Transforming Maternity Care with Birth Centers and Midwives
QUALIFICATIONS: Started and/or served as CEO of birth centers in three states. Experienced with eClinicalWorks and Allscripts EHRs, and transition from paper charts. Formerly President of the American Association of Birth Center, Associate Professor of Nursing, Expert Midwife on pregnancy.org and storknet.com. International experience in Jamaica, Bangladesh, Mali, Senegal and Sri Lanka. Certified Doula and Doula trainer. Over 30 years' experience in organizing and managing task-oriented groups, high-level communications, and budgets. Demonstrated ability to spot problems and design solutions. Skilled in effecting maximum performance from all team members. Experienced at
designing information-gathering strategies. Comprehensive knowledge of survey design, statistics, regional economics and demographics. Operated five small corporations.
FLYNNCNM CONSULTING, Kennewick, WA Principal, May, 2013— Assist clients starting, expanding or replicating birth centers in order to improve access for low-risk women to quality maternity care. Clients include community groups,community health centers, hospitals and regulatory agencies. Assisted with design of hospital-owned birth center in VA, preparation of Certificate of Need application in IA, proposal to investors for a birth center in AL, negotiations between a proposed birth center and an FQHC in LA, and birth center reimbursement in WA.
THE BIRTH CENTER, Bryn Mawr, PA, Executive Director, May, 2012-May 2013 Management of nonprofit freestanding birth center with $3.5mm+ annual revenues, 45 staff , 500+ births/year plus well-woman care. Managed re-branding and expansion of services per the Strategic Plan, development of a capital planning and budget process, revised management structure, revised Quality Assurance process, assisted with Board development and re-definition of Board and staff responsibilities, and expanded financial reserves. www.thebirthcenter.org
COMMUNITY OF HOPE, Family Health and Birth Center, Washington, DC, Clinical Director, 8/2011—April, 2012 Implementation of electronic health record, new administrative policies, and revised management structure. Successful national accreditation site visit. Transitioned FHBC staff to new management. http://www.communityofhopedc.org/healthcare/family-health-and-birth-center
FAMILY HEALTH AND BIRTH CENTER, Washington, D.C., General Director, 1/2010 – 12/2011 Management of the only freestanding birth center in the District of Columbia. Supervised 20 staff, including certified nurse-midwives, pediatric nurse practitioners, a family nurse practitioner and breastfeeding peer counselors. Full-scope midwifery, including group prenatal care, with hospital and community-based births. Responsible for identifying, writing, and managing grant funding. Principle Investigator on grants totaling $1mm. Identified a Federally Qualified Health Center which acquired the business, saving it from closure. Successfully managed the merger of the organizations. In- and out-patient midwifery and gyn direct care of clients.
SEATTLE UNIVERSITY, Seattle, Washington, Associate Professor of Nursing 9/2006-12/2009 Taught undergraduate and graduate courses primarily in obstetrics, reproductive health and physical assessment. Responsibilities included both lectures and clinical precepting in the hospital setting. Also taught Foundations of Nursing and Communications to undergraduates. Chair of Work Load Task Force. Served on Admissions committee.
VALLEY MEDICAL CENTER, Renton, Washington, Certified Nurse-Midwife (per diem) 5/2007-12/2009 Full scope midwifery including care of multi-cultural pregnant women, well-woman gynecology, family planning, treatment of STDs in a hospital practice with 40+ births/month in a hospital with 5000+ births/year. Directed a study of breastfeeding initiation and retention.
CENTER FOR WOMEN’S HEALTH AT EVERGREEN, Kirkland, Washington, Certified Nurse-Midwife (per diem) 2006-7 Outpatient midwifery, including care of pregnant women, well-woman gynecology, family planning, treatment of STDs.
COLUMBIA BIRTH CENTER, Kennewick, WA, owner, Certified Nurse-Midwife1998-- 2006 and WILD ROSE WOMEN'S CLINIC, Kennewick, WA, Certified Nurse-Midwife,1996-1998 Built, owned and administered successful independent, for-profit private practice and open-model licensed, accredited free-standing birth center. Full scope midwifery including care of pregnant women and newborns, primary care of women, well-woman gynecology, family planning, and treatment of STDs. Home, birth center and hospital births. www.columbiabirthcenter.com
Previous Employment available upon request
B.A. Sociology, University of Washington, 1968
M.A., Ph.D. Sociology, University of North Carolina, Chapel Hill, 1970, 1974
Certified Doula, Seattle Midwifery School, 1991
R.N. Yale University, 1995
M.S.N., C.N.M. Yale University, May, 1996.
