Karen has over thirty years of diverse healthcare administration and consulting experience and has held top-level nursing and hospital administration positions in the US and abroad.
Karen assumed the Chief Executive role at Kirby Bates in 2003. She wanted to combine her experience and expertise in nursing and hospital administration with her experience in healthcare consulting to shape exceptional healthcare leadership teams and ultimately improve patient care.
Karen was previously the Senior Vice President for Patient Services at Boston University Medical Center, and Associate Director of Nursing at the University of California, San Francisco. In 1990, she entered the international healthcare arena as the Executive Director and Chief Operating Officer at Healthcare International, LTD, an international tertiary care hospital and hotel complex near Glasgow, Scotland that she helped to design, equip, staff, commission and then manage. She began her consulting career in 1995 as a Senior Consultant, and then a Director, at Harvard Medical International, an affiliate of Harvard Medical School, where she provided consulting services in India, Abu Dhabi, Spain and various other international locations.
Karen has published papers on topics important to nursing administrators, including variable budgeting, operating room productivity and alternative patient care systems. She is particularly skilled in organizational evaluation and re-design, program planning, variable budgeting and staffing, and facility design. She quickly evaluates an organization and/or department and develops cost-effective recommendations for improving structure, roles and outcomes.
Karen has a strong professional network. She has been a member of the American Organization of Nurse Executives (AONE) for over 30 years, is a Past President and current member of the Organization of Nurse Leaders of Massachusetts, Rhode Island and New Hampshire (ONL), a current board member of the Pennsylvania Organization of Nurse Leaders (PONL) and a Fellow in the American College of Healthcare Executives (FACHE). Karen is also on the board and active in On Nursing Excellence, Inc., a non-profit 501(c)3 organization devoted to expand the effectiveness, efficiency, wellbeing and recognition of the healthcare workforce and she is a member of the API Advisory Board.
Karen received her Bachelor's Degree in Nursing from the University of Michigan, her Master's Degree in Administration from the University of California, San Francisco, and she completed a Johnson and Johnson Nursing Executive Fellowship at the Wharton School in Philadelphia, PA. Karen is also board certified by the American Nurses Credentialing Center as Nurse Executive Advanced (NEA-BC).
Melissa A. Fitzpatrick, MSN, RN, FAAN
Melissa has over thirty years of healthcare leadership experience and has held a variety of roles including Vice President of Critical Care and Cardiac Services at the Dartmouth-Hitchcock Medical Center and Senior Associate Chief Operating Officer and Chief Nurse Executive at Duke University Medical Center. Melissa also served as the Editor-in-Chief of the Nursing Management Journal and then as the Chief Healthcare Strategist at the SAS Institute. From 2007 until 2015, Melissa served as the first ever Vice President and Chief Clinical Officer at Hill-Rom.
In 2019, Melissa joined Kirby Bates Associates as Chief Operating Officer and led the business operations, technology, sales and marketing teams. In January 2020, Melissa was named President of KBA. She was later named President of Tyler & Co., affording both organizations new synergies and expanded opportunities to serve their clients. Melissa leads strategic direction for both teams and is the liaison to their parent company, Jackson Healthcare.
To each of her roles Melissa has brought decades of clinical and executive experience and domain expertise, thought leadership and strategic guidance to her teams, clients, and partners. Melissa has served as a mentor and role model to thousands of nurses around the globe and as a consultant to hundreds of healthcare leaders and teams as they strive to improve clinical and operational outcomes.
Melissa is a nationally and internationally recognized consultant, speaker, and author on clinical and leadership issues in healthcare, with many peer reviewed publications and book chapters to her credit. She is a highly sought-after motivational speaker who has delivered hundreds of national keynote addresses to a variety of nursing and healthcare audiences. Melissa is a past National President of the American Association of Critical- Care Nurses. She was inducted as a Fellow in the American Academy of Nursing in 1997 and was the Distinguished Alumna at the University of Pennsylvania in 2010. Melissa was featured on the cover of the February 2012 issue of Nurse Leader with an extensive interview as an AONE Leader to Watch. She received the 2017 Distinguished Alumna Award from Gwynedd Mercy University. In 2020, Melissa was named as the first ever nurse to serve on the Board of UNC Rex Healthcare and its Quality, Patient Safety, and HR Committee. Melissa is actively engaged as an officer, task force leader and member of many national nursing and healthcare organizations and serves our industry at the highest level with integrity and passion.
Melissa earned her Bachelor's degree in Nursing from Gwynedd-Mercy College and her Master's Degree in Nursing from the University of Pennsylvania.
M. Jane Fitzsimmons, MSN, RN
With more than thirty years of diverse healthcare leadership experience, Jane has expertise in executive search, leadership, and consulting. Prior to joining Kirby Bates in 2007, Jane held senior executive search positions with regional and international search firms. She has successfully managed executive and senior leadership searches for a broad range of healthcare organizations and systems across the country.
Jane has served in executive level positions as the Chief Operating Officer and Chief Nursing Officer in Massachusetts and Michigan. In these roles, Jane led the revitalization and turnaround of operations and patient care services. As the Vice President for Patient Care Policy for the Massachusetts Hospital Association, she worked directly with cabinet-level policy makers and provided leadership on state and federal policy. She has also established coalitions among health industry leaders and initiated action on critical healthcare legislative, regulatory and programmatic issues. Jane has consulted with healthcare organizations on leadership infrastructure, resource management, patient care services redesign, and achieving financial and quality imperatives.
Professionally active, Jane has served on a number of committees and boards for community, healthcare and professional organizations. She has presented at state and regional forums on a number of topics and has published in leading journals and publications. Jane is actively involved in the American Organization of Nurse Executives (AONE); the Organizations of Nurse Leaders MA, RI & NH, and the American Society for Healthcare Human Resources Administration.
Jane received her Bachelor of Science in Nursing from the University of Rhode Island and her Master of Science in Nursing from Boston University. She completed a post-graduate program in Health Policy at Harvard University and received certification in Health Care Mediation through Boston University School of Public Health. Jane is currently an Adjunct Faculty member at Emmanuel College School of Nursing and teaches Organizational Development in Healthcare in the graduate program.
