She served on the ACNM Division of Education and Quality committees, the ACOG/CDC National Partnership for Maternal Safety, the ACNM Name Change Implications Task Force and the American Nurses Association Nurse Fatigue Panel creating recommendations to reduce fatigue and improve patient outcomes. She served on the ACNM Healthy Birth InitiativeTM Reducing Primary Cesareans for Improving Care and Comfort in Labor. She has published on clinical issues, midwifery education, and practice administration.