Allison Abayasekara Hi, Lisa– thanks for posting! Yes, the support ratios and staffing structures tend to be considered “Clinical Affairs” by a lot of systems, even though they have far-reaching impact on workforce. If I had to pick one of the two for you to really consider going through the work of getting, I’d select Support Ratios. That one can go a long way toward understanding the daily practice experience and will help your org understand real strengths and challenges you can use in both recruitment and retention efforts. Even meeting with the medical/operations team(s) just twice a year will give you a sense of what’s happening and create connections without being a huge additional effort. You got this!