Fair Registration Practices Report

Nurses (2018)

The answers seen below were submitted to the OFC by the regulated professions.

This Fair Registration Practices Report was produced as required by:

  • the Fair Access to Regulated Professions and Compulsory Trades Act (FARPACTA) s. 20 and 23(1), for regulated professions named in Schedule 1 of FARPACTA
  • the Health Professions Procedural Code set out in Schedule 2 of the Regulated Health Professions Act (RHPA) s. 22.7 (1) and 22.9(1), for health colleges.

Index

  1. Qualitative Information
  2. Quantitative Information
  3. Submission

1. Qualitative Information

a) Requirements for registration, including acceptable alternatives
i. Describe any improvements / changes implemented in the last year.

No changes this year

ii. Describe the impact of the improvements / changes on applicants.

No changes this year

iii. Describe the impact of the improvements / changes on your organization.

No changes this year

b) Assessment of qualifications
i. Describe any improvements / changes implemented in the last year.

In October 2018, the Canadian Nurse Practitioner Examination (CNPE) moved from a paper-based examination to computer-based examination (CBT).

ii. Describe the impact of the improvements / changes on applicants.

Applicants who attempt the exam on or after October 2018 will no longer take a paper exam; they will be required to complete the exam on a computer. Resources have been provided to enable applicants to prepare for such an exam. Content remains the same.

iii. Describe the impact of the improvements / changes on your organization.

We continue to monitor the impact of this change on our processes.

CNO is no longer responsible for booking an exam centre or invigilators for administration of the exam. The exam provider is responsible for the administration of the exam.

c) Provision of timely decisions, responses, and reasons
i. Describe any improvements / changes implemented in the last year.

Online Applicant Portal

In September 2018, CNO implemented an online portal for Ontario, Canadian and internationally educated applicants that replaces most of our paper application processes. This is part of a broader initiative to upgrade our technology and business processes so we can offer more efficient services and reduce paper.

The online portal is available in English and French. Key transactions that applicants can do through the self-service platform include:

  • set up an account and submit their applications online;
  • update their personal information (for example: address, email);
  • pay fees and  print receipts;
  • schedule exams and request accommodations;
  • upload documents when completing an initial application (i.e. authorization to work document);
  • receive a message in the message centre where CNO posts notices relevant to their application; and
  • view correspondence relevant to the application about updates and required next steps.

For further information, please visit:

  • http://www.cno.org/en/trending-topics/applying-to-the-college-online/frequently-asked-questions/
  • http://www.cno.org/en/trending-topics/applying-to-the-college-online/helpful-hints/

 Electronic Police Criminal Record Check

In October 2018, CNO moved to an electronic police criminal record check process. Applicants log in to a third party portal (MyBackCheck) to request a police criminal record check and have it sent directly to CNO. For further information, please visit:

  • https://www.cno.org/en/become-a-nurse/registration-requirements/past-offences-and-findings--health-and-conduct/past-offences-and-findings/police-criminal-record-check/

We remain committed to enhancing applicants' experience with CNO.

 

 

 

ii. Describe the impact of the improvements / changes on applicants.

Online Applicant Portal

Applicants experienced the following changes and improvements:

  • Ability to create their own account and pay online at anytime and anywhere in the world.
  • Less time spent in the administration components of the application process. The need for an applicant to spend time and money to mail certain paper documents with payment information has been eliminated (e.g. Application form, Registration form, Exam application form). There is no longer the need to wait up to 15 business days for CNO to process the various forms.
  • Ability to view a “requirements” page within the portal showing applicants the status of each registration requirement as outstanding, met or expired, and expiry dates.
  • Ability to view real time information about their application and make immediate decisions about next steps.
  • A message centre in the portal that enables the following communication with the applicant:
    • Applicants immediately receive an email to let them know there is a message awaiting
    • a link to all correspondence is sent to an applicant via the message centre
    • applicants receive a notification when they are exam eligible, have exam results, or are eligible to register
  • Improved record-keeping for applicant by providing a link to digitally imaged correspondence via the message centre. As well, the applicant retains access to this correspondence and can refer to it at any time.
  • Increased speed at which applicants receive information about their file.
  • Once an applicant, who has met all other requirements, receives notification of passing the exam, they can register within the same day via the online portal.

