The Client Challenge
From 2018 to 2021, the University of California Irvine (UCI) Medical Center made significant investments in its advanced practice provider (APP) workforce to drive ambulatory growth and support clinical coverage needs. During this time, the organization expanded its APP workforce by almost 70% and saw an associated increase in expenses but experienced significant inconsistency in APP practice models and utilization. Leadership sought strategic and operational support to fully unlock the potential of their expanded APP workforce.
Navigating to Next: The Solution
The Chartis Group partnered with UCI executive leadership and the Office of Advanced Practice to define a future-state vision and to identify “top of license” opportunities for the APP workforce. The team first assessed existing APP practice models, governance structure, and performance across three clinical areas. Current state information helped to inform refinement of an existing set of APP operating standards, which clarified clinical expectations.
Subsequently, the team worked with faculty, APPs, and front-line operational leaders to demo the new operating standards in select areas utilizing a detailed playbook designed for implementation rollout. A marketing and communication toolkit was used to elevate internal/external perception of APPs and further supported the modernization efforts.