Global Health Systems Consultants, LLC: A Public Health Consulting Firm
Stephanie R. Paulmeno, MS, RN, NHA, CDP, CCM:
A Board Certified Care Manager and Dementia Practitioner
President of the Connecticut Nurses Association
Board: Connecticut Nursing Foundation
Board of the Southwestern Connecticut Area Agency on Aging
Candidate: Doctor of Nursing Practice – Quinnipiac University, Hamden, CT
CEO, Global Health Systems Consultants, LLC: A Public Health Consulting Firm
9 Rockland Place
Old Greenwich, CT 06870
Mrs. Paulmeno has been a resident of Old Greenwich for 26 years and has worked in Greenwich positions consistently during that time. Since June 2009 she has operated two private for profit health care consulting businesses from offices in Old Greenwich; Global Health Systems Consultants, LLC, which focuses on international organizational and health system strategies, and Stephanie R. Paulmeno, MS, RN, NHA, Executive Nursing Consultation, which addresses high level nursing strategic planning as well as organizational and case management consultation. Primary within these consulting roles has been the opening and development of an integrative medicine home care agency serving the holistic needs of people of all ages with special needs, and the conversion of an agency’s group homes to a recovery-based model of care.
She has held highly responsible professional, managerial and executive level positions in New York and Connecticut in health, mental health, and long term care since 1981. This included 12 years as Director of Nursing and 1 year as the Administrator of Record for The Nathaniel Witherell Nursing home, and 7 years as the Director of Community Health Planning for the Greenwich Department of Health. Her past work has included, being appointed as research coordinator for an international study on depression and dementia, publishing professional papers, speaking at national and international conferences, developing numerous coalitions and collaborations to address a multitude of health, mental health and social services issues, and designing award winning projects and programs. She conducted the acclaimed Greenwich public health systems assessment. Her long term involvement with Town departments and town-wide agencies added tremendous depth to her understanding of issues that required attention and decision making during her tenure on the Greenwich elected body, the RTM, where she served 2 terms of office. She sat on the Public Works Committee, the Health Committee and the Appointments Committee. She has served for many years on the Greenwich Community Development Block Grant Advisory Council to the Selectman.
She sits on numerous State, Regional and Town boards, task forces, advisory boards and commissions and was appointed to the CT Commission on Health Equity by the House Minority Leader. She was elected by that body to their Executive Board. She has been serving as the Selectman’s appointee to the Southwestern Connecticut Regional Mental Health Board for six years and has been the Chairman of the Board of the Lower Fairfield County Regional Action Council for over 6 years; she is the founding president of the 1st CT Chapter of the American Foundation for Suicide Prevention, and a past Chairman of the Board for TAG (handicapped transportation).
Stephanie is an Advisory Board Member of Greenwich Hospital and of the Stamford Hospital’s Patient and Family Advisory Board, of At Home in Greenwich.
Stephanie holds a degree in nursing, two degrees in gerontology, and a post master’s certification in long term care administration and has had extensive course work in public health.
