Designing the Ideal Office of Advanced Practice: Bridging Workforce Excellence and System Goals.

The establishment of the Office of Advanced Practice (OAP) at Vanderbilt University Medical Center (VUMC) has been a pivotal achievement for both the APRN workforce and the institution. More than a decade ago, the need for a centralized infrastructure to support and empower advanced practice providers became evident. While APRNs were demonstrating measurable impacts on patient care, fragmented processes and a lack of systemic support limited their full potential. Recognizing these gaps, VUMC launched the OAP to centralize advanced practice leadership, credentialing, and professional development. The OAP has become a vital resource, enhancing operational efficiency, improving patient outcomes, and aligning workforce strategies with organizational goals. This column examines the framework and measurable impact of a well-designed OAP, demonstrating its value for APRNs and executive leadership teams alike.