- Hospital Based practice- CRNA supervision is 1 physician to 3 CRNAs- Case Mix- General Surgery, Endoscopy, Vascular, OB, Ortho, Bariatric Surgery, UroGyn- NO hearts, NO Neurosurgery, NO Thoracic - EMR: Epic- Adult patient population: low volume of pediatric cases- Spinal Epidurals required for CRNAs.