Nursing Policy and Innovation Branch

Late Career Nurse Initiative

The 2014/15 LCNI Application submission period has ended.

The Nursing Policy and Innovation Branch would like to thank you for your interest in the Late Career Nurse Initiative (LCNI).

The objective of LCNI is to provide opportunities for Late Career Nurses (LCNs) to utilize their knowledge, skills and expertise in less physically demanding alternate roles. Through the LCNI, LCNs will advance projects that improve patient care and/or the quality of work environments.

LCNI funding is awarded to organizations through an annual application process. The funding is to remunerate organizations for salary replacement dollars for the time that the LCNs participate in LCNI alternate roles. LCNs will participate for either one full day or one half day per week depending on their typical total weekly hours.

 

Request for an Application

The 2014/15 LCNI Application submission period has ended.

Note: The Nursing Policy and Innovation Branch supports professional collaboration. To this end the Nursing Policy and Innovation Branch strongly recommends that employers engage potential LCNI participants and applicable nursing labour representatives in the development of projects.


The Late Career Nurse Initiative Application Guidelines 2014-2015

Program Overview

The objective of the Late Career Nurse Initiative (LCNI) is to provide opportunities for Late Career Nurses (LCNs) to utilize their knowledge, skills and expertise in less physically demanding alternate roles. Through the LCNI, LCNs will advance projects that improve patient care and/or the quality of work environments.

LCNI funding is awarded to organizations through an annual application process. The funding is to remunerate organizations for salary replacement dollars for the time that the LCNs participate in LCNI alternate roles. LCNs will participate for either one full day or one half day per week depending on their typical total weekly hours.

LCNI Projects and Alternate Roles

LCNs will participate in the LCNI in different ways depending on their organization. An LCNI project refers to the work completed by one or more LCNs to implement the goals of the LCNI. An LCN is said to be in a LCNI alternate role while working on an LCNI project. It is expected that LCNI projects will require 16 weeks to complete. Multiple LCNs may work on a single project (but one LCN position may not be divided among multiple nurses). Successful applicant organizations will be funded for the number of weeks actually worked in the LCNI alternate role, up to a maximum of 16. Each organization, or each site for multi-site organizations, may apply for up to 20 LCNs to participate in the LCNI.

Priority Areas for Planned LCNI Projects

LCNI planned projects for 2014-2015 funding must be identified as:

Access to education and training

  • Providing access to education and training as a means to support nursing practice, competency, and professional development in patient/client care.

Implementation of best practices

  • Supporting quality patient/client care and safety in nursing practice through implementation of best practices. Examples include:
    • Falls prevention and/or management
    • Skin and wound management
    • Mental health and addictions
    • Palliative and end-of-life care
    • Medication management
    • Health promotion
    • Information and communication technologies at the point-of-care

Collaborating to improve care outcomes

  • Supporting initiatives that improve care outcomes through collaboration/teamwork, including optimizing role competencies, work redesign, and/or communication.

Collaborating to improve patient transitions

  • Collaborating with patients, families and providers to improve patients' transition across the care continuum.

Supporting mentorship and knowledge transfer

  • Mentoring and developing the professional practice of nurses
  • Building on nurses’ clinical knowledge
  • Developing nurses’ confidence and competencies

Educating and preparing new mentors/preceptors. Nurse Engagement in Decision Making

The Ministry of Health and Long-Term Care (the “ministry”) strongly recommends that employers engage potential LCNI participants and applicable nursing labour representatives in the development of LCNI projects. Engaging nurses who provide direct patient care, labour representatives, and other groups that may be involved with the retention of nurses is essential to successful implementation of the LCNI. This will help to ensure that LCNs are implementing projects that align with nursing retention and healthcare priorities.

LCNI Project Hours

LCNI project hours will be determined solely on the total number of hours the LCNI works in a typical week, regardless of the LCN’s full-time or part-time status. Those LCNs typically working 25 or more hours per week are eligible to participate in the LCNI for 7.5 hours per week (one LCNI Position). LCNs typically working between 15 and 24.9 hours per week are eligible to participate in the LCNI for 3.75 hours per week (0.5 LCNI Position). Total number of hours worked in a typical week should be determined based on the past three months. In addition, the organization must commit to maintaining this level of hours over the course of the LCN’s participation in the LCNI.

If approved, the ministry will use the guidelines below to determine the weekly hours that each LCNI will be eligible to participate in an LCNI project.

