here - Yukon Registered Nurses Association
Transcription
here - Yukon Registered Nurses Association
ANNUAL REPORT 2015-2016 YUKON REGISTERED NURSES ASSOCIATION #204- 4133 4TH AVENUE WHITEHORSE, YUKON WWW.YRNA.CA TABLE OF CONTENTS Contents 2015 YRNA Board of Directors__________________________________________________________________________ 1 President’s Message _____________________________________________________________________________________ 2 President Elect’s Message _______________________________________________________________________________ 5 Executive Director’s Message ___________________________________________________________________________ 7 Greetings From Hon. Philpott ___________________________________________________________________________ 9 Highlights 2015 _________________________________________________________________________________________ 11 Membership Memories _________________________________________________________________________________ 17 Historical Registration Statistics _______________________________________________________________________ 18 Committee Reports _____________________________________________________________________________________ 19 Treasurer’s Report ______________________________________________________________________________________ 23 Financial Statements ___________________________________________________________________________________ 24 2015-2016 ANNUAL REPORT 2015 YRNA Board of Directors President Sean Secord President Elect Christina Sim Treasurer Andrea Mainer Secretary Dianne Hart Member-at-Large Julie Tipping Member-at-Large Krystal Feres Member-at-Large Walker Graham Public Rep Alexandra de Jong Westman (until Fall 2015) James Low YRNA Staff Executive Director Mieke Leonard Registrar Carrie Huffman Executive Assistant/Office Manager Evelyn Kaltenbach (until March 31, 2016) Administrative Assistant Deanna Bailey Communications Coordinator Erika Serviss- Low Auxiliary on Call Staff Kim Fusick, Tara-Lee Bosma, Naomi Wanner, Joan Hyrve Page 1 2015-2016 ANNUAL REPORT President’s Message Sean Secord, RN, MN Welcome to Spring 2016, and with it, another YRNA AGM. This AGM marks the end of my role as president. Reflecting on this and my previous president’s messages, and perhaps even nursing practice as a whole, I’m struck with the idea of balance. First, with respect to YRNA, I’ve spent 10 of the past 15 years involved with the board and functioning of YRNA. With Christina taking over as president and a couple of new board members, this new team dynamic will allow for a new balance in our self-regulatory and professional voice, and for me to find balance in new adventures. About 4 times per year for the past 4 years, I’ve written a president’s message for the newsletter. I’ve tried to relay ideas about our profession that I’ve learned or perspectives from mentors that I’ve found profound or influential. Reflecting on these, I see more examples of balance. To new nurses, I might advise to look for mentors and be inspired, while at the same time own your actions and be accountable. One should know what you’re doing and be competent, yet be humble and receptive to the knowledge and influence of others. There is merit in upholding traditions and ‘tried and true’ approaches, but also to embrace change, as without it, there can be no growth. I think that it is important to represent nursing strongly and advocate for our profession. However, we also need to get past territorialism and support our multidisciplinary colleagues; get comfortable with overlapping boundaries and work as a team, for this stands to benefit those we serve the most. Collaboration and patient-centered care is, I believe, the long sought after approach and ideal of healthcare. I have often put a call out for peers to be involved and to be leaders –make your voice heard; create positive change. On the other hand, when the end goal is positive change, leaders need to support those who are going to implement the change to create the change. In another message, I quoted Margaret Wheatley, author of Leadership and the New Science: Discovering Order in a Chaotic World. Page 2 2015-2016 ANNUAL REPORT She advises that the best way to build ownership in a change process is to hand over the creation to those who will be charged with its implementation. We are never successful if we merely present a plan in finished form to those who are tasked with its implementation. However, the balance here it that someone needs to be the spark in this process. Having just completed registration, we have all been reminded that there is balance between entering nursing through the regulation process as a competent provider, and then upholding continuing