Peggy Loughery, MSN, RN
Since joining Kirby Bates Associates (KBA) in 2005, Peggy has conducted more than 300 executive and senior leadership searches for prominent healthcare organizations across the country. She is exceptionally proficient in candidate development and has outstanding communication and interpersonal skills. Peggy forms excellent working relationships with clients and effectively meets client timelines by ensuring an efficient search process.
With a very broad and diverse professional network, Peggy quickly becomes a trusted advisor to candidates. She unfailingly matches client expectations for high performing candidates who are a cultural fit for the organization. This is evidenced by Peggy's outstanding track record for candidate tenure.
Prior to joining Kirby Bates, Peggy served in management, education, and supervisory roles. With more than fifteen years of diverse management and education experience, she held leadership roles in teaching, not-for-profit, and for-profit hospitals. Her early accolades include leading her team to regional recognition as "Unit of the Year" from Nursing Spectrum. Peggy also developed expertise in workforce planning and labor relations as a Director at the Medical College of Pennsylvania. Peggy has also served as an interim leader and consultant in the areas of quality, staffing and scheduling.
Peggy earned a Master of Science in Nursing from Drexel University in 2018. She completed a Bachelor's degree with honors at LaSalle University, Philadelphia, PA. She has presented on various clinical and quality topics. Most recently she presented to the alumni of the New York University School of Nursing's Black Leadership Institute to support their understanding of the executive selection process.
Peggy is actively engaged in professional and community activities. She is an active member of the American Organization for Nursing Leadership, the Pennsylvania Organization of Nurse Leaders as well as the Southeastern Pennsylvania Organization of Nurse Leaders.
Judy Hayes, MSN, RN, NEA-BC
Judy Hayes, MSN, RN, NEA-BC joined Kirby Bates in 2017 as Vice President of Executive Search and Interim Leadership. With 35 years of nursing leadership experience, Judy Hayes matches KBA clients with culturally complementary candidates.
Prior to joining Kirby Bates, Judy served as Vice President of Patient Care Services and Chief Nursing Officer at Brigham and Women's Faulkner Hospital, a Partners Healthcare member. Before that, she was Director of Professional Practice Quality and Staff Development; Director of Utilization and Care Management; and held other leadership roles at hospitals throughout the region.
During her tenure, Judy developed special expertise in creating new systems and roles for facilitating the nursing department's adoption of new technology, as well as new clinical roles. She also earned national recognition for patient satisfaction and quality results.
Judy earned a Bachelor of Science in Nursing at Saint Anselm College and was awarded a Master of Science in Nursing from Salem State University. She is board certified in Nursing Executive Administration by the ANCC and is a member of ONL for Massachusetts, Rhode Island, Connecticut, New Hampshire and Vermont, and AONE. Judy also serves as a member of the editorial board for Dimensions of Critical Care Nursing.
Livonne Engebrecht joined Kirby Bates Associates (KBA) as a Search Associate in 2015 and was promoted in 2020 to serve as Senior Executive Recruiter. She brings 20 years of healthcare executive recruitment experience, having worked in two other specialty search firms before joining KBA. As a talent acquisition specialist, Livonne partners with nursing leaders to learn about their career trajectory and future goals, as they explore the next step in their career. She has excellent communication skills and attention to detail, ensuring an efficient and enjoyable process for every candidate.
Livonne strives to fully comprehend the unique needs of clients and candidates in order to meet the goals of the individuals and the organizations that KBA serves. She is passionate about her role as a member of the KBA team where she works with nursing leaders to identify candidates who meet the leadership needs of hospitals and healthcare organizations. She admires and respects executive nursing leaders for their expertise, education, and dedication to delivering quality patient care.
Livonne earned her Bachelor of Arts degree in Psychology from State University of New York, The College at New Paltz. She grew up on Long Island NY, has lived in Westchester County NY, Sonoma County CA, Portland, OR and currently resides in Helena, MT. In her free time, she enjoys spending time with her beautiful granddaughter.
Erinn Riley is an experienced healthcare talent acquisition specialist, having worked in the areas of nursing, therapy, pharmacy, behavioral health and medical device recruitment.
Erinn initially joined Kirby Bates Associates as a Search Associate in 2011, returning in 2015 after a brief hiatus to explore the hiring and onboarding process through in-house corporate recruiting. Erinn's broad experience in healthcare search helps to bring fresh strategies to her candidate development methodology.
Prior to her current tenure with Kirby Bates Associates, Erinn was the Talent Acquisition Manager for a medical device company, where she managed a sales recruitment team, as well as online recruitment, candidate development and onboarding. Previously, Erinn was a Recruitment Consultant for a recruitment process outsourcing firm.
Earlier in her career, Erinn was a Department Leader, recruiting temporary and permanent healthcare professionals in Nursing, Therapy, Pharmacy and Behavioral Health, building out a geographic area in the state of Pennsylvania. Erinn began her career working as a recruiter specializing in the placement of Nursing professionals for Army Medical Centers in Hawaii and San Diego.
Erinn received her associate's degree in business from Delaware County Community College in Media, PA. In her personal time, Erinn enjoys spending time with her husband and four children.
Shari Berenson joined Kirby Bates Associates as Operations Manager of Search Services in January of 2017. In 2020, she advanced to Director of Search Services. Her work for KBA is focused on ensuring operational efficiencies among the Retained Search team and coordinating logistics between clients and candidates during the interview phase.
Prior to joining KBA, Shari served as the Senior Executive Assistant to the Chief Product Officer for Progress Software, NC, supporting a global team. Shari's career combines healthcare administrative and executive search experience that spans over 15 years. She served as Executive Assistant to the Chief Operating Officer and the Vice President of Operations at Lahey Beverly Hospital, and as Executive Assistant for two Boston‐based executive search firms: CT Partners and RM Nephew and Associates. In the latter positions, she supported senior partners in C‐Suite and Board recruitment.
Shari's interests include playing acoustic guitar and spending time with her daughter and grandson.
