The shortage of primary care providers, limits on the work hours of medical residents, a surge of baby boomers and an expansion of coverage under the health care law are driving hospitals across the U.S. to rely more on advanced practice nurses, experts said. In Ohio, Akron Children's Hospital set up a resource center to oversee recruitment, orientation and training of advanced-practice providers, while the Cleveland Clinic system built a low-acuity, patient-centered clinic staffed by advanced-practice providers.

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