Tag: physician assistant

How to Build & Retain a Thriving Clinical Workforce

By Brook Horne, VP of People Operations

Hospitals and health systems continue to face significant clinical staff shortages, intensifying an already challenging business climate. As a result, successful recruitment, development, and retention of clinical staff requires more than filling roles—it demands an intentional culture that keeps people connected, supported, and engaged.

 AP Health is no stranger to the challenges of clinical recruitment. We recruit highly skilled Advanced Practice Providers (APPs) to support the surgical needs of our health system partners. APPs are in high demand and have many career paths to choose from—urgent care, clinics, private practice, or emergency medicine to name a few. Identifying those who are both highly skilled and committed to focusing on surgery requires a targeted search within an already limited talent pool. To attract and retain top surgical talent, AP Health leads with a people-first strategy—one that we hope candidates feel from their very first interaction with us and continue to feel throughout their journey. This isn’t just an HR initiative; it’s a company-wide commitment, woven into our culture and intentionally reinforced at every step.

What Culture-Driven Recruitment Looks Like

Finding the “right fit” is at the heart of our hiring process. As an ever-growing business, we are committed to putting quality first when sourcing and interviewing candidates.  When we hire APPs, our clinical leaders work as true partners in the process – from educating our hiring team on what is the best “fit” for their team and playing an active role in the interview process. This isn’t simply about assessing skills; it’s a deliberate way of showing candidates from day one that they are our priority.

Candidates get to see firsthand that our leaders, (even our CEO) are practicing clinicians. That assurance matters: they know they’ll be supported by a management team that truly understands the work because we do it ourselves. This intentional, cohesive approach shows candidates that culture at AP Health isn’t abstract—it’s lived out in every interaction, starting from the very first one.

Streamlined Onboarding Process

Our APPs need to be credentialed at our customers’ hospitals and facilities-a process that can take anywhere from 60 to 120 days. Keeping candidates engaged during this waiting period is critical to retention before their employment even begins.

To support them, our team manages the entire credentialing process and provides regular status updates, sparing providers of the administrative burden that typically weighs down new hires. We’ve built a comprehensive touchpoint system that brings together our recruiting, credentialing, HR, and operations teams to ensure consistent communication and alignment.

In addition, our weekly onboarding meetings guarantee that every hired candidate receives personalized attention throughout their journey. These consistent touchpoints reflect our belief that our role doesn’t end when you’re hired – it’s just begun. People Operations is the keeper of culture, sustaining cohesion and connection from day one.

Collaboration Fuels Retention

Our people-first approach is built around creating a genuine community where clinical and corporate teams operate together rather than separate entities. Our lean corporate structure provides a true partnership, serving as a resource for our clinical staff where we constantly learn from each other. In addition, many mid-level and senior managers are practicing clinicians themselves, closing the gap that often exists between leadership and day-to-day clinical realities.

We foster collaboration and connection through regular team outings, monthly employee communications, social media engagement, and company-sponsored events. While not everyone participates in every opportunity, offering a variety of ways to connect reinforces a culture of inclusion and support.

When employee concerns arise, clinical team leaders are directly involved in the conversation. This ensures staff feel heard and supported by leaders who understand their daily challenges. It demonstrates that clinical and corporate leadership serve together— working to make people feel valued as individuals, not just employees.

The results speak for themselves. AP Health has been certified as a Great Place to Work for five consecutive years. In our most recent survey, 85% of employees said AP Health is a great place to work. In 2024 alone, we hired 40 new team members and saw only 10 departures—most due to retirement or relocation rather than dissatisfaction. That equates to a 7% turnover rate in an industry where rates of 30% or higher are the norm. Our provider-focused, intentionally cohesive team drives both employee satisfaction and long-term retention.

Work-Life Integration Supports the Whole Person

Many of the APPs who join AP Health come from private practice settings, where long 60-hour weeks were common—and often uncompensated. We take a different approach. By offering hourly pay, we ensure our team is fairly compensated for every hour worked, including overtime. This model provides not only financial stability but also the freedom and flexibility to create a healthier balance between work and life.

We believe in life-work balance, not just work-life balance. Work is a meaningful part of life, and our team members put in great effort every day. But it shouldn’t come at the expense of well-being. When people enjoy where they work and who they work with, they can achieve more—together.