Doris A. Sinkevich, MS, RN, CENP
Doris has over thirty years of nursing and healthcare leadership experience in acute care, behavioral health, and long term acute care settings including public and private hospitals, for-profit organizations and private industry. She has held senior nursing leader leadership positions at multiple hospitals along with serving as Chief Operating Officer and Chief Nurse at Beth Israel Deaconess Hospital-Milton, Westwood-Pembroke Health System and Walden Behavioral Care, all in Massachusetts. In addition, she has served as an interim Chief Nursing Officer and Healthcare Consultant in numerous hospitals throughout New England.
In 2015, Doris assumed the role of Executive Vice President, Interim Services at Kirby Bates Associates. She leads the service line that provides expert executive and service line interim leaders at times when organizations are in need of transitional leadership. With considerable experience in C-Suite positons and as having served as an interim executive, Doris brings a unique perspective in leading the highly effective KBA interim leadership program.
Doris has demonstrated proficiency in many settings that have required significant change. Her greatest skills are often demonstrated in situations requiring turnaround and restructuring to achieve exemplary outcomes. She quickly establishes positive working relationships within environments and through this is able to develop highly functioning results-oriented teams. She has fostered transformation in several organizations resulting in highly reliable performance, consistently achieving high value, quality improvement and cost efficiency.
Doris has been a long standing member of the American Organization of Nurse Executives (AONE) along with being a Past President, Board member, current member, and committee member of the Organization of Nurse Leaders of MA, RI, NH, CT, and VT (ONL). She has frequently served as a preceptor for nursing administration master's degree students along with being a faculty member for review courses for the ANCC certification process. In addition, she is a member of the American College of Healthcare Executives. She has received recognition awards from a number of community groups including hospice and community life centers in reflection of her commitment to broaden the agenda of hospitals beyond the hospital walls.
Doris received her Bachelor of Science Degree in Nursing and her Master's Degree in Nursing Administration from Boston University School of Nursing. She holds distinction in being in the inaugural group of nurse executives who received national certification as Certified in Executive Nursing Practice (CENP) through the American Organization of Nurse Executives (AONE).
Colleen A. Chapp, DSL, MHA, MSN, RN, CENP, FACHE
Colleen Chapp is an accomplished healthcare executive with over thirty years of diverse and progressive clinical and operational leadership experience. Colleen has served as Chief Nursing Officer, Vice President of Patient Care Services, Regional Services Consultant, Senior Vice President for a national Interim Leadership Services Firm, and an Executive Healthcare Advisor. She provided Interim CEO and CNO executive services in Oregon, Nebraska, and Ohio. As Vice President, Interim Leadership Services with Kirby Bates Associates, Colleen will build on her foundation as an Interim Leader in healthcare organizations and ten years as a Leadership Advisor and Senior Vice President for an Interim Leadership Services Firm.
Colleen has operational leadership experience in acute care, continuum of care service lines, and professional services settings. Previous roles encompassed multi-campus medical centers, community hospitals, critical access hospitals in public, not-for-profit and for-profit health systems. Colleen has demonstrated success in performance and organizational improvement, professional relationship building, business development and growth, clinical-financial communication with positive results, and leadership development. She is recognized for creating collaborative environments, leading teams through change and transition, engaging interdisciplinary teams to effectively achieve organizational goals, working with Boards and Executive Teams on integration of community and regional resources, along with aligning strategic initiatives and community assessments resulting in plans for action.
Colleen has an expansive professional network. She is Certified in Executive Nursing Practice through the American Organization of Nurse Executives. She is a Fellow in the American College of Healthcare Executives and has been a long-standing member in AONE and ACHE. Colleen is Certified as an Organization Transition Management Consultant. She is also a member of the Healthcare Finance Management association and Sigma Theta Tau International Nursing Society. Colleen was the first recipient of the Nebraska Rural Health Association President's Award.
Colleen received her Diploma in Nursing from Bryan Memorial Hospital School of Nursing, her Bachelor's Degree in Nursing and Master's Degree in Nursing Leadership from Seattle Pacific University, and a Master's Degree in Healthcare Administration from Chapman College. Colleen earned the Doctor of Strategic Leadership degree with concentration in Healthcare Leadership and Strategic Leadership at Regent University in 2020.
Dee Dana, MBA, BSN, RN
Dee joined Kirby Bates Associates in October of 2018 as Director of Talent Acquisition, Interim Services. Her focus is candidate recruitment and development with the goal of matching exceptional interim candidates with client organizations in need of executive nursing leadership. She is returning to Kirby Bates, having previously worked for Bates and Associates earlier in her career. At Bates and Associates, Dee had primary responsibility for candidate recruitment along with other aspects of leadership placements.
Dee has extensive nursing experience in a wide variety of clinical settings as well as private industry interim engagements, including a national pilot program with Hewlett-Packard. After receiving her MBA in Health and Medical Services Administration, she joined the Medical Information Services Department at Temple University Hospital in Philadelphia as Project Coordinator. While there, she was a key contributor to several major initiatives, including the implementation of the electronic medical record, registration and financial systems interfaces, and the opening of Temple University Children's Medical Center.
Dee received her bachelor's degree in Nursing from the University of Pennsylvania, and her MBA from Widener University. She lives outside of Philadelphia, PA.
Jacquie Acheson, AAS
Jacquie joined Kirby Bates Associates in March 2016 as Operations Manager, Interim Services. Her role ensures that operational details of every interim engagement are efficiently managed to streamline activities for interim leaders, while meeting all onboarding requirements to the client's satisfaction. Her expertise in organization, execution and attention to detail is exceptional and supports the expanding KBA interim service line.
With over thirty years of work experience, Jacquie has gained a strong background and many successes in administrative support roles in hospitals in MA as well as customer service and operational support in the financial and sales industries.
Prior to joining Kirby Bates, Jacquie served in Executive and Senior Administrative support roles at Beth Israel Deaconess Hospital-Milton and Walden Behavioral Care in Massachusetts. She has served in other administrative support and sales positions at several Fortune 500 companies, along with being a founding partner in 1985 of a successful insurance inspection company.
Jacquie received her Associate of Applied Science in Office Administration from Katharine Gibbs College, Boston, MA 2006.
Ellen Berenson, BA, AS
Ellen joined Kirby Bates Associates as Operations & Program Manager, Interim Leadership Services, in January 2019. Ellen facilitates operations for interim engagements from business development through completion. In this key role, Ellen manages execution of all details to ensure high client satisfaction.