Total Hours Worked in a Typical Week

LCNI Position Equivalent

Eligible Participation in the LCNI, per Week

Total Eligible Participation in the LCNI*

25 hours or more/week

1 LCNI Position

7.5 hours

120 hours

15 - 24.9 hours/week

0.5 LCNI Position

3.75 hours

60 hours

Fewer than 15 hours/week

Nurses working fewer than 15 hours per week are not eligible for the LCNI

*Note: Organizations are expected to spread project hours evenly over the duration of the LCNI implementation (i.e., LCNs should not work multiple weeks’ worth of hours in one week).

Eligibility

Organizations employing permanent full-time and permanent part-time Registered Nurses (RNs), Registered Practical Nurses (RPNs) and Nurse Practitioners (NPs) who are 55 years of age or older and providing direct patient care in the Hospital, Long-Term Care, or Home Care sectors are eligible to apply for funding.
In order to be eligible to apply for funding:

  1. The organization must demonstrate that it already receives funding from the ministry for the provision of nursing services by identifying a valid “Facility Number” (Hospital and Long-Term Care) or “Recipient Number” (Home Care) in the application.
  2. The organization must confirm that it has the infrastructure to support successful implementation of the proposed retention activities in its application. This may include physical infrastructure, nursing education or professional development initiatives, and management supports.
  3. The organization must have nurses who are 55 years of age and older who will remain at the organization during the LCNI funding period. LCNs must be currently working in a permanent full-time position (according to the applicant’s human resources policies and/or applicable collective agreements) or a permanent part-time position (i.e., not casual). To qualify, all participants must have worked, on average, a minimum of 15 hours per week over the past three months. In addition, the organization must commit to maintaining this level of hours over the course of the LCN’s participation in the LCNI.
  4. The submitted application must be supported by the LCNs who provide direct patient care, nursing labour unions (if applicable), and nursing leadership within the organization.
  5. The organization must commit to use the LCNI funding solely for the purposes intended (to replace the salaries of the Late Career RNs, RPNs, and/or NPs who are participating in the LCNI in order to carry out the awarded projects).
  6. The organization must not have received funding in the 2014/15 fiscal year from the ministry or other sources designated for wage or wage replacement related to the planned alternate roles and/or projects.
  7. The organization must complete and submit the online application on or prior to the application closing date, Friday August 8, 2014 at 5:00 p.m. EST. Late or incomplete applications will not be accepted.

Funding Calculation

Allocation of LCNI funding will be based on the number of positions, category of participants, and duration of participation. The maximum number of nurses that will be funded per organization (or per site for multi-site organizations submitting multiple applications) is 20.

If approved, the ministry will use the guidelines below to determine the amount of funding each organization will receive to support the LCNI.

 

RN (Hospital)

RN (LTC/Home Care

RPN

NP

Hourly Wage

$43.61

$41.65

$27.78

$57.56

1 LCNI Position (120 hours over 16 weeks)

Wages

$5,233.20

$4,998.00

$3,333.60

$6,907.20

Benefits (24%)

$1,255.97

$1,199.52

$800.06

$1,657.73

Total

$6,489.17

$6,197.52

$4,133.66

$8,564.93

0.5 LCNI Position (60 hours over 16 weeks)

Wages

$2,616.60

$2,499.00

$1,666.80

$3,453.60

Benefits (24%)

$627.98

$599.76

$400.03

$828.86

Total

$3,244.58

$3,098.76

$2,066.83

$4,282.46

Application Process & Funding Decisions

Interested organizations must request an application via email. The subject line of the email should read “Request: 2014-2015 LCNI Application <Organization Name>” and be sent to nursing@ontario.ca. Requests will be filled beginning Monday, July 14, 2014. Applications must be completed and submitted via email by Friday, August 8, 2014 at 5 p.m. EST. The subject line of the email should read “Submission: 2014-2015 LCNI Application <Organization Name>” and be sent to nursing@ontario.ca.

SUBMISSION DEADLINE: Friday August 8, at 5:00 p.m. EST

Based on consensus, organizations with the highest ranking scores will be recommended to the Minister of Health and Long-Term Care (the “Minister”) for funding approval. Final funding decisions are made at the sole discretion of the Minister.

If eligible applications exceed the amount of funding available, the ministry will strive for regional and sectoral equity in the LCNI funding allocation process, and may only partially fund some applications. Submission of an application does not guarantee funding for all or part of the submission.

Notification to Successful Applicants

Funding decisions will be communicated by formal letter confirming each applicant’s approval status, sent via e-mail.

Notification to successful applications for LCNI funding will include a Minister’s letter and a non-negotiable Transfer Payment Agreement (TPA) outlining the terms and conditions of LCNI funding. Funding will not be disbursed to organizations until the TPA has been executed (i.e., signed) by both the organization and the ministry.