We received the following feedback in a survey completed in November 2018 by newly registered members:

  • Of 369 respondents to a question about level of satisfaction, 356 indicated overall satisfaction with the online portal. 
  • Of 487 respondents to a question about creating an account for the online portal, 441 reported having no difficulty.
  • Of 287 respondents to a question about creating an application through the portal, 271 reported that it was easy to create an application. 
  • Of 257 respondents to a question about registering for exams through the portal, 239 reported that it was easy to register for an exam. 
  • Of 259 respondents to a question about updating personal information through the portal, 252 respondents indicated that it was easy to update their personal information.
  • Of 389 respondents to a question about how easy or difficult it was to use the portal’s message centre, 370 reported that it was easy.

Electronic Police Criminal Record Check

Applicants experienced the following changes and improvements:

  • An electronic police criminal record check can now be obtained online from anywhere in the world and sent to CNO directly within 48 hours.
  • There is no longer a need to request a paper criminal record check from one of the various police agencies and wait varying timeframes, sometimes up to 6 weeks, to obtain one, and then mail it to CNO.

In a survey completed in November 2018, out of 85 respondents, 73 indicated it was easy to request a police criminal record check through the online portal.

 

We continue to monitor the impact of these changes on applicants. 

iii. Describe the impact of the improvements / changes on your organization.

CNO experienced the following impacts after the launch of the online applicant portal and electronic police criminal record check

  • Decreased mailed paper correspondence and related costs.
  • Positive environmental impact with reduced use of paper.
  • Assurance that an applicant has obtained the police criminal record check from a validated third party.

We continue to monitor the impact of all these changes on our registration processes. 

d) Fees
i. Describe any improvements / changes implemented in the last year.

 CNO implemented the following change to fees (reflected as by-law changes):

  • The application fee was increased from $150 ($169.50) to $300.00 ($339.00) for Canadian, internationally educated nurse, and Ontario applications effective July 17, 2018. It reflects the CNO’s cost of assessing and processing applications.
  • An exam cancellation fee of $65.00 ($73.45) was implemented in 2018 for Registered Practical Nurse applicants applying to write the Canadian Practical Nurse Registration Exam.  It was implemented for exams written on or after September 2018.This increase reflects the cost incurred by CNO when an applicant registers for the exam and cancels after the deadline, or does not show up.

For further information, please visit:

  • http://www.cno.org/en/what-is-cno/regulation-and-legislation/by-laws/proposed-changes-fees/
ii. Describe the impact of the improvements / changes on applicants.

CNO sets fees with the aim of cost recovery and fairness to all applicants. As a result:

  • All Ontario, Canadian and IEN applicants who applied on or after July 17, 2018 would have paid the new application fee.
  • Only those RPN applicants who register for the exam and either cancel or do not show up will be impacted by this new cancellation fee.

 

iii. Describe the impact of the improvements / changes on your organization.

The change reflected the need to cover:

  • Increased administrative costs related to assessing applicants;
  • Costs charged by the CPNRE exam provider to CNO every time an applicant cancels after a specific timeframe or does not show up for an exam. Historically, CNO has not recovered these costs from applicants, which is not in line with Council’s principle that applicants pay the cost of their own application. Additionally, the number of applicants who cancel their exam has increased.
e) Timelines
i. Describe any improvements / changes implemented in the last year.

No changes this year

ii. Describe the impact of the improvements / changes on applicants.

No changes this year

iii. Describe the impact of the improvements / changes on your organization.

No changes this year

f) Policies, procedures and/or processes, including by-laws
i. Describe any improvements / changes implemented in the last year.
  • Online applicant portal and electronic police criminal record check changes as described in section (c) above.
  • Fee by-law changes as described in section (d) above.
ii. Describe the impact of the improvements / changes on applicants.
  • See section (c) about the applicant portal and the electronic police criminal record check above.
  • See section (d) about fees above.
iii. Describe the impact of the improvements / changes on your organization.
  • See section (c) about the applicant portal and the electronic police criminal record check above.
  • See section (d) about fees above.
g) Resources for applicants
i. Describe any improvements / changes implemented in the last year.