Ellen brings to KBA a wealth of Executive Search experience from past tenures as a Project Manager at RM Nephew and Associates, a Research Associate at Korn/Ferry International, and an Executive Assistant and Project Manager at Spencer Stuart. Ellen's retained search experience includes searches in Healthcare, Board, C-Suite, Technology, Finance, and Education. Prior to entering the Executive Search field in 2003, Ellen was an Office Manager for an investor relations firm.
Ellen began her career as an Operations Facilitator at American Express Business Travel Customer Service, where she managed corporate training, technology, statistical analysis and reporting for a large call center. Promoted to Area Team Leader, Ellen managed a portfolio of client travel offices in some of New England's largest corporations, including Bain & Company, McKinsey & Company, Textron and Motorola.
Ellen earned a Bachelor of Arts degree in Writing, Literature and Publishing, summa cum laude, from Emerson College and an Associate of Science degree in Travel/Tourism Management from Johnson & Wales University.
Pamela DeCampli, MSN, RN, NEA-BC
Pam has thirty years of broad management experience in university teaching hospitals, private not-for-profit hospitals, and for-profit community hospitals. She has held senior nursing leadership positions at Thomas Jefferson University Hospital and Pennsylvania Hospital in Philadelphia. She was the Vice President for Patient Care Services at Graduate Hospital and the Chief Operating Officer at Medical College of Pennsylvania. Both of these organizations were part of Tenet Healthcare in Philadelphia. She is currently the Chief Transition Officer at Kirby Bates Associates, LLC where she leads healthcare management executive coaching services as well as leadership succession planning initiatives.
Pam has served on the Nurse Advisory Council of the Hospital Association of Pennsylvania and was an Adjunct Assistant Professor at MCP Hahnemann University for over six years. She has also been a Clinical Instructor at Thomas Jefferson University and the University of Pennsylvania, and a Clinical Associate at the Villanova University College of Nursing. Pam currently serves on the Board of Directors for the School of Nursing at Villanova University and is an active Board of Director for the Good Shepherd Rehabilitative Network.
Pam is a Past President of the Pennsylvania Nurses Association (PNA), Philadelphia County District, and has served on multiple PNA committees and boards. She served as Secretary and President to the Board of the Southeastern Pennsylvania Organization of Nurse Leaders and was a Board Director for the Pennsylvania Organization of Nurse Leaders as well as the local American College of Healthcare Executives Chapter serving as the Co-chair for the Career Development Committee for four years. She is a member of the American Organization of Nurse Executives, Pennsylvania Organization of Nurse Leaders and the Association of Perioperative Nurses.
Pam received her Bachelor of Science Degree in Nursing from Indiana University, Indianapolis, IN and her Master of Science in Nursing Administration from Villanova University in Villanova, PA. She is certified through the American Nurses Credential Committee as a Nurse Executive – Advanced.
Pam is particularly skilled in assessing organizations and developing practical approaches for enhancing both the quality and operational performance of services provided. She is a skilled professional certified coach and is frequently engaged to mentor and coach healthcare leaders. She has also given multiple presentations on managed care, pricing strategies, quality measurement, leadership, and other related topics.
Lorrie Favret Anderson
A knowledgeable sales and marketing healthcare industry professional, Lorrie has broad experience in business development, sales management, new product launches, and start-up business leadership. She began her career in the pharmaceutical sales industry with Lederle Laboratories and Wyeth in 1993. Lorrie distinguished herself as a reputable leader and effective sales professional with her ability to build trust and promote strong, long-lasting customer relationships by partnering with them and understanding their needs. Lorrie has worked with personnel from a wide variety of healthcare organizations including community hospitals, academic medical centers, and independent physician offices and managed care organizations.
Lorrie's start-up experience began in 2007 as Director of Business Development with Vestagen Protective Technologies, delivering advanced performance textile technologies to the medical market, focused on reducing hospital acquired infections. She then served as Director of Marketing for Agile Health, a start-up digital patient engagement organization offering a suite of trusted behavioral change programs using interactive text messaging.
Lorrie earned a BA in Political Science with French and History minors from the University of Alabama where she lettered in Waterskiing and served in the legislative and executive branches of Student Government. Lorrie is an avid runner, likes to travel and is a devoted school and church volunteer. She and her family live in Central Florida.
Jennifer Insua, BS
Over the past fifteen years, Jennifer has held various positions in hospital administration and healthcare human resources. Jennifer joined Kirby Bates Associates in September 2007. She is responsible for the operation of all office and human resource functions and financial management.
Prior to joining Kirby Bates, Jennifer served as a Human Resources Recruiting Assistant at Tenet Healthcare's Philadelphia Regional Corporate office. She also served as the Administrative Assistant to the Chief Nursing Officer and the Vice President of Clinical Services at Graduate Hospital in Philadelphia, and the Executive Assistant to the Chief Executive Officer at Elkins Park Hospital in Elkins Park, PA.
Jennifer received her Associate Degree in Science from Camden County College, Blackwood, NJ and her Bachelor of Science from Drexel University, Philadelphia, PA.
Nikhol Perez, MBA
Nikhol Perez has a decade of experience in coordinating accounting operations, preparing and analyzing financial statements and improving business processes. She joined Kirby Bates as Finance Manager in 2018.
Prior to joining Kirby Bates, Nikhol served as a Senior Accountant in various industries broadening her experiences. The foundation of Nikhol's success is her ability to align business strategy with established financial accounting principles. She strives to help companies increase profitability, achieve corporate goals and make informed business decisions.
Having recently earned a master's degree in business administration from University of Central Florida, Nikhol is well-equipped with the latest analytical tools, business techniques, problem-solving abilities and decision-making skills. Though she has highly desired accountant traits, she does not consider herself a typical accountant. She believes her strengths lie in her flexibility and ability to build relationships.
Betsy joined Kirby Bates in 2014 after serving for five years as a Research Specialist for an executive search firm serving children's hospitals nationally. Her responsibilities include: electronic marketing; formatting and revision of candidate resumes; researching organizations and resources; database and mailing list maintenance; and assistance with coordination and travel of candidates and staff.