competence within our profession. Enlightenment, as some philosophers might say, is a life-long endeavour and never a status to achieve. Nursing, as a self-regulated profession, has the opportunity for all of us to be involved in its creation and its place in healthcare. However, we must also balance this with an understanding that our authority to touch, advise, and intervene in others’ lives is based on Acts (the Registered Nurses Profession Act), and standards and ethics. We are held to account on these by the public and by employers, who are sometimes one and the same. Based in the sciences, legislated through acts, and held to standards of practice, healthcare can be quite prescriptive. However, nursing also finds balance in its art. In recent discourse on Medical Assistance in Dying (MAID –the new acronym), it was acknowledged that the initial wording of ‘the Carter decision’ would need to be expanded to protect nurses. The criminal code references both assistance in death, and counseling on death. Section 14: “no person is entitled to have death inflicted on him…”, and section 241: “everyone who counsels a person to commit suicide…is guilty of an indictable offence…” There is plenty of counseling in nursing, and balance in doing so. One must be careful to not place values or assume values, or overly advise, but to provide information and let the other come to their own conclusion. Does this approach protect nursing with respect to MAID? In Moments in Time: Images of Exemplary Nursing Care, author Beth Perry concludes that nursing is often best performed by finding balance in the appropriate use of humour, touch, and silence. It was her explanation of the latter that led to my noticing the use of silence by nursing colleagues and trying to find this balance myself. Words are often not efficient; they can be imprecise and awkward…alternatively, a silent moment can convey a myriad of emotions, precisely, quickly and accurately…not only are words often inadequate and lacking in precision, they can be destructive to the nurse-patient relationship. In reading this chapter, I thought of all of the times I’ve had the privilege as a nurse to listen to patients talk about their problems, their hopes, or their fears; the moments when they are most raw and Page 3 2015-2016 ANNUAL REPORT vulnerable. There are times when they are looking for words. However, there are many times when words just lessen the significance of what was just said. Silence gives patients, their families, and nurses what they are often lacking in the very public environment of a hospital: privacy and psychological space. I have had the opportunity to speak on nursing in many settings over the past four years. This has also been a great privilege and I have enjoyed it greatly. However, reading which parts were quoted in the paper, or even reviewing the actual words I’ve written, I’ve thought ‘that’s not what I meant to say’. Intended messaging and realized messages are not always the same. A book I have in my collection that is a compilation of 28 Canadian male authors writing on what it means to be a man is aptly entitled What I meant to say. Another thought-provoking passage in Beth Perry’s book: “Hidden in our everyday conversations, are the things we would like to say, if we only had the courage.” My final thoughts on balance are that I’m very appreciative to have had the opportunity to represent and influence our nursing profession both locally and nationally for the past four plus years. It is now another’s turn. I will practise my silence, or at least try. Page 4 2015-2016 ANNUAL REPORT President Elect’s Message Christina Sim, RN It’s hard to believe that a year has gone by since I started the role as President Elect. It took little time for me to get very excited about the position; especially after my first YRNA board meeting. I remember thinking a lot about all of the things I would need to know before taking over the President’s role and wondering how I would go about trying to garner all of the knowledge that Sean and the other board members had gained over the years. What seemed overwhelming initially; quickly subsided as the year progressed and particularly after my first experience attending a meeting with the Canadian Nurses Association. It was at that meeting in November that I realized; trying to learn everything those before me knew is an insurmountable task. Although having the history of an organization and knowledge of previous issues is important, so too is giving yourself space to get immersed in the new issues and allowing your own knowledge and leadership skills to come into play. I’m looking forward to participating in the discussions that are the focus of