We’ve built a culture of trust and support, where team members feel comfortable sharing personal challenges such as family illnesses, emergencies, or major life events. Colleagues step in for one another during these times, knowing that the same support will be there when they need it. That trust is sustained by an intentional people-first framework that prioritizes people’s well-being as the foundation of a cohesive team.

People-First Strategy Produces Results

Our provider-first approach doesn’t just shape culture—it delivers measurable business results. By fostering an environment where clinicians feel valued and supported, we attract and retain top talent. In fact, many of our new hires come through referrals from current employees—proof that our team is proud to recommend AP Health as a place to build a career.

This collaborative culture fuels our growth. Surgeons value the continuity and quality of our APPs so much that when they move to new facilities, they often request to bring our team members with them. Hospitals, in turn, recognize the impact: greater surgeon satisfaction, improved efficiency, and more productive ORs. Ultimately, clinical staffing isn’t just about filling roles—it’s about creating workplaces where skilled professionals choose to build their careers. In an industry where providers have more choices than ever, organizations that intentionally put their people first—through a collaborative work environment that prioritizes culture—will be the ones to secure and sustain top clinical talent.

Katie Steinhaus, PA-C: From Surgical Assistant to Cardiac Team Leader

Long before stepping into an operating room, Katie Steinhaus felt a deep calling to care for others. Inspired in part by her grandfather and aunt, her passion in medicine grew not only from a curiosity about science, but also from a deep sense of service and desire to support those in need. “I always knew I wanted to work in medicine,” Katie shared. “While I wasn’t exactly sure what that would look like, I knew I wanted to be someone others could count on during their most vulnerable moments.”

Katie earned her degree in biology and began exploring the medical field as a technician at a children’s hospital. The experience broadened her perspective on healthcare and deepened her commitment to a career in medicine. While shadowing her aunt in the operating room, Katie was intrigued by the environment- the focus, precision, and collaboration- and quickly recognized it as a special place. It was there she discovered what she truly wanted to pursue- a moment that sparked the next step in her journey.

She returned to school and earned her master’s degree in surgical assisting from Eastern Virginia Medical School. During her clinical rotations, she built a solid foundation across a variety of specialties, but it was her time in cardiac surgery that left the most lasting impression. “I remember getting an email asking if I was interested in a cardiac surgery rotation, and I thought, ‘Why not?’” she recalls. “Little did I know how much that experience—and the people I met—would shape my future.” That rotation ultimately led to her first job after surgical assisting school. The seasoned cardiac team embraced her warmly, providing mentorship and support as if she were part of their own family. It didn’t take long for me to realize that cardiac surgery was exactly where I wanted to be.

Returning to School, Again

After nearly two years as a Surgical Assistant, Katie made the deliberate decision to return to school and pursue her Physician Assistant (PA) degree.  Stepping away from the operating room she loved was challenging, but she remained focused on her long-term goals.

“I wanted to keep learning because I knew gaining more knowledge would help me provide better care,” she says. “I also wanted a career without limits. Surgical assistants, especially in cardiac surgery, face certain restrictions depending on the state. I wanted the opportunity to grow, challenge myself, and practice to my full potential, no matter where I was.”

Finding a Fit That Feels Right

When Katie joined AP Health in May 2024, she wasn’t just looking for a job—she was looking for the right environment to grow. “At AP Health, the opportunities to grow are endless. There are so many ways to challenge myself and continue advancing as a practitioner,” Katie says. “What excites me the most is the hands-on nature of the work. In the operating room, time seems to disappear and the only thing on my mind is the task at hand. I am always reminded of the privilege it is to be trusted by patients at a time when they are most vulnerable.”

That sense of trust and support extends to her team as well. “I love that I feel seen and valued here,” Katie continues. “I have worked in a hospital system before, and what stands out at AP Health is how people know me and see me as a person. If I have a question, I know exactly who I can reach out to. Those personal relationships mean so much to me.”

“Plus, the role fits well with my lifestyle, allowing me to maintain balance while pursuing a fulfilling and demanding career.” Outside of work, Katie finds joy in being outdoors, staying active, and chasing after her lively nieces. She has a deep love for cooking and cherished moments spent around a table with family and friends. It’s those simple, meaningful connections, both in and out of the OR, that matter most.