Prior to beginning her career in search, Betsy spent 14 years at the University of Pennsylvania's School of Medicine as an Analyst and Manager in Administration and Finance. She attended the University of Pennsylvania's Wharton School of Business from 1989 – 1994.
Tracy Weintraub, MSN, RN
Tracy Weintraub is a successful nurse executive with over 25 years of leadership experience in a variety of roles. She currently serves as Vice President, Leadership Liaison for Interim Services at Kirby Bates Associates, working with clients and Interim Leaders focused in the California markets. Throughout her career, Tracy has worked in Northern California, Southern California and the Central Valley of California.
Tracy earned both her BSN and MSN degrees from the University of Rhode Island. After graduate school Tracy served as a Clinical Nurse Specialist at the UCLA Medical Center and was on faculty at both the University of Southern California Department of Nursing and the UCLA School of Nursing. She has lived and worked in California ever since.
Tracy has held executive leadership positions at the Greater Los Angeles Veteran's Administration Medical Center and Torrance Memorial Medical Center and served as Chief Nursing Officer at Los Robles Medical Center. Tracy also served as an acute care surveyor for The Joint Commission.
Other roles include various interim executive leadership roles on behalf of BE Smith and Leadership Advisor for Interim Services with BE Smith.
Professionally active, Tracy maintains her extensive network as a longstanding member of Sigma Theta Tau Honor Society, the Association of California Nurse Leaders and the American Organization of Nurse Leaders. In 2013, the University of Rhode Island College of Nursing honored Tracy with the Dean's Distinguished Achievement Award.
Tracy currently lives in Los Angeles with her husband Philip and adorable pup Sully. They have two adult sons, Hank and Charlie.
Tamara Miller serves as Director of Sales for Kirby Bates Associates. Tamara's focus is on client engagement, including establishing and expanding client relationships and strengthening Kirby Bates' contributions to client organizations through strong communication.
A native of New Albany, Indiana, Tamara earned a BSN from Indiana University in 1997. She served as a Cardiovascular ICU/ CCU/ PCU nurse for 11 years, working in various settings such as hospital, home care and research. As a bedside nurse, Tamara was provided various opportunities of employment that included agency, travel and management.
During her bedside career, Tamara developed several medical device patents, taking them from an idea to a product and presenting to Fortune 500 companies such as 3M, Medtronic, Roche, Baxter, Mediflex. Through these experiences, Tamara developed a passion for process improvement, business and workforce development.
In 2007, Tamara left the hospital floor to begin her career in nurse recruitment and retention as the Branch Director for Favorite Healthcare in Indianapolis and later as National Director of Workforce Development for Favorite Managed Services. In 2012, Tamara served as Vice President of Client Solutions for RN & Allied Specialties, bringing mission-critical consulting services to healthcare organizations struggling to meet their staffing needs. In 2017, she served as the Regional Manager for Morgan Hunter Healthcare, providing IT consultants to support EHR optimizations, go-lives, and analysis across 7 states.
As the owner of Aramat Consulting, a healthcare consulting firm focused on enhancing processes in ambulance services, nurse recruiting, and healthcare IT, Tamara has a strong commitment to leading healthcare workforce development initiatives and understands the critical importance of the workforce to delivering quality care.
Ken is an experienced computer and IT professional with over 25 years of industry knowledge. He began his career at Bell Atlantic working with Sun Microsystems, IBM Servers, and Macintosh systems. Ken quickly progressed and immersed himself into networking and systems integrations for some of the largest printing companies in Pennsylvania and Southern New Jersey.
Ken's knowledge of electronic pre-press and systems integrations propelled his career further into the developing field of internet technologies. His advanced computer networking skills, strong leadership, and drive led him to open Spectrum Computer Technologies, a company focused on providing small to mid-sized businesses computer and networking support. His company grew through exceptional customer service and a unique understanding of how the virtual workspace was expanding through all industries. Before joining Kirby Bates full time, Ken functioned as their primary IT support through Spectrum Computer Technologies.
Originally from St. Louis, MO, Ken relocated to South Jersey where he met his wife of 30 years. They recently moved to Richmond, VA and look forward to exploring the area with their collie, Coby.
Pamela Molano Beirne, MHSA, BS, FACHE, FACMPE
Pam is an experienced healthcare executive with over 30 years of accomplishing strategic and operational change within integrated delivery systems, academic medical centers, hospitals, medical groups, disease management companies and healthcare recruitment firms. She currently serves as Vice President, Leadership Liaison for Interim Leadership Services at Kirby Bates Associates working with healthcare clients and interim leaders.
Pam brings diverse experience and demonstrated success from serving as Chief Administrative Officer for the Pediatric/Obstetric Faculty Practice Organization and Vice President for Physician and Ambulatory Services at Stanford Children's Health/Lucile Packard Children's Hospital Stanford, Vice President for Physician Services at Satellite Healthcare, Medical Group Administrator at Kaiser Permanente, Providence St. Joseph Health and NorthBay Healthcare Systems, and as a hospital executive at several medical centers throughout northern and southern California.
More recently, Pam held interim executive positions with Rady Children's Hospital San Diego and Oregon Health and Science University Hospital before joining B. E. Smith as Vice President Leadership Advisor and Strategic Accounts.
Throughout her career, she is recognized for creating partnerships with Boards of Directors and physicians, developing high performance management teams, growing volume, improving the patient experience and client engagement, implementing innovative operational improvements and cost management initiatives.
Pam holds an M.A. in Health Services Administration from George Washington University and a B.S. in Health Planning and Administration from Pennsylvania State University. She is an active member of the California Association of Healthcare Executives and a fellow in both the American College of Healthcare Executives and the American College of Medical Practice Executives.
Chris Corwin, MSN, MPH, MBA, RN
Ms. Corwin brings more than 30 years of healthcare experience, serving as a practitioner, strategy and operations consultant, and for the last 19 years as a leadership and executive search consultant. She specializes in senior executive and board placements, as well as career and executive coaching, leadership assessment, and organizational structure assessment. Ms. Corwin builds strategic partnerships with a wide range of healthcare providers, including leading health systems and hospitals, academic medical centers, multi-specialty medical groups, life sciences, and not-for-profit healthcare organizations. As a healthcare executive search and executive leader consultant, Ms. Corwin has a successful track record of conducting C-level searches, as well as the training and leadership development of hundreds of healthcare executives, with a particular area of interest in physicians transitioning into broader administrative roles.
