Rachel Start is the Director of Ambulatory Nursing, Nursing Practice and Magnet Performance at Rush Oak Park Hospital, where she was hired to create and spearhead an innovative program leveraging the role of the CNL to advance patient care. Start was co-chair of AAACN’s Nurse Sensitive Indicator Taskforce and the lead editor on the Ambulatory Care Nurse-Sensitive Indicator Industry Report: Meaningful Measurement of Nursing in the Ambulatory Patient Care Environment (May, 2016). She is now a member of the AAACN/CALNOC Collaborative Steering Group to develop indicators for ambulatory nurses. She has represented AAACN as an advocate for advancing nursing practice in ambulatory at the ANCC Magnet Commission and the National Alliance for Quality Care.