Promoted to Leadership Role

At the beginning of 2025, Katie was promoted to Cardiac Team Lead at Centennial Medical Center. In this role, she not only spends five days a week in the operating room but also manages AP Health’s largest cardiac program and its growing team of employees. At Centennial, AP Health supports five cardiac surgeons, performing a wide range of complex cases including bypasses, valve replacements, dissections, and LVADs.

“One of my favorite parts of the job is the team and the culture,” Katie says. “Whatever needs to be done, we’re all in it for the patients. It’s not just about the work—it’s how we show up for one another, and that creates a healthy team environment.”

Stepping into leadership has also given Katie a broader perspective. “Being in a leadership position is a big responsibility,” she reflects. “I need to advocate not only for my fellow employees, but for the patients, surgeons, and hospital we serve. For me it all comes down to quality-focusing on doing the right thing and being the best I can be every day.”

Katie’s journey reflects her passion for medicine, her drive to keep learning, and her commitment to leading with integrity. At AP Health, she continues to embody The AP Way — fostering teamwork, supporting colleagues, and delivering patient-centered care every day.

Keith Purino, PA-C: Finding Balance and Growth at AP Health

Keith Purino, PA-C, didn’t take the traditional path to a career in healthcare. With a background in economics and political science, he initially planned to attend law school. But during his senior year of college, everything changed after meeting some athletic trainers through his involvement in sports.

“I liked that they were working with athletes. It was medicine, and I had always been strong in science,” Keith recalls. That interest led him to Temple University in Philadelphia, where he earned a master’s degree in athletic training and worked in the field for almost five years.

While Keith enjoyed his work as a trainer, he began exploring other career paths in healthcare. “The hours were long, and the pay wasn’t great. I started looking into other options, and that’s when someone mentioned PA school. I had no idea what a Physician Assistant was at that point. It was the mid-1990s, and the profession was still relatively new.”

After shadowing a PA in his workplace, Keith applied to PA school “really on a whim” and was accepted into a program in Nashville. He initially thought he would go right back into orthopedics after graduation because of his background in athletic training. However, during his clinical rotations he discovered a passion for family practice and emergency medicine. He worked in those areas for nearly seven years before finding his way back to orthopedics.

A New Opportunity with AP Health

After spending 12 years as a PA in orthopedic practices, Keith was beginning to feel the heavy demands of the job. “I spent three days in clinic and two in the OR each week,” he explains. “Plus, I worked weekends and holidays, had call, did rounds, etc. I had two kids in middle school and felt like all my time was being consumed by my job. I was burned out.”

That’s when Keith was approached about joining AP Health in 2019. “They offered me a surgery-focused role. Once they explained the AP Health business model, I realized it would provide a better work-life balance, so I signed up. That was five years ago.”

Growth and Development at AP Health

Coming from a clinical background where he managed patient care from initial consultation through surgery and recovery, Keith had to adjust to focusing solely on the operating room. He also learned new specialties.

“As a seasoned PA, I was already well-versed in surgery and orthopedics,” he explains. “But joining AP Health was a big change. I went from working closely with just a few orthopedic surgeons, to collaborating with a much larger team of physicians across a variety of specialties. My first year was focused on learning neuro-spine, which really expanded my skill set.”

When Keith joined AP Health’s Nashville team, he was the only PA among a small group of surgical assistants. Since then, he’s witnessed—and helped drive—tremendous growth. “We’ve gone from about 8-10 providers with me being the only PA, to 25 providers with probably three-quarters of those being PAs,” he explains.

Keith’s surgical experience, leadership qualities, and strong interpersonal skills quickly set him apart, paving the way for his growth within the company. Last year, he was asked to assist the recruitment team with helping to interview new providers in addition to him working in the OR.

“We’re now staffing surgeries at more than a dozen facilities, with more growth ahead,” Keith explains. “We’ve been fortunate to build a deep bench of providers to accommodate that growth.”

Recently, Keith was named Director of Clinical Services for the Nashville team, a promotion that takes him out the OR.

“AP Health values promoting from within,” Keith says. “Having a clinical background and understanding what the OR demands of your providers gives me a unique perspective as a team leader. I feel fortunate to be given the opportunity to step into this role.”

