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Optimizing Care Teams by Leveraging Advanced Practice Providers Through Strategic Workforce Planning
Clair Kuriakose1, Meredith Stringer, Amy Ziegler
1Author Affiliations: Executive Director of Advanced Practice (Ms Kuriakose), Advanced Practice Administrative Fellow (Ms Stringer), Manager of Advanced Practice (Dr Ziegler), Business Manager (Ms Hsieh), Director of Advanced Practice (Ms Atashroo), Administrative Director of Finance (Ms Hendershott), Director of Advanced Practice (Ms Tippett), Director of Advanced Practice (Ms Shah), Director of Advanced Practice (Ms Cianfichi), Associate Dean of Graduate Medical Education (Dr Katznelson), and Chief of Staff (Dr Mahoney), Stanford Health Care, California.
A multidisciplinary committee improved advanced practice provider (APP) utilization by standardizing roles. This led to increased patient access, better productivity, and improved performance metrics across ambulatory and inpatient settings.
Area of Science:
- Healthcare Management
- Workforce Planning
- Advanced Practice Providers
Background:
- Advanced practice providers (APPs) are essential healthcare team members.
- Current APP utilization lacks standardization across various care settings.
- Inconsistent utilization can negatively impact job satisfaction and retention.
Purpose of the Study:
- To optimize and standardize the roles of APPs.
- To evaluate APP positions using national benchmarks.
- To improve APP utilization within an academic medical center.
Main Methods:
- Formation of a multidisciplinary workforce planning committee in March 2021.
- Evaluation of all new and replacement full-time equivalent APP positions.
- Focus on optimizing and standardizing APP roles per national benchmarks.
Main Results:
- A 10% increase in patient visits and procedures performed by APPs.
- Significant improvements in ambulatory APP productivity (38.7%) and utilization (19.4%).
- Enhanced inpatient APP performance, with a 38.8% improvement in meeting average daily census targets.
Conclusions:
- Standardizing APP roles through a dedicated committee improves healthcare delivery.
- Optimized APP utilization enhances patient access and operational efficiency.
- Addressing APP utilization is crucial for healthcare organizations aiming for better performance and staff satisfaction.
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