Ms. Corwin has been a key contributor for two leading nationwide search firms, as well as boutique human capital advisory firms. Her career also includes strategy consulting for an academic medical center and clinical strategist for a healthcare project management firm. In these roles, she focused on physician alignment and community outreach programs, facility master planning and service growth strategies, and assisted in identifying service delivery needs and developing growth plans. Ms. Corwin began her career in peri-operative services and as a cardio-pulmonary clinical nurse specialist, with an emphasis in preventative medicine. She has held roles at leading hospitals and health systems, including Barnes Jewish (BJC), St. Louis University Hospital, Kaiser Permanente (Los Angeles), and UCLA Medical Center.
Clients recognize Ms. Corwin for her solution-focused approach to their most pressing workforce challenges. These leaders value her ability to design creative and workable actions to achieve organizational and team goals. They also appreciate her collaborative and consultative approach to career development. Ms. Corwin has helped hundreds of healthcare executives transition smoothly into new positions or expanded responsibilities, as well as into retirement through leadership development, mentorships, and team-building programs.
Ms. Corwin holds a Master of Public Health, Healthcare Management from University of California Los Angeles (UCLA), a Masters of Business Administration from the University of Phoenix in California, a Master of Science in Nursing from St. Louis University, and a Bachelor of Science in Nursing from the University of Missouri St. Louis.
Maria Klapatch has dedicated most of her career as a Talent Acquisition Specialist filling thousands of clinical and non-clinical positions in health care settings including a Level 1 Trauma Center, rehab and chronic care hospital, community hospital, skilled nursing, assisted living, and rehab networks.
Maria's role as Research Associate at Kirby Bates Associates focuses on research and candidate sourcing, screening potential candidates, candidate development strategy, establishing an infrastructure to support growth in Interim Leadership Services, and working collaboratively across the KBA Team.
Her expertise in healthcare recruiting has focused on nursing, rehab therapy, behavioral health, and corporate recruiting utilizing a myriad of on-boarding tools and procedures, including multiple applicant tracking platforms, human resources information systems, candidate sourcing databases, and planning and executing various recruiting campaigns through social media platforms.
Prior to her current tenure with Kirby Bates Associates, Maria was an in-house Human Resources Talent Acquisition Specialist for a Rhode Island community hospital where she was responsible for staffing inpatient nursing positions and select positions for their group practice locations. She also has experience recruiting and staffing for the rehab division of a major Connecticut hospital staffing therapist positions for their outpatient clinics and home care division.
Maria earned her Bachelor of Science Degree in Marketing from Central Connecticut State University.
Away from work, Maria enjoys spending time with her family and traveling to experience new adventures.
Anne Peterson, MSN, RN
Anne Peterson is an accomplished Nurse Executive with over 30 years of broad experience and expertise leading multidisciplinary operations in multi-specialty clinics and nursing units in a wide variety of practice settings: large academic medical centers, faith-based medical centers, for-profit and rural hospitals.
Holding active nursing licensure in over 30 states has given Anne unique opportunities to fill a wide range of roles in states across the country over the last decade. Her expertise in developing and leading clinical, operational, and financial opportunities and strategies to maximize the growth of integrated operations is unparalleled.
Anne has extensive experience as a Chief Nursing Officer and as an Interim Leader and Advisor. Her permanent positions include CNO with Hillcrest Medical Center and several leadership positions with Vanderbilt University Medical Center, and an AVP role with a national interim leadership firm. Anne served as Interim CNO with Sutter Health, Mission Hospital, Saint Thomas Hospital and Interim Director of Nursing positions with Baptist Saint Anthony's Hospital and Holston Valley Medical Center.
In 2019, Anne served as the inaugural KBA Nurse Executive Advisor for a Nurse Director Coaching Program in California. Most recently, Anne served as Interim CNE of a major Medical Center in California at the outbreak of the pandemic and as it worsened throughout the state.
Anne's current role as Vice President, Leadership Liaison, reflects management of interim leadership engagements and client relationships, business development, working with Interim Leaders on client deliverables, consistent engagement with interim leaders and clients, and contributing to thought leadership.
Anne earned a Bachelor of Science in Nursing and a Master of Science in Nursing Administration from Vanderbilt University and is a member of the American Organization of Nurse Leaders, Middle Tennessee Organization of Nurse Executives, Sigma Theta Tau, Iota Chapter, and the American College of Healthcare Executives, American Nurses Association, Tennessee Nurses Association and Aircraft Owners and Pilots Association.
Anne lives in Nashville with her husband and son. Her hobbies include playing the piano, biking, cooking, and progressing toward her lifelong goal to earn her private pilot's license.
Erin Weatherly joined Kirby Bates in 2020 as an Administration and Talent Engagement Associate for the Interim Leadership Services Team. In her role, Erin works to assure smooth operations across the interim candidate sourcing operation and identifies and qualifies potential interim leaders.
Erin leverages her success in a prior role with Tyler & Company, a leading national healthcare executive search and interim leadership firm, where she was a key contributor to research operations. Erin served as an intern with Tyler & Company for the summer of 2018 and was invited to join the team as a full time Associate as a research assistant in 2019.
Erin earned a bachelor's degree in healthcare administration with a minor in marketing from Valdosta State University. During her undergraduate career, Erin was active in leadership roles in Chi Omega, a women's fraternity. She was also involved with Enactus, the Institute for Healthcare Improvement, and the American College of Healthcare Executives Student Association.
A native of Atlanta, Erin enjoys traveling and spending time with her friends and family.
Kristin Wolfarth joined Kirby Bates in 2021 as an Operations Manager, building on an 18-year career providing project management, operations execution, and skillful support to senior executives and search teams.
A self-starter with strong planning, writing, and organizational skills, Kristin is adept at accomplishing multiple tasks simultaneously, even while working under demanding deadlines.
In 2018, having worked in investment banking firms, Kristin pivoted to the executive search and leadership consultancy industry by joining Tyler & Company, LLC. In 2021 Kristin moved to Kirby Bates Associates where she provides support to all teams and all service lines.
