Advanced Practice Providers Series

The demand for and implementation of advanced practice providers (APPs) — such as clinical nurse specialists (CNS), nurse practitioners (NPs) and Physician Assistants (PAs) — in the ICU has generated great interest in the healthcare community in general and the medical community in particular. Developed by SCCM’s eLearning NP/PA Task Force, this four-part educational series will feature three webcasts and a half-day course at SCCM’s 2015 Critical Care Congress and is designed to provide information on building an APP service model. In each component of the series, speakers will bring their local and national expertise to each subject area, providing the participant with the comprehensive view needed to establish a multiprofessional intensive care unit (ICU) provider team.

Register online today. The registration fee includes all three webcasts, On Demand access to content after the webcasts, and the live event. Attendees of the live event are eligible to receive continuing education credit. Components of the series are not available to purchase separately.


 Webcast 1


Financial and Administrative Considerations for the Development of an ICU NP/PA Practice
Thursday, August 21, 2014
12:00 p.m. – 1:00 p.m. Central Time

To achieve patient care of the highest quality in an intensive care unit (ICU), the staff must be multiprofessional and multidisciplinary.  In this webcast, expert faculty will review strategic planning and development of a feasible and outcome-focused ICU clinical nurse specialist (CNS), nurse practitioner (NP) and physician assistant (PA) program. Team composition, staffing models and framework for successful integration and implementation of the NP/PA program will also be discussed.

Learning Objectives

  • Identify gaps in care delivery that would support implementation of CNS/NP/PA programs in the ICU setting
  • Construct a business case for the development and implementation of an ICU CNS/NP/PA program
  • Describe the scope of an ICU CNS/NP/PA  program with corresponding ICU NP/PA competency requirements and role description
  • Identify key strategies for building an effective CNS/NP/PA ICU team
  • Examine methods for orientation to assure successful integration of the CNS/NP/PA into the ICU team
  • Discuss key barriers to an effective ICU team


Brian Jefferson, MSN, ACNP-BC, FCCM
CHS Program Coordinator, AG-ACNP
Carolinas Healthcare System
Charlotte, North Carolina, USA

April N. Kapu, DNP, RN, ACNP-BC
Assistant In Critical Care, Department of Anesthesiology
Assistant Director Advanced Practice
Vanderbilt University Hospital
Vanderbilt University School of Nursing
Nashville, Tennessee, USA


Connie A. Jastremski, RN
Chief Nursing Officer
Bassett Healthcare Network
Cooperstown, New York, USA


 Webcast 2


Developing Formal Orientation and Onboarding for Advanced Practice Providers
September 30, 2014
11:00 a.m. – 12:00 p.m. Central Time

Given the need for 24-hour staffing in the intensive care unit (ICU), many centers are considering an advanced practice provider (APP) model. To establish this model, a sophisticated, rigorous onboarding process is needed. In this webcast, expert faculty provide the basic tools and structure to assist providers and educators in the selection and orientation of APPs in the ICU.

Learning Objectives

  • Establish an interview/hiring process to select the best APP candidates
  • Develop and implement orientation strategies for APPs in an ICU setting 
  • Discuss integration of APP performance assessment throughout the onboarding and orientation process


Roy H. Constantine, PA-C, MPH, PhD, FCCM, DFAAPA
Assistant Director, MLP Services
St. Francis Hospital-The Heart Center
Roslyn, New York, USA

Corinna Sicoutris, ACNP, CCRN, FCCM
Associate Director, Advanced Practice
Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania, USA


W. Robert Grabenkort, PA, MMSc, FCCM
Senior Physicians Assistant
Emory University Hospital
Atlanta, Georgia, USA


 Webcast 3


Ensuring Initial and Ongoing Competency of Advanced Practice Providers in the ICU
October 8, 2014
12:00 p.m. – 1:30 p.m. Central Time

Demonstrating skillful and precise practices is a requirement for all clinicians in the intensive care unit (ICU). In this webcast, expert faculty will focus on determining relevant competencies for advanced practice providers (APPs) caring for critically ill patients.  They will discuss how to establish initial competence of the newly hired and the process of reestablishing competence over time. Internal and external factors to the unit and institution can drive the establishment and review of competencies, and will be explored during the webcast.

