2016

CANADIAN COUNCIL FOR PRACTICAL NURSE REGULATORS

ANNUAL REPORT

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V I S I O N , M I S S I O N A N D V A L U E S

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1 VISION: excellence in practical nursing regulation in Canada.

2MISSION:

building capacity within Canadian practical nurse regulators for excellence in regulation.

3 VALUES: the following values define how CCPNR operates:

Collaboration: Working with others to improve regulatory capacity.

Integrity: Doing the right thing for the right reason.

Accountability: Taking responsibility for actions.

Excellence: Delivering outstanding outcomes.

Transparency: Demonstrating openness and clear accountability.

The Canadian Council for Practical Nurse Regulators / Conseil canadien de réglementation des soins infirmiers auxiliaires (CCPNR) is a federation of provincial and territorial organizations who have the legislated mandate to protect the public through the regulation of Licensed Practical Nurses (LPNs)1. CCPNR provides these organizations with a forum to discuss and collaborate on issues and initiatives relevant to the regulation of practical nurses.

Today, CCPNR’s Board of Directors is composed of the Executive Directors of eleven LPN regulatory bodies from across Canada. The College of Nurses of Ontario (who regulate Registered Nurses and Registered Practical Nurses in Ontario), and Nunavut are not members of the Board. From time to time, the regulatory bodies of these jurisdictions participate as observers.

Since its inception in 2004, CCPNR has evolved becoming the voice of Licensed Practical Nurse regulators at a national and international level.

Three ad-hoc groups are established to support and advise the board. These groups are the National Registration/Licensure Group (NRLG), Practice Consultants Group (PCG) and the Inquiry and Discipline Group (IDG). The mandate of each group is to implement the Council’s strategic priorities.

A B O U T C C P N R

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1 Licensed Practical Nurses are recognized as Registered Practical Nurses in Ontario.

Regulatory Excellence

The mandate of nursing regulatory bodies is to protect the public by

ensuring LPNs provide competent, safe and ethical

care. The work is directed by provincial legislation and

regulation and is categorized into four domains – education, licensure, practice and

conduct.

F R A M E W O R K F O R R E G U L A T O R Y E X C E L L E N C E

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Excelling in today’s regulatory environment requires effective governance structure, knowledgeable and efficient day to day operations and a demonstrated commitment to collaboration.

The most effective organizations have well defined policy for program approval, licensure, practice and conduct. They are committed to continuous quality improvement within a well-defined risk management framework.

CCPNR is committed to building capacity within member organizations for excellence in regulation.

The Board of Directors of the Canadian Council for Practical Nurse Regulators (CCPNR) is pleased to present CCPNR’s inaugural annual report. This first report intends to present and inform stakeholders and the public about the accomplishments and services of CCPNR by demonstrating the Council’s ongoing efforts to strive for excellence in the regulation of practical nursing in Canada.

H A R M O N I Z I N G T H E P R O C E S S & R E Q U I R E M E N T S T O

L I C E N S E / R E G I S T E R L P N S

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The National Registration/Licensure Manual (NR/L Manual) was developed to provide practical nurse regulators guidance for informed decision-making with respect to applicants from other Canadian provinces. In an effort to harmonize the application process for registrants/licensees, all relevant forms were compiled and analyzed through the lens of each jurisdiction’s respective regulations, bylaws and policies. The manual continues to be maintained and used by the registrars across Canada.

Stemming from this work, the electronic verification of registration form (VoR) was created to ensure consistent information is provided across jurisdictions when responding to requests from registrants/licensees from other jurisdictions.

The VoR is a standardized method for sharing information about registration/licensure status requests. It is triggered when applicants move from one Canadian province to another and apply for registration. The email format of the electronic national VOR form was implemented in January 2016 by PN regulators, with the exception of Quebec. The VoR is continuously monitored and updated.