healthcare nationally at this time. Medical Assistance in Dying, access to Nurse Practitioners, Home Care, Mental Health and First Nation’s health, are in the spotlight right now and Yukon Nurses are well situated to play a big part in these important conversations. I look forward to the next few years and I am grateful to be working with a wonderful board of directors and staff. I’ve had a fairly good understanding over the years of the broader work YRNA has done with regards to the professional responsibilities of our organization. It wasn’t until I spent time with our executive director, Mieke Leonard, did I comprehend to any degree the regulatory side of YRNA’s scope and responsibilities. The work that needs to be done on a continual basis to ensure that we are meeting our legal and ethical duties as a self-regulated profession in Yukon and Canada is extensive. As with all things in healthcare, the YRNA has changed over the years and necessarily so. Ensuring the organization stays on task with various legislative and by-law requirements, is a big job and I feel very confident that the staff are ensuring we are compliant and meeting our obligations. In doing so, they are keeping the YRNA an outstanding role model organization. Page 5 2015-2016 ANNUAL REPORT Much of my nursing work during the past decade has had an outreach focus and I can tell you there is a deeper sense of fulfillment when you can say your clients are aware of, and support the advocacy work you are doing on their behalf. In my view, the same goes for leading an organization of professionals. Not every nurse has a keen interest in the finer details of the bigger picture and I can appreciate having the desire to be better informed about what is happening in our profession but truly not having the time to gain that knowledge. This is where an outreach approach becomes important. You can expect to see me around your work from time to time in the coming months. I’ll be there to say hello and share some of the specifics about what is unfolding nationally, regionally and locally but most importantly, to provide impromptu opportunities for you to let me know what issues are of concern to you. I look forward to spending time with everyone and to shrinking my list of Yukon nurses I don’t yet know. Page 6 2015-2016 ANNUAL REPORT Executive Director’s Message Mieke Leonard, RN, OHN Sustainability has become a widely used concept that is incorporated into the discussion of how healthcare systems should be designed in the future. In nursing, it is a concept that is multifaceted, including environmental factors, sociocultural factors, financial feasibility, political commitments, and organizational capacity. I reflect on the concept of sustainability as I look at the last year of YRNA’s work- movement from a member resolution on a Healthy Environment, ensuring appropriate representation of the membership in our external committees and working groups, the financial realities of being the smallest jurisdiction in Canada, and re-envisioning our staff to ensure we are meeting the demands of our mandate as well as the needs of the members. In terms of YRNA’s sustainability, the past year was one of preparation, increased engagement, and change as the YRNA board and staff worked towards ensuring a balanced approach to nursing regulation and professional advocacy. The YRNA board developed a new strategic plan that will set out the current direction of the organization. This plan includes YRNA’s role both within and outside the Territory, inclusive of regulatory needs and addressing public relations with the YRNA membership as well as with YRNA’s stakeholders and partners. The work derived from the strategic plan will ensure that the YRNA is taking a sustainable and responsible approach as well as supporting the membership through sociocultural and legislative changes that are occurring within the territory. This year, the YRNA embraced the concept of ‘Right Touch Regulation’, which will allow the YRNA to emphasize its commitment to the safety and protection of Yukoners while applying the minimal amount of regulatory force required to achieve appropriate outcomes and fulfil YRNA’s mandate. The YRNA underwent additional staffing changes this year in preparation of making its activities sustainable- the YRNA welcomed its first Communications Coordinator this year to take on and support the work of advancing nursing excellence, demonstrating leadership, and providing information to the public and colleagues. Page 7 2015-2016 ANNUAL REPORT As Executive Director, I have made significant progress on responding to resolutions from last year and previous years. I have taken on the role of Chair, LPN Advisory Committee