Center for Advanced Practice Nursing

Center for Advanced Practice Nursing

The Center for Advanced Practice Nursing at HSS is dedicated to promoting the role of the advanced practice provider (APP) within HSS as well as among the medical community in New York City and nationally. APP roles include: physician assistants (PAs), nurse practitioners (NPs), nurse anesthetists (CRNAs), nurse midwives (CNMs)*, and clinical nurse specialists (CNSs)*. APPs are medical providers who are able to treat, diagnose, manage care, order, prescribe, and perform or assist in surgical procedures in collaboration with physicians and surgeons.

Formally launched in 2016, the Center for Advanced Practice Nursing develops policy and processes, provides resources, and guides utilization and management for all advanced practice nurses – NPs and CRNAs – practicing throughout the hospital and at its local and regional sites. The first NP at HSS started in 1996; CRNAs began at HSS in the 1960s.

APPs play an increasingly visible role in healthcare both at HSS and throughout the nation. The Center for Advanced Practice Nursing is innovative in its administrative infrastructure and centralization of resources for advanced practice, serving at the forefront as a leader for other academic medical centers and community hospitals in the tri-state region and the U.S. HSS PAs, NPs, and CRNAs understand the pre-surgical, intraoperative, post-surgical, and overall health needs of our diverse patient population. They are intimately involved in supporting the safest, highest quality care throughout the continuum, utilizing evidence-based, best practice, and personalized treatment.

As of early 2017, there are approximately 244 APPs practicing at HSS:

  • 175 PAs
  • 53 NPs
  • 16 CRNAs

The Center is committed to fostering comprehensive understanding of the roles and compelling the most efficient, effective, and appropriate utilization of NPs and CRNAs. HSS continues to evaluate and pursue opportunities and initiatives where all APPs practice to the full extent of their education and training and act in partnership with physicians and surgeons in medical and surgical practice, helping fulfill the core recommendations for advanced practice identified in the Institute of Medicine’s report: The Future of Nursing – Leading Change, Advanced Health (2011).

Advanced Practice Provider (APP) Roles

Preceptoring and Student Clinical Rotations

During student clinical rotations at HSS, NP students receive exposure and structured training to the day-to-day clinical practice of experienced APPs and physicians which is integral to translating medical knowledge and understanding into effective patient care.


*given the nature of our surgical specialization around orthopedics and related subspecialties, HSS does not utilize CNMs or CNSs.