Dr. Thraen, Ph.D., ACSW has close to 30 years of health quality improvement experience. She started her career in quality management with Interwest Quality of Care (funded through a 5 year Robert Wood Johnson Foundation grant) in which she worked with Utah, Idaho and Wyoming rural hospitals in improving clinical care. Efforts included training hospital staff in quality improvement strategies, process improvement tools, use of clinical guidelines and statistical process control. She then moved to the Utah Department of Health as Director of the Division of Health Systems Improvement. This division consisted of 4 bureaus, 150 employees and a $13 million annual budget. She supervised the health system regulatory bureau, Emergency Medical Services bureau, the Primary Care and Rural Health Bureau and the Child Care Licensing Bureau. After 8.5 years in this political appointment, Dr. Thraen stepped down into a part-time Patient Safety Director position and chair of the Institutional Review Board to complete her PhD in Medical Informatics from the University of Utah. Dr. Thraen continues to serve in these capacities part time and provides quality management services to the Bureau of Primary Care and Rural Health through the FLEX contract working with rural Critical Access Hospitals.