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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
