Ideas Grounded in Practice

James Sims writes and speaks about primary care, aging, value-based care, clinical leadership, advanced practice policy, and the changing healthcare workforce.

Selected Publications

James’ scholarship examines the intersection of clinical practice, healthcare leadership, workforce strategy, value-based care, and the evolving role of nurse practitioners.

The Relative Value Unit Hamster Wheel: Why Productivity Escalation Undermines Workforce Stability and Value-Based Care

The Journal for Nurse Practitioners · 2026

An examination of how continually increasing productivity expectations can destabilize the clinical workforce and conflict with the goals of value-based care.

Beyond Relative Value Units: Redefining Clinician Workload and Panel Accountability in Value-Based Care

Journal of the American Association of Nurse Practitioners · 2026

A proposed approach to clinician accountability that moves beyond visit volume and incorporates panel responsibility, care complexity, access, and outcomes.

Patient and Family Outcomes in Nurse Practitioner–Led Primary Care

The Journal for Nurse Practitioners · 2026

A review of evidence regarding the clinical, experiential, and family-centered outcomes associated with nurse practitioner–led primary care.

From Monastic Caregiving to Modern Nurse Practitioners: A Historical Continuum of Service and Leadership

Journal of the American Association of Nurse Practitioners · 2026

A historical examination of the enduring relationship among caregiving, service, professional identity, and leadership in the development of the nurse practitioner role.

Clinicians’ Comfort With Diagnosing Frailty: A Review of Current Perspectives and Practices

The Nurse Practitioner · Forthcoming

A review of clinicians’ confidence and practices in identifying frailty, including barriers that may prevent timely recognition and intervention.

Publication forthcoming