Seamless Workforce Continuity Through Organizational Change
How a leading orthopedic practice navigated a health system separation without disrupting patient care
Highlights
Seamless transition during a health system separation: Aya successfully re-contracted and transitioned approximately a dozen active contingent clinicians without disrupting patient care.
Zero coverage interruptions: The orthopedic practice experienced 0% clinical cancellations and retained every active clinician throughout the transition.
Growth beyond stabilization: What began as support at two facilities expanded to seven locations as the partnership evolved.
100 specialized healthcare placements: Aya placed clinicians across six perioperative and allied health specialties between September 2024 and January 2026.
Operational support beyond staffing: Aya provided guidance on contracting, credentialing, compliance, timekeeping and invoicing, helping the practice navigate new workforce management responsibilities.
Table of Contents
The solution: Stabilize first, then scale.
Expanding Coverage Across Specialized Roles
A Partnership Built on Stability
The challenge: A sudden reset
A leading independent orthopedic practice providing specialized musculoskeletal care across multiple facilities faced a major operational shift when it separated from its previous health system.
With a strong focus on surgical and procedural services, consistent clinical coverage was essential. However, under the prior structure, contracts, timekeeping, invoicing and compliance were handled externally. After the separation, those responsibilities shifted internally, leaving leadership with urgent questions:
- Would active clinicians remain in place?
- How would contracts be transitioned?
- Who would manage timekeeping and invoicing?
- Could they avoid gaps in high-acuity surgical departments?
At the time of separation, Aya already had clinicians working within the contingent program. To maintain continuity, those agreements needed to be quickly stopped, re-contracted and relaunched under a new structure. Any delay risked coverage gaps across perioperative and procedural settings.
The solution: Stabilize first, then scale.
Aya moved quickly to execute a structured transition plan.
Approximately a dozen active contingent clinicians were re-contracted and transitioned into the new program structure. Internally, the shift was operationally streamlined. Externally, the client team received high-touch support to navigate new responsibilities that previously lived within another health system.
The transition included:
- Transitioning contracts into a new agreement structure
- Keeping credentialing and compliance on track
- Timekeeping and invoicing guidance
- Step-by-step onboarding for newly responsible stakeholders
- Ongoing fulfillment support across facilities
Despite the magnitude of the change, the practice did not lose a single clinician during the transition. There were no coverage gaps on units.
What could have been destabilizing became a controlled relaunch.
Expanding Coverage Across Specialized Roles
From go-live in September 2024 through January 2026, Aya has made 100 placements across Nursing and Allied.
Support spans six specialized perioperative and allied specialties, including:
- Operating Room RNs
- PACU RNs
- Certified Surgical Technologists
- OR Techs / Surgical Techs
- X-Ray Technologists
- Sterile Processing Technicians
Initial support began at two facilities in 2024. As the partnership matured, coverage expanded to seven facilities, reflecting increased demand and growing trust. As demand increased and specialty needs became more complex, fulfillment remained consistent.
Results That Matter
From September 2024 to present:
- 100 total placements
- Six specialty areas supported
- Facility expansion from 2 to 7 locations
- 0% clinical cancellation rate
The most important outcome: continuity of care was preserved through a major structural change.
A Partnership Built on Stability
Organizational transitions can create uncertainty. For this orthopedic practice, workforce continuity was non-negotiable.
Aya’s role extended beyond fulfillment. The team provided operational guidance, hands-on support and sustained specialty coverage, ensuring that staffing stability remained intact even as internal structures shifted. From transition through growth, the focus remained the same: Keep roles filled. Keep units stable. Keep care moving.
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