Stephanie R. Paulmeno, MS, RN, NHA, CDP
9 Rockland Place
Old Greenwich, CT 06870
(203) 637-9227 (Home) (203) 326-0400 (Cell)
Quinnipiac University, 275 Mt. Carmel Avenue, Hamden, CT 06518 – Doctor of Nursing Practice Candidate-Leadership Track
Quinnipiac College, Hamden, CT 06518, Long Term Care Administration Post Graduate Certificate Program; and Basic Financial Management of Long Term Care Facilities (Offered through the American College of Health Care Administrators)
Graduate School of the College of New Rochelle, New Rochelle, NY 10801; Master of Science Degree in Gerontology; Certificate in Peer Career Guidance Counseling
St. Thomas Aquinas College, Sparkill, NY 10976; Bachelor of Science Degree in Gerontology
Beth Israel Medical Center School of Nursing, NYC, NY 10001, Registered Nurse
Rockland County Office for the Aging, Pomona, NY 10970; Certificate: Nursing Home Ombudsman
On-line course work in Public Health, Epidemiology, Disaster Planning
LICENSES AND PROFESSIONAL CERTIFICATIONS
Nursing Home Administrator: CT: 001075
Registered Professional Nurse: NY: RN 214 714 1 CT: R39058
American Nursing Association: Attained Certification as an ANA Gerontological Nurse: 090474
Board Certified in Public Health: National Board of Public Health Examiners: Number: 11950
Board Certified Case Manager (CCMC): Certification Number: 4211879;
Board Certified Dementia Practitioner (NCCDP): Certification Number: 71701
Certified as an International Public Health first Aide Instructor
Certified as a Share Approach Master Trainer by Agency for Healthcare Research & Quality 4.16.15
Certified Mental Health First Aid Instructor (6/26/15)
Certified Suicide Post-vention Trainer: NAMI/DMHAS
Thomson Reuters Expert Witness
July 2009 to Present: Global Health Systems Consultants, LLC: A Public Health Consulting Firm
9 Rockland Place, Old Greenwich, CT 06870
President and CEO
Owner/operator of a public health consulting firm: conducts community/facility-based assessments; organizational health planning/implementation; executive/administrative health and social services capacity-building; strategic planning for health/mental health & addiction/social services agencies; educational curriculums &PowerPoint development; organizes public, legislative and community forums; professional development/capacity-building presentations at facilities, organizations & professional conference; Board/ Advisory Board development; creates/evaluates policies, procedures & protocols for health-related organizations; ghost-writes speeches; conducts facility-based/agency assessments; collaboration-building and capacity-building; organizes multi-cultural health & heritage fairs and event for the purpose of serving the underserved and collecting public health data in regard to these high-risk populations. Keynote speaker at the Connecticut Nurses Annual Convention and at the National Association of Hispanic Nurses Annual Scholarship Award Convention. Attained Board Certification in Public Health, as a Case Manager, and as a Dementia Specialist; provides-long seminars on Alzheimer’s disease and other dementing illnesses focused on helping staff to provide evidence-based quality care and care planning for patients and family members in facilities offering dementia special-care units.
Held/holds leadership roles in local, regional and state-level organizations including the Executive Board of the CT Commission on Health Equity, Treasurer and now President of the CT Nurses Association, President of a Department of Mental Health & Addiction Services (DMHAS) Regional Action Council tasked with prevention strategies and data collection in the area of alcohol, tobacco and other drug misuse, problem gambling, and suicide; Founding President of the CT Chapter of the American Foundation for Suicide Prevention (AFSP); Commissioner on the Greenwich Commission on Aging; Board member of the Southwest Connecticut Area Agency on Aging (SWCAA); worked with State Officials on Connecticut Prevention Health Plans for Cancer , Heart Disease and Stroke, as well as on the Statewide Heart-Healthy Communities Initiative; using the data from the Stamford Hospital/Stamford Department of Health Community-Health Needs Assessment, created a Public Health Report on the Department of Health’s activities and outcomes and presented the 5-year Strategic Plan, Goals and Objectives for the Stamford, CT Department of Health and Social Services; consults on case management and patient care and care delivery systems; Mentors B.S. to doctoral level students in a variety of health-related fields as a preceptor; and maintains a limited direct patient care practice; occasionally steps out of CEO role to assist directly in an agency’s leadership function roles to train and mentor staff. (i.e.: served 6 months as Acting Clinical Director to successfully reorganize a multi-residential/community-based services mental health agency to transition to a recovery-based model of care and for one year as Administrator/Clinical Director for a start-up home care agency serving people with special needs from infancy to end-of-life bringing them from inception through licensure, Medicare/Medicaid certification and accreditation, and created their behavioral health program and their maternal and child health care program for infants from birth to 1 year; serves on, Chairs and Co-Chairs numerous clinical and educational Boards and Advisory Board; was recruited and admitted to their expert witness services by Thomson Reuters.