to assist the LPNs in their regulatory processes as well as working closer with LPN Association. The YRNA board and staff also undertook Succession Planning training in February 2016 and started building the framework of a succession plan for YRNA staff, board, and committee members. We also continued to implement the Healthy Environment resolution by reaching out to the membership for ideas through a contest held last summer as well as considering this resolution as it applies to in-office practices and through our investments. Sustainability, for me, is considering how we will have the ability to continue over a period of timeit is the balance that must be achieved by avoiding the depletion of resources while embracing change. I believe that as an organization, we must start thinking nationally and globally on this level. Working towards sustainability requires confidence in the future and without this confidence, we have nothing to build upon. I believe in a future for YRNA that upcoming generations of nurses in the Territory will be able to reflect back and see that we have built and be proud of that history. What we will continue to build is an approach that illustrates that no matter how small an organization is, its impacts and presence can be monumental. I encourage us to reflect on this as a membership to assess how we can approach nursing regulation and professional advocacy in a way that is sustainable and supports a holistic, environmentally aware, and pioneering approach that will keep the YRNA progressive, aligned with best practice, and connected on a global level. Respectfully submitted, Mieke Leonard, RN, BScN, OHN Executive Director Page 8 2015-2016 ANNUAL REPORT Greetings from Hon. Jane Philpott, Minister of Health Page 9 2015-2016 ANNUAL REPORT Page 10 2015-2016 ANNUAL REPORT Highlights from 2015 YRNA’s mission statement is to protect the public through regulation and standards, advance nursing excellence, demonstrate leadership, participate in healthy public policy, partner in a collaborative health care approach, and provide information on the roles and responsibilities to the public and to colleagues. The following highlights demonstrate YRNA’s continued work to fulfill this mandate. Projects and Initiatives This past year, we made progress on several ongoing projects and initiatives that will help shape the future of our profession in the Yukon: Page 11 Review of the Continuing Nurse Education Fund and development of the CNEF policy Revised Registration Appeal policy Gap Analyses- Complaints and Discipline processes, registration policies, privacy policies Updating of operational policies- expense account policy, conflict of interest policy, leave policy, CNA deduction fee policy, CNPS service policy, CRNE policy Continued researching online registration Registration pilot with Yukon Hospital Corporation Draft CCP policy Engagement: YRNA Federal Election Town hall, HIPMA Consultation, Healthy Resolution Contest, National Nursing Week Video, Volunteer Yukon Expo, CNPS webinar for YRNA members, Midwifery Symposium co-organization, rural/remote study (UNBC) Adoption of ‘Right Touch Regulation’ Internal staff development through Lynda.com Board governance training Leave Audit Development of an Outreach Plan for 2016 New staff job descriptions Development of YRNA Strategic Plan Partnerships with Volunteer Yukon and Yukon College (student placement) Revisions of board job descriptions Privacy Framework, privacy impact assessment and information sharing agreements to ensure compliance with ATIPP Succession Plan Framework Revised Board Orientation materials Establishment of the Finance Committee and terms of reference Establishment of the Nurse Practitioner Committee and terms of reference 2015-2016 ANNUAL REPORT These initiatives reflect the changing realities of our health-care system and demonstrate YRNA’s commitment to exemplifying excellence in self-regulation, ensuring competence and quality care, exploring opportunities to share nursing expertise and engaging with our members and partners. PROFESSIONAL CONDUCT REVIEW In 2015, the Complaints Committee considered four new complaints in 2015-16. Two complaints from 2014 carried over, where one has completed investigation and the other is starting investigation. Much work was done in 2015 to ensure compliance between the ATIPP Act and RNPA. Through this work, the YRNA can enter information sharing agreements with a public body protected under ATIPP for the purposes of ensuring public safety. In addition to this work, the YRNA initiated a resource-sharing agreement between YRNA and CRNBC to ensure that the YRNA has an additional avenue to acquire an investigator when needed. The YRNA now