1. Nurse Practitioners in Northeast Winnipeg: Success is intentional, not an accident Debra Vanance Community Area Director Access River East & Transcona

2. Untold Stories from the Canadian Nurse Practitioner Initiative or Truths Told Over Wine Nightmare in New Brunswick Car Care in Ontario National Variation

3. CONSIDERATIONS General Public Patients Colleagues Nurse Practitioners

4. General Public Use existing print media Capitalize on opportunities Access Transcona opening Access Transcona open house

5. Primary Care Patients Pamphlets Informed about 2 available providers Nurse Practitioners and Physicians Clinic staff aware of prescribing restrictions

6. Colleagues Role clarity required for all staff Discussion with physician colleagues : rostering, roles Collaborative practice model based on trust & respect Supportive Learning – procedures Clinical Rounds/ Winnipeg Integrated Services Rounds/ Presentation to Northeast Leadership group that includes Concordia Hospital Managers

7. Nurse Practitioners Northeast Nurse Practitioner Committee Identifying and creatively managing issues related to the introduction of a new role Objectives: A forum to discuss / share knowledge and expertise in respective clinical areas An opportunity to collaborate, disseminate and participate in nursing research A forum to promote evidence-based nursing practice A forum to facilitate problem solving of various issues (clinical, non-clinical) A mechanism to discuss and make recommendations regarding issues related to the Nurse Practitioner (NP) roles An environment to facilitate support of group members. Membership : Access Centre nurse practitioners, clinical manager & community director

8. Northeast Nurse Practitioner Committee Sample Topics Manitoba Health Billing WRHA Drug Formulary Issues Performance: outputs, peer review Referral non acceptance locally : MATC, HEPP, Specialists Referral non acceptance: National Organizations Updates from Regional Advanced Practice Committee New NP orientation

9. The Intentional Unfolding of the Future Evolution of NPs role across sectors as primary care practitioners Review of NP Billing Information & Report system Ensure maximal utilization of skills and knowledge Any sole practitioners are linked with other NPs and/or physician practices Ongoing review of barriers/issues and regional, college and government support to break them down Effective utilization of the non clinical time support regional/local initiatives Support for new Nurse Practitioners pre registration and through early years Continued PR

10. Success is intentional, not an accident Thanks to the Northeast primary care team who helped with this presentation and worked together to make our implementation successful Questions