In this senior management role provides leadership for the development and sustainability of population health strategies. As part of this leadership directs activities and policy regarding population health management, health equity, and clinical workforce. The association's quality department reports up to this position. In April of 2019, formerly added Quality to title. Quality department programs include: CMS's Hospital Improvement Innovation Network (HIIN), CDC Ebola contract, and former Partnerships for Patients Hospital Engagement Network (HEN 2.0).

As Director of Quality and Care Delivery Network, responsible for oversight of the ACO’s Quality Assurance and Performance Improvement (QAPI) Program, quality measurement performance and submission of 33 quality measures through Group Practice Reporting Option (GPRO), evidence based medicine committee, pharmacy advisory group, beneficiary advisory group and performed secondary needs assessments evaluations of the population.River Health ACO was a 2014 & 2015 CMS Medicare Shared Savings Program ACO with 32,000 Medicare beneficiaries in central Pennsylvania. River Health ACO was part of the CMS Next Generation ACO program during the 1st Quarter of 2016 before withdrawing from the program.River Health ACO, LLC was a partnership of PinnacleHealth System, Susquehanna Health and affiliates.www.riverhealthaco.org

Nurse manager role is part of the nursing executive group, participating as a member of the health system management team. The nurse manger performs a critical role in formulating plans that relate to quality, cost, and outcomes of patient care. Management responsibilities includes system, processes, materials, fiscal, and human resources. Supporting, couseling, and empowering the unit staff are key functions to interfacing resources within the patient care delivery model. Nurse Manager of a Cardiac Interventional Unit (2004-2014)- 25 bed telemetry unit focus on post stent/pci, pacer/defibrillator, heart attack, dysrythmias, and other cardiac monitoring.Nurse Manager of a Coronary Care Unit (2004-2008)- 6 bed cardiac intensive care unit focused on heart attack, cardiogenic shock, stent/pci, dysrythmias, intra aortic balloon pumps, ventilators, central lines and monitoring.

Oversight of emergency planning and response related to the department of nursing at Harrisburg Hospital & Community General Osteopathic Hospitals. Harrisburg, PASituation Unit Leader on Hospital Incident Command System (HICS)NIMS Incident Command Systems: 100-200-300-700, IS-00520 certifications

Oversight of Chest Pain Center requirements for the Society of Cardiovascular Patient Care. Process improvement inititives focused on: STEMI door-to-pci, door-to-ekg, triage process, 911-pci times, intra-facility transfers, observation unit process, and EMS and community education. Detailed review of all STEMI cases outside expected times. Harrisburg hospital received accreditation as a Chest Pain Center with PCI in March 2010 and re-accredited July 2013. Served in this role as a Nurse Manager