Quick Hit Survey Results: Advanced Practice Providers


With an increased prioritization of cost reduction and efficiency, many health systems are increasing their utilization of Advanced Practice Providers (APPs) such as Nurse Practitioners (NPs) and Physician Assistants (PAs). By leveraging APPs, health systems intend to reduce physician burnout and ensure physicians are practicing at the top of their license. To understand the current trends in APP utilization, The Health Management Academy (The Academy) conducted a quantitative survey of C-suite executives around their APP strategy.


In September 2018, The Academy conducted an online survey of clinical executives at Leading Health Systems regarding their utilization of Advanced Practice Providers (APPs). The 13 respondents included Chief Medical Officers (CMO), Chief Medical Information Officers (CMIO), Chief Clinical Officers (CCO), Chief Medical Group Officers (CMGO), Chief Physician Executives (CPE), System Medical Directors (CMDs), and Chief Clinical Services Officers (CCSO). This survey explores the clinical areas that APPs serve across different health systems as well as the compensation and leadership structures for these practitioners.

Respondent Demographics

Number of Health Systems: 13
Average Health System Revenue: $4.6 billion Total Number of Hospitals: 146

  • Region:
  • East: 31%
  • Central: 46%
  • West: 23%

Key Findings

  • APPs are heavily utilized in primary care, with over half (58%) of responding health systems indicating APPs handle between 20 – 40% of all primary care appointments.
  • he majority (77%) of health systems utilize APPs to conduct Medicare Annual Wellness Visits (AWVs). Executives anticipate that over half (58%) of AWVs will be conducted by APPs or other non-physician clinicians by 2020.
  • Few health systems (16%) currently have an organizational strategy for the management, staffing, and utilization of APPs. However, a majority of organizations (69%) are planning to develop a strategy.