2012-2013: Park Avenue Medical Associates, 3rd Floor, 3 Barker Avenue, White Plains, NY 10601 (Simultaneously with Global Health Systems Consultants) (Maryann Rattray, VP)
This role was carried out simultaneously while continuing to operate Global Health Systems Consultants-
Associate Clinical Director, on a one-year phase of a nation-wide Federal Cooperative Care Agreement awarded to the Greater NY Hospital Association (GNYHA) by the Center for Medicaid/Medicare Services (CMS) to explore cost containment within the Affordable Care Act; collaborated as a project planning team member on program evolution and modification; provided administrative, regulatory, clinical nursing, geriatric and long term care expertise for this demonstration project. Twenty-seven RN Care Coordinators critical to this initiative were screened, interviewed, hired, trained, and evaluated under me as employees of Park Avenue Medical Associates and were subsequently embedded in 30 NYS facilities. Their skills were honed in facility assessments, teaching/mentoring, public speaking, quality improvement/QAPI, root cause analysis, early recognition of acute changes in condition, palliative care and hospice programs, and critical analysis of policies and procedures. They also were trained to develop enhanced skills in professional report writing, public speaking, gap analysis-focused action plan development, applying root cause analysis to problem identification and resolution, differentiating problem tracking from problem identification by eliminating random cause variations, and other quality improvement techniques and approaches; the demonstration project’s intent was to reduce avoidable hospitalizations in government-funded long term care residents while increasing their quality of care and quality of life. I sit on numerous elected and appointed Boards, Advisory Boards and Commissions.
2010-2011: Sterling Care, LLC Licensed Home Care Agency (Simultaneously with Global Health Systems Consultants), 259 Glenville Road, Greenwich, CT 06830 (Steven Katz, Owner)
This role was carried out simultaneously while continuing to operate Global Health Systems Consultants-
Administrator/Clinical Director for a start-up home care agency; provided administrative, nursing administration, case management/clinical leadership for this program to bring it through the opening phases of a non-skilled care agency to full State licensure as a Medicare certified, accredited home care agency, all done within one year. The agency serves people with special needs across the age span including a well-baby program that I developed from conceptualization to implementation including the development of policies, procedures and training programs/manuals that became fully implemented during my tenure. I began as a consultant with this agency stepping into its Administrator/Clinical Director role in order to move it to licensure and then resumed my consulting role. I co-hosted/scripted a weekly radio show, the Sterling Health Show, for one year on 1490 WGCH AM radio on a wide range of health issues impacting the elderly, those utilizing homecare services and in-patient/residential programs, those needing rehabilitation and people with special needs including developmental, mental, behavioral, neurological and cognitive disorders; Numerous professionals from many disciplines were interviewed during the program. I continue to serve in a consultative/CQI capacity.
2002-2009: Department of Health, 101 Fieldpoint Ave. Greenwich, CT 06830
Director of Community Health Planning: (Caroline Baisley, MPH, Director of Health)
Directed, developed and coordinated public health and social services planning, evaluation, and program implementation for the Greenwich Department of Health; assured that community health needs were identified, gaps filled and duplication avoided; provided community health surveillance via monitoring designated health statistics/social indicators, tracked/trended the annual-real-time causes of Town deaths and implemented wellness and preventive health programs in response to annual trends; utilized national, state and local health information data/networks to establish community health goals; was recruited to serve as Chairman of the Lower Fairfield County Regional Action Council, a Department of Mental Health and Addiction Services (DMHAS) initiative; chaired the Access to Care and Health Information Committee of the Greenwich Health Improvement Partnership for 5 years, spearheading the development of multiple unique health, mental health, and collaboration projects for the community; sat on the Southwestern CT Regional Mental Health Board’s Community Action Council and Board of Directors as the Selectman’s designee for the Town of Greenwich, which conducts site/program reviews of a mental health programs, group homes, and services; serves as the Committee Chairman for the program review committee that assesses these community and home-based mental health/recovery-based program and was elected to the Executive Board of the Regional Mental Health Board; designed/computerized a bi-lingual interactive desktop-based matrix for behavioral health services that enhanced information/referral opportunities for professionals/law enforcement/clergy/ consumers; served as a professional consultant resource to community health, mental health & social