CNO updated information for applicants on its website (www.cno.org) about the following registration requirements:

  1. In relation to the new online applicant portal, we provided the following information to applicants:
    • an email to applicants with open applications
    • information on our Facebook page with this message:
      • Great news! If you want to become a nurse in Ontario, you’ll be able to apply online starting later this month. Watch this space for updates: www.cno.org/online-applications”
    • messaging on our dedicated webpage for applicants
      • http://www.cno.org/en/trending-topics/applying-to-the-college-online/
    • a link to the message from:
      • http://www.cno.org/en/become-a-nurse/
      • http://www.cno.org/en/become-a-nurse/new-applicants1/ontario/beginning-the-application-process/
      • http://www.cno.org/en/become-a-nurse/new-applicants1/canada-outside-ontario/beginning-the-application-process/
      • http://www.cno.org/en/become-a-nurse/new-applicants1/nurse-practitioner/beginning-the-application-process/
  2. Application and exam fees – After evaluation fee by-law changes were approved by Council, we updated related information on:
    • our fees page at:
      • http://www.cno.org/en/become-a-nurse/application-membership-fees/
    • our RPN exam pages at:
      • https://www.cno.org/en/become-a-nurse/entry-to-practice-examinations/rpn-exam/
      • https://www.cno.org/en/become-a-nurse/entry-to-practice-examinations/rpn-exam/faq-canadian-practical-nurse-registration-examination/
  3. Electronic Police Criminal Reference Check process – Information about the change to the electronic Police Criminal Reference Check process was provided as follows:
    • announcements on our news page
      • http://www.cno.org/en/news/2018/october-2018/important-notice--new-and-improved-police-criminal-record-check-process/
      • http://www.cno.org/en/news/2018/november-2018/its-official--only-one-source-for-police-criminal-record-checks/
    • email blast sent to applicants
    • updates to affected pages on our website
      • https://www.cno.org/en/become-a-nurse/registration-requirements/past-offences-and-findings--health-and-conduct/past-offences-and-findings/police-criminal-record-check/
      • http://www.cno.org/en/become-a-nurse/registration-requirements/past-offences-and-findings--health-and-conduct/past-offences-and-findings/
  4. In response to applicant feedback that the information was not easy to find on the website, we updated information about “what is nursing practice” under the Evidence of Practice page:
    • https://www.cno.org/en/become-a-nurse/registration-requirements/evidence-of-practice/
  5. To make sure every page in our registration section is available in English and French, we conducted a full review of all nine pages and numerous subpages in the “Become a Nurse” section (http://www.cno.org/en/become-a-nurse/). We then updated outdated sections and translated all missing French pages.
  6. The National Council of State Boards of Nursing (NCSBN) developed a practice test for the NCLEX-RN exam in both English and French. The test provides nursing applicants with a realistic examination day experience. To inform applicants, we posted information on our website at:
  • http://www.cno.org/en/news/2018/july-2018/new-practice-exam-for-nclex-rn-writers/
ii. Describe the impact of the improvements / changes on applicants.

The resources we provided to communicate improvements and changes were aimed at improving applicants’ understanding of CNO processes (and any changes to the processes) through consistent and clear communication. This helped to ensure we were transparent about the changes.

iii. Describe the impact of the improvements / changes on your organization.

The additional information and changes helped CNO to support effective and transparent communication with applicants.

In a survey completed in November 2018, 348 newly registered members rated their level of satisfaction with information on CNO’s website as follows:

  • 300 indicated that the information was comprehensive
  • 293 indicated the information was easy to understand
  • 299 indicated that the information was helpful
  • 278 indicated that the information was easy to find.
h) Review or appeal processes
i. Describe any improvements / changes implemented in the last year.

No changes this year

ii. Describe the impact of the improvements / changes on applicants.