has three different sources to acquire an investigator to ensure our investigations are being conducted in a timely manner, in the spirit of fairness, and following the principles of natural justice. PRACTICE CONSULTATION CALLS The Yukon Registered Nurses Association (YRNA) supports professional nursing practice by providing confidential consultation services to registered nurses in all practice areas and to the general public who may have questions about nursing practice. A practice consultation is an interaction to provide expert advice related to a professional practice issue. It may also include referral to other appropriate resources, such as the Canadian Nurses Protective Society. YRNA supports professional practice by offering interpretation of documents such as, YRNA’s Standards of Practice, government legislation (e.g. Nurses Act) and issues related to patient safety, ethical behavior and conflict resolution. The consultations are confidential and for the purposes of this report, all inquiries, received by phone, letter or email, from Registered Nurses or non-nurses are referred to as “calls”. Page 12 2015-2016 ANNUAL REPORT In 2015, the YRNA received a number of calls from non-members for tele practice guidance. This is an evolving discussion that is taking place between the jurisdictions to ensure consistency in practice across Canada. Calls 13% 8% 30% 50% Professional Practice General Information Scope of Practice Other CONTINUING COMPETENCE PROGRAM All registered nurses in the active practicing category in the Yukon must meet the Continuing Competence Process (CCP) in order to renew registration. RNs must submit their CCP Annual Reporting Forms in accordance with the Registered Nurses Profession Act, 2012 section 18, 17 (c). The sampling methodology used for determining the audit sample is through random number generation. In 2015, we used the number 21 to assist us in sample selection. Of the 22 members randomly selected for audit, 20 were eligible for audit. The Audit Committee reviewed submitted materials and provided feedback to all audited members. Completed SelfAssessment Established Learning Goals Evidence of Activities r/t Goals Evidence of Integration in Practice Page 13 Met Expectations 84% Partially Met 11% Did not Meet 5% 63% 37% 0% 68% 26% 5% 84% 11% 5% 2015-2016 ANNUAL REPORT Partnerships CANADIAN NURSES ASSOCIATION (CNA) YRNA was actively involved in partnering with our national association, the Canadian Nurses Association in 2015: We participated in CNA’s federal election strategy Participated in environmental scans Provided feedback on the CNA’s revised 2012 position statement on Primary Health Care YRNA President represented CNA at a multi-stakeholder event in February 2016 regarding the NCLEX exam YRNA Member participated in CNA’s NP Roundtable in November 2015 Supported a YRNA member to represent the Yukon in CAN’s “Choosing Wisely” campaign CANADIAN COUNCIL OF REGISTERED NURSE REGULATORS (CCRNR) The CCRNR, composed of the provincial/territorial registered nurse regulatory bodies, was established in 2011 to promote excellence in registered nurse regulation and to serve as a forum and voice for provincial, national and international regulatory matters. In 2015, monthly teleconferences were held and face to face meetings were held in April and November. Key projects and events included: Nurse Practitioners Practice Analysis Project- to analyze NP practice across Canada in the pursuit of a comprehensive description of the entry-level knowledge, skills and abilities required in the three NP practice streams and to ensure consistent requirements for exams and requirements for NP licensure across Canada (continued from 2014) Preliminary discussions with QIIC (Quebec) on French language nursing education programs and creation of French materials for YRNA Advisory role to the National Nursing Assessment Service on internationally educated nurses Cross-jurisdictional collaborations and working groups on policy and practice, NCLEX, registration, professional conduct, and controlled drugs and substances NATIONAL COUNCIL OF STATE BOARDS OF NURSING (NCSBN) National Council of State Boards of Nursing (NCSBN) is an independent, not-for-profit organization through which boards of nursing act and counsel together on matters of common interest and concern Page 14 2015-2016 ANNUAL REPORT affecting public health, safety and welfare, including the development of nursing licensure examinations.This was YRNA’s first year in participating fully with NCSBN. Key projects and events included: Attended the Executive Officer summit in June 2015 Participated in professional conduct and discipline webinars Further exploration into ‘Nursys’- online