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Changes to APP Structure in 2024

National Jewish Health implemented a new APP structure as of October 1, 2024.  Changes include new APP Leadership roles, and transition of APP home Department and direct reporting.  These changes are intended to provide support for APP growth and development, recognition for top of scope practice, alignment with faculty medical practice, and equity in professional expectations across the organization.  Here is some additional background:

 APP leadership roles include Leads and Managers.  APP Leads serve as a resource and representative for groups of APPs, and function as a leadership partner for clinical leaders within the Division.  APP Managers have direct supervisory responsibilities for APPs, oversee our APP Leads, and serve as a leadership partner with Division Chiefs.

APP reporting has transitioned to a matrixed structure.  Direct reporting changed to the APP Manager who has supervisory responsibilities such as onboarding, Kronos timekeeping, and annual performance evaluation.   Indirect reporting remains with the Division Chief (or designee) for oversight of clinical practice. 

APP home department has transitioned from the Department of Nursing to the Departments of Medicine, Pediatrics, or Specialty Services and respective Division/Section.

APP Managers

  • Jenna Milliron serves as the APP Manager for Neurology, Allergy & Immunology, Occupational Medicine, Gastroenterology, Cardiology, Pulmonary Hypertension, Metabolic Health, Rheumatology, Oncology, and Cystic Fibrosis.  Jenna continues her clinical practice in Metabolic Health.
  • Kelly Mowrey serves as the APP Manager for Pulmonary & Critical Care, Sleep Medicine, Otolaryngology, Thoracic Surgery, Anesthesiology, Infectious Disease, and Pediatrics.  Kelly has additional responsibilities for developing programs to support APP education and professional growth.  Kelly practices clinically in Interventional Pulmonology.

APP Leads

  • Kalie Vonfeldt: Neurology, Allergy Immunology, Occupational Medicine, Gastroenterology, Cystic Fibrosis
  • Lindsay Scholl: Cardiology, Pulmonary Hypertension, Metabolic Health
  • Lauren Spitzinger: General Pulmonary, Critical Care
  • Cori Fratelli: Sleep, Thoracic Surgery, Otolaryngology, Infectious Disease, Pediatrics
  • Lyndsey Roetker: Rheumatology, Oncology
  • Anesthesiology (under recruitment): Minimally Invasive Diagnostic Center CRNA practice

AP Structure