Use of Funds and Reporting Requirements

Successful applicants must use the funding received to replace the salaries of the Late Career RNs, RPNs, and/or NPs who are participating in the LCNI in order to carry out the awarded projects.

The ministry will provide LCNI funding to each awarded organization by direct deposit into a bank account. Funding will be provided according to the following schedule:

  • 75% of the Budget when the ministry TPA is fully executed; and
  • The remainder of funding will be disbursed pending ministry review of final reports from the organization, as required by the TPA.

Successful applicants will enter into an accountability agreement with the ministry prior to the receipt of funding, should all or part of this application be approved. Successful applicants will fulfill reporting requirements to the ministry.

Key Dates

Milestone

Date

Call for Applications

Friday July 11, 2014

Closing Date for Applications

Friday August 8, 2014 at 5:00 p.m. EST

Expected launch of 2014-2015 LCNI Projects

Early Fall, 2014

Completion of 2014-2015 LCNI Projects

March 31, 2015

Note: Launch date may change depending on the approval process and volume of applications received. The ministry will make every effort to notify applicants as soon as possible following the review and approval process.

Application Instructions

Applications must be completed and submitted by Friday August 8, 2014 at 5 p.m. EST.
The Ministry of Health and Long-Term Care (the “ministry”) may fund up to 20 Late Career Nurse (LCNI) participants per organization or per site for multi-site organizations. (NOTE: Multi-site organizations must submit a separate application for each site.)

Requesting an Application

Interested organizations must request an application via email. The subject line of the email should read “Request: 2014/2015 Late Career Nurse Initiative (LCNI) Application <Organization Name>” and be sent to nursing@ontario.ca.

The application may be requested in either English or French.

Each organization should designate a primary contact for the 2014/2015 LCNI application. Applications may be saved to allow completion of the application over multiple sessions.

Completing the Application

Each application will be scored out of 35 possible points. Point allotment varies per section, as indicated below, and is stated on the application form.

You will be prompted to complete mandatory fields. However, it is the sole responsibility of the applicant to ensure that sufficient and correct information has been included in all fields.

Section 1 - Organizational Information (0 points)

This section collects information that will be used for communications with the organization and to facilitate payment of approved funding.

Please ensure that all information is entered accurately. Incomplete or incorrect information (i.e., Facility/Recipient numbers, email addresses or telephone numbers) may delay the review of an application or communication back to the submitting organization. Individual sites from a multi-site organization must indicate the main organization to which they belong (i.e., Toronto Western Hospital site of University Health Network).

Section 2 - Approval and Consent (0 points)

This section confirms that the applicant organization understands the conditions of the LCNI. Please review the approval and consent section carefully and confirm the Senior Nursing Lead name and title as required. This section confirms the applicant is agreeing to the following:

  1. All information provided by the applicant is up-to-date and correct to the best knowledge of the applicant. The application must be received by the ministry on, or prior to, the application closing deadline. The ministry is not responsible for applications that are lost, delayed, misplaced, or misdirected. If you do not receive confirmation within three business days of submission, please telephone the Nursing Policy and Innovation Branch, 416-327-9689, and leave a message clearly stating your name, the date and time of your call, reason for your call, name of your organization, and your contact information.
  2. The applicant has sought all necessary legal and financial advice needed to complete this application, if applicable.
  3. This is not a competitive procurement/tender and determination of the successful candidates for funding shall be made at the ministry’s sole and absolute discretion. In reviewing applications, the ministry reserves the right to discuss and disclose the contents of such applications within the broader public sector (i.e., Local Health Integration Networks).
  4. The ministry shall have the right to cancel this Call for Applications, at any time, either prior to, or after the closing date of the Call for Applications without award. Thereafter, the ministry may issue a new Call for Applications or revoke the original Call for Applications and refrain from providing future calls for applications related to this project. The ministry shall not be obligated to provide reasons for the cancellation.
  5. The applicant organization will enter into an accountability agreement with the ministry prior to the receipt of funding, should all or part of this application be approved.
  6. Successful applicants will fulfill reporting requirements to the ministry.

Section 3 - LCNI Participants (0 points)

This section collects information about the LCNs intending to participate in the LCNI. Each LCNI must be entered individually and must meet the eligibility requirements of the program. Each organization, or each site for multi-site organizations, may apply for funding for up to 20 LCNs.

The participant must be a Registered Nurse (RN), Registered Practical Nurse (RPN), or Nurse Practitioner (NP) who is currently working in a permanent full-time position (according to the applicant’s human resources policies and/or applicable collective agreements) or a permanent part-time position (i.e., not casual). To qualify, all participants must have worked, on average, a minimum of 15 hours per week over the past three months. In addition, the organization must commit to maintaining this level of hours over the course of the LCN’s participation in the LCNI.