services agencies, organizations and municipal leaders; served as the off-board Health Specialist for the CT League of Women Voters; coordinated and facilitated community agencies’ efforts to define and respond to common goals in support of a healthy community lifestyle; designed public speaking programs, conferences and forums on community health planning, long term care and social services issues; developed and analyzed reports based on needs assessments and town/region-wide workgroup activities; coordinated the Greenwich Department of Health’s Bioterrorism, mass prophylaxis, SARS, and pandemic response plans for actual and potential emerging infectious diseases; coordinated, conducted and implemented the CDC’s Public Health Systems Assessment and Strategic Response Plan for the Greenwich Department of Health; organized and implemented collaborative town-wide Multicultural Health & Heritage Fairs that brought unfunded health and mental health screenings, workshops, and information on service programs and agencies largely to the uninsured and underinsured at no cost; developed a hyperlinked pandemic planning policy template for long term care facilities that is in use throughout CT following a presentation at the Infection Control Nurses of Connecticut’s annual meeting; served on multiple town, regional and state advisory boards, task forces, and working groups for health, mental health, the aged, home care and social services; implemented the Town Hall Automated External Defibrillator and 1st Aid Response Team; chairs the award-winning Town Hall Health & Safety Committee; designed and implemented an award-winning OSHA/Conn OSHA-compliant policies and protocols template that is in use across CT; worked on the teams that developed the State of Connecticut’s Heart Disease Prevention Plan, Stroke Prevention Plan and the Cancer Prevention Plan along with the Statewide Heart-Healthy Communities Initiative. I constructed my own business, Global Health Systems Consultants, using this evidence-based goal/outcome-directed model when I gave up this position.
1989-2002: The Nathaniel Witherell Nursing Home, Greenwich, CT 06830
Director of Nursing (Former Acting Administrator on two occasions): (now under different oversight)
Provided Nursing Division oversight of a 202 bed, Medicare/Medicaid certified municipal facility authorized to provide care to chronically ill and frail seniors, mild and manageable psychiatric patients, and people needing rehabilitation; served as Acting Administrator for facility operations during periods of transitional crises, obtained their first simultaneous deficiency free State, Federal and Life Safety Code surveys; implemented/coordinated the facility’s role as a training site for nursing students and for CT Home Health Aides working with the Greenwich Department of Social Services to develop clinical skills; negotiated and implemented the transition from an in-house to outsourced pharmacy; designed, implemented and analyzed quality assurance studies, needs-assessments, public relations/food service surveys, productivity, and program cost-benefit analyses for the Board, Town committees, and community groups; developed and implemented remediation plans for clinical and care-related investigative procedures for regulatory authorities’ review; developed and co-chaired the Family Support and Family Council groups; initiated a monthly resident education program; designed a restorative and rehabilitative nursing care model for a sub-acute and medically complex care delivery system; restructured the Admissions, Medical Records, Dietary and Rehabilitation Divisions for performance enhancement and regulatory compliance while serving in the Interim/Acting Administrator role for about 2 years over a three year span; re-designed and chaired the facility’s Continuous Quality Improvement and Health & Safety Committees; provided oversight of the facility’s Infection Control Program/Committee; analyzed surveillance reports prepared by the Infection Control Nurse/oversaw corrective actions for enhanced identification/monitoring of nosocomial and community acquired infections, disease manifestation trends, antibiotic use and antibiotic resistant organism incidence; monitored the I.V. Therapeutics Committee, Resident Education and Staff Development Programs; developed the facility’s Corporate Compliance Program; monitored the integration of the clinical aspects of the Medicare A reimbursement utilization groups (RUG’s) system that links clinical services with the facility’s billing system through the Keane computer program; maintained oversight of the initiation of fee-for-service billing for Medicare B services; formulated/presented funding grants for programs and operations; formulated/implemented/monitored administrative/nursing policies/procedures; responsible for budget development for the Nursing Division and for the entire facility budget/operation while serving twice in the capacity of Acting Administrator; developed staffing model analyses for operational functions for potential facility reconstruction models; served on the Long Range Planning, Accounts Receivable, Renovation, and Technology Committees of the Board of Directors; established an outcome-based goals and objectives system in order to enhance this high-profile facility’s accountability with Town regulators.