To support the ease of mobility for Canadian registered/licensed LPNs wishing to provide nursing services in other jurisdictions for emergency/continuing education/special event situations, CCPNR explored opportunities for short term registration/licensure. This commitment of reciprocity amongst Canadian jurisdictions is in keeping with the intent of the Agreement on Internal Trade, and will take the most recent amendments to the Canadian Free Trade Agreement (i.e., mobility, Chapter 7) into consideration during the development of harmonized processes.

Over the past year and a half, CCPNR researched innovative examination trends in various professions and globally as part of its ongoing strive to enhance the national examination of practical nurses. Completion of a licensure examination is one licensing requirement. In collaboration with the College of Nurses of Ontario (CNO), work is underway to update the national entry-to-practice competencies created by CCPNR in 2013. This work is the first step in the review and development of the blueprint for the next exam cycle. Part of this project will include a practice analysis of the LPN. The 2013 national code of ethics, standards of practice and requisite skills and abilities created by CCPNR will also be reviewed and revised as necessary to reflect recent trends, such as Medical Assistance in Dying (MAiD).

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Harmonizing the assessment process of LPNs including IENs As a member of the National Nurse Assessment Service (NNAS), CCPNR works with other nurse regulators to continuously improve the assessment process of internationally educated nurses (IENs). The NNAS is an incorporated national body of member nurse regulatory bodies that collectively developed a harmonized approach to the initial assessment of internationally educated nurses (IENs).2

Harmonizing practical nursing program approval/ recognition standards and evaluation CCPNR convened a working group of subject matter experts, LPN regulatory authorities and board members to explore the potential to harmonize the practical nurse program approval processes throughout Canada. The project consisted of three phases: 1) exploratory, 2) development of a harmonized process, and 3) implementation.

Leah Phillips and Jeanne Weis, researchers with the College of LPNs of Alberta were retained to complete the project. A combination of primary and secondary research methods that included document analysis, member interviews and a member survey were used to collect data and information. The results of the analysis found that there were two distinct sections common to each jurisdiction’s documentation: (1) approval process and (2) program standards (which included relevant indicators). The analysis identified six primary themes or standards for program approval: 1) program purpose statement, 2) curriculum, 3) faculty, 4) infrastructure, 5) students, and 6) program evaluation.

Twenty-two recommendations for the harmonization of processes, standards and indicators within and/or across jurisdictions are proposed. In each case these recommendations are intended to: address discrepancies (where possible) across jurisdictions, provide further clarification, improve consistency across programs and/or jurisdictions, and establish policies or processes that do not currently exist, but are recommended. Work is currently underway to implement the recommendations.

Collaborating with other regulators and stakeholders LPN, Registered Nurse (RN), and Registered Psychiatric Nurses (RPN) regulators met for the first ever gathering of nurse regulators in Canada to learn more about CCPNR, the Canadian Council for Registered Nurse Regulators (CCRNR) and the Registered Psychiatric Nurse Regulators of Canada (RPNRC) and to exchange knowledge and information. The inaugural Forum of Canadian Nurse Regulators was held on July 6 in historic Montreal, Quebec.

Common priorities and issues were explored as potential opportunities for nurse regulators to work together in the public's interest. The Canadian Nurse Regulators’ Forum is establishing a representative working group and terms of reference to develop English language benchmarks for nurse regulators in Canada. This initiative was identified as a next step and a timely collaborative initiative for the newly established Forum.

2 NNAS Focus. Retrieved September 12, 2017. http://www.nnas.ca/about-us/

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Canadian nurse regulators will continue their discussions and knowledge sharing at a workshop tentatively planned for February 6, 2018 in Toronto, Ontario building on the success of the first ever forum held in July 2017.

CCPNR is collaborating with other nurse regulators to explore the implementation of Nursys for nurse regulators in Canada. Nursys is used in the United States and is a national database for verification of nurse licensure, discipline and practice privileges for RNs and practical nurse/licensed vocational nurses (PN/LVNs) licensed in participating jurisdictions, including all states in the Nurse Licensure Compact (NLC).3

Sharing information on professional conduct, actions and processes Work is underway to develop and maintain a national resource manual that will inform LPN regulators on the professional conduct, actions and processes with respect to managing complaints across jurisdictions. Part of this work will also include identifying areas for further harmonization.

