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Center of Excellence FAQs

What does the Center of Excellence in Advanced Practice application consist of?

The entire application is comprise of five (5) components or sections: 1) an Advanced Practice Administrator survey, 2) an Advanced Practice Provider Staff survey, 3) a Physician, Nurse, and Hospital Executive Survey, 4) Documentation/Policy review, and 5) Exemplars.

What is an exemplar?

An exemplar is descriptive clinical narrative which serves as an example of a model of excellence. As a significant component of the application for designation as a Center of Excellence in Advanced Practice, organizations applying must select four (4) out of seven (7) available exemplar topics to submit written case studies on.

How much time is allotted for an organization to submit all components of the application?

90 days, beginning from the date payment is received.

Once all components of the application are submitted, how long will the review and decision process take?

The review process may take up to 90 days.

How much does is cost to apply to become a Center of Excellence in Advanced Practice?

Initial application cost is $8,900. Payment is accepted online (via credit card) and by mail (via check).

How long does an organization maintain its designation as a Center of Excellence in Advanced Practice?

Center of Excellence in Advanced Practice designation is awarded for a period of three (3) years. Organizations renewing designation should anticipate and plan to submit a complete renewal application prior to the end date of their designation period.

What does the review process entail?

Upon receipt of a complete application, members of APPex’s Board of Advisors will thoroughly evaluate all survey responses, findings, data, documentation, processes, and exemplars. Formulaic, evidence-based criteria have been developed, along with expert opinion and experience of Board members—who are advanced practice executives—to benchmark and determine ratings & standards. Each domain is rated as “needs improvement”, “acceptable”, or “exemplary”.

Can an organization request an extension to complete the application in its entirety beyond the 90-day timeline?

Yes, an organization can request one (1) 30-day extension.

Can an organization appeal a decision if it is not awarded designation as a Center of Excellence in Advanced Practice?

No, all decisions are final.

What is the process if an organization is not awarded designation as a Center of Excellence in Advanced Practice and wishes to re-apply?

The organization must wait a minimum of one (1) year, beginning from the time the formal decision is issued, before it submits a subsequent application.

How does an organization reflect its designation as a Center of Excellence in Advanced Practice?

Once designated, organizations will receive a formal award that they may display within their institutions. Additionally, organizations may begin using the Center of Excellence in Advanced Practice award logos in print, posters, presentations and other publications. Lapel pins—a gold APPex shield, denoting a Center of Excellence in Advanced Practice—are available as way to recognize and honor achievement.

Is preparation (e.g., a mock survey) for designation as a Center of Excellence in Advanced Practice available?

Yes, APPex can help assess your organization for its readiness in becoming a Center of Excellence in Advanced Practice. Please email info@APPexecutives.org to inquire about further information and details.

Is academic preparation (e.g., terminal degree: PhD, DNP) taken into account in the assessment?

Yes, formal academic education of APP staff is reviewed as part of a comprehensive and thorough evaluation of the institution.

Why are physicians (MDs/DOs), nurses (RNs) and administrators surveyed as part of the designation process?

Insights and understanding of how knowledgeable, participatory, engaged, and supportive these other professional roles are of advanced practice within the institution is important.

Why are APRNs and PAs grouped together as APPs?

The roles of NPs and PAs are incredibly similar, despite some structural and regulatory/legal differences.

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