For each participant, applicants must provide the following information:

  • LCNI Category
  • Employment Status
  • LCNI Age Cohort
  • Hours Worked

NOTE: Do not include nurses’ names or other personal identifiers.

Section 4 - Supporting Infrastructure (2 points)

This section confirms that the organization has in place the necessary infrastructure to support the successful implementation of the proposed initiatives (e.g., physical infrastructures, nursing education, professional development initiatives, management supports, etc.).

Section 5 - Strategies to Engage Nurses (5 Points)

This section identifies ways in which the organization has engaged LCNs and/or unions in the design of the proposed 2014/2015 LCNI projects. The ministry strongly recommends that organizations ensure their LCNI application is endorsed by nurses who provide direct patient care and, if applicable, labour representatives. Strategies to engage nurses include:

  1. Committee involvement
  2. Development of planned alternate roles
  3. Pre-submission review
  4. Other

Section 6 - Planned Projects (23 Points)

This section requires the organization to describe the alternate roles and projects for which LCNI funding is requested. Projects should be tied to healthcare priorities and have a measureable impact on nurses, patient/resident/client care, and/or the organization. High scoring applications will describe in detail the objectives, implementation, and expected outcomes associated with each project, indicating the organization’s readiness to execute the projects successfully.
In this section, organizations must:

  1. Indicate the number of LCNs that are anticipated to work on the project.
  2. Select the priority area this project addresses (2 points). Priorities must be identified as:
    • Access to education and training
    • Implementation of best practices
    • Collaborating to improve care outcomes
    • Collaborating to improve patient transitions
    • Supporting mentorship and knowledge transfer
  3. Describe how this project will be evaluated in relation to its impact on the identified priority. (5 points)
  4. Describe how this project will have an impact on nurses (i.e., education, satisfaction, retention and/or the quality of the nursing work environment). Identify up to two key metrics that will indicate improvements for nurses. Describe the expected changes in each metric at the end of the project. (5 points)
  5. Describe what impact this project will have on patient/resident/client care. Identify up to two key metrics that will indicate improvements in patient/resident/client care. Describe the expected changes in each metric at the end of the project. (5 points)
  6. Describe the implementation plan for this project including major milestones and deliverables. (5 points)
  7. Confirm that the project will be completed by March 31, 2015. (1 point)

Section 7 - Current Retention Activities (5 Points)

This section asks the applicant to describe retention activities that the organization currently has in place to promote the retention of LCNs. The organization must indicate staff type (i.e., manager, nurse(s) in direct patient care, educator etc.) and provide a brief description of the program. Retention categories include:

  • Job Sharing
  • Clinical Education/Clinical Support
  • Policy/Procedure Development and Implementation
  • Quality Improvement/Monitoring
  • Document Development/Maintenance
  • Committee Involvement
  • Other

Submitting the Application

Submission of the application does not guarantee funding for all or part of the submission.

Applications must be completed and submitted via email by Friday August 8, 2014 at 5 p.m. EST. The subject line of the email should read “Submission: 2014/2015 LCNI Application <Organization Name>” and be sent to nursing@ontario.ca.

Fax and paper applications will not be accepted.

A confirmation email will be sent within three business days. If you do not receive confirmation, please telephone the Nursing Policy and Innovation Branch, 416-327-9689, and leave a message clearly stating your name, the date and time of your call, reason for your call, name of your organization and your contact information.

SUBMISSION DEADLINE: Friday August 8, 2014 at 5:00 p.m. EST

Application Review and Evaluation

Applications will be screened to confirm the submission date and completeness. An application will NOT be reviewed further if it is:

  • Received after the deadline of Friday August 8, 2014 at 5:00 p.m. EST; or
  • If it is incomplete.

Cross-ministry representatives will then review and rank each application against established assessment criteria, including:

  • Quality and clarity of the application;
  • Alignment with the strategic priorities; and
  • Clarity of the description of the proposed LCNI Projects and their potential impact.

Based on consensus, organizations with the highest ranking scores will be recommended to the Minister of Health and Long-Term Care (the “Minister”) for funding approval. Final funding decisions are made at the sole discretion of the Minister.

If eligible applications exceed the amount of funding available, the ministry will strive for regional and sector equity in the LCNI funding allocation process, and may only partially fund some applications. Submission of the application does not guarantee funding for all or part of the submission.

Need Help?

For questions related to completing the application, please contact the Nursing Policy and Innovation Branch at:

Telephone: 416-327-9689
E-mail: nursing@ontario.ca
Hours of Operation: Monday to Friday, 9am - 5pm EST


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