Monitoring regulatory environment/landscape in Canada CCPNR continues to keep informed about the regulatory environment in Canada by collaborating and exchanging knowledge with other nurse and non-nurse regulators and by sharing information among LPN regulators.

3 NCSBN (National Council of State Boards of Nursing). License Verification (Nursys.com). Retrieved October 13, 2017. https://www.ncsbn.org/license-verification.htm

Alisha Bell Government of Yukon, Professional Licensing & Regulatory Affairs (YT)

Carina Herman College of LPNs of British Columbia (CLPNBC)

Linda Stanger College of LPNs of Alberta (CLPNA)

Lynsay Nair Saskatchewan Association of LPNs (SALPN)

Jennifer Breton College of LPNs of Manitoba (CLPNM)

Nadia Colella/Diane Lavers Ordre des infirmières et infirmiers auxiliaires du Québec (OIIAQ)

JoAnne Graham Association of New Brunswick LPNs (ANBLPN)

Ann Mann College of LPNs of Nova Scotia (CLPNNS)

Alana Essery/Dawn Rix-Moore LPN Association of PEI

Paul Fisher College of LPNs of Newfoundland and Labrador (CLPNNL)

B O A R D M E M B E R S

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NATIONAL REGISTRATION/LICENSURE GROUP (NRLG)

Sara Telfer, Chair CLPNBC

Kathy Halligan, Vice-Chair CLPNM

Cara Brewster SALPN

Paul Fisher CLPNNL

JoAnne Graham ANBLPN

Kim Jay PEILPNRB

Karen Sigouin CLPNNS

Melanie Therrien CLPNA

Suzanne Volger, Observer College of Nurses of Ontario (CNO)

A D H O C C O M M I T T E E S

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PRACTICE CONSULTANTS GROUP (PCG)

Jylene Simmons, Chair CLPNNS

Linda Findley, Vice-Chair CLPNA

Helen Bourget SALPN

Janice Harvey CLPNBC

George Ledoux OIIAQ

Tracy Olson CLPNM

Dawn Rix-Moore LPNAPEI

Christie Ruff ANBLPN

Wanda Squires CLPNNL

Glenda Tarnowski CLPNA

Barbara Czerniawski, Observer CNO

Jeanne Weis, Observer CLPNA

INQUIRY AND DISCIPLINE GROUP (IDG)

Sara Telfer, Chair CLPNBC

Karen Sigouin, Vice-Chair CLPNNS

Janice Benson CLPNM

Sandy Davis CLPNA

Paul Fisher CLPNNL

JoAnne Graham ANBLPN

Joel Gritzfeld SALPN

Kim Jay PEILPNRB

A D H O C C O M M I T T E E S C O N T ’ D

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FINANCIAL STATEMENTS 2016

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CANADIAN COUNCIL FOR PRACTICAL NURSE REGULATORS

Financial Statements

Year Ended December 31, 2016

CANADIAN COUNCIL FOR PRACTICAL NURSE REGULATORS

Index to Financial Statements

Year Ended December 31, 2016

Page

INDEPENDENT AUDITOR'S REPORT 1

FINANCIAL STATEMENTS

Statement of Financial Position 2

Statement of Revenues and Expenditures 3

Statement of Changes in Net Assets 4

Statement of Cash Flow 5

Notes to Financial Statements 6 - 7

INDEPENDENT AUDITOR'S REPORT

To the Directors of Canadian Council for Practical Nurse Regulators

I have audited the accompanying financial statements of Canadian Council for Practical Nurse Regulators, whichcomprise the statement of financial position as at December 31, 2016 and the statements of revenues andexpenditures, changes in net assets and cash flow for the year then ended, and a summary of significant accountingpolicies and other explanatory information.

Management's Responsibility for the Financial Statements

Management is responsible for the preparation and fair presentation of these financial statements in accordance withCanadian accounting standards for not-for-profit organizations, and for such internal control as managementdetermines is necessary to enable the preparation of financial statements that are free from material misstatement,whether due to fraud or error.

