Credential Capture: The Hospital Executives Who Quietly Rewrote the Rules of Healthcare Workforce Entry
Over the past three decades, a small and interlocking network of hospital system executives and healthcare administrators has accumulated decisive influence over the bodies that set nursing licensure requirements, verify professional credentials, and mandate continuing education standards. The mechanisms are obscure—board appointments, grant relationships, accreditation contracts—but the outcomes are not: a workforce entry system that systematically advantages large institutional employers while