UTMB’s Patricia D. Davis, Sharon L. Hensley, Lila L. Muzik, Amy R. Carroll, Veronica Kwarteng-Amaning, Christine Wade and Scott Woodby write that UTMB implemented the Clinical Competency and Advancement Program in January 2011. The program, built upon American Nurse Association standards, is a professional development tool for competency assessment, performance evaluation, and career advancement for nurse clinicians from levels Nurse Clinician I to V. Implementing CCAP meets the definition of “innovation” as a core group of nurse clinicians and leaders constructed, created, and implemented a totally new visionary process. CCAP reflects a stronger UTMB culture of professional practice and personal accountability, with an overarching outcome of higher levels of professional performance in patient care delivery. CCAP changes the way nurses view their practice.