Comparison of Key Characteristics of Hospital Based Care Providers
The purpose of this document is to compare and contrast qualifications, role, training and regulatory underpinnings of various hospital based care providers. This document will be useful to administrators who aim to enhance their human resource composition to optimize meeting patient care needs and achieving cost effectiveness.
|Characteristic||Nurse Practitioner||Physician’s Assistant||Clinical Nurse Specialist||Physician|
|Regulated health profession||Yes, RN(EC)||No||Yes, RN (general class)||Yes|
|No defined specialty||Yes, a wide range of clinical specialty applications within RN (general class) role.||Yes|
Baccalaureate degree in nursing +
minimum of two years nursing experience +completion of NP university certificate and/or Master’s/Doctorate program
Minimum two years of university study in any field +
baccalaureate physician assistant degree.No health-care experience necessary.
|Master’s or Doctorate prepared, along with significant clinical experience and additional specialty education.||
Baccalaureate degree (typically in sciences) +
|Autonomous scope of practice (health assessment, diagnosis, prescription, order diagnostic tests, cast)||Yes||
No, physician extenders(Work under the direction of a physician to provide patient care)
Yes, within RN (general class) scope.
No if within expanded scope(work via authorizing mechanisms)
|Accountability for practice||Yes||Shared||
YesShared with nurse practitioner or physician if using authorizing mechanisms
|Provides leadership in QI initiatives||Yes||No||Yes||Yes|
|Provides mentorship to Nursing staff and the Interprofessional team||Yes||No, supports physicians||Yes||No|
|Provides health assessment||Yes||Yes||Yes||Yes|
|Orders diagnostics||Yes||Under direction/authorization of physician||May initiate medical directive for some diagnostics under specific situations||Yes|
|Orders therapeutics||Yes, with few limitations||Under direction/authorization of physician||May initiate medical directive for some diagnostics under specific situations||Yes|
|Health promotion||Yes||Not specifically||Yes||Yes|
|Compensation||Salary from global budget, Ministry funded||Salary from global budget, Ministry funded||Salary from global budget, Ministry funded||OHIP billing, global budget stipend for leadership roles|