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Mid-level staff, including licensed practical nurses (LPN), RNs, physician assistants (PA), and nurse practitioners (NP), have some of the highest turnover rates in healthcare, according to the 2005 Staff Salary Survey by The Health Care Group. But at the Ogden (UT) Clinic, neither mid-level provider retention nor productivity is a problem; in fact, productivity at the clinic is 30% higher than the national average, says David J. Kane, CPA, MBA, former executive director of the Ogden Clinic and director of business-process improvement for NextGen Healthcare Information Systems, Inc., in Horsham, PA. Kane spoke about this success story during the October 2005 MGMA conference in Nashville, TN.