verification system CANADIAN NURSES PROTECTIVE SOCIETY (CNPS) The Canadian Nurses Protective Society was created specifically to provide nurses in Canada with the professional liability protection services and legal support they need in the practice of nursing. The CNPS exists so that Canadian nurses are enabled to effectively manage their professional legal risks, and are appropriately assisted when in professional legal jeopardy. Key projects and events included: Supplementary protection services- optional assistance for members to register individually to become eligible for assistance with complaints to their regulatory bodies Advocacy for protection under the Criminal Code for nurses who provide assistance or are otherwise involved in the provision of medical assisted dying YRNA members only- CNPS webinar on self-employment (November 2015) MEDIA RELATIONS YRNA’s President, Sean Secord participated in several media interviews of the course of 2015, including print, radio and television covering topics such as issues in community nursing and the Whistle Bend facility in the territory and highlighting the role nurses play in collaborative and primary health care. GOVERNMENT RELATIONS YRNA has been very active with Yukon government over the last year. We have continued discussions with Yukon Government in relation to nurse practitioners, physician assisted death/medical assistance in death, Whistle Bend, and midwifery as well as participated in consultations regarding the HIPMA legislation and as a stakeholder in the e-Health project. Page 15 2015-2016 ANNUAL REPORT SOCIAL MEDIA AND WEBSITE The use of online tools and social media will continue to play an important role in YRNAs engagement strategy. Since the introduction of social media and website redesign, we continue to be active on our website to provide members with information regarding free webinars through CNA and CNPS, monthly health events, and notable dates. We also have been active on our Twitter and Facebook accounts and have created a YouTube account for the membership. You can find the 2015 National Nursing Week video on the YRNA’s channel, as well as the recording of the federal election town hall in October 2015. Page 16 2015-2016 ANNUAL REPORT Membership Memories Your YRNA President, Sean Secord and President-Elect, Christina Sim meeting with Health and Social Services Minister, the Honorable Mike Nixon in January 2016 Federal party leaders, Melissa Atkinson (NDP), Larry Bagnell (Liberal), Ryan Leef (PC) during YRNA’s town hall of the federal election, October 2015 Raquel de Queiroz, NP speaks at a public meeting for Yukon Cares and Canada’s refugee sponsorship program in September 2015 YRNA Board and Staff participating in Succession Planning training February 2016 Page 17 2015-2016 ANNUAL REPORT Historical Registration Statistics Registration Year Active Practicing NonPracticing NP Associate Special Practice TOTAL Registrants New _____________________________________________________________________________________________________________________________ _____________ 2000-2001 301 27 - 18 - 346 46 2001-2002 293 20 - 15 - 328 33 2002-2003 297 19 - 17 - 333 37 2003-2004 305 26 - 10 - 341 48 2004-2005 311 24 - 12 - 347 46 2005-2006 332 24 - 10 - 366 44 2006-2007 344 21 - 8 2 375 44 2007-2008 360 18 - 10 1 389 51 2008-2009 382 28 - 13 1 424 75 2009-2010 410 17 - 10 5 442 60 2010-2011 400 23 - 13 5 441 60 2011-2012 425 17 - 10 9 461 78 2012-2013 426 23 - 11 6 466 63 2013-2014 425 26 5 7 9 472 66 2014-2015 416 29 6 9 7 467 63 2015-2016 436 29 5 8 7 485 56 2016-2017* 357 36 4 6 1 404 13 * 2016-2017 figures represent numbers at the beginning of the membership year (~1 April). Membership figures for previous years are year-end numbers (March 31st). Page 18 2015-2016 ANNUAL REPORT Committee Reports NURSING PRACTICE COMMITTEE Carrie Huffman, Chair The YRNA Continuing Competence Process (CCP) requires members to explore how they apply knowledge, skill and judgment acquired through nursing education and experience. It is through the application of these nursing attributes, rather than through a list of skills or tasks, that nursing practice is defined. All registered nurses in the active practicing category in the Yukon must meet the Continuing Competence Process (CCP) in order to renew registration. RNs must submit their CCP Annual Reporting Forms in accordance with the Registered Nurses Profession Act, 2012 section 18, 17 (c). For the audit year of 2015, of the 22 members randomly selected for audit, 20 were eligible for audit. The Audit Committee reviewed the submitted materials and provided feedback to all audited members. We are scheduled to do the 2016 audits in early May 2016. The CCP draft