginal Health Access Centre 425-427 William Street London, ON N6B 3E1 Phone: (519) 672-4079

Noojimowin Teg Health Centre PO Box 760 Little Current ON P0P 1K0 Phone: 705-368-2182 Fax: 705-368-2229

Wabano Centre for Aboriginal Health 299 Montreal Road Ottawa, ON K1L 6B8 Tel: 613-748-5999

Shkagamik-Kwe Health Centre 161 Applegrove Street Sudbury, ON P3C 1N2 Tel: 705-675-1596

Shkagamik-Kwe Health Centre 161 Applegrove Street Sudbury, ON P3C 1N2 Tel: 705-675-1596

Appendix A - Part Time Studies Option List of Sponsoring Agencies Serving Aboriginal Populations

9

Community Health Centres Anishnawbe Health Toronto 225 Queen Street East Toronto, ON M5A 1S4 Tel: 416-360-0486

Misiway Eniniwuk Health Centre P.O. Box 842, 137 Pine Street South Timmins, ON, P9N 7G7 Tel: 705-264-2200

Hospitals Sioux Lookout Meno-ya-win Health Centre P.O. Box 909 5th Avenue South Sioux Lookout ON P8T 1B4 Tel: 807-737-3700

James Bay General Hospital P.O.Box370 Moosonee, ON P0L 1Y0 Tel: 705-336-2947

Friendship Centres Dryden Native Friendship Centre 53 Arthur Street Dryden, ON P8N 1J7 Tel: 807-223-4180

Sault Ste. Marie Indian Friendship Centre 122 East Street Sault Ste. Marie, ON P6A 3C6 Tel: 705-256-5634

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ADDENDUM TO AGREEMENT

THIS ADDENDUM is dated the day of , 2006 . BETWEEN:

HER MAJESTY THE QUEEN in Right of Ontario, as represented by the Minister of Health and Long-Term Care

(hereinafter referred to as the “Ministry”)

AND: [insert organization name as shown in the NP Funding Agreement

(hereinafter referred to as the “Organization”)

Whereas: The parties entered into a Nurse Practitioner Funding Agreement dated [insert latest date shown on the signing page of the Funding Agreement] (the "Agreement"); And Whereas: The funded position pursuant the Agreement remains vacant despite the Organization’s recruitment efforts and the Ministry wishes to assist the Organization to overcome certain barriers associated with the Organization’s ability to recruit a Nurse Practitioner; And Whereas: The parties wish to add certain terms and conditions to the Agreement in order to enhance Nurse Practitioner recruitment and be bound by such additional terms and conditions as of the Effective Date of this Addendum; NOW THEREFORE in consideration of the respective covenants and agreements contained in the Agreement and for other good and valuable consideration, the receipt and sufficiency of which the parties acknowledge, the Ministry and the Organization hereby agree as follows: Definitions 1. This Addendum includes the definitions of the Agreement and of the following

additional words shall have the following meanings:

(a) “GYO NP Budget” means the Ministry approved reallocation of the Agreement Budget as set out in Schedule “1” herein;

(b) “GYO NP Initiative” means the Grow Your Own Nurse Practitioner Initiative;

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(c) “NP” and “Nurse Practitioner” means a registered nurse in the extended class, as defined in the Nursing Act, 1991, S.O. 1991, C. 32, as amended, holding the title of RN(EC);

(d) “NP Education Program” means a CNO approved Ontario Primary Health

Care Nurse Practitioner Program;

(e) “Proposal” means the detailed proposal/application submitted by the Organization attached hereto as “Schedule “3”.

(f) “Registered Nurse” and “RN” has the same meaning ascribed to it in the

Nursing Act, 1991, S.O. 1991, C. 32, as amended;

(g) “RN Education Funding” means all of the funding flowed pursuant to this Addendum by the Organization to the RN for tuition and related education expenses as set out in Schedule 1 herein;

(h) “RN Salary Funding” means the salary and benefits funding flowed

pursuant to this Addendum by the Organization to the RN while the RN is enrolled and attending the NP Education Program as set out in Schedule 1 herein.

(i) “ROS Agreement” means the Return of Service Agreement entered into by

the RN and the Organization, attached hereto as Schedule “2”; GYO NP Term 2. Subject to the terms and conditions herein, the effective date of this Addendum

shall be the later of the two dates on which each party has signed this Addendum (the "Effective Date") as evidenced by the dates beside their respective signatures and shall end concurrent with the completion of the ROS Agreement (attached hereto as Schedule “2”), or upon the termination of the Agreement, this Addendum or the ROS Agreement.

