1406 Module 7: Collaboration, Consultation, and Referral Flashcards

A set of vocabulary flashcards covering key definitions, frameworks (CNA, CIHC), regulatory standards (CNO), and clinical studies regarding NP collaboration, consultation, and referral practice.

Collaboration

A process where individuals view themselves as members of a team and feel that they contribute to a common goal, characterized by unique scope of practice (SOP), shared power, and mutual concerns.

Consultation

An explicit request from one health care provider (HCP) to another to provide guidance or advice on the care of a client, occurring when care extends beyond legal SOP or clinical expertise.

Referral

An explicit request from one HCP to another to provide time-limited, client-specific health services, which requires a request letter containing history and diagnostic findings.

Transfer of Care

Occurs when an NP transfers management of some or all of a client’s care to another HCP who explicitly agrees to accept the responsibility; can be temporary or permanent.

CNO NP Practice Standard (Collaboration)

States that NPs identify when collaboration, consultation, and referral are necessary for safe, competent, comprehensive client care and establish relationships with HCPs and community services.

NP Examination Practice Analysis (2023)

An analysis built on revised national Entry-Level Competencies (ELCs) to develop a single NP exam for Canada, emphasizing collaboration, consultation, and referral.

Role Clarification (CIHC Domain)

Learners and practitioners understand their own role and the roles of others, and use this knowledge appropriately to establish and meet patient-centered care goals.

Team Functioning (CIHC Domain)

Learners and practitioners understand the principles of team dynamics and group processes to enable effective interprofessional communication.

Collaborative Leadership (CIHC Domain)

Learners and practitioners work together with participants, including patients and families, to formulate, implement, and evaluate care to enhance health outcomes.

Interprofessional Conflict Resolution (CIHC Domain)

Learners and practitioners from varying professions communicate with each other in a collaborative, responsive, and responsible manner to address disagreements.

Relationship-focused care/services (CIHC 2023 Issue)

A core issue in the 2023 framework revision focusing on fostering purposeful relationships, promoting inclusivity, and sharing information in a culturally safe manner.

Curbside Consultation (CC)

A bidirectional communication process where one HCP seeks advice from another in the management of a patient without formal consultation or consultant-directed patient evaluation.

Synchronous CC

Advice seeking occurs in real-time, such as in person or via phone call, allowing for an immediate additional exchange of information.

Asynchronous CC

Advice seeking occurs via non-simultaneous methods like email or text, where text is considered less disruptive for experts but email is least preferred.

NP-led clinics (NPLCs)

Part of Ontario’s primary health care system where NPs manage clinics focusing on preventive, curative, rehabilitative, and supportive/palliative care.

LTC Consultative Model

An implementation model where the NP is the Most Responsible Provider (MRP) for a caseload and consults a physician ($MD$) as needed ($PRN$).

LTC Shared Care Model

An implementation model where the NP does not have primary responsibility for a caseload, often used as a starting point before transitioning to a consultative model.

Regulation 965 of the Public Hospital Act

An amendment to Ontario’s regulation that allowed NPs the authority to admit, treat, and discharge hospital in-patients, subject to organizational approval.

May 1, 2015 Health Insurance Act Amendment

A change to the Ontario schedule of benefits allowing specialists to receive consultation fees for referrals from NPs, not just from physicians.

Lateral Violence

Repeated conflict and confrontational behavior targeted at a person at the same level of responsibility, including gossip, personal jokes, and unwanted criticism.

Primary Care Action Team (PCAT)

A provincial initiative chaired by Dr. Jane Philpott since December 2024, aiming to connect 100% of Ontarians to a provider by 2029 through interprofessional teams.

April 1, 2026 (Canada Health Act Deadline)

The date by which federal requirements mandate that provinces must publicly fund NP primary care services.

$$1.8 \text{ billion}$$

The amount of funding allocated by PCAT for infrastructure, recruitment, and efficiency to expand 305 new primary care teams over 4 years.