Kristin earned a Bachelor of Science in Consumer Economics from the University of Georgia. She lives in Atlanta, Georgia and enjoys spending time with family and friends.
Dennis Kain, MHA, FACHE
Dennis J. Kain, MHA, FACHE, Senior Vice President, joined Kirby Bates in 2021 during the merger with Tyler & Company. Dennis had been with Tyler & Company since 2000.
Dennis' career spans more than 40 years and includes extensive leadership experience in healthcare operations, hospital management and national consulting. His expertise working within provider settings, including serving as a hospital CEO, strengthens his understanding of the qualities, knowledge and vision needed to create and lead a successful executive team. Dennis has conducted CEO, senior executive and physician executive searches for large health networks, academic medical centers, independent physician practices and community hospitals across the country.
Dennis is well known among his healthcare colleagues. He is a long-standing member and Fellow of the American College of Healthcare Executives (FACHE) and served as the ACHE Regent for Eastern Pennsylvania. In 2014, he won ACHE’s Exemplary Service Award, the association’s highest service award, for his commitment to volunteerism and service to the healthcare management profession.
From 2013-2018, Dennis served on the Association of Executive Search Consultants’ Council of the Americas. He previously served on the Dean’s Development Council for the Jefferson School of Population Health of Thomas Jefferson University in Philadelphia. He presently serves on the MHA Advisory Board for Johns Hopkins Bloomberg School of Public Health. Dennis has been a frequent speaker to a variety of ACHE chapters and health leadership forums, including HFMA and the MGMA.
Dennis was the first recipient of the Health Leadership Network of the Delaware Valley’s Administrative Achievement Award. He also has led numerous civic and community efforts and is past chairman of the Health Services Management and Policy Alumni Association of The George Washington University. In 2021, he was honored with the Distinguished Alumni Achievement Award from The George Washington University- Milken Institute School of Public Health.
Prior to joining Kirby Bates, Dennis had an extensive career in hospital management. Clients and candidates regularly commend Dennis for his extensive knowledge of the industry and his ability to successfully place C-suite leaders. He also assists his clients with succession planning services, onboarding, and executive assessment solutions to assure organizational stability and growth.
Dennis earned his bachelor’s degree from Lafayette College in Easton, PA., and his Master of Healthcare Administration from the George Washington University in Washington, D.C. He resides in New Jersey, his home state.
Valerie J. Fuchcar, BSN, RN
Valerie has over 30 years of progressive talent acquisition experience, specializing in strategic marketing plans for total recruitment strategy development, candidate sourcing, candidate engagement, compensation review and negotiation.
Valerie enjoyed a lengthy career with Erlanger Health System, the nation’s seventh largest public hospital, where she served as Executive Director of Leadership Recruitment. In that role she was responsible for recruiting executive, clinical, administrative, and key physician service line directors. Under Valerie’s leadership, the team conducted local and national searches focusing on hiring best-in-class top talent for the health system’s seven hospitals.
Valerie’s knowledge of Human Resources recruitment compliance laws and her acumen with strategic marketing plans to source top talent further strengthen the Kirby Bates Team.
Valerie started her career as a Registered Nurse at Baptist Memorial Hospital in Memphis, TN, and later moved into Nurse Recruitment. Valerie has a Bachelor of Science in Nursing degree from the University of Tennessee at Chattanooga. She is a member of Sigma Theta Tau International Honor Society of Nursing and the American College of Healthcare Executives. She is also a Certified Targeted Selection Trainer in Behavioral Interviewing (DDI).
Valerie and her husband, Paul, live in Chattanooga, Tennessee. They have three children, three grandchildren, and two grand-dogs. Valerie enjoys nature and hiking, raising orchids, reading, and spending time with family.
This book provides experienced and novice healthcare leaders with the information, leadership structures, and practical strategies needed to successfully oversee both patient outcomes and balance sheets.
Surgical Services and the Transformative Changes in Healthcare
The next sections describe four major forces that are transforming healthcare in surgical services and beyond, and the response required of surgical services leadership.
Changing Payment Structures for Surgical Care
Highsted and Peters report that “in a financially healthy hospital, surgery generates up to 65 percent of contribution margin” (2017, para. 2) This suggests that any reluctance to prioritize the efficiency and effectiveness of all aspects of surgical services places the organization and the executive at significant risk. The Centers for Medicare & Medicaid Services (CMS) just released final guidance on mandated episode or bundled payment programs for both joint replacements and cardiac rehabilitation (2017). Despite canceling mandatory participation in the bundles, CMS continues to believe that bundled payments offer opportunities to improve quality and care coordination while lowering spending. CMS is leaving the door open for voluntary efforts by providers to create less expensive models that offer value and accessibility. Although this particular approach to incentive payment has been suspended (possibly temporarily) by the government, it is clear that the payment environment is rapidly moving to a value-based model. Executives must expect payer reimbursement methodologies that incentivize the delivery of care in less expensive settings, and through less expensive means, with significant emphasis on value and outcomes.
Simply put, as the most expensive operation within most organizations, and the one generating the highest contribution to an organization’s overall strategic and financial health, surgical services will continue to find itself under the greatest pressure to cut costs. This makes it a target for disruption as payment strategies evolve. Porter and Kaplan (2016) in the Harvard Business Review discuss two likely payment alternatives in the evolution toward value-based reimbursement: capitation and bundled payments. Each has significant impact on the provision of surgical services.
With capitation, the organization receives a fixed payment per year per covered life and must meet all care needs of that population, including required surgical procedures. With the bundled payment system, by contrast, providers are paid a set rate for the entire care episode for a certain diagnosis or procedure, such as joint replacement, cardiac surgery or congestive heart failure. Within this payment, the organization must provide all tests, procedures, devices and medications.
The authors do not expect a single payment approach in the short term but do foresee plenty of payer-driven experimentation with unique market and geographic nuances. The impact to surgical services likely will be significant, as the total cost of a surgical procedure and the often-lengthy recovery will consume an inordinate percentage of that payment. This phenomenon is accelerating the development of innovative models in surgical services to efficiently manage the episode of care across the entire system, including preoperative preparation, choice of implantable device and trajectory of postoperative recovery.