Auditor's Responsibility

My responsibility is to express an opinion on these financial statements based on my audit. I conducted my audit inaccordance with Canadian generally accepted auditing standards. Those standards require that I comply with ethicalrequirements and plan and perform the audit to obtain reasonable assurance about whether the financial statementsare free from material misstatement.

An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the financialstatements. The procedures selected depend on the auditor's judgment, including the assessment of the risks ofmaterial misstatement of the financial statements, whether due to fraud or error. In making those risk assessments,the auditor considers internal control relevant to the entity's preparation and fair presentation of the financialstatements in order to design audit procedures that are appropriate in the circumstances, but not for the purpose ofexpressing an opinion on the effectiveness of the entity's internal control. An audit also includes evaluating theappropriateness of accounting policies used and the reasonableness of accounting estimates made by management, aswell as evaluating the overall presentation of the financial statements.

I believe that the audit evidence I have obtained is sufficient and appropriate to provide a basis for my audit opinion.

Opinion

In my opinion, the financial statements present fairly, in all material respects, the financial position of CanadianCouncil for Practical Nurse Regulators as at December 31, 2016 and the results of its operations and its cash flowfor the year then ended in accordance with Canadian accounting standards for not-for-profit organizations.

St. John's, NL Brian T. Scammell Professional CorporationJune 16, 2017

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CANADIAN COUNCIL FOR PRACTICAL NURSE REGULATORS

Statement of Financial Position

December 31, 2016

2016 2015

ASSETS

CURRENTCash $ 144,038 $ 124,531Term deposits 21,522 73,628Accounts receivable 300 46,750Interest receivable 96 2,648

$ 165,956 $ 247,557

LIABILITIES AND NET ASSETS

CURRENTAccounts payable $ 1,890 $ 4,071Deferred income - 70,500

1,890 74,571

NET ASSETS 164,066 172,986

$ 165,956 $ 247,557

ON BEHALF OF THE BOARD

_____________________________ Director

_____________________________ Director

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CANADIAN COUNCIL FOR PRACTICAL NURSE REGULATORS

Statement of Revenues and Expenditures

Year Ended December 31, 2016

2016 2015

REVENUESMembership fees $ 70,500 $ 62,250Other 1,600 -Interest 1,008 1,290

73,108 63,540

EXPENDITURESSalaries and wages 59,544 33,508Meetings 8,847 8,551Special projects 5,000 3,705Travel 2,267 3,706Insurance 2,150 2,150Accounting fees 2,105 2,034Telephone 1,751 179Website development 184 368Interest and bank charges 60 3Miscellaneous 100 141Dues and fees 20 1,688

82,028 56,033

EXCESS (DEFICIENCY) OF REVENUES OVER EXPENDITURES $ (8,920) $ 7,507

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CANADIAN COUNCIL FOR PRACTICAL NURSE REGULATORS

Statement of Changes in Net Assets

Year Ended December 31, 2016

2016 2015

NET ASSETS - BEGINNING OF YEAR $ 172,986 $ 165,479EXCESS (DEFICIENCY) OF REVENUES OVER EXPENDITURES (8,920) 7,507

NET ASSETS - END OF YEAR $ 164,066 $ 172,986

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CANADIAN COUNCIL FOR PRACTICAL NURSE REGULATORS

Statement of Cash Flow

Year Ended December 31, 2016

2016 2015

OPERATING ACTIVITIESExcess (deficiency) of revenues over expenditures $ (8,920) $ 7,507

Changes in non-cash working capital: Accounts receivable 46,450 15,250Interest receivable 2,552 (1,287)Accounts payable (2,181) 2,151Deferred income (70,500) 8,500