GYO NP Initiative 3. The Organization has qualified for the Ministry’s GYO NP Initiative and agrees to be

bound by the terms and conditions of this Addendum. 4. By agreeing to participate in the GYO NP Initiative, the Organization:

(a) has entered into an ROS Agreement with an RN and has provided the Ministry with a copy of the same;

(b) shall not make any amendments to the ROS Agreement without the

Ministry’s prior written approval;

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(c) shall apply the RN Salary Funding and the RN Education Funding in

accordance with the GYO NP Budget while the RN attends an NP Education Program on a [insert “part” or “full” as applicable] –time basis;

(d) shall employ the NP in accordance with the terms and conditions of the

Agreement, this Addendum, and the ROS Agreement following the NP’s certification;

(e) agrees to monitor that the RN continues to be enrolled in the NP Education

Program;

(f) agrees to participate in a Ministry generated 5 year GYO NP evaluation program commencing within 2 years of the Effective Date.

Funding 5. Subject to the terms and conditions herein:

(a) the Ministry has agreed to the reallocation of the Funds as set out in the GYO NP Budget (Schedule 1);

(b) the total amount set out in the GYO NP Budget shall, in no circumstances

exceed the Budget set out in Schedule “B” of the Agreement; [or insert if NP Funding is pursuant to CHC contract … exceed the proportionate NP allocation in the approved Budget of the Organization]

(c) notwithstanding the terms and conditions of the Agreement, the Organization

shall only use the Program funds for the GYO NP Initiative and for no other purpose;

(d) all RN Salary Funding and RN Education shall flow through the Organization;

(e) subject to the requirement that the RN remained enrolled in, and is attending

the NP Education Program, the RN Salary Funding shall be paid by the Organization monthly in arrears to the RN, as detailed in the attached GYO NP Budget, commencing on the first day of October 2006 (covering RN Salary for September 2006) and ending on the first day of the next month following the first available certification exam date after completion by the RN of the NP Education Program. (Example: If the RN has remained enrolled and has attended the Program, has completed in August 2007 and the first available NP certification exam is on Nov. 14, 2007, the final applicable RN Salary payment for the 14 days of Nov. will be paid by the Organization on or about Dec. 1, and there will be no further RN Salary Funding entitlement after such final payment regardless of whether or not the RN passes the exam);

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(f) the RN Education Funding as estimated in the GYO NP Budget (Schedule 1)

shall be paid by the Organization as a reimbursement to the RN upon the RN’s successful completion of the NP Education Program provided that: the RN has submitted original receipts evidencing such expenses; that these expenses do not exceed the amounts shown in the GYO NP Budget; and that the Ministry has been provided with copies off all such receipts and has approved Organization’s GYO NP Report as required by section 14 herein;

(g) notwithstanding section 5(f), the Organization may choose to support the RN

by paying the Schedule 1 RN Education Funding to the RN in advance of the RN’s completion of the NP Education Program, however, such advance funding shall not be applied from Ministry Funds designated for the Program or this Addendum, and the Organization shall only be entitled to reimburse itself from the GYO NP Budget in accordance with the condition set out in section 5(f), namely, that the RN has successfully completed the NP Education Program; has submitted original receipts for expenses not exceeding the amounts detailed in the GYO NP Budget; and that the Ministry has approved the GYO NP Report;

(h) in no case, shall the Ministry be responsible for payment of the RN’s costs

associated with: application to an NP Education Program, information technology procurement, and any cost associated with the writing of the registered nurse extended class registration exam and/or reimbursement for the RN Education Funding if the RN fails to complete the NP Education Program;

(i) termination or any breach of the terms of the GYO NP Initiative or the ROS

Agreement shall result in the reconciliation of the GYO NP Budget in accordance with the terms of this Addendum.

Terms and Conditions: 6. The terms and conditions of this Addendum shall prevail over any conflict or

contradiction in the Agreement or the Organization’s Proposal. 7. The Organization warrants that all of the information set out in its Proposal

(Schedule “3”) is accurate and true. 8. The Organization shall immediately inform the Ministry in writing of any changes

affecting the GYO NP Initiative that the Organization becomes aware of. In no event shall such notice be provided later than 15 days following the date on which the Organization becomes aware of the matter.

