The Future of CAPA and the PA Profession in Canada

October 23, 2015

Patrick Nelson, Executive Director

Strategic Priorities

• Advocacy

• Sustainability

• PA Funding Models

• Education and Awareness

Advocacy Update

British Columbia

Strong allies: – Doctors BC and CPSBC’s

– BC Interior Health Authority

– BC First Nations Health Authority

– BC Care Provider Association “In order to meet the needs of the growing population including seniors, the BC government needs to look at new care models including the introduction of new health professions [PAs]”

Ongoing discussions are taken place: – BC Health

– Provincial Advisory Council on Surgical Care

Advocacy Update Cont’d

Ontario

Strong allies: – Ontario Medical Association

– Ontario Long-Term Care Association

– Home Care Ontario

Current activities include: – PA Lobby Day

• Over 75 PAs, 25 MPPs including presentations from the Minister of Health and two opposition Health Critics

• Minister committed to a review of the funding situation in Ontario and to developing a work plan for long-term sustainability of PAs

– Ongoing discussions with CPSO regarding a registry for PAs in the province

Advocacy Update Cont’d

Alberta

Strong allies: – CPSA

– Alberta Medical Association

– Alberta Health Services

Current activities include: – Draft registry for PAs

– Government support for regulation and the integration of the profession

“Our government is committed to regulating PAs under the HPA”

– Support for AHS’s PA Demonstration Project

– Met with the Rural Health Review Committee to talk about successes of the pilot project and the value of PAs in rural communities

Advocacy Update Cont’d

Manitoba

Strong allies: – CPSM

– Manitoba Health

– WRHA

Current activities include:

-2016 CAPA Annual Conference Planning

-Ongoing discussions with the CPSM regarding certification

-Outreach to government regarding specific initiatives such as National PA Day

National Initiatives

• RFP – Value of PAs – National study measuring the economic and health benefits of PAs

– Recommendations for funding models for PAs

– Conference Board of Canada

• Strengthening partnership with the Royal College

• Correctional Services Canada and integrating PAs

• Revised CanMEDS-PA Framework

• Increased media exposure (38 stories in 2014 vs. 60 in 2015)

• Building on existing partnership with DND

• Reinforcing partnership with the CMA

• National PA Day

CAPA Membership Benefits

Regular membership includes: Advocacy

Access to discounted liability insurance

Access to discounted home, auto and personal insurance

Networking opportunities

CPD opportunities

CPD Tracking for maintenance of certification

Access to career listings

Monthly e-news bulletin

Online subscription to JAAPA

Subscription to Canadian Prescriber’s Letter

Online members only discussion & Facebook group

Vote at the Annual General Meeting and make your voice heard

Member discount at CAPA Annual Conference

25% discount on McGraw-Hill products plus free shipping

Discount on PEPID subscriptions for practice

Travel discounts with VIA Rail, National and Alamo Car Rental

Exclusive discounted rates

on hotels through Local

Hospitality

Discounts on practice

exams offered through Exam

Master

Discount with Skyscape

Shipping discounts with UPS®

New Member Benefits

• Extended health coverage for our members

• Discounted Goodlife fitness membership plan

• UPS discounted shipping in Canada and US

Sustainability

• CAPA is working hard towards sustainability

• In the absence of DND funding, CAPA must now find other ways to fund our association

• The BOD and National Office have taken a serious look at existing programs and expenditures; many savings have been attained

• Plans have been put in place that would allow CAPA to reach sustainability by 2019/20

Savings

• We identified areas for cost-savings:

• We reduced our office space and were able to cut our monthly rental expenses by 50%

• Reduced printing costs and translation services

• Going green with the JAAPA

• Reduced staff and BOD travel

• Reduced our marketing and communication expenses

Revenue

DND Funding • Contribution decreased by 11% and to $0 is 2016/17

Revenues are up by 30% over 2014

• Membership Dues

• Certification

• CAPA Annual Conference – Has not yielded the expected returns in the last few years

– 2015 highest number of attendees

• Sponsorships

DND FUNDING

2010-2011 2011-2012 2012-2013 2013-2014 2014-2015 2015-2016

$832,946.00 $1,100,000.00 $710,000.00 $700,000.00 $741,000.00 $770,779.00

CAPA Expenses 2010-2011 2011-2012 2012-2013 2013-2014 2014-2015 2015-2016

$783,948.68 $889,118.94 $911,441.66 $925,000.00 $827,070.70 $748,345.90

Membership Fees

• DND funding subsidy has allowed us to keep membership dues artificially low

• End of DND funding March 31st, 2016 has necessitated a review of membership fees

• The CAPA Board of Directors has reviewed and considered several scenarios

• An increase to membership fees is necessary to ensure the sustainability of CAPA

No Change

2015-16 2016-17 2017-18 2018-19 2019-20 2020-21 2021-22 2022-23

Budget Budget Budget Budget Budget Budget - Extrap Budget - Extrap Budget - Extrap

Total Expenses $748,345.90 $763,320.02 $778,600.02 $794,180.02 $810,060.02 $826,250.02 $842,780.02 $859,640.02

