[Excerpt from Publisher] The continuing and growing health care workforce shortage is one of the most serious ongoing issues faced by hospitals. As part of its efforts to help hospitals build a thriving workforce, the American Hospital Association (AHA) has been working with colleagues from the Changing Workforce Programme of the English National Health Service (NHS) for several years. This NHS initiative used workforce changes, particularly role/job redesign, to lead improvement in services to patients. Through a number of pilots in England, the NHS demonstrated that better allocation of staff skills to the tasks of treatment and care results in more effective use of time and higher staff motivation. Senior, highly trained staff can focus their skills on areas of greatest clinical need, while enhanced support staff roles offer career development and greater job satisfaction.