Finding the Right Balance

In his new position, Keith oversees a growing team of providers, helps with scheduling, meets with physicians and facilities to understand their needs, and ensures that AP Health maintains its high standards of care.

While he occasionally misses direct patient care and the hands-on aspects of surgery, Keith values the company’s approach to work-life balance and its focus on matching the right providers with the right physicians.

“While managing people is new to me, I like interacting with our providers and making sure we are creating a good environment for them,” he says. “I know it’s been a good one for me.”

AP Health Earns 2025 Great Place To Work Certification™

Nashville, TN — AP Health is proud to announce that it has been Certified™ by Great Place to Work® for the fifth year in a row! This prestigious recognition is based entirely on employee feedback, reflecting our team’s trust, satisfaction, and positive workplace experiences. In this year’s survey, 85% of employees affirmed that AP Health is a great place to work—exceeding the national average for U.S. companies.

Great Place to Work® is the global authority on workplace culture, employee experience, and leadership behaviors that drive business success, including higher employee retention, innovation, and revenue growth.

“Earning Great Place to Work Certification for the fifth consecutive year is a tremendous honor,” said John T. Gray, CEO of AP Health. “At AP Health, we believe that a strong, engaged workforce is the foundation of our success. This recognition reaffirms our commitment to fostering a positive workplace where our employees feel valued, supported, and empowered to make a difference.”

A Culture Built on Growth, Support, and Innovation
At AP Health, we prioritize a people-first culture by fostering a workplace that values professional development, collaboration, and well-being. Over the past year, we have:

Continuously evaluated and enhanced our benefits to ensure they best serve our employees, supporting their overall well-being and work-life balance.
Prioritized strategic recruitment efforts to maintain a full team, allowing for flexible scheduling and reducing the risk of burnout among our healthcare professionals.
Invested in our proprietary software, streamlining workflows and improving processes to make day-to-day operations more efficient and seamless for our employees.
Strengthened our commitment to diversity, equity, and inclusion, creating an environment where every team member feels heard, respected, and valued.

Why Work With Us?
According to Great Place to Work research, job seekers are 4.5 times more likely to find great leadership at Certified workplaces. Employees at Certified companies are also 93% more likely to look forward to coming to work and are twice as likely to feel they are fairly compensated and given growth opportunities.
Looking for a career with a company that truly values its people? Join our award-winning team! Visit our careers page to explore opportunities: WORK WITH US

For more information on Great Place to Work Certification, visit Great Place to Work

AP Health Earns 2024 Great Place To Work Certification™

Nashville, TN- AP Health is proud to be Certified™ by Great Place To Work® for the 4th year in a row. The prestigious award is based entirely on what current employees say about their experience working at AP Health, and each year we have participated, we have achieved a higher rating with this year being our best yet. This year, 92% of employees said it’s a great place To Work – 35 points higher than the average U.S. company.

Great Place To Work® is the global authority on workplace culture, employee experience, and the leadership behaviors proven to deliver market-leading revenue, employee retention and increased innovation.

“Great Place To Work Certification is a highly coveted achievement that requires consistent and intentional dedication to the overall employee experience,” says Sarah Lewis-Kulin, the Vice President of Global Recognition at Great Place To Work. She emphasizes that Certification is the sole official recognition earned by the real-time feedback of employees regarding their company culture. “By successfully earning this recognition, it is evident that AP Health stands out as one of the top companies to work for, providing a great workplace environment for its employees.”

“We are thrilled to be Great Place to Work-Certified again as we consider employee experience a top priority every day,” says Founder & CEO J. Toby Gray. “We owe our continued success to our team of dedicated employees here at AP Health and celebrate them for all they do to earn this incredible recognition.”

Throughout the year, our key initiative involved optimizing communication channels among employees and management at different levels, with the goal of ensuring that employees feel more valued and listened to. We revamped our annual review process to encourage more open dialogue and implemented additional feedback opportunities to provide employees with increased opportunities to share their perspectives. We truly believe that fostering open and honest communication is an integral factor in cultivating a Great Place to Work™.

According to Great Place To Work research, job seekers are 4.5 times more likely to find a great boss at a Certified great workplace. Additionally, employees at Certified workplaces are 93% more likely to look forward to coming to work, and are twice as likely to be paid fairly, earn a fair share of the company’s profits and have a fair chance at promotion.