1988-1989: St. Camillus Health Care Center, Stamford, CT 06902 (now under different oversight)
Assistant Administrator (initially Director of Staff Development/Infection Control):
Responsible for operational performance/budget development/analysis of multiple departments in a newly opening 120 bed ICF/SNF nursing facility. This included Social Services/Case Management/Discharge Planning, Admissions, Dietary, Volunteers, Housekeeping/Laundry, Rehabilitation, Adult Day Care, Chaplaincy Services and office support staff operations; provided nursing administration consultation to the Administrator and newly appointed DNS; responsible for policy/procedure development and compliance, investigations, conflict negotiation and contract negotiation for essential services; developed analyzed cost efficiency studies for review with the diocesan management/Board members; designed/implemented an innovative in-house Alzheimer’s Day Care program with expanded growth options that I presented as a unique model at a Gerontological Society Conference in Washington DC, and that was published. Designed a State approved training curriculum for certifying nursing assistants in the State of Connecticut; created the facility’s quality assurance and improvement system, staff development and infection control programs.
1987-1988: Darien Convalescent Center, Darien CT) 06820 (A New Medico managed facility) (No longer in operation; References available)
Responsible for the operation of a 120-bed for-profit ICF/SNF facility; my priority was placed on reversing significant financial deficits in place upon arrival, restructuring the nursing, social services and admissions departments, re-outfitting the dietary operations to bring standards up to code requirements, and developing a model in-house Alzheimer’s Special Care Program; extensive negative survey results from prior administrations were reversed within three months; a JCAHO accreditation application was prepared and submitted resulting in a three-year JCAHO certification. Emphasis on managing existing long-term aging accounts resulted in the collection of extensive revenues; systems were established to control/reverse prior spending patterns; renovations and preventive maintenance projects were initiated and completed.
1985-1986: Greenwich Woods Health Care Center, Greenwich, CT 06831
Director of Staff Development and Infection Control:
Department Head member of a newly opening long term care facility; developed and implemented a State approved nursing assistant training curriculum; designed and presented multidisciplinary in-service training curriculums; instituted program protocols, developed nursing departmental polices and procedures, established an infection control and surveillance program, utilized CQI studies and processes to assure that standards of practice were established and maintained; established facility and departmental orientation programs; formulated the application and adjunct reports prerequisite to securing a Medicare certification for the facility.
1984-1985: Greenwich Adult Day Care, Greenwich, CT 06830
Converted a geriatric recreation program into a health, mental health, and social services-focused day care delivery system, and relocated the program into a health care facility setting. Responsible for on-site case management and referral services, counseling, rehabilitation and provision of direct health care services that included providing hands-on in-home nursing assessment and care to patients as they were subsequently transitioned to day care program. Family support, education groups, and client focused groups and activities were designed and implemented. Non-licensed staff was supervised in the delivery of health maintenance services; negotiated contracts, coordinated entitlement programs, conducted surveys and designed marketing approaches; developed policy and procedure manuals, client intake and assessment forms, and other medical records documents; secured funds through grant writing for program design and development. An Area Agency on Aging grant award facilitated converting home health aides to certified nursing assistants.
1982-1983: New York Hospital/Cornell Medical Center-Westchester Division
Geriatric Division Director for Nursing: (now Cornell/NY Presbyterian Hospital-new management)
Nursing administrative, clinical, educational, operational, and budgetary responsibility for the long term and short term care units of a private psychiatric hospital; developed and implemented a psychogeriatric assessment process and training manual for use with the psychiatrically impaired elderly (published in Nursing Management); Provided clinical management of patient care, quality assurance and family and patient education using a multi-disciplinary approach. Professional presentations, publications and research involvement were position expectations and were actively engaged in with physician colleagues within the division.
