November 25, 2025

Empower every member of your care team to maximize performance

See how we helped a large academic medical center improve the practice and utilization of its critical APP workforce

Advancing the performance of advanced practice providers has become a strategic imperative for leading health systems striving to enhance patient access, strengthen care team alignment, and support a rapidly evolving clinical workforce. This case study highlights how a large academic medical center with more than 700 APPs partnered with SullivanCotter to address widespread variation in APP practice, clarify care team roles, and improve engagement across key specialties.

Through a structured, collaborative redesign of the APP care model, the organization achieved significant gains in utilization, efficiency, and workforce stability – demonstrating the transformative impact of optimizing practice at scale.

What were this system’s challenges, how did we approach them, and what was the outcome?

CHALLENGES

  • Variation in APP practice within clinical departments and throughout system
  • Unengaged workforce not practicing at top of license, scope or education
  • Misalignment and lack of clarity in care team roles
  • High APP turnover
  • Patient access limitations

APPROACH

  • Focused on Hospital Medicine, Oncology, and Cardiology specialties based on readiness for change
  • Developed a collaborative physician/APP care model to maximize APP utilization and improve patient access
  • Established standard APP work expectations across specialties and practices
  • Targeted APP compensation increases in specialties with below-market compensation and high turnover

OUTCOMES

  • Patient access improved by nearly 10%
  • APP encounters for inpatient team grew by 500%
  • Hospital Medicine APPs increased critical care billing by 100%
  • Aligned care team roles and performance based on standard expectations
  • APP turnover decreased due to higher engagement and ability to practice at top of license

The system is currently expanding this work across other specialties.


Need to unlock the full potential of your APP workforce?

Academic Medical Centers (AMCs) operate within some of the most complex environments in health care, balancing their tripartite missions of education, research, and patient care while adapting to unprecedented pressures.

As they work to redesign care delivery and optimize limited resources, AMCs must thoughtfully structure and support key clinicians – including the growing APP workforce.

Leveraging deep experience with leading AMCs and access to real-time market intelligence, SullivanCotter provides specialized insights and data-driven strategies that help organizations strengthen workforce performance and advance their mission.

Contact us to see how we can partner!


Frequently Asked Questions

What was the primary goal of this APP care model redesign?
The primary goal was to optimize the practice and utilization of more than 700 advanced practice providers (APPs) across a large academic medical center by clarifying roles, standardizing expectations, and improving collaboration to enhance access, engagement, and performance.
Which challenges did the organization face before partnering with SullivanCotter?
The center faced variation in APP practice, unclear care team roles, high turnover, limited patient access, and inconsistent top-of-license practice across departments.
Which specialties were included in the initial phase?
Hospital Medicine, Oncology, and Cardiology were the first areas of focus based on readiness for change and opportunities to improve care team performance.
How did SullivanCotter approach the care model redesign?
The team collaborated with APP and physician leaders to define standard work expectations, clarify roles, and implement a care model that aligned workflows to maximize APP utilization and improve patient access.
What measurable outcomes were achieved?
The organization saw nearly a 10% improvement in patient access, a 500% increase in inpatient APP encounters, a 100% increase in critical care billing for Hospital Medicine APPs, and reduced turnover due to improved engagement and top-of-license practice.
Was APP compensation addressed in this initiative?
Yes. Targeted compensation adjustments were made in specialties with below-market pay and high turnover, supporting recruitment, retention, and sustainable workforce performance.
Is this model being expanded across the system?
The organization is actively scaling this model into additional specialties, using the initial phase as a foundation for broader workforce transformation.
How can an organization begin a similar initiative?
A strong starting point is evaluating current APP roles, utilization patterns, care team workflows, and access constraints. SullivanCotter partners with AMCs and health systems to design tailored models aligned with enterprise-wide workforce and performance goals.
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