(23,679) 24,614

INCREASE (DECREASE) IN CASH FLOW (32,599) 32,121

Cash - beginning of year 198,159 166,038

CASH - END OF YEAR $ 165,560 $ 198,159

CASH FLOW SUPPLEMENTARY INFORMATION

Interest received $ (2,552) $ 1,287

Interest paid $ 60 $ 3

CASH CONSISTS OF:Cash $ 144,038 $ 124,531Term deposits 21,522 73,628

$ 165,560 $ 198,159

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CANADIAN COUNCIL FOR PRACTICAL NURSE REGULATORS

Notes to Financial Statements

Year Ended December 31, 2016

1. NATURE OF OPERATIONS

The Canadian Council for Practical Nurse Regulators ("CCPNR" or "Organization") is a not-for-profitorganization incorporated under the Canada Corporation Act. The CCPNR is a federation of provincial andterritorial members identified in legislation responsible for safety of the public through the regulation ofLicensed/Registered Practical Nurses.

The Organization is a registered non-profit organization under the meaning assigned in Section 149 of theIncome Tax Act and as such is exempt from income taxes. Accordingly, no provision has been made in theaccounts for income taxes.

2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

Basis of presentation

The financial statements were prepared in accordance with Canadian accounting standards for not-for-profitorganizations (ASNFPO) and include the following significant accounting policies:

Cash and cash equivalents

The Organization's policy is to present bank balances and term deposits with a maturity period of three monthsor less from the date of acquisition under cash and cash equivalents.

Financial instruments policy

Financial instruments are recorded at fair value when acquired or issued. In subsequent periods, financial assetswith actively traded markets are reported at fair value, with any unrealized gains and losses reported in income.All other financial instruments are reported at amortized cost, and tested for impairment at each reporting date.Transaction costs on the acquisition, sale, or issue of financial instruments are expensed when incurred.

Financial assets measured at amortized cost include cash and accounts receivable.

Financial liabilities measured at amortized cost include accounts payable.

Revenue recognition

The Organization recognizes membership fees revenue in the year to which membership fees relate if theamount to be received can be reasonably estimated and collection is reasonably assured.

The Organization recognizes interest revenue when received or receivable if the amount to be received can bereasonably estimated and collection is reasonably assured.

The Organization recognizes other revenue in the year the event takes place.

Contributed services

Volunteers contribute a significant amount of their time each year. Because of the difficulty in determining theirfair value, contributed services are not recognized in the financial statements.

Measurement uncertainty

The preparation of financial statements in conformity with Canadian accounting standards for not-for-profitorganizations requires management to make estimates and assumptions that affect the reported amount of assetsand liabilities, disclosure of contingent assets and liabilities at the date of the financial statements and thereported amounts of revenues and expenses during the period. Such estimates are periodically reviewed and anyadjustments necessary are reported in earnings in the period in which they become known. Actual results coulddiffer from these estimates.

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CANADIAN COUNCIL FOR PRACTICAL NURSE REGULATORS

Notes to Financial Statements

Year Ended December 31, 2016

3. INVESTMENTS 2016 2015

Toronto Dominion, 1.35%, GIC, due July 3, 2016 $ - $ 20,951Toronto Dominion, 1.85%, GIC, due October 1, 2016 - 52,677Toronto Dominion, 0.90%, GIC, due July 4, 2018 21,522 -

$ 21,522 $ 73,628

4. FINANCIAL INSTRUMENTS

The Organization is exposed to various risks through its financial instruments. The following analysis providesinformation about the Organization's risk exposure and concentration as of December 31, 2016.

Liquidity risk

Liquidity risk is the risk that an entity will encounter difficulty in meeting obligations associated with financialliabilities. The Organization is exposed to this risk mainly in respect of its accounts payable. The Organizationgenerates enough cash from operating activities to fund operations and fulfill obligations as they become due.

Market risk

Market risk is the risk that the fair value or future cash flows of a financial instrument will fluctuate because ofchanges in market prices. Market risk comprises three types of risk: currency rate risk, interest rate risk andother price risk. The Organization is mainly exposed to interest rate risk.

Interest rate risk

Interest rate risk is the risk that the value of a financial instrument might be adversely affected by a change inthe interest rates. In seeking to minimize the risks from interest rate fluctuations, the Organization managesexposure through its normal operating and financing activities. The Organization is exposed to interest rate riskprimarily through its investments.

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