1981- 1983: Harlem Valley Psychiatric Center (HVPC), Wingdale NY 12594 (Multiple positions held, some simultaneously) (No longer in operation; References available)
Regional Psychogeriatric Center Coordinator:
Executive Director Appointee of Director Wendy Acrish; provided expert consultation/direction on psycho-geriatric care/management issues, community-based program planning, development, implementation and evaluation, as well as resource allocation related to out-patient clinics/sites in Westchester, Putnam and Duchess Counties. This included direct teaching to multi-disciplinary staff about in-patient care programs, as well as teaching staff and providing care to surrounding community residents as part of an innovative in-home-care service model called the Personalized Care Model Program. This involved instructing, supervising and providing care to community families who were being trained to become home care providers for non-related elderly psychiatric patients. These non-family members were paid to care for discharged elderly psychiatric/demented patients in their own homes. Implemented/coordinated/chaired the Community Advisory Board.
Research Project Coordinator:
Coordinated a collaborative research study (between the HVPC and the Columbia Medical Faculty/Department of Psychogeriatrics) on the topic of “Depression in the Elderly in State Hospitals” (Barry Gurland, MD and John Toner, PhD); Conducted a sub-study on communication deficits in the in-patient population; Research participants presented findings of both studies at multiple professional conferences.
Provided multi-disciplinary clinical/administrative leadership for two community-based geriatric treatment sites; this involved case management/referral services and also provided direct counseling/supportive care; provided on-site clinical management/administration for a community-based adult home for discharged chronically ill patients with psychiatric and dementing disorders.
Senior Nurse Clinician:
Director of Nursing appointee; utilized supervisory/credentialing authority for psychiatric/physical medicine nursing staff practicing in the HVPC clinics/out-patient sites across multiple counties
Academic Affiliations Committee Member for the Central Westchester Clinic of the HVPC; Lectured on the “Personalized Care Model” geriatric training program for community-based providers of in-home care for discharged elderly psychiatric/demented patients.
Psychiatric Public Health Nurse:
Direct care provision of psychiatric counseling and referral services to elderly clients in clinic and home care settings.
1981: Burke Rehabilitation Center, White Plains, NY 10605
Masters’ Degree Intern:
Alzheimer’s Day Treatment Program intern at the Burke Rehabilitation Center, White Plains, NY
Independent Study Research Assistant to the Director of Planning and Program Development at the Burke Rehabilitation Center, White Plains, NY
Graduate Assistant at the Graduate School of the College of New Rochelle, to the Director of the Gerontology program, Dr. Demise Smith Frasier
Graduate Assistant Research Assistant to Dr. John Toner, PhD, Graduate School of the College of New Rochelle
Graduate Assistant/Teaching Assistant at the Graduate School of the College of New Rochelle
Prior to the above, staff nurse positions had been held continuously since 1969.
Addendum 1: Volunteer Affiliations
- President of the Connecticut Nurses Association (Formerly President-elect, Treasurer and Executive Board Member); Member of the American Nurses Association and the National Hispanic Nurses Association-CT Chapter
- Board: Connecticut Nursing Foundation
- President: Communities 4 Action (formerly the Lower Fairfield County Regional Action Council of the CT Department of Mental Health & Addiction Services: Focus on prevention in the areas of alcohol, tobacco and other drugs, problem gambling and suicide-coordinates/hosts an annual behavioral health conference for professionals ; plans, coordinates and moderates a biennial Legislative Forum on prevention with local, state and federal panelist.