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9. The Ministry shall be entitled, at any time, to impose such additional terms or conditions on the Organization that it considers appropriate for the successful operation of the GYO NP Initiative.

10. The operation of this Addendum shall immediately cease in the event of

termination of the Agreement by either party, in which case the reimbursement provisions of this addendum shall apply unless the Ministry has terminated the Agreement for convenience, in which case, no reimbursement by the Organization shall be required.

Termination in the Event of RN Failing to Complete Program 11. In the event that the RN fails to complete the NP Education Program, this

Agreement shall terminate effective on the date on which the RN discontinued the NP Education Program, and the Organization shall reimburse the Ministry 25% of the RN Salary Funding that the Organization has paid to the RN. In no event shall the Organization continue to provide RN Salary Funding after it becomes aware of the RN’s discontinued participation in the NP Education Program.

Termination in the Event of RN Failing to Pass Registration Exam 12. In the event that the RN does not pass the NP Registration Exam as required in

the ROS Agreement, this Addendum shall terminate and the Organization shall reimburse the Ministry 12.5% of the net RN Salary Funding that the Organization has paid to the RN.

ROS Agreement Termination 13. Following certification of the NP, in the event that the ROS Agreement is

terminated by the Organization or the NP:

a) during the first year of service, the Organization shall reimburse the Ministry 25% of the net RN Salary Funding which it has paid to the NP pursuant to this Addendum;

b) during the second year of service, the Organization shall reimburse the

Ministry 10% of the net RN Salary Funding which it has paid to the NP pursuant to this Addendum, provided that the Ministry may, in its sole discretion choose to waive such reimbursement if the termination occurs within 90 days of the end of the second year of service. [end sentence at “Addendum if part-time”]

[insert (c) if part-time unbolded]

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c) during the third year of service, the Organization shall reimburse the

Ministry 5% of the net RN Salary Funding which it has paid to the NP pursuant to this Addendum, provided that the Ministry may, in its sole discretion choose to waive such reimbursement if the termination occurs within 90 days of the end of the third year of service

GYO NP Reports 14. (a) As a pre-condition to the Organization applying any amount or amounts

for RN Education Funding out of the GYO NP Budget, the Organization must obtain the written approval by the Ministry of a final GYO NP Report submitted by the Organization following the successful completion by the RN of the NP Education Program. The GYO NP Report must show a detailed accounting supported by copies of proof of successful NP Education Program completion, receipts and proof of payment for all GYO NP Budget items including all RN Salary Funding and source deductions and for the proposed payment of RN Education Funding. The GYO NP Report must be signed and dated by the Organization.

(b) The Organization and the NP shall jointly submit proof of the RN’s

successful passing of the registered nurse extended class registration exam to the Ministry within 14 days of receipt of the same.

(c) The Organization shall submit a completed Confirmation of

Commencement/Delivery of NP Services form attached as Schedule “B” to the ROS Agreement upon the commencement of the NP Services, and annually thereafter during the Term of this Addendum

15. In no event, shall the Organization be entitled to apply any portion of the Funds remaining in its possession, for the repayment or refunding of any RN Salary Funding or any RN Education Funding to the Ministry if the Organization is required to do so pursuant to the terms of this Agreement.

16. In all other respects, the parties hereby confirm that the terms of the Funding

Agreement shall continue to apply.

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IN WITNESS WHEREOF THE PARTIES hereto have executed this Amending Agreement on the dates indicated beside their respective signatures.

HER MAJESTY THE QUEEN in right of Ontario, as represented by the y the Minister of Health and Long-Term Care

Per: Date Signed ____________________

Name, Branch

[organization

Per: Witness Name Title Print Witness name Date Signed


[organization


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Schedule 1 GYO NP Budget RN Salary Funding: Estimated RN Education Funding:

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Schedule 2

GROW YOUR OWN NURSE PRACTITIONER PROGRAM Return of Service Agreement

BETWEEN [Insert name of RN]

(the “Applicant”) -and-

[Insert name of Organization as shown in NP Funding Agreement]

(the “Sponsoring Organization”)

-and-

Her Majesty the Queen in Right of Ontario, as represented by the Ministry of Health and Long-Term Care

(the “Ministry”)

To the Organization and to the Ministry: I, [Insert name of Applicant ],agree to the terms and conditions detailed below that will apply to my participation in the Grow Your Own Nurse Practitioner Program. 1. I am a Registered Nurse who is enrolled as a full-time [amend to part-time if applicable]

student in the Ontario Primary Health Care Nurse Practitioner Program (“NP Program”) at [insert name of institution] commencing September, 2006.