policy is currently under final revisions and scheduled to be presented for approval by summer. I’d like to thank the present volunteers of this Committee for providing their time and input: Catherine Bradbury, Aubyn Russell, Anne Baumann, and Lisa Wiebe. NOMINATIONS COMMITTEE Sharon Specht & Shannon Duke There were three YRNA Board positions to be filled this year according to the regular cycle of terms. For 2016-17, there were the two Member at Large and Treasurer positions. Ilir Azizaj , was acclaimed as Member at Large. Hazel Booth was acclaimed as Member at Large. Krystal Feres was acclaimed as Treasurer. No positions remain unfilled for the May Board turnover. Page 19 2015-2016 ANNUAL REPORT COMPLAINTS COMMITTEE Nancy Kidd, Chair This report outlines the activities of the YRNA Complaints Committee in 2015. The Complaints Committee reviews signed complaints about the conduct of members and former members of the Association in accordance with the Registered Nurses Professions Act (2012). The Committee can request an investigation; send the matter to a Consensual Resolution Process; dismiss the complaint or refer the matter to the Discipline Committee for their consideration and investigation. In 2015-16, the Complaints Committee considered four new complaints. In addition to the new complaints, two cases were carried over from 2014 and 1 was carried over from 2012. All four complaints were a result of the new Duty to Report legislation. There is one complaint pending at the time of this report. We welcomed Ariana Warner as a new member and I joined the team as Chair. The team bade farewell to Dwayne MacDonald who served as Chair and demonstrated guidance and leadership in the complaints process for seven years. Thank you Dwayne. Training has also been identified for this Committee and is to take place in 2016. I would like to extend my gratitude to the nurses and the member of the public who serve on this committee for their leadership and integrity. My thanks to Ariana Warner, Phil Perrin, Liz McKee (public member) and Mieke Leonard (staff) DISCIPLINE COMMITTEE There has been no activity for this committee this year. The committee did not meet during 2015. Current members include Koreen Rix, Loretta Westman, and Linda Woodhouse. REGISTRATION COMMITTEE Carrie Huffman, Chair This committee met three times in 2015 to help assist in reviewing and considering applications for registration in the Yukon and to provide feedback for registration requirements. The committee has also been involved in reviewing and considering applications for registration in the Yukon. The committee has provided input both by email and via in person meetings. Members in 2015 included Mary Beth Sennett (former), Peggy Heynen, Shawn O’Donovan-Shipman, Meadow Allen, and Carrie Huffman. Page 20 2015-2016 ANNUAL REPORT NURSE PRACTITIONER ADVISORY COMMITTEE Mieke Leonard, Chair The work of this committee has been dedicated to the development of regulations governing the work of Nurse Practitioners (NPs) in the Yukon. The regulations and policy needed to introduce NPs was in place by April 1st 2013. The Nurse Practitioner Advisory Committee met once in 2015 to review the NP regulations and make recommendations to the Board to keep those provisions current and appropriate. The terms of reference for this Committee were updated. Current committee members include Lee Holliday, Carol Yamada, Dr. Sally MacDonald, and Mieke Leonard. NURSE PRACTITIONER COMMITTEE Lee Holliday, Co-Chair The Nurse Practitioner Committee’s role is to enhance the health and well-being of Yukoners through two primary initiatives: Promotion and support of full integration of the NP role into the Yukon’s health care system. Acting as a venue for Yukon NPs to engage in dialogue regarding current and future practice considerations. The Nurse Practitioner Committee has membership in Canadian Association of Advanced Practice Nurses (CAAPN). In addition, Lee represents the committee nationally as the Yukon representative on the Nurse Practitioner Council (NPC), a sub-committee of CAAPN. This year, Lee attended a face-toface CNA-hosted NPC meeting in Ottawa to discuss current jurisdictional and national challenges NPs face. The committee meets quarterly and has a strategic planning meeting scheduled for the end of April 2016. Current members include Hazel Booth (co-chair), Lee Holliday (co-chair), Raquel De Queiroz, Shawn O’Donovan-Shipman, Michelle Wolsky, and Mieke Leonard. FINANCE COMMITTEE Mieke Leonard The Finance Committee was established through a bylaw amendment at the 2015 YRNA AGM. The role of this committee is to provide initial review and oversight of YRNA’s finances. The Committee met four times in 2015-16 to review budgetary progress, create terms of reference, and consider current investment options as it pertains to selecting environmentally friendly and health conscientious organizations to invest YRNA’s funds. Page 21 2015-2016 ANNUAL REPORT Current committee members include Andrea Mainer (Chair), Sean Secord, Christina Sim, Joanna Joniec (public member) and Mieke Leonard. EDUCATION FUND MANAGEMENT COMMITTEE Carrie Huffman, Chair The role of this committee is to administer the Continuing Nurse Education Fund (CNEF) provided by the Department of Health & Social Services. 