- Executive Board Member/Appointed Commissioner/Chair of the Public Voice Committee and Appointments Committee of the Connecticut Commission on Health Equity; served also on the By-Laws Committees. 2008-2016 (Commission was decommissioned June 2016 due to State budget crisis)
- Board Member: Southwestern (CT) Area Agency on Aging; also serves on allocations Committee and Chairs the nominating Committee
- Chairman of the Access to Care Committee of the Greenwich Community Health Improvement Partnership (G-CHIP) since the 2000s
- Co-Chair: President’s Advisory Council: St. Thomas Aquinas College, Sparkill, NY
- Vice-Chair (previous Chair): Hispanic Advisory Council of Greater Stamford (15 year member)
- Chairman: Communities for Action (formerly known as Lower Fairfield County Regional Action Council (DMHAS initiative) (12 years/current)
- Member: CT Public Health Association
- Member: National and CT Chapter: Hispanic Nurses Association
- Founding President of the CT Chapter of the American Foundation for Suicide Prevention (AFSP)
- Suicide Post-vention Specialist/Trainer under NAMI/DMHAS and in suicide prevention
- Elected to public office: Representative Town Meeting (RTM) Member for District 6 in Greenwich, CT (two plus terms-2002-2006); Served on the Health and Human Services Committee, the Appointments Committee and Department of Public Works Committee of the Greenwich RTM.
- Public Speaker for Regional training programs for the Department of Veteran’s Affairs
- Greenwich Red Cross: Red Cross Nurse; Disaster Mental Health Services Team
- Original Member of the Greenwich Senior Provider Network, continuously serving since 1981
- Founding member of the Lower Fairfield County Directors of Nursing Council 1989-2002
- Former member of the Greenwich Selectman’s Transportation Committee
- Served on the Connecticut State Health Department’s Medical Records Subcommittee for the revision of the Public Health Code;
- Appointed to the Prevention Advisory Committee of the SustiNet Board, State of Connecticut; appointed to chair the Local/Community Initiatives Sub-committee
- CT Public Health Nursing Association
- Former Chair: Access to Care Committee of the Stamford Hospital VITA Collaborative (2014-16)
- Greenwich Hospital: Community Advisory Board 10 years, Current Co-Chair of the Clinical Pastoral Education Committee (15 years), Diabetes Resource Advisory Board, Hospice Advisory Board.
- Stamford Hospital: Patient and Family Advisory Board, prior chair
- Nursing Advisory Board of Norwalk Community College since the 1990s (former chair-10 years)
- Board of Directors- Stamford-Greenwich Literacy Volunteers (5-years)
- Board of Directors/now Advisory Board/Personnel Committee: At Home in Greenwich (provides in-home services intended to keep elders in their own homes
- Southwestern CT Regional Disabilities Advocacy Council (7-years)
- Off-Board Health Specialist: CT League of Women Voters (2-years)
- 10 year member: Southwestern CT Regional Mental Health Board/Executive Board Member/Chairman of the Community Action Council (CAC) 1& 2
- Appointed Member, Greenwich Selectman’s Community Development Block Grant Committee-(7- years)
- Steering Committee: Greater Stamford System of Care Collaborative (Youth mental health/Juvenile justice)
- Ct Cancer Prevention Partnership/Early Detection Committee/Annual Conference Planning Team (2- years)
- Greenwich United Way Planning Council, Youth Council and Needs Assessment Task Force, Allocations Committee, Legislative Breakfast Planning Committee, and Late Life Issues Committee (7-years)
- Board: Greenwich Coalition to Combat Underage Drinking; Chair of the Parents’ Forum, Chair of the Community Advisory Board (5 years).
