Posted Dec. 5, 2017
increasing registration renewal fees for 2018-19. Compared to last year, fees
for both RNs and NPs will go up by $98.55. For Employed Student Nurses there
will be an increase of $43.80, there are no changes for non-practising registrants. The increase comes after six years of stable
CRNBC registration fees, and is necessary for the College to continue
strengthening its regulatory approach in the short and long-term.
The change to registration fees was approved by the CRNBC
board on Dec. 1, 2017. Here is a breakdown of the new fee structure.
*Professional liability protection includes GST.
Board chair Rob Calnan said after the board meeting, “The
College has seen a large increase in the cost of our regulatory work. We’ve
seen 30% more complaints, which has led to a significantly higher volume of
investigations and disciplinary hearings.” Continued Calnan, “with other
critical regulatory work like dealing with changes to the medical assistance in
dying legislation, and the challenge posed by the opioid crisis, the Board
knew it needed to act now.”
Many of the increased regulatory costs came after CRNBC
commissioned an audit by a third-party organization. The report
handed down by the Professional Standards Authority (PSA) identified areas where the College should
strengthen its approach to regulation in order to better meet the public’s
These findings lead to an overhaul of programs and the
development of new solutions with a focus on the public protection mandate. For
example, work is underway to improve our complaints resolution process, a
foundation of our public protection mandate.
The PSA also commended CRNBC’s work to develop and implement
a new quality assurance (QA) program. This year will see the launch of the program —
My Professional Plan — which will streamline and improve peer feedback for all
nurses in B.C.
out more about My Professional Plan
“While the short-term cost of our work has increased, we are
also looking at the future of regulation,” said CEO/Registrar Cynthia
Johansen. “For some time now CRNBC, the College of Licensed Practical Nurses
and the College of Registered Psychiatric Nurses, have been looking at better
ways to harmonize the work we do together. This has led to agreements to
co-create a new single nursing regulator in B.C.”
Part of the vision for co-creating a single nursing
regulator is bringing the three colleges together under one roof said Johansen,
“Our current facilities are no longer meeting our needs. A costly renovation of
our building didn’t make sense, and none of our current facilities could
accommodate our current and future needs. Moving to a new location is the right
option to manage costs.”
September, the three colleges announced they would move to a new location
at 200 Granville Street, Vancouver. The new facilities will be large enough to
house the staff of the three colleges, and potentially other B.C. health
regulators as well.
Find out more about the one nursing regulator and the
benefits it will have for nurses and the public, on our ONR page.
Additional regulatory work, and the significant effort
required to co-create a single nursing regulator are some of the most important
factors when considering the fee increase, but the impact to RNs and NPs was
always top of mind, Calnan said, “The Board is aware that a fee increase can be
challenging for our registrants. We’ve worked hard to reduce the fee increase
from an initial figure of over $130 to the $98.55 we approved. And we will
continue to find ways to be more efficient and reduce the impact of cost
increases in the future. Specifically, the Board will consider how the future
sale of the CRNBC offices on Arbutus might impact fees going forward.”
Here is a break-down of how CRNBC will be using the
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Work required to meet our regulatory mandate has increased. This includes responding to increasing complaints, the complexity of the investigations, and implementing the quality assurance program. This led to hiring more staff and ultimately the need to move to a new location to accommodate our size. We are also anticipating additional work as we collaborate closely with CLPNBC and CRPNBC to amalgamate the three colleges.
With the passing of Bill 10 in the B.C. legislature, we will be able to begin the formal process and work associated with co-creating a single nursing regulator for all nurses in the province.
There are many environmental factors that are outside of CRNBC's control. This includes the number of complaints and the complexity of investigations, increased regulatory work around the medical assistance in dying legislation, the opioid crisis, as well as the timing of changes to government legislation, which has affected the work required to amalgamate the nursing colleges.
While CRNBC tries to limit spikes in fees, this year several external factors occurred at the same time, putting pressure on the College's resources requiring an increase in fees.
Last year saw an increase in fees for the association (ARNBC) and for professional liability protection (provided by CNPS). CRNBC's registration fees did not increase, and have been stable for the last six years. The fee increases were deemed necessary for each organization to fulfill a different mandate on behalf of the public (as is the case for CRNBC) and for nurses (ARNBC, the professional association for nurses, and CNPS). Find out more about last year's fees on our website.
The Board of the College, made up of registered nurses and appointed members of the public, carefully weighs any change in fees for registrants. The fee increases in 2017 and 2018 were approved by the Board to ensure that both nurses and the public continue to receive better protection.
Last year's increase benefited the public, RNs, NPs and the College through increased protection provided by the Canadian Nurses Protective Society (CNPS). This year's fee increase will benefit nurses through improvements made to our regulatory work in response to an independent review by the PSA, which made a series of recommendations on how we can improve some aspects of our regulatory work and strengthen other areas, like the continuation of multisource feedback and improved Quality Assurance support.
Finally, for the College to continue to achieve its public protection mandate we needed to grow. To accommodate this growth we required more space, leading to costs associated with relocating a new office.
More information on CNPS can be found on our website.
The Board of the College, made up of registered nurses and appointed members of the public, have voted for and continue to support, the amalgamation of the three nursing colleges. The move to a single regulatory body for all nurses in British Columbia is being advanced for the benefit of the public and should ultimately reduce pressure on future fee increases through some economies of scale. When registrants and stakeholders were surveyed they were generally supportive of the amalgamation. You can review the summary report on our website.
Find out more about the benefits of a single nursing regulator for B.C. nurses on our website.
The amalgamation is part of a solution to manage future fee increases, in addition to our vision of a unified approach to the regulation of all B.C. nurses in the public interest. There will be some economies of scale as the colleges amalgamate and we harmonize some of the work; however, we are aware that the demands and complexity of the College's work continues to increase, this is likely to put pressure on fees for the foreseeable future.
CRNBC's current office location is no longer suitable for the size of the College. We are running out of space to accommodate the CRNBC staff let alone the staff of the other colleges. We explored several office locations considering their impact on staff, stakeholders, and our legislated collaboration with other colleges, as well as cost. The new location was selected as it best met our requirements. Staying at the current CRNBC site on Arbutus Street was not an option. The current building would require significant renovations and would still not fit the staffing requirements of the new college.
The current building on Arbutus requires an expensive structural renovation, these requirements would have resulted in an even larger fee increase for registrants. It was determined by the Board that the move to a new location was the best option.
Over the past six years the Board has had a strategic priority to find ways to collaborate and share costs with other organizations as we moved away from association related work and focused on regulatory work which would protect the public and fulfill CRNBC's mandate.
The College has also continued to leverage technology, where possible, to automate our work and to reduce costs. As a result of these and other efforts, CRNBC's fees have until this year remained stable since 2011.
No. As a regulatory body, the mandate of the College is to protect the public. CRNBC regulates nursing through registration, development of standards to meet the changing nursing environment, and acting when those standards are not met. These activities support nurses in their work and must continue. The College is always seeking ways to manage fees by seeking opportunities to collaborate and share costs, wherever possible.
(Figures do not incl. PLP or association fees)
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