National Nursing Assessment
Implementation Project
Presentation 2014 National Metropolis
Conference: Partnering for Success:
Facilitating Integration and Inclusion
Ottawa, Ontario
March 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
NNAS- a new organization
• 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)
(1 Except Quebec and the Territories)
THE VISION
• Single application web portal
• Bilingual customer care
centre for IEN applicants
Consistent
national
approach
Knowledge
managementdatabase
• An international education programs
database
• A national IEN database
Document
collection and
management
• Common approach to initial
document collection,
authentication, validation
and fraud screening
Credential
evaluation
NNAS
• Consistent assessment standard of the IEN
application file
• Consistent format electronic advisory
reports to RBs to inform IEN eligibility
assessments
NNAS Model
21 RBs
Steps
1-4
IEN Services
Database
IEN Customer
Interface/CRM
R&D
Continuous
improvement
Best Practices
Vendor Focus
NNAS Central Services
Operations
-Finance &
Admin
-HR
-IT
-Legal
-Reporting
-Vendor
Management
Communications
Steps
5-10
Stakeholder
Management
Board of Directors
-General Oversight
-Policy/advisory
-Accountability
-Effectiveness
-RB Interface
-Gov’t Depts
RB Services
-SLA for IEN services
-Service Delivery
--
5
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.
NNAS
MAJOR STEPS IN THE INTERNATIONALLY EDUCATED
NURSE (IEN) ASSESSMENT PROCESS
1.
IEN registers with
NNAS, completes
forms and pays fees
3.
NNAS determines
validity/authenticity of
documents
RB
5.
IEN picks up advisory
report through NNAS
web portal and formally
applies to regulatory
body/pays fees
8.
Temporary registration
granted when IEN meets
requirements for safe
practice
2.
NNAS receives all
required documents;
IEN tracks progress
online
•Proof of identity
•Verification of education
•Verification of registration
•General suitability/safety to practice
•Language proficiency
4.
NNAS assesses IEN file for
comparability to Canadian
standards for entry to
practice, defines gaps and
prepares an advisory report
6.
RB retrieves file/advisory
report from NNAS; IEN
proceeds with RB
requirements to assess/
remediate any gaps to meet
jurisdictional eligibility
requirements
9.
IEN writes
national/provincial
examination
7.
Letter of eligibility to
write exam issued by
regulatory body to
IEN
10.
Full registration
awarded on successful
completion of national
exam
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.
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
• Vendor expertise
+/-30%
▫ 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
11
Project structure
NNAS Board of
Directors
NNAS Central Services
Project
Implementation
Subcommittee (ISC)
Project
Management Office
(PMO)
The Atkinson Group Inc.
CGFNS International
NNAS Policy
Committee
Member Regulatory
Bodies
NNAS Implementation Road Map
2013
Q1
Q2
Q3
2014
Q4
Q1
Q2
Q3
Q4
Requirements of NNAS Solution
Design – how will we build it?
Master Project Plan
Build/Test
Assessed change scope
Launch
NNAS Central Services
Subject Matter Experts
staff hired
Official project kick off
guide assessment tool
development
Web site functionality
finalized
RB virtual workshops
RB virtual workshops
Onboard August 2014
Policy development
confirm design
Assessment tool field
tested
Customer care
Review/fine-tune SeptDec/14
Change Management
Team established
Policy Development
Onboarding guide
Reports
Training workshops face
to face
CELEBRATE!
RB training needs
assessed
Project Management and Change Management Support
Launch
August
12, 2014
NNAS Project Status
March 2014
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: [email protected]