The challenge for many legacy hospitals is a lack of agility to make expeditious changes to care models, including development of the most cost-effective venue for care. Disruptive provider models that compete on both cost and convenience threaten expensive, overhead-laden operating rooms. Where community hospitals once competed with other hospitals in town, now surgeon- or investor-owned surgical centers – with considerable ability to provide excellent care at less expense and greater convenience – challenge hospitals to an entirely different scale of operations. In fact, future competition may come from investor-owned facilities or hospitals nationwide or across the globe in the form of domestic or global medical tourism.
The Evolving Market for Surgical Care
As if cost pressures from government and private payers were not challenging enough, traditional market forces governing healthcare are experiencing sea changes as well. The notion that healthcare is local is being challenged from a number of perspectives. Hospitals historically have defined their market based on local demographics. Patient proximity, coupled with aggressive marketing of a skilled team of surgical experts and the most cutting-edge technology, was assumed to be enough to recruit profitable surgical cases to the organization. A stable base of primary care practitioners helped to ensure the pipeline of surgical cases through well-established referral patterns.
While this served hospitals well prior to the advent of value-based shopping for surgical services, Slotkin, Ross, Coleman and Ryu (2017) suggest that the traditional approach for defining a market is now experiencing significant disruption. Tired of raising insurance costs and opaque quality and clinical outcomes data, large employers like Lowe’s, Walmart, GE, and Boeing are setting the quality criteria for a successful surgical outcome at a price they are willing to pay and are negotiating directly with providers to obtain such surgical care for employees irrespective of provider location. This means that a Boeing employee living and working in Chicago’s corporate office may be directed to a hospital in Ohio or Seattle for a hip replacement or cardiac procedure.
The majority of surgical procedures performed annually are considered elective or semi-elective (clinically necessary but not emergent) and hence, can be “shopped” by employers. Employers nationwide are partnering with payers, payer intermediaries and business coalitions to identify providers of surgical care that meet specific quality and cost standards. In order to be considered for participation in this type of network, surgical care providers will need to demonstrate value in the purest economic terms – which outcomes can be guaranteed at what cost.
For the hospital looking to participate as a destination provider, the implications are significant. Systems and processes must be reengineered, workflows redesigned, best practices implemented across all practitioner groups, and all unnecessary clinical variation removed. The data and analytical requirements will involve significant investment to provide continuous evidence of value. Next-generation scorecards and performance metrics will provide the evidence that care that heretofore was considered aspirational has indeed become “hardwired” into the organization.
Kirby Bates Associates drives healthcare organizations to achieve high quality, cost-effective patient care with our comprehensive portfolio of proven leadership services, including Executive Search, Interim Leadership, Leadership Coaching, and Operations Consulting. As former CEOs, COOs, and CNOs, our effective approaches achieve sustainable solutions for our clients’ greatest leadership challenges.
About Sullivan Healthcare Consulting
Sullivan Healthcare Consulting(SHC) helps maximize the return on investment in the perioperative suites of hospitals and ambulatory surgery centers. The firm’s consulting practice serves clients across the United States and Canada. Toll free number: 866-303-8968.
AMN Healthcare. (2013). 2013 survey of registered nurses: Generation gap grows as healthcare transforms. Retrieved from https://www.amnhealthcare.com/uploaded-Files/MainSite/Content/Healthcare_Industry_Insights/Industry_Research/2013_RNSurvey.pdf
Buerhaus, P.I., Staiger, D.O., & Auerbach, D.I. (2000). Why are shortages of hospital RNs concentrated in specialty care units? Nursing Economics, 18(3), 111-116. Retrieved from https://www.amnhealthcare.com/uploaded-Files/MainSite/Content/Healthcare_Industry_Insights/Industry_Research/2013_RNSurvey.pdf
Buerhaus, P.I., Staiger, D.O., & Auerbach, D.I. (2000). Why are shortages of hospital RNs concentrated in specialty care units? Nursing Economics, 18(3), 111-116. Retrieved from https://www.nurses.com/doc/why-are-shortages-of-hospital-rns-concentrate-0001
Bureau of Labor Statistics (BLS). (2017). Economics news release: Union members summary. Retrieved from https:// www.bls.gov/news.release/union2.nr0.htm
Centers for Medicare & Medicaid Services (CMS). (2017). CMS finalizes changes to the Comprehensive Care for Joint Replacement Model, cancels Episode Payment Models and Cardiac Rehabilitation Incentive Payment Model. [Press Release.] Retrieved from https://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-releases/2017-Press-releases-items/2017-11-30.html
Daly, R. (2016) Unionization surges in healthcare. Healthcare Finance Management Association newsletter. Retrieved from https://www.hfma.org/Content.aspx?id=46614
Dyrda, L. (2013, October 7). 100 surgery center benchmarks & statistics to know. Becker’s ASC Review. Retrieved from https://www.beckersasc.com/lists/100-surgery-center-benchmarks-statistics-to-know.html
Grube, M. (2018, January 11). The store is not dead, but the status quo is. Kaufman Hall. Retrieved from https://www.kaufmanhall.com/ideas-resources/thoughts-ken/store-not-dead-status-quo
Highsted, B., & Peters, J. (2017, October 9). Q. What single strategy will drive the bulk of OR growth in the next 10 years? A. 360° engagement. Becker’s Hospital Review. Retrieved from https://www.beckershospitalreview.com/patient-engagement/q-what-single-strategy-will-drive-the-bulk-of-growth-or-or-growth-in-the-next-10-years-a-360-engagement.html?tmpl=component&print=1&layout=default
Holleran, S. E. (2001, May/June). What do nurses want? AFSCME Works Magazine. Retrieved from https://www.afscme.org/news/publications/newsletters/works/mayjune-2001/what-do-nurses-want
Kaufman, K. (2018, January). Faster, bigger, and broader: Healthcare disruption in 2018. HFM Magazine. Retrieved from https://www.hfma.org/Content.aspx?id=57409
Patterson, P. (2012). Who will replace retiring perioperative nurses? OR Manager, 28(12). Retrieved from www.ormanager.com ◆