No changes this year

iii. Describe the impact of the improvements / changes on your organization.

No changes this year

i) Access to applicant records
i. Describe any improvements / changes implemented in the last year.

No changes this year

ii. Describe the impact of the improvements / changes on applicants.

No changes this year

iii. Describe the impact of the improvements / changes on your organization.

No changes this year

j) Training and resources for registration staff, Council, and committee members
i. Describe any improvements / changes implemented in the last year.

No changes this year

ii. Describe the impact of the improvements / changes on applicants.

No changes this year

iii. Describe the impact of the improvements / changes on your organization.

No changes this year

k) Mutual recognition agreements
i. Describe any improvements / changes implemented in the last year.

No changes this year

ii. Describe the impact of the improvements / changes on applicants.

No changes this year

iii. Describe the impact of the improvements / changes on your organization.

No changes this year

l) Other (include as many items as applicable)
i. Describe any improvements / changes implemented in the last year.

Already covered in previous sections

ii. Describe the impact of the improvements / changes on applicants.

Already covered in previous sections

iii. Describe the impact of the improvements / changes on your organization.

Already covered in previous sections

Describe any registration-related improvements/changes to your enabling legislation and/or regulations in the last year

No changes this year

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2. Quantitative Information

a) Languages
Indicate the languages in which application information materials were available in the reporting year.
Language Yes/No
English Yes
French Yes
Other (please specify)
Additional comments:
 
b) Gender of applicants
Indicate the number of applicants in each category as applicable.
Gender Number of Applicants
Male 1895
Female 12404
None of the above 1
Additional comments:
 
c) Gender of members
Indicate the number of members in each category as applicable. Select the option that best corresponds to the terminology used by your organization.
Gender Number of Members
Male 14969
Female 167376
None of the above 1
Additional comments:
 
d) Jurisdiction where applicants obtained their initial education
Indicate the number of applicants by the jurisdiction where they obtained their initial education1 in the profession or trade.
Ontario Other Canadian Provinces USA Other International Unknown Total
8737 728 123
India
2574
Philippines
1637
Nepal
96
Iran
46
Nigeria
46
Israel
30
Jamaica
24
Korea
24
U.K.
23
China
22
Australia
19
Pakistan
18
Ghana
13
Jordan
12
Lebanon
10
Japan
8
France
7
United Arab Emirates
7
Brazil
5
Finland
5
Thailand
5
Ukraine
5
Ethiopia
4
Albania
3
Colombia
3
Hong Kong
3
Ireland
3
Kenya
3
Malaysia
3
Romania
3
Singapore
3
Chad
2
Egypt
2
Haiti
2
New Zealand
2
Palestinian Territory, Occupied
2
Rwanda
2
Sri Lanka
2
Switzerland
2
Zimbabwe
2
Algeria
1
Antigua And Barbuda
1
Armenia
1
Bahamas
1
Bangladesh
1
Barbados
1
Bulgaria
1
Burkina Faso
1
Chile
1
Czech Republic
1
Denmark
1
Greece
1
Italy
1
Kazakhstan
1
Macedonia, The Former Yugoslav Republic Of
1
Mauritius
1
Morocco
1
Peru
1
Poland
1
Russia
1
Saint Vincent And The Grenadines
1
S Arabia
1
Slovakia
1
Sweden
1
Trinidad
1
Turkey
1
Uganda
1
Zambia
1
Total
4710
2
14300

1 Recognizing that applicants may receive their education in multiple jurisdictions, for the purpose of this question, include only the jurisdiction in which an entry-level degree, diploma or other certification required to practice the profession or trade was obtained.