2. I am either currently employed by the Sponsoring Organization, or have accepted an offer

of employment from the Sponsoring Organization commencing on or before the date of the commencement of the NP Program.

3. During the period while I attend the NP Program, I accept from the Sponsoring

Organization, payment of the salary in the amount of _________minus any applicable source deductions (“RN Salary”).

4. If I complete the NP Program within 12 months [insert 24 months if part-time] and pass

the registered nurse extended class registration exam (“Registration Exam”), the Ministry has authorized the Sponsoring Organization to reimburse me for the education expenses/amounts listed in Schedule “A” of this Agreement (“Education Reimbursement”). In order to qualify for Education Reimbursement, I must write the Registration Exam on the first available examination date following my completion of the NP Program. If I do not pass the Registration Exam, I will be allowed to re-write the Registration Exam on the next

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available examination date, and if I do not pass on my second attempt, I will be allowed to re-write the exam a third and final time on the next available examination date following my second attempt. The College of Nurses of Ontario allows an individual to write the exam a maximum of three times.

5. My entitlement to the Education Salary and the Education Reimbursement is subject to the

payment details in Schedule “A” and to the following terms and conditions:

(a) I will remain enrolled and will attend the NP Program as I have stated in paragraph 1; (b) I will immediately notify the Sponsoring Organization of my withdrawal or

discontinuation of the NP Program, and in no circumstances shall this notification exceed 7 days from the date of withdrawal/discontinuance;

(c) Commencing within 30 days of my registration (RN EC) I will provide Nurse Practitioner

services on behalf of the Sponsoring Organization on a full-time basis (“Services”), as described in paragraph 5(d), for a minimum of 2 [insert 3 if NP was part-time student] years and I agree to sign the Confirmation of Commencement/Delivery of NP Services attached as Schedule “B” to this Agreement, upon the commencement of such Services and annually thereafter during the term of this Agreement;

(d) For the purpose of this Agreement “full-time” means a minimum of <insert # of hours>

per week.

(e) The Term of this Agreement shall begin on the date that I first receive any payment from the Sponsoring Organization for RN Salary or RN Education Reimbursement, and shall continue until the second [insert third if NP was part-time student] anniversary of the date on which I began providing NP Services on behalf of the Sponsoring Organization;

(f) If I do not successfully complete the NP Program; or cease providing NP Services on

behalf of the Sponsoring Organization during the first year of such Services, I agree to reimburse the Ministry directly, an amount equal to 25% of all net RN Salary paid to me by the Sponsoring Organization during the Term;

(g) If I successfully complete the NP Program but do not pass the Registration Exam as

described in paragraph 4, I agree to reimburse the Ministry directly, an amount equal to 12.5% of all net RN Salary Reimbursement paid to me by the Sponsoring Organization during the Term. In such case, I will only be entitled to receive RN Education Reimbursement for the items listed in Schedule “A” herein. I acknowledge that it is my responsibility to provide the Sponsoring Organization with proof of completion of the NP Program and original invoices and receipts that support all Schedule A items. If I pass the Registration Exam, I will immediately provide the Sponsoring Organization with proof of the same;

(h) If I cease providing NP Services on behalf of the Sponsoring Organization certification

during the second year of such Services, I agree to reimburse the Ministry directly, an amount equal to 10% of all net RN Salary paid to me by the Sponsoring Organization during the Term.

[add j unbolded if NP was part-time]

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(i) If I cease providing NP Services on behalf of the Sponsoring Organization certification during the third year of such Services, I agree to reimburse the Ministry directly, an amount equal to 5% of all net Education Salary paid to me by the Sponsoring Organization during the Term.

6. (a) Where in the opinion of the Ministry I owe a debt to the Crown, the Ministry may retain,

by way of deduction or set-off, out of any money that is due and payable to me under this Agreement, all or part of such money as the Ministry sees fit in the circumstances.

(b) In sub-paragraph 8(a), "debt" includes, but is not limited to, any money owing by me

under this Agreement.

(c) Nothing in this paragraph affects any other right of the Ministry or the Crown under any statute, regulation or rule of law to recover or collect money owing by me to the Crown, whether or not under this Agreement, including any right of deduction or set-off given to the Minister of Finance under the Financial Administration Act, R.S.O. 1990, c. F.12.

