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Transitions to Practice Consulting

Culture

Build Stronger Nurse Transitions with
Structure, Strategy, and Expert Support

Creative Health Care Management (CHCM) partners with organizations to design, strengthen, and support transitions to practice programs. Our consulting services currently align with ANCC Practice Transition Accreditation Program (PTAP®) standards and are customized to help organizations build sustainable, evidence-based programs.

Whether you are building a program from the ground up, preparing for accreditation, or refining an existing model, our experts provide the strategic guidance, structure, and coaching needed to move forward with confidence.

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Why Choose CHCM for your Transitions to Practice Journey?

Strategic Support for Long-Term Success

Evidence-Based Guidance

Accreditation-Focused Expertise

Retention and Workforce Stability

Culture and Safety Integration

Strength

Strengthen Your Transitions to Practice Program with Confidence

PTAP® is more than an accreditation — it is a framework for building sustainable nursing pipelines, improving retention, supporting patient safety, and shaping a stronger professional culture from the very beginning of practice.

Our expert consultants have over 75 years of experience in nursing excellence designation and re-designation. CHCM helps organizations create transition programs that are intentional, outcomes-driven, and currently aligned with accreditation standards. From program design to self-study support, we walk alongside your team every step of the way.

Let Us Introduce Ourselves

Meet CHCM’s Cultures of Excellence (CoE) Team

CHCM’s Cultures of Excellence (COE) consultants bring 75 years of combined nursing excellence journey experience and have each led successful journeys to excellence. As full-time consultants and respected thought leaders, they have published extensively on nursing excellence, shared governance and professional governance, and culture transformation.

Chief Executive Officer and Consultant

With more than 30 years of Healthcare Consulting experience, Gen has a 100% Magnet® Designation Success Rate, is a PTAP® Designation Expert, and is the CEO of CHCM.

Gen Guanci

MEd, CAGS OD, RN, NPD-BC, CCRN

Chief Executive Officer and Consultant

Service Line Director and Consultant

Nationally recognized leader in nursing professional governance and organizational excellence with 25+ Years of Experience. Marky serves as the Service Line Director for our Nursing Excellence programs and has been a consultant with CHCM for 11+ years.

Marky Medeiros

MSN, BN

Service Line Director and Consultant

Nursing Excellence Expert and Consultant

With over 25+ Years of Diverse Health Care Experience, Amber partners with organizations to design and sustain environments where excellence thrives. Using a relationship-centered, evidence-based approach, she helps organizations build structures and processes that elevate performance, empower professionals, and drive measurable, lasting outcomes.

Amber Orton

MBA, MSN, RN, NE-BC

Nursing Excellence Expert and Consultant

Nursing Excellence Expert and Consultant

With 30+ Years of experience in a large health system, she has guided many organizations on their Magnet® and Pathway to Excellence® journeys with thoughtful, individualized approaches. Ruth is an expert in shared/professional governance, helping organizations build councils and committees with clear roles, defined goals, and the ability to drive results.

Ruth Kitzmiller

MSA, BSN, RN, NE-BC

Nursing Excellence Expert and Consultant

Consulting

Transitions to Practice Consulting Services

We support organizations at every stage of the transition to practice journey, from early planning through accreditation readiness and program improvement.

  • Transition Program Design and Development: Build a structured, evidence-based transition to practice program aligned with organizational goals and ANCC standards.
  • PTAP® Readiness Assessment: Evaluate current program structure, processes, outcomes, and supporting evidence to identify strengths, gaps, and next steps.
  • Accreditation Preparation Support: Receive consultative guidance to prepare for the PTAP® accreditation process with greater clarity and confidence.
  • Program Structure and Governance Review: Assess the foundations of your program, including leadership support, faculty roles, governance, and operational alignment.
  • Preceptor and Educator Support Strategies: Strengthen the systems that support those guiding nurses through transition, including role clarity, feedback processes, and development.
  • Outcomes and Evaluation Support: Clarify meaningful metrics and evaluation methods that demonstrate program effectiveness and support continuous improvement.
  • Self-Study Coaching and Narrative Development: Work alongside experienced consultants to interpret standards, organize evidence, and craft clear, compelling written responses.
  • Program Refinement and Re-Alignment: Improve existing residency or fellowship programs to better reflect PTAP® standards, organizational priorities, and current workforce needs.

Why CHCM?

Creative Health Care Management (CHCM) understands that transition to practice is not simply a program requirement — it is a workforce strategy, a patient safety strategy, and a culture-building opportunity.

We help organizations create transition experiences that are structured, supportive, and sustainable. Our consultative approach brings clarity to a complex process while helping your team build a program that supports nurses and strengthens the future of your organization.

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Testimonials

Transforming Healthcare Through Trusted Partnerships

Engaging external consultants throughout our journey proved to be a pivotal decision. The expertise and structured guidance provided to us brought focus and reassurance to a process that can otherwise feel complex. From the outset, our consultant was readily available to navigate both strategic considerations and operational nuances, establishing a level of trust that felt collaborative. What distinguished the experience was the authenticity of the collaboration. Receiving steady counsel with a depth of experience and thoughtful guidance was foundational to our preparedness and ultimate success.
Magnet® Program Director
Partnering with external experts during our journey was truly transformative. The consultation support we received [from CHCM] brought clarity, confidence, and calm to what can easily become an overwhelming process. From the start, our consultant was available to walk through big and small details. Her accessibility quickly created a relationship that felt more like a trusted partnership than a traditional engagement.
Health Care Leader
I highly recommend CHCM as an organization that is full service including leadership development, nursing excellence, competency, Shared Governance and Magnet®. Their consultants are excellent.
CNO Emeritus
During the Magnet® process, their [CHCM] organization supported our needs. Our consultant was an expert in this area and was extremely responsive when contacted. CHCM wasn’t just a company; they were a partner in the process that was as invested in our organization’s success as if they were the organization going through it.
CNO Emeritus
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Melbourne, Australia
(Sat - Thursday)
(10am - 05 pm)
Contact us
Melbourne, Australia
(Sat - Thursday)
(10am - 05 pm)
Contact us
Melbourne, Australia
(Sat - Thursday)
(10am - 05 pm)
Contact us
Melbourne, Australia
(Sat - Thursday)
(10am - 05 pm)
Contact us
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