Additional comments:
 
e) Jurisdiction where applicants who became registered members obtained their initial education
Indicate the number of applicants who became registered members in the reporting year by the jurisdiction where they obtained their initial education1 in the profession or trade.
Ontario Other Canadian Provinces USA Other International Unknown Total
9854 710 110
India
929
Philippines
667
Iran
54
Pakistan
28
Israel
23
Nepal
23
Jamaica
22
Nigeria
20
Australia
13
U.K.
12
Kenya
11
China
8
Korea
8
France
7
Jordan
4
Singapore
4
Brazil
3
Japan
3
Lebanon
3
Taiwan, Province Of China
3
Bulgaria
2
Colombia
2
Egypt
2
Ireland
2
Moldova, Republic Of
2
Switzerland
2
Ukraine
2
United Arab Emirates
2
Zaire
2
Antigua And Barbuda
1
Belarus
1
Belgium
1
Bosnia And Herzegovina
1
Cameroon
1
Congo, The Democratic Republic Of The
1
CÙte D'ivoire
1
Cuba
1
Eritrea
1
Finland
1
Haiti
1
Hong Kong
1
Hungary
1
Iraq
1
Italy
1
Macedonia, The Former Yugoslav Republic Of
1
Qatar
1
Romania
1
Russia
1
Sweden
1
Total
1883
0
12557

1 Recognizing that applicants may receive their education in multiple jurisdictions, for the purpose of this question, include only the jurisdiction in which an entry-level degree, diploma or other certification required to practice the profession or trade was obtained.

Additional comments:
 
f) Jurisdiction where members were initially trained
Indicate the total number of registered members by jurisdiction where they obtained their initial education1 in the profession or trade.
Ontario Other Canadian Provinces USA Other International Unknown Total
152046 8931 1602
Philippines
6577
India
5100
U.K.
1318
Poland
551
Iran
498
Hong Kong
474
China
462
Jamaica
423
Russia
403
Macedonia, The Former Yugoslav Republic Of
318
Israel
304
Romania
283
Pakistan
262
Nigeria
233
Korea
192
Australia
129
Lebanon
118
Ghana
85
S. Africa
85
Guyana
83
Germany
80
Jordan
73
Sri Lanka
72
Trinidad
66
Ukraine
66
Czech Republic
65
Nepal
61
Ireland
59
Kenya
58
Colombia
53
Haiti
47
Ethiopia
43
Netherlands
43
Hungary
42
Japan
42
France
40
Taiwan, Province Of China
36
Brazil
34
New Zealand
30
Peru
30
Bulgaria
28
Singapore
28
United Arab Emirates
27
Zimbabwe
27
Italy
25
Belgium
20
Sweden
20
Albania
18
Cuba
17
Finland
17
Serbia
17
Switzerland
17
Portugal
15
Barbados
14
Uganda
14
Malaysia
13
Thailand
13
Cameroon
12
Grenada
12
Rwanda
12
Saint Vincent And The Grenadines
12
Chile
11
Egypt
11
Mauritius
11
Somalia
11
Turkey
11
Zambia
11
Norway
10
Uruguay
10
Austria
8
Bosnia And Herzegovina
8
Croatia
8
Moldova, Republic Of
8
Greece
7
Tanzania, United Republic Of
7
Afghanistan
6
Belarus
6
Burundi
6
Denmark
6
Mexico
6
Saint Lucia
6
Sierra Leone
6
Slovakia
6
Uzbekistan
6
Algeria
5
Congo
5
Ecuador
5
El Salvador
5
Iraq
5
Kazakhstan
5
Malta
5
Venezuela
5
Antigua And Barbuda
4
Azerbaijan
4
Botswana
4
Congo, The Democratic Republic Of The
4
Morocco
4
Nicaragua
4
Zaire
4
Argentina
3
Bangladesh
3
CÙte D'ivoire
3
Dominica
3
Eritrea
3
Fiji
3
Iceland
3
Latvia
3
Lithuania
3
Tunisia
3
Bahamas
2
Costa Rica
2
Djibouti
2
Georgia
2
Kuwait
2
Panama
2
Puerto Rico
2
Qatar
2
Saint Kitts And Nevis
2
S Arabia
2
Spain
2
Sudan
2
Swaziland
2
Tajikistan
2
Armenia
1
Guatemala
1
Kyrgyzstan
1
Lesotho
1
Mongolia
1
Myanmar
1
Scotland
1
Total
19635
132
182346

1 Recognizing that applicants may receive their education in multiple jurisdictions, for the purpose of this question, include only the jurisdiction in which an entry-level degree, diploma or other certification required to practice the profession or trade was obtained.