2015 was the second year of a new Contribution Agreement which provides $150,000 annually to support Yukon RNs engaged in nursing education. The committee met four times during the fiscal year. The funding cap remains at 80% of eligible expenses to a maximum of $2,000 per application. In addition, the committee applies screening criteria such as Yukon residency and Yukon practice hours; consideration of funding in the previous 12 month period and a preferred 6 month completion timeline for courses and conferences. The committees aim is to utilize funds in a fair, transparent and consistent manner that benefits Yukon nurses and in turn, Yukon health care and the Yukon public. Applications in 2015 ranged from attending conferences, post-nursing education in the fields of critical care, business, and leadership, and perinatal care. Funding was also awarded for group funding applications. Current members include Dianne Binns, Lynn Cheverie, Lindy Zuber, Matthew Went (former), Sheila Thompson (former), and Carrie Huffman. FINANCIAL REPORT to 31 December 2015 Balance forward from previous year 26,230.00 Yukon Government contribution received 150,000.00 176,230.00 Less: Funds paid out since 1 April 2015 78,016.00 Administration fee paid to YRNA 22,500.00 Funds committed for files in process 29,731.00 (130,247.00) Funds currently available for current session of the 2016/17 fiscal year Page 22 $45,983.00 2015-2016 ANNUAL REPORT Treasurer’s Report This report details the financial operations for the YRNA for the financial year ending December 31, 2015. There was an increase in membership numbers in 2015, as well as a decrease in the number of new members. The impact of membership variations was nominal, and overall revenues were $29,773 above the anticipated budget. Budgeted and actual expenditures closely aligned in 2015, although variations were seen in several individual budget line items. Higher than budgeted expenditures were seen in professional and legal fees, professional conduct expenses, and 2015 AGM. Work plan expenditures were lower than budgeted and the YRNA conducted a complaints and discipline gap analysis, registration policy gap analysis, and privacy policy gap analysis. Training was budgeted for board governance, succession planning and team building. Through a proposal via Volunteer Yukon, the costs of this training were offset. Vacancies in staff positions contributed to a variance in expenditures in wages/benefits, creating an unanticipated surplus of just under $16,000. The YRNA was also able to fund a new position of Communications Coordinator for 2016. This position will be working with the Board to assist in promoting nursing excellence and membership engagement. This was a regular financial reporting year for YRNA and the unaudited Financial Statements are included on pages 24-37. For consideration in all financial reporting is the fact the YRNA membership year and fiscal year are based on different timelines. YRNA's work plan initiatives for 2016 include continued policy work in complaints and discipline, selfemployment guidelines, internationally educated nurses’ guidelines, financial policy revisions, IT security enhancements, online education modules for nursing practice, and the implementation of privacy and confidentiality policies. Respectfully submitted by Andrea Mainer, Treasurer Page 23 2015-2016 ANNUAL REPORT Financial Statements Page 24 2015-2016 ANNUAL REPORT Page 25 2015-2016 ANNUAL REPORT Page 26 2015-2016 ANNUAL REPORT Page 27 2015-2016 ANNUAL REPORT Page 28 2015-2016 ANNUAL REPORT Page 29 2015-2016 ANNUAL REPORT Page 30 2015-2016 ANNUAL REPORT Page 31 2015-2016 ANNUAL REPORT Page 32 2015-2016 ANNUAL REPORT Page 33 2015-2016 ANNUAL REPORT Page 34 2015-2016 ANNUAL REPORT Page 35 2015-2016 ANNUAL REPORT Page 36 2015-2016 ANNUAL REPORT Page 37 2015-2016 ANNUAL REPORT YRNA would like to thank the following organizations and individuals for their support, engagement and promotion materials: YRNA extends a special Thank You to our guest speakers: Front page artwork by Deanna Bailey ”June Paddling at Bennett Lake“ 11 x 14 modeling clay www.dbaileyart.com Page 38