- Greenwich Library’s Health Information Reference Center Advisory Board- (4 years)
- Chairman of the Board: Transportation Association of Greenwich (TAG) (2-years)
- Participant: Connecticut White House Conference on Aging: 1995
- Alzheimer’s Association: Fairfield County Chapter- (4-years)
- Advisory Board of the Greenwich Time For Lyme Task Force/Public Health Representative of the Greenwich Department of Health (7 years)
- Advisory Board of Sacred Heart University Nursing Department (2-years)
Addendum 2: Publications/Public Speaking Engagements/Topics
- Moderator: Prevention-focused Legislative Forum of Communities 4 Action (Biennial-6 years)
- Monthly informational Webinette presentations on the CT Nurses Association website – org
- Enhancing Lives Through Specialized Dementia Care: A day-long seminar on understanding different forms of dementing illnesses, and responding to and developing care planning for their special needs. Presented at Stonebrook Village,: A senior Living Community; September 2016
- Keynote Speaker: National Hispanic Nurses Association-CT Chapter 2016 -Empowerment through Education
- Transitioning to Retirement: the emotional impact, Public Series Presentations, (multiple programs 2014- present)
- Case Management Concepts: Acquired Brain Injury Medicaid Waiver Program –SWCAA, 2016
- Keynote Speaker: Connecticut Nurses’ Association Annual Convention 2015- Nurses Leading the Way
- Mental Health First Aid Training- 2-day program: Greenwich Police Department, 2015
- Stroke: Causes and Prevention- White Plains Veterans Center , 2015
- Using the Local Public Health Performance Standards Assessment in Strategic Planning, Stamford Department of Health & social Services, 2015
- Stamford Department of Health & Social Services Community Health Assessment Report and Strategic Plan, 2014
- Charting Your Path To Strategic Planning: Road Map & Potential Challenge, Stamford Department of Health& Social Services, 2014
- Working Effectively with People in a Mental Health Crisis or Under Stress: Recognizing & defusing tense situations – White Plains Veterans Center, 2015
- The Aging Veteran, White Plains Veterans Center, 2015
- Introduction to Mental Health First Aid, Stamford Public School Staff Development Day, 2015
- Financing Long Term Care, At Home in Greenwich, Part 2, 2015
- Financing Long Term Care, At Home in Greenwich, Part 1, 2014
- Understanding EBOLA, BANC After-School Program, Greenwich DSS, (annually 2014-present)
- Strategic Planning, Stamford Department of Health & Social Services, 2014
- Careers for Nurses in LTC, 2014
- Understanding Enterovirus D68, BANC After-School Program, Greenwich DSS, (annually 2014-present)
- Speaker: The Journey to Becoming a Nurse Entrepreneur: CT Nurses’ Association 2014
- Beth Israel Medical Center School of Nursing: Nursing Faculty Education Seminar Day: The Affordable Care Act: Implications for Nurses, Nursing and Advanced Practice Nurses, 2014
- Handwashing and Respiratory Hygiene, BANC After-School Program, Greenwich DSS- (annually 2014-present)
- Adult Learning Theory, Greater NY Hospital Association (GNYHA), 2013
- The Centers for Medicare and Medicaid’s QAPI (Quality Assurance Performance Initiative) Mandate for Nursing Homes, GNYHA, 2013
- Vetting Home Care Service Parts 1 & 2, At Home in Greenwich, 2013, 2014, 2015
- Nursing Home 101, GNYHA, 2013
- Hospice and Palliative Care, GNYHA, 2013
- Understanding Grants and Cooperative Agreements, GYNHA, 2013
- The Affordable Care Act, GNYHA, 2013
- Serving People With Special Needs: A Medical and Dental Perspective – Yale/Greenwich Hospital CME program, 2011 and 2012
- Access to Care, Yale/ Greenwich Hospital Medical/Dental CME Program, 2011 and 2012
- Building an Exercise Regime Into Your Daily Routines- 1st Congregational Church, Old Greenwich, CT 2008
- Contemporary Forums: Psychiatric Nursing Intentional & Unintentional Substance Misuse in the Elderly 2007
- Alternate Visions: Residential Day Care for Alzheimer-type Patients Who Reside in Nursing Homes; Presented at the National Council on Aging Conference, April 27, 1990, Washington DC.
- Constructing Community Health/Needs Assessments
- Conference planning & implementation
- Developing and implementing multicultural health, mental health and social services fairs
- Diabetes early detection, management and treatment
- Emergency, disaster, bioterrorism, infectious diseases and pandemic planning topics
- Health and wellness topics
- Home care provision topics
- Lyme Disease and other tick-borne illnesses
- Outcome Based Budgeting- Greenwich Department of Health,
- Outcome Based Budgeting- Greenwich Department of Social Services,
- Addiction/Preventions topics
- Strategic planning
- Recognizing and Defusing Mental Health Crises
- Pandemic Planning
- Developing and Implementing Pandemic Planning for Long Term Care Facilities (Computer Interactive model)
- Bioterrorism Planning (individuals, businesses, institutions/facilities)