Learning Objectives

  • Identify forces, both internal and external to the ICU, that can drive the need for the establishment of an  individual APP’s initial and ongoing competence
  • Construct methods to evaluate selected competencies and their thresholds
  • Compare several viable models for initial and ongoing competency and evaluation
  • List options for APPs who do not meet initial or ongoing competencies


Rhonda D’Agostino, ACNP-BC, CCRN
ICU/RRT NP Coordinator
Memorial Sloan Kettering Cancer Center
New York, New York, USA

Ryan O’Gowan, MBA, PA-C, FCCM
Chair- Tenet Healthcare National Council Critical Care APP Workgroup, Surgical ICU
St. Vincent's Hospital
Worcester, Massachusetts, USA


Marilyn Hravnak, RN, PhD, ACNP-BC, FCCM, FAAN
University of Pittsburgh, School of Nursing
Pittsburgh, Pennsylvania, USA


 Live Course


Advanced Practice Providers: Administration, Leadership and Outcomes
January 17, 2015
8:00 a.m. – 12:00 p.m. Mountain Standard Time
Phoenix Convention Center
Phoenix, Arizona, USA

Examine the functionality of advanced practice providers (APPs) in the intensive care unit (ICU). This course will prepare participants to answer crucial questions and will address various APP models, implementation strategies, mentorship, process outcomes, and financial outcomes to optimally integrate APPs into the ICU and within healthcare systems. Both novice and experienced participants with be provided with the tools to expand APP practice. Opportunities to interact with experts in the field will allow participants to maximize learning and facilitate programmatic development.

Learning Objectives

  • Identify models of care for integrating APPs
  • Review national trends on the use of nurse practitioners and physician assistants
  • Discuss benchmarking for the role of the APP


Walter Boyle, MD
Department of Anesthesiology
Washington University School of Medicine
St. Louis, Missouri, USA

Timothy Buchman, MD, PhD, MCCM
Founding Director
Emory University Hospital
Atlanta, Georgia, USA

Rob Grabenkort, PA, MMSc, FCCM
Senior Physicians Assistant
Emory University Hospital
Atlanta, Georgia, USA

Ruth Kleinpell, PhD, RN-CS, FCCM
Director, Center for Clinical Research and Scholarship
Rush University Medical Center
Chicago, Illinois, USA

Andrea M. Kline-Tilford, MS, RN, FCCM
Nurse Practitioner
Rush University
Northville, Michigan, USA


W. Robert Grabenkort, PA, MMSc, FCCM
Senior Physician Assistant
Emory University Hospital
Atlanta, Georgia, USA

Marilyn Hravnak, RN, PhD, ACNP-BC, FCCM, FAAN
University of Pittsburgh, School of Nursing
Pittsburgh, Pennsylvania, USA


Continuing Education

Type of Activity
This activity includes elements that increase knowledge, application and practice.

SCCM supports recommendations that will promote lifelong learning through continuing education. SCCM promotes activities that encourage the highest quality in education that will enhance knowledge, competence or performance in critical care practice. This activity will meet the following: Quality Improvement and Patient Safety, Patient- and Family-Centered Care, Clinical Knowledge, Communication, Multiprofessionalism and Teamwork, and Translation Research from Bench to Bedside.

Target Audience
This continuing education offering is intended to meet the needs of all practitioners who care for critically ill patients.

Credit Hours

SCCM is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Designation Statement: SCCM designates this live educational activity for 3.75 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

This program has been approved by the California Board of Registered Nursing, Provider No. 8181, for 3.75 contact hours.


SCCM is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education. This course provides up to 3.75 contact hours of continuing education credit (0236-0000-15-106-L04-P). SCCM reports to a continuing pharmacy education (CPE) tracking service, CPE Monitor, which will authenticate and store data for completed CPE units received by pharmacists and pharmacy technicians. The tracking system will make CPE data for each participant available to the state boards of pharmacy where the participant is licensed or registered. After CPE units are processed by ACPE and NABP, pharmacists and pharmacy technicians will be able to log in to a comprehensive electronic profile to access information about their completed CPE.