National Nursing Assessment Implementation ProjectPresentation 2014 National Metropolis Conference: Partnering for Success: Facilitating Integration and InclusionOttawa, OntarioMarch 13, 2014

CASE FOR CHANGE

• Nine years in the making – driven by RBs

• Report “Navigating to Become a Nurse in Canada” Recommendations Canadian Nurses Association (May 2005)

▫ Identified the issues with the current approach to IEN credential assessment

• Federal-Provincial Agreement on Internal Trade and Mobility in Canada

• Variability in capacity and expertise amongst nurse regulators

• Fluctuating volumes of applications from IENs

• Anticipated nursing shortage in Canada

• Incorporated June 2012• All RN, LPN and RPN regulatory bodies are

members and users of the service1

• 12 member Board of Directors ▫ 6 RN, 4LPN, 2 RPN▫ Chair Mary-Anne Robinson, [CEO CARNA]

• Implementation project funded by HRSDC, some provincial governments and member regulatory bodies

• Sustainable funding model (IEN fees)

NNAS- a new organization

(1 Except Quebec and the Territories)

THE VISION

NNAS

Knowledge manageme

nt- database

Consistent national

approach

Document collection

and manageme

nt

Credential evaluation

• Single application web portal• Bilingual customer care centre for IEN applicants

• Common approach to initial document collection, authentication, validation and fraud screening

• Consistent assessment standard of the IEN application file • Consistent format electronic advisory reports to RBs to inform IEN eligibility assessments

• An international education programs database • A national IEN database

NNAS Model

5

NNAS Central Services

IEN Services

DatabaseIEN Customer Interface/CRMR&DContinuous improvementBest Practices

Operations-Finance & Admin-HR-IT-Legal-Reporting-Vendor Management-Communications

Stakeholder Management

Board of Directors-General Oversight

-Policy/advisory -Accountability -Effectiveness-RB Interface-Gov’t Depts

RB Services-SLA for IEN

services-Service Delivery

--

Vendor Focus

Steps 5-10

21 RBs

Steps 1-4

What will change with NNAS ?

IEN application and assessment is a 10 step process. We will use NNAS to streamline entry and assess initial files.

1. IEN registers with NNAS, completes

forms and pays fees

10.Full registration

awarded on successful completion

of national exam

4.NNAS assesses IEN file

for comparability to Canadian standards for

entry to practice, defines gaps and prepares an

advisory report

5.IEN picks up advisory report through NNAS

web portal and formally applies to

regulatory body/pays fees

7.Letter of eligibility

to write exam issued by

regulatory body to IEN

9.IEN writes

national/provincial examination

2. NNAS receives all

required documents; IEN tracks progress

online

6. RB retrieves file/advisory report from NNAS; IEN

proceeds with RB requirements to assess/

remediate any gaps to meet jurisdictional eligibility

requirements

MAJOR STEPS IN THE INTERNATIONALLY EDUCATED NURSE (IEN) ASSESSMENT PROCESS

•Proof of identity•Verification of education •Verification of registration•General suitability/safety to practice •Language proficiency

3.NNAS determines

validity/authenticity of documents

8.Temporary

registration granted when IEN meets

requirements for safe practice

This chart portrays the various steps in the IEN assessment process, designed to ensure a candidate's safety to practice as a nurse in the Canadian health care system. A regulatory body may require the IEN to go through some or all of these steps to determine eligibility for registration/licensure to practice in Canada. The order in which an IEN must proceed with these steps varies somewhat from one regulatory body to another. The National Nursing Assessment Service is responsible for Steps 1-4 as indicated by the red boxes. Steps 5-10 I indicated by the blue boxes, are the responsibility of the regulatory body in the jurisdiction where an IEN is seeking registration .

NN

AS

RB

Benefits of NNAS to IEN (Steps 1-4)

• NNAS web site - single entry point for Canada▫ IENs will no longer apply to individual RBs

• NNAS collects all documents, initial fees, creates IEN application file ▫ IEN can track application status online; receives advisory

report on comparability of credentials with any gaps defined

▫ IEN can direct file to more than one RB ▫ RB retrieves final IEN electronic files – incorporates into

own system

• Central bilingual customer care centre ▫ All inquiries to RBs to be redirected▫ Consistent messaging

Benefits of NNAS to RBs

• Consistent approach agreed to by all RBs ▫ Increased confidence in labour mobility

• Scalable to volumes +/-30%• Vendor expertise

▫ Document authentication, fraud detection and assessment methodology and tools

• Advisory report to both IEN and RB on comparability / gaps▫ Steps 5-10 and final decision by RB

• Standard and some custom reports to RBs from national IEN database ▫ Capacity planning▫ Consistent national statistics

Project structure and roadmap

NNAS Board of Directors

Project Implementation Subcommittee

(ISC)

Project Management Office (PMO)

The Atkinson Group Inc. CGFNS

International

NNAS Policy Committee

Member Regulatory

Bodies

NNAS Central Services

Project structure

11

2013 2014

LaunchAugust

12, 2014

Q1 Q1Q2 Q3 Q4 Q2 Q3 Q4

Requirements of NNAS Solution

Master Project Plan

Assessed change scope

Official project kick off

Change Management Team established

RB virtual workshops

Policy development

Design – how will we build it?

Subject Matter

Experts guide

assessment tool

development

RB virtual workshops

confirm design

Policy Development

Onboarding guide

Build/TestNNAS Central Services staff hired

Web site functionality finalized

Assessment tool field tested

Customer care

Reports

RB training needs assessed

Launch

Training workshops face to face

Onboard August 2014

Review/fine-tune Sept- Dec/14

CELEBRATE!

Project Management and Change Management Support

NNAS Implementation Road Map

NNAS Project Status

March 2014

Evidence-based Model (Conceptual)

Next Steps

• Business requirements sign off (March 17)

• NNAS staff hired (March-June)

• RB face to face workshops with vendor (April 23-24) ▫ End to end review of NNAS system

▫ Sign off on LPN, RN and RPN Assessment Tools

• Training strategy roll out (June/July)

• User acceptance testing (July)▫ All RBs will transition to NNAS August 12, 2014

• Master change management plan ▫ Support RBs’ transition (readiness reviews)

▫ Align public facing messaging- at federal and provincial levels

▫ Direct all IENs to www.nnas.ca (in development)

Questions ?Contact: National Nursing Assessment Service 11620 168 St NW Edmonton, AB T5M 4A6

Phone: (780) 453-0510

Email: info@nnas.ca