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Proposed bylaw amendment: Quality Assurance

posted Aug. 19. 2016​

On August 15, 2016, the Board approved quality assurance (QA) bylaw amendments to support introduction of prescription review and to strengthen data confidentiality for both prescription review and multi-source feedback (MSF):

Section 1.19: QA committee

  • Rebalance the committee's composition to include more nurse practitioners and public representatives.
  • Enhance the committee's mandate to include monitoring and reviewing registrant drug prescribing practices, identifying related issues and providing related information to registrants.
  • Clarify and confirm that the committee's meetings, activities and records are confidential.

​Section 5.01: Assessment of professional performance

  • Clarify and confirm that MSF is collected on a confidential basis and that the information collected includes knowledge or opinions about a registrant's employment, occupational or educational history and personal recommendations or evaluations about the registrant.
  • Expand the performance assessment option of reviewing patterns and processes of assessment, diagnosis, and clinical treatment including prescribing, to apply to all registrants instead of nurse practitioners only.

Section 5.09: Professional pra​​​ctice groups

This section will be repealed.

Section 5​​.11: QA information

  • Clarify and confirm that information obtained through the QA program may only be used for the purposes of the QA program including monitoring and reviewing of drug prescribing practices  and providing drug prescribing information to registrants.
  • Provide that disclosure of aggregated, anonymized drug prescribing data to registrants and others is a permitted use of QA information.

As required by the Health Professions Act (HPA), notice of these proposed bylaw amendments is published on the CRNBC website and has also been given to the Ministry of Health and the other colleges established under the HPA.​​​


Notice date: Aug. 19, 2016 ​​

Amendments to most bylaws are subject to a three-month notice period, unless the Minister of Health specifies a shorter period. All bylaw amendments must be filed with the Minister to be effective. Filed bylaw changes come into force 60 days after the date of filing, unless the Minister either disallows the change or specifies an earlier date, or the college withdraws the change.

CRNBC intends to request the Minister of Health approve both a shorter notice period and an early in-force date for these amendments, to align with the scheduled Fall 2016 roll-out of the next phase in the MSF component of CRNBC's QA program.

Please submit comments on these proposed amendments to the attention of the Governance Coordinator no later than Sept. 20, 2016.

Comments may also be submitted directly to the Ministry of Health.​


Ministry of Health



Governance Coordinator


Executive Director, Professional Regulation & Oversight Branch

Ordinary mail

Cynthia Johansen

Registrar and Chief Ex​ecutive Officer​
College of Registered Nurses of British Columbia

2855 Arbutus Street
Vancouver, BC
V6J 3Y8  ​

Governance Coordinator

Ordinary mail​

Executive Director, Professional Regulation & Oversight Branch

Ministry of Health
Health Sector Workforce Division

​1515 Blanshard Street
PO Box 9649 
Stn Prov Govt
Victoria BC V8W 9P4  ​​​​

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