“The legislation began the long process of shifting the focus of the U.S. healthcare system away from acute and specialty care. The need for this shift in focus has become particularly urgent with respect to chronic conditions; primary care, including care coordination and transitional care; prevention and well-being” (IOM, 2011). As more care is provided through primary care, clinics and community outreach programs, “nurses are called upon to coordinate care among a variety of physicians and community agencies; help patients manage chronic diseases, thus preventing acute care episodes and disease progression; and use a variety of technological tools to improve the quality and effectiveness of care. More educated nursing staff would be better equipped to meet these demands” (IOM. 2011). The Institute of Medicine suggests that “nurses should practice the full extent of their education and training.” This combination with the current trend in healthcare away from the acute care setting is believed to “enable the healthcare system to provide higher quality care, reduce errors, and increase safety” (IOM, 2011). To achieve the goals suggested by the Institute of Medicine, as a physician, I would allow my nurses to work to the fullest extent of their education and training, as well as promote and encourage continuing education. I would also employ an APRN, to keep up with “the demand to build the primary workforce” (IOM, 2011). Education and qualifications aside, I would also promote a healthy work environment, foster the growth of my employees and value them as human beings