The PEPPA Framework defines nine key steps for effectively assessing the need for an Advance Practice Nurse and for developing and implementing this role within the practice setting. A core component of this step-by-step approach is the collective involvement of key stakeholders, including patients, in the planning and evaluation process. The Ontario Oncology APN Role Implementation Toolkit includes the process for working through the steps and numerous activities, and resources to guide the members of APN role implementation teams.