PRESENTATIONS AND PROFESSIONAL MEETING PARTICIPATION
“Integrating Nitrous Oxide for Pain Relief in Birth Center Practice” American Association of Birth Centers 7th Annual Birth Institute, Minneapolis, September 2013
“Water Birth at Freestanding Birth Centers,” Food and Drug Administration, November 2012
“Strategic Solutions for Today’s Challenges,” American Association of Birth Centers 6th Annual Birth Institute, St. Pete’s Beach, October 2012
“Physicians and Birth Centers – Models of Collaborative Practice” American Association of Birth Centers 6th Annual Birth Institute, St. Pete’s Beach, October 2012
“Coding Issues for Freestanding Birth Centers,” National Uniform Billing Commission bi-annual meeting, Chicago, August 2012
“Sustainability in a Changing Health Care Environment,” CPMs and Midwifery Educators: Contributing to a New era in Maternity Care Conference, March, 2012, Washington, DC
“The Marginalized Majority,” Poster session with Diana Jolles, CNM, American Public Health Association Annual Meeting, October, 2011, Washington, DC
“Creating a Successful Midwifery Practice,” on-line lectures for Georgetown University students, Spring, 2011
“Family Health and Birth Center’s Statement to the National Academy of Sciences’ Committee on Geographic Variation in Health Care Spending and Promotion of High-Value Care,” Institute of Medicine, January 17, 2011
“What Do We Know About the Current State of Public Health Leadership?” Metro Washington Public Health Association Annual Meeting, April, 2010.
“Midwifery Model of Care,” National Women’s Law Center invited presentation, February, 2010
“Negotiating Contracts with Birth Center Staff,” American Association of Birth Centers 3rd Annual Birth Institute, Savannah, September 2009
“Birthing in Ireland: How do you get 9000 diverse women to deliver in 7 beds with a 7% cesareanrate?” Valley Medical Center, May 2009.
“Techniques to Promote Labor in Out-of-Hospital Settings,” Midwives Association of Washington\State Annual Meeting, Seattle, November 2008.
“Pain Management in Labor and Postpartum,” American Association of Birth Centers 2nd Annual Birth Institute, Tucson, September 2008. "Midwifery as a Career," Expanding Your Horizons Workshop for young teens, MESA/WSU, Annually 1998-2006 “Circle of Health—Birth Centers Reaching Out in Crisis (Sri Lanka Tsunami)” National Association of Childbearing Centers 21st Annual Meeting, Santa Rosa, September 2005. "How to Hire the Very Best", National Association of Childbearing Centers 19thAnnual Meeting, Nashville, October 2002. Previous presentations available upon request
ARTICLES AND WHITE PAPERS
“Pregnant Woman” chapter in Nursing Health Assessment, A Best Practice Approach, Jensen,Sharon, Lippincott Williams& Wilkins, 2011, pp 809-835.
“Teaching—The Second Time Around” in ASA Footnotes, Volume 39, Number 2, February 2011
“Guaranteeing Health Care Coverage for All Pregnant Women: Proposals to Provide Affordable Quality Coverage of Maternity and Reproductive Health Care” with Jill Alliman, White Paper for the White House, June, 2009.
“Snacker Babies,” Midwifery Today, Number 88, Winter 2008, p. 8.
“What is the worst complication you have dealt with?” Midwifery Today, Number 74, Summer 2005, p.6.
“Preemie Twins—A Ring of Fire Double Delight,” Midwifery Today, Number 55, Autumn 2000, p. 15. Reprinted in The Second Stage Handbook, Midwifery Today Holistic Clinical Series, 2005, p. 62.
Previous articles available upon request
National Merit Scholarship, Honorable Mention
NIMH Traineeship, University of North Carolina
Reed College Scholarship
NSF Dissertation Grant
Woodrow Wilson Fellow
SUNY Course Development Grant
University of Washington Alumnae Scholarship
Faculty Research Grant, University of Kansas
Educational Opportunity Grant, University of Washington
Sigma Theta Tau Honor Society of Nursing
Fellow, American College of Nurse Midwives