Canada’s Regulated Nurses

A Look at Internationally Educated Nurses in

Ontario and Canada

Outline

• CIHI Snapshot

• Health Workforce Information at CIHI

• Internationally Educated Nurses

– Nurses in Canada

– Internationally Educated Nurses in Ontario

• Trends to Watch

CIHI Snapshot

• Independent, not-for-profit corporation

• 27 data holdings

• Expertise in:

– Data collection

and analysis

– Information

standards

– Education and outreach

CIHI’s Data Holdings

• 27 databases of comparable health information

– Health spending

– Health workforce

– Types of care: acute hospital, specialized services,

community and pharmaceutical care

• A single database may receive an average of up

to 3.2 million records per month

Health Workforce

• Data on 31 health professions, including record-level

data collection for

– Physicians

– Regulated nurses

– Pharmacists

– Occupational therapists

– Physiotherapists

– Medical laboratory technologists

– Medical radiation technologists

Health Workforce Database (HWDB)

Content • Record-level supply and distribution information on

OT, PT, MLT, MRT, RN/NP, LPN, RPN and

Pharmacists, including demographics, education

and employment

• Aggregate-level supply information on 23 other

health professions

Data source • Provincial and territorial regulatory bodies

• National associations

• Provincial/Territorial government

Data availability • Varies by profession

• Selected historical data back to 1980

Health Workforce Information Data

Dictionary Demographics • Registration ID Number

• Sex

• Birth Year

Geography • Residence Province

• Residence Country

• Registration Province

Education • Initial Education in Profession

• Graduation Year

• Location of Graduation

• Post-Basic Education in Profession

• Education Outside of Profession

Employment • Employment Status

• Hours Worked

• Full-Time/Part-Time Status

• Employment Location

• Place of Work

• Position

Other • Registration Number Type

Canada’s Regulated Nurses

Percentage Growth in the Supply of Regulated

Nurses, Canada, 2003–2013

Source

Health Workforce Database, CIHI, 2014.

14.5%

51.2%

7.8%

-10%

0%

10%

20%

30%

40%

50%

60%

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

RN/NP LPN RPN

106,447

296,029

5,617

Regulated Nurses by Selected Age Groups,

Canada, 2003, 2009 and 2013

31.8% 33.5%

37.6%

61.6% 55.7%

50.1%

6.5% 10.9% 12.3%

0%

10%

20%

30%

40%

50%

60%

70%

2003 2009 2013

39 and Under, Early-Career 40–59, Mid-Career 60+, Late-Career

Source

Health Workforce Database, CIHI, 2014.

Summary Statistics for the CRNE and EAIC,

2003 to 2012

1,919 2,790 711 736 1,029 1,234 1,944 731 1,117 947

12,203

8,288

-

2,000

4,000

6,000

8,000

10,000

12,000

14,000

-

500

1,000

1,500

2,000

2,500

3,000

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

Internationally Educated All Writers Canadian Educated

Source

CRNE Bulletin/Report, CNA, 2010 - 2013.

B.C.

Y.T.

N.W.T./Nun.

Alta. Sask. Man. Ont.

Que. N.L.

P.E.I.

N.B.

N.S.

341

56

161

22

103

0

22

1*

2,678

9

12,516

2,394

674

111

3,407

436

5,318

248

36

* 84

0

1,073

225

Distribution of Internationally Educated Nurses,

Canada, 2013

24,474

3,514

RN

LPN

RPN

Source

Health Workforce Database, CIHI, 2014.

190 131

10 11

342

Canada:

Internationally Educated

Nurses in Ontario

Top Countries of Internationally Educated

Nurses in Ontario, 2013

Philippines India

UK

USA China

Poland

Source

Health Workforce Database, CIHI, 2014.

Growth in the Supply of Nurses, Ontario, 2009 to

2013

-20%

0%

20%

40%

60%

80%

100%

120%

2009 2010 2011 2012 2013

CE RN CE LPN IE RN IE LPN

Rate of Growth

Canadian Educated

RN: 2.5%

LPN: 19.1%

Internationally Educated

RN: 3.5%

LPN: 102.4%

2013 Distribution

Canadian Educated

RN: 84,802

LPN: 32,856

Internationally Educated

RN: 11,232

LPN: 2,394

Source

Health Workforce Database, CIHI, 2014.

RNs by Selected Age Groups, Ontario, 2009 and

2013

30.3% 32.1%

24.0%

17.2%

58.2%

52.6% 55.2%

62.9%

11.5% 15.3%

20.8% 19.9%

0%

10%

20%

30%

40%

50%

60%

70%

2009 2013 2009 2013

Canadian Educated Internationally Educated

39 and Under, Early Career 40-59 Mid-Career 60+ Late-CareerSource

Health Workforce Database, CIHI, 2014.

LPNs by Selected Age Groups, Ontario, 2009

and 2013

17

35.4%

41.2%

26.0%

40.2%

54.9%

48.2%

55.3% 50.0%

9.8% 10.6%

18.8%

9.8%

0%

10%

20%

30%

40%

50%

60%

70%

2009 2013 2009 2013

Canadian Educated Internationally Educated

39 and Under, Early Career 40-59 Mid-Career 60+ Late-Career

Source

Health Workforce Database, CIHI, 2014.

Employment Status for All Nurses in Ontario,

2013

Full Time, 58.1% Part Time, 25.5%

Casual, 6.9%

Not Employed, 9.4%

18

Source

Health Workforce Database, CIHI, 2014.

Nurses Not Employed in Nursing, Ontario,

2009 and 2013

19

14.0%

40.2%

20.8%

67.4%

86.0%

59.8%

79.2%

32.6%

0%

25%

50%

75%

100%

2009 2013 2009 2013

Canadian Educated Internationally Educated

Seeking Not Seeking

Source

Health Workforce Database, CIHI, 2014.

RNs by Place of Work and Position, Ontario,

2013

63.4%

17.7%

7.2%

11.7%

Canadian Educated

20

64.6%

12.2%

15.8%

7.4%

Internationally Educated

Source

Health Workforce Database, CIHI, 2014.

LPNs by Place of Work and Position, Ontario,

2013

43.5%

14.7%

36.3%

5.5%

Canadian Educated

21

25.1%

15.1% 53.9%

6.0%

Internationally Educated

Source

Health Workforce Database, CIHI, 2014.

RN Rates of Inflow and Outflow, Ontario, 2003 to

2013

0%

2%

4%

6%

8%

10%

12%

14%

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

IEN Inflow CEN Inflow IEN Outflow CEN OutflowSource

Health Workforce Database, CIHI, 2014.

LPN Rates of Inflow and Outflow, Ontario, 2003

to 2013

0%

5%

10%

15%

20%

25%

30%

35%

40%

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

IEN Inflow CEN Inflow IEN Outflow CEN OutflowSource

Health Workforce Database, CIHI, 2014.

Geographic Distribution of Nurses, Ontario, 2009

and 2013

93.3% 93.4%

98.5% 98.0%

6.7% 6.6%

1.5% 2.0%

80%

85%

90%

95%

100%

2009 2013 2009 2013

Canadian Educated Internationally Educated

Urban Rural/Remote/Territories

24

Source

Health Workforce Database, CIHI, 2014.

Trends to watch

• Training / Education

• Regulatory Environment

• Workforce Trends

25

Questions

Andrea Porter-Chapman

Program Lead

Health Workforce

Information

hhr@cihi.ca