WE’RE HIRING!

Looking to grow your career at a company that puts its people first? Visit our careers page at: AP Health Job Opportunities

About AP Health

AP Health is a surgeon-centric outsource provider for hospitals and surgery centers. We recruit, manage, schedule and train skilled Advanced Practice Providers (APPs), tailoring a team to meet each surgeon’s and facility’s needs. AP Health offers skilled Advanced Practice Providers an opportunity for career control, flexibility, competitive compensation, and ownership interest in the company.

About Great Place to Work Certification™

Great Place To Work® Certification™ is the most definitive “employer-of-choice” recognition that companies aspire to achieve. It is the only recognition based entirely on what employees report about their workplace experience – specifically, how consistently they experience a high-trust workplace. Great Place to Work Certification is recognized worldwide by employees and employers alike and is the global benchmark for identifying and recognizing outstanding employee experience. Every year, more than 10,000 companies across 60 countries apply to get Great Place To Work-Certified.

About Great Place To Work®

As the global authority on workplace culture, Great Place To Work® brings 30 years of groundbreaking research and data to help every place become a great place to work for all. Their proprietary platform and For All™ Model helps companies evaluate the experience of every employee, with exemplary workplaces becoming Great Place To Work Certified™ or receiving recognition on a coveted Best Workplaces™ List.

Learn more at greatplacetowork.com and follow Great Place To Work on LinkedIn, Twitter, Facebook and Instagram.

Flexibility Key to Surgical Operations, Practitioner Retention

By Sarah Calvey PA-C, MMS

Surgical programs typically place a high priority on stability of practitioner staff, especially those with highly specialized procedures. This often leads facilities to hire full-time practitioners to support their programs. However, this reliance on in-house staff often leads to practitioner burnout and high turnover, resulting in less stability of staffing operations. I know this because I have seen it firsthand.

In September 2018, the cardiothoracic surgery team at Holy Cross Health in Ft. Lauderdale, Fla., experienced a staffing challenge. Its two full-time Physician Assistants (PAs) were leaving at the same time and turnover had been an issue with these positions for a while – the demanding schedule of being on call every other night and every other weekend often led to employee exhaustion.

Holy Cross Health called on AP Health since we were already supporting other areas of the hospital. With our deep bench of PAs and our focus on recruiting, we were able to build a team of five cardiac practitioners. Our PAs know the surgeons’ preferences both in the operating room and in the ICU. We also have good flexibility and variety in our work life. These factors have eliminated turnover of surgery staff, which has meant more stability and continuity for the cardiac surgeons.

Pandemic Intensifies Need for Flexibility in Staffing Operations

While the importance of being nimble in surgical staffing has been increasing for years, COVID-19 has intensified that need. At Holy Cross, like many hospitals across the country, non-essential surgeries were stopped in April, and ICUs were converted into COVID ICUs. For many hospitals, that meant furloughing full-time staff in different departments while also ramping up staffing for treating COVID-19 patients.

When the first wave of COVID-19 patients began entering its facility, Holy Cross

administration approached us about helping in the ICU. Because our advanced practice providers were already trained in critical care, we were able to move our staff from other areas of the hospital. In doing so we were able to support the hospital during nights and weekends in the ICU for about two months until COVID patient volumes declined.

Had AP Health not provided advanced practice providers to assist in the care of COVID-19 patients, Holy Cross would have needed to bring in many more MDs at much higher  costs. We were able to provide the hospital with the critical care staff it needed, while also saving them a significant amount of money.

As COVID progressed throughout summer, we continued to adapt to the changing needs of the hospital and its patient volumes. Three of us have helped the infectious disease doctors with a census of 50-60 COVID patients, while others moved to support other areas of the hospital as elective surgeries and other normal duties returned.

As a 15-year PA, I love the variety and flexibility that AP Health provides. I can continue to learn and advance my career while maintaining a good quality of life. I’ve been able to branch out from orthopedics into general surgery, labor and delivery with C-sections and now, cardiac surgery. And, with two young children, I also have the ability to flex my schedule easily because we have so much coverage. And I can do so with the peace of mind of knowing that we’re providing the hospital with the surgical support to provide the best possible care for their patients.

Sarah Calvey is director of Clinical Operations at AP Health.