Kristene Grayem, MSN, CPNP, RN, Director of Clinical Systems, Nursing, Performance Improvement and Quality at Akron Children’s Hospital. Kris has been instrumental in the development and deployment of the PI program for 25+ divisions, 250+ providers, and 500+ staff. She oversees clinical training and supervises the clinical educators. Kris is also responsible for facilitating department-wide compliance with Joint Commission and other accrediting/regulatory bodies. She has twenty five years of leadership and practice experience in outpatient and inpatient settings. Kris received her BSN and her MSN from the University of Akron. She currently serves on the American Academy of Ambulatory Care Nursing Nurse Sensitive Indicators Task Force. Kris has significant experience creating and implementing Ambulatory Shared Governance; constructing ambulatory infrastructures that support clinical quality; and synergistically promotes inpatient and outpatient nursing collaboration to obtain positive patient outcomes. As a nurse practitioner, she has been successful in promoting and influencing evidence-based practices in ambulatory care. Kris has demonstrated success in bringing multidisciplinary teams together to collectively improve the delivery of nursing care, the patient experience, and clinical excellence in her areas.