Additional comments:
 
g) Applications processed
Indicate the number of applications your organization processed in the reporting year:
Jurisdiction where applicants were initially trained in the profession (before they were granted use of the protected title or professional designation in Ontario)
from January 1st to December 31st of the reporting year Ontario Other Canadian Provinces USA Other International Unknown Total
New applications received 8737 728 123 4710 2
14300
Applicants actively pursuing licensing (applicants who had some contact with your organization in the reporting year) 13906 1348 315 13331 5
28905
Inactive applicants (applicants who had no contact with your organization in the reporting year) 939 306 118 3550 8
4921
Applicants who met all requirements and were authorized to become members but did not become members 580 79 15 199 0
873
Applicants who became FULLY registered members 9854 710 110 1883 0
12557
Applicants who were authorized to receive an alternative class of licence3 but were not issued a licence 0 0 0 0 0
0
Applicants who were issued an alternative class of licence3 1422 9 2 5 0
1438

1 An alternative class of licence enables its holder to practice with limitations, but additional requirements must be met in order for the member to be fully licensed.

Additional comments:
 
h) Classes of certificate/license
Inidcate and provide a description of the classes of certificate/license offered by your organization.

You must specify and describe at least one class of certificate/license (on line a) in order for this step to be complete.

# Certification Description
a) General Class Description (a)

Most nurses registered with the College belong to the General Class. Both Registered Nurses and Registered Practical Nurses belong in this class.

b) Extended Class (Nurse Pratitioners) Description (b)

The Extended Class is for RNs who have additional education and clinical experience that allows them to practise as Nurse Practitioners. Members in this class have an expanded scope of practice, with the authority to diagnose, prescribe medication, perform procedures, and order and interpret diagnostic tests.

c) Non-Practising Class Description (c)

The Non-Practising Class is for members who want to remain College members at times when they are not practising nursing in Ontario.

d) Temporary Class Description (d)

The Temporary Class is an option for applicants who have met all the registration requirements for the General Class except completing the registration exam. Members in this class are allowed to practise under defined terms and conditions. They can join the General Class after they pass the exam.

e) Special Assignment Class Description (e)

The Special Assignment Class is a time-limited registration for nurses who have an appointment as an RN or RPN with an approved facility in Ontario. Members in this class can only practise within the scope of their appointment and only under defined terms and conditions.

f) Emergency Class Description (f)

The Emergency Assignment Class comes into force when the provincial government declares an emergency and asks the College to issue Emergency Assignment certificates of registration to qualified nurses.

Additional comments:
 
i) Reviews and appeals processed
State the number of reviews and appeals your organization processed in the reporting year (use only whole numbers; do not enter commas or decimals).
Jurisdiction where applicants were initially trained in the profession (before they were granted use of the protected title or professional designation in Ontario)
from January 1st to December 31st of the reporting year Ontario Other Canadian Provinces USA Other International Unknown Total
Applications that were subject to an internal review or that were referred to a statutory committee of your governing council, such as a Registration Committee 140 7 9 764 0
920
Applicants who initiated an appeal of a registration decision 4 0 1 3 0
8
Appeals heard 7 0 0 5 0
12
Registration decisions changed following an appeal 0 0 0 1 0
1
Additional comments:
 
j) Paid staff
In the table below, enter the number of paid staff employed by your organization in the categories shown, on December 31 of the reporting year.

When providing information for each of the categories in this section, you may want to use decimals if you count your staff using half units. For example, one full-time employee and one part-time employee might be equivalent to 1.5 employees.

You can enter decimals to the tenths position only. For example, you can enter 1.5 or 7.5 but not 1.55 or 7.52.

Category Staff
Total staff employed by the regulatory body 280
Staff involved in appeals process 4
Staff involved in registration process 41
Additional comments:
 

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3. Submission

Submission
I hereby certify that:
Name of individual with authority to sign on behalf of the organization:
Anne Coghlan
Title:
Executive Director and CEO
Date:
2019/02/28

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