2018-19 CHLM Employers of Excellence
CHLM is proud to highlight the programs our winners have created to involve and empower PAs in the administration of patient care, pursuit of professional development, and the facilitation of effective collaboration among all providers.
Brigham and Women’s Hospital’s PA Services department is embedded within its leadership infrastructure which enables PA contributions in clinical practice, research and education. Its director of PA services was selected to participate in an executive leadership program allowing for direct input and representation on initiatives to increase patient access, enhance patient throughput, and design new clinical processes. A series of courses help PAs engage in conversation and practice related to conflict management, providing critical feedback, and managing difficult conversations.
The Cleveland Clinic has an executive director of PA services, strong recruitment tactics and leadership opportunities for its PAs. Each new hire gets assigned into a Transition to Practice onboarding program. This allows new hires to have a full year of onboarding in order to assess their evolving skills and competency levels and has led to increased retention of each new hire. In addition, the director of APRN/PA sits at the C-suite level at regional hospitals.
El Centro Family Health is a Federally Qualified Health Center which serves 25 clinics in seven counties in rural Northern New Mexico. PAs serve in leadership positions as medical directors, chief quality and chief program officers. By empowering their PAs to serve in high level administrative positions, as clinical leads of medical clinics and programs such as their endocrinology program, El Centro is helping redefine the PA role in the traditional health care workplace.
Hospital for Special Surgery has PA leaders across each of its 13 clinical service lines who analyze work processes to improve outcomes. PA leaders are offered advanced training through the HSS Leadership Academy in which a comprehensive curriculum guides and nurtures their development. They conduct a PA town hall twice each year, which allows for PA management and hospital leadership to have an open dialogue.
MidMichigan Health instituted a dyad leadership model — a partnership between an administrative leader and a physician, NP or PA provider — which has significantly improved the onboarding and mentoring process for new providers. Orientation focuses on areas such as EMR training, coding and documentation compliance. The dyads have elevated the onboarding process to provide peer mentorship for the first year of employment, a formal clinical preceptorship for primary care providers, and other relationship building support that enhances the employment experience for a new provider.
NYU Langone Health pairs new PAs with resident staff, senior PAs or an attending physician, and comprehensive assessments take place during mentoring. The development of their Health Leadership Councils puts them at the forefront of progressive employers. These Councils encompass PAs across the system who meet bi-monthly to address quality, safety and patient experience metrics which inform new initiatives in patient care. They hold an annual think tank for innovative ideas that PAs participate in for patient safety.
Seattle Cancer Care Alliance staffs PA/NP teams at independent clinics, which its leadership says expands access to care and improves job satisfaction. They describe their culture as one where everyone is valued. Strengths include relationship-building plus a passion for patients and breakthrough science. They recognize that maximizing autonomy for their PAs and NPs drives growth on their team to develop substantial specialty knowledge that allows them to see increasingly complex patients.
At Wake Forest Baptist Health, PAs are formally represented by a director of PA Services who reports directly to the chief medical officer. This position provides administrative oversight and ensures that PAs have a voice at the leadership table. Formal APP bylaws include scope of practice rules and professional protection for PA rights. A PA also heads the Transitional and Supportive Care shared service line focused on reducing hospital admissions and expanding access to care through value-based initiatives.