7. I will respond fully, and as soon as practicable, to any request for information, or for a report

or documentation, made by the Ministry or the Sponsoring Organization concerning the performance of my obligations, or any other matter, under or relating to this Agreement or the Confirmation of Commencement/Delivery of NP Services form.

8. This Agreement shall not be amended except by mutual written agreement by the

Applicant, the Ministry and the Sponsoring Organization. 9. I have entered into this Agreement with the Sponsoring Organization and the Ministry only

for the purposes and extent set forth in this Agreement. At no time, will I be considered to be an employee, agent, partner or independent contractor of the Ministry and any such relationship as applicable, shall be with the Sponsoring Organization only. At no time shall I have or make any claim form payment under this Agreement directly to the Ministry.

10. If a court or other lawful authority of competent jurisdiction declares any provision of this

Agreement invalid, illegal or unenforceable, this Agreement shall continue in full force and effect with respect to all other provisions. All rights and remedies under such other provisions shall survive any such declaration.

11. No waiver of any breach of this Agreement shall operate as a waiver of any similar

subsequent breach or of the breach of any other provision of this Agreement. No provision of this Agreement shall be deemed to be waived and no breach excused unless such waiver or consent excusing the breach is in writing and signed by the party that is purporting to have given such waiver or consent. No delay or omission on the part of any party to this Agreement shall operate as a waiver of any such right. No waiver or failure to enforce any provision of the Agreement shall in any way affect the validity of the Agreement or any part of it.

12. Neither this Agreement, nor any of the rights or obligations of the parties arising under this

Agreement, shall be transferable or assignable by any party to any third party without the prior written consent of the other parties.

13. This Agreement shall be governed by and construed in accordance with the laws of

Ontario.

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14. Except to the extent otherwise expressly stated in this Agreement, the rights and remedies

of the parties are cumulative and are in addition to, and not in substitution for, any rights and remedies provided by law or in equity.

15. This Agreement shall operate to the benefit of and be binding upon the parties to the

Agreement and their respective successors. 16. Each party shall promptly do, execute, deliver or cause to be done, executed and

delivered all further acts, documents and things in connection with this Agreement that the other parties may reasonably require for the purposes of giving effect to this Agreement.

17. Any notice, consent, approval, agreement or other correspondence (“notice”) given or

required to be given under this Agreement by either party will be in writing and will be delivered personally or by courier, or sent by postage prepaid mail or by facsimile addressed to the other party at the address set out below or at such other address as either party later designates to the other party in writing. Notice by mail need not be by certified or registered mail.

18. All notices will be addressed as follows (include full address and facsimile number):

To the Ministry: Ministry of Health and Long-Term Care To the Applicant: To the Organization:

19. All notices will be deemed to have been received,

(a) at the time the delivery is made, where the Notice is delivered personally or by courier or sent by facsimile; and

(b) 5 days after the Notice has been deposited in the mail, where the Notice is sent by

postage prepaid mail.

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20. This Agreement will come into force on the date on which the second of the two parties

has signed it. _____________________________ ____________________________ For the Minister Date _______________________________________________ (Print name and title) _____________________________ ________________________________ Signature of Applicant Date Organization: _____________________________ ________________________________ Authorized Signing Officer Date Personal information contained on this form is collected by virtue of it being necessary for the proper administration of a lawfully authorised activity pursuant to Section 6 of the Ministry of Health and Long-Term Care Act, RSO 1990, Chapter M. 26, and for the purpose of assessing, verifying and monitoring the return-of-service agreement.

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ROS – Schedule A RN SALARY REIMBURSEMENT: EDUCATION REIMBURSEMENT:

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ROS – Schedule B Confirmation of Commencement/Delivery of NP Services TO: The Ministry of HEALTH AND LONG-TERM CARE DATE: __________________ I/WE certify that the undersigned NP: ____ Commenced providing full-time NP Services on behalf of

the Organization on ________________ [date]. ____ Has provided full-time NP Services on behalf of the

Organization during the past 12 months. ________________________________ _________________________ Signature of NP Witness Print Name: ______________________ Print Name: _______________ Date: _______________________ ________________________________ _________________________ Organization ASO Witness Print Name: ______________________ Print Name: _______________ Date: _______________________

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Schedule 3 Proposal

grow your own nurse practitioner application guidelines · grow your own np clinical practicums:...

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