Fees No Increase $160,175.00 $201,163.00 $222,363.00 $243,563.00 $264,763.00 $285,963.00 $307,163.00 $328,363.00

Regular Member Fee $400.00 $400.00 $400.00 $400.00 $400.00 $400.00 $400.00 $400.00

Incremental Fee revenues $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Net earnings $398,648.10 -$339,897.02 -$325,853.02 -$309,624.64 -$294,271.30 -$278,652.92 -$263,374.54 -$248,426.16

Retained Earnings $1,566,602.65 $1,226,705.63 $900,852.61 $591,227.97 $296,956.67 $18,303.76 -$245,070.78 -$493,496.94

Balance Immediately

2015-16 2016-17 2017-18 2018-19 2019-20 2020-21 2021-22 2022-23

Budget Budget Budget Budget Budget Budget - Extrap Budget - Extrap Budget - Extrap

Total Expenses $748,345.90 $763,320.02 $778,600.02 $794,180.02 $810,060.02 $826,250.02 $842,780.02 $859,640.02

Fees No Increase $160,175.00 $201,163.00 $222,363.00 $243,563.00 $264,763.00 $285,963.00 $307,163.00 $328,363.00

Regular Member Fee $400.00 $1,080.00 $1,080.00 $1,080.00 $1,080.00 $1,080.00 $1,080.00 $1,080.00

Incremental Fee revenues $0.00 $341,977.10 $378,017.10 $414,057.10 $450,097.10 $486,137.10 $522,177.10 $558,217.10

Net earnings $398,648.10 $2,080.08 $52,164.08 $104,432.46 $155,825.80 $207,484.18 $258,802.56 $309,790.94

Retained Earnings $1,566,602.65 $1,568,682.73 $1,620,846.81 $1,725,279.27 $1,881,105.07 $2,088,589.26 $2,347,391.82 $2,657,182.76

Incremental Increases 2015-16 2016-17 2017-18 2018-19 2019-20 2020-21 2021-22 2022-23

Budget Budget Budget Budget Budget Budget - Extrap Budget - Extrap Budget - Extrap

Total Expenses $748,345.90 $763,320.02 $778,600.02 $794,180.02 $810,060.02 $826,250.02 $842,780.02 $859,640.02

Fees No Increase $160,175.00 $201,163.00 $222,363.00 $243,563.00 $264,763.00 $285,963.00 $307,163.00 $328,363.00

Regular Member Fee $400.00 $640.00 $659.20 $678.98 $699.35 $720.33 $720.33 $720.33

Incremental Fee revenues $0.00 $120,697.80 $144,091.22 $169,870.58 $198,138.89 $229,003.20 $245,980.46 $262,957.72

Net earnings $398,648.10 -$219,199.22 -$181,761.80 -$139,754.06 -$96,132.41 -$49,649.72 -$17,394.08 $14,531.56

Retained Earnings $1,566,602.65 $1,347,403.43 $1,165,641.63 $1,025,887.57 $929,755.16 $880,105.45 $862,711.37 $877,242.93

Membership Comparison

Registered Nurses (Ontario)

$640

$1,085

$256

$1,403 $1,635

Membership Comparison

Nurse Practitioners (Ontario)

$640 $425

$1,514 $1,746 $1,801

Membership Comparison

Physician (Ontario)

$640

$2,465

$3,330 $3,256 $3,456

$5,026

Fee Increase Proposal

Membership Type 2015-16 2016-17 2017-18 2018-19 2019-20 2020-21 2021-22 2022-23

Regular Member $400.00 $640.00 $659.20 $678.98 $699.35 $720.33 $720.33 $720.33

Student Member $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00 $75.00

International PA Member $125.00 $200.00 $206.00 $212.18 $218.55 $225.10 $225.10 $225.10

Physician Member $250.00 $400.00 $412.00 $424.36 $437.09 $450.20 $450.20 $450.20

Allied Health Care Profession $225.00 $360.00 $370.80 $381.92 $393.38 $405.18 $405.18 $405.18

Retired Physician Member $63.00 $100.80 $103.82 $106.94 $110.15 $113.45 $113.45 $113.45

Retired PA Member $100.00 $160.00 $164.80 $169.74 $174.84 $180.08 $180.08 $180.08

Honorary Member $- $- $- $- $- $- $- $-

Supporting CAPA

• Tough pill to swallow, but a fee increase is needed to ensure our success

• Membership fees are tax deductible. When claimed, most PAs should get 50% of fees back

• After carefully considering scenarios Board is recommending this increase

• By voting in favour of this increase you are ensuring the sustainability of the association and more importantly your profession

• We will continue to look for cost savings and additional sponsors

Return on Investment

By investing in CAPA you are:

• Ensuring there is a national voice advocating on your behalf

• Supporting your fellow PAs and helping to create opportunities

• Helping to grow and advance the profession now and for years to come

• Accessing valuable benefits that can protect and assist you in your practice and personal life

Motion

As recommended by the CAPA BOD be it resolved that the membership dues be increased as referenced in AMM 08 item 8, Appendix B

Moved by Chris Rhule, President

Seconded by Mark McLennan, Vice-President

Questions?