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Rachel Start


Director, Ambulatory Nursing and Nursing Practice

Rush Oak Park Hospital

Rachel Start is Director of Ambulatory Nursing and Nursing Practice at Rush Oak Park Hospital in Oak Park, Illinois.

Rachel Start is a champion for the evolution of nursing practice in the ambulatory environment. Her engagement and leadership of initiatives within state and national organizations has been driven by a desire to see nursing realize its full contribution across settings. She has significantly advanced the field of ambulatory care nurse sensitive measurement, having led the national development of nurse sensitive indicators (NSI). Rachel founded the Illinois Ambulatory Nurse Practice Consortium (IANPC) in 2013, giving ambulatory nurses voice into legislation and advocacy. She advocated for IANPC to be recognized as a chapter of the American Academy of Ambulatory Care Nursing (AAACN). Rachel was a lead member of the AAACN taskforce to identify and develop NSIs for ambulatory in 2013 and became chair of this group by 2014, serving on the ANA Ambulatory Summit, and the Collaborative Alliance for Nursing Outcomes (CALNOC)/ AAACN Steering Group to pilot NSIs (2015-2019). She advised the American Nurses Credentialing Center's (ANCC) Magnet Commission in 2016 on this work. The NSI database created through this work was acquired by Press Ganey in 2019 and she continues to serve and advise on several national organizations and related studies. Additionally, Rachel has published and presented extensively on these topics.

Rachel has her BSN and MSN from Rush University College of Nursing and is currently working on her PhD at the Loyola University Marcella Niehoff School of Nursing.

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