Susan Paschke is Chief Clinical and Quality Officer at the Visiting Nurse Association of Ohio in Cleveland. Previously she was the Associate Chief Nursing Officer for Operations at Cleveland Clinic in addition to roles as staff nurse, clinical manager, assistant director and administrator during her 25 year career at the organization. She began her nursing career more than 30 years ago as an LPN and has experience in hospital inpatient care, ambulatory care and currently in the home care arena. Her expertise is in clinical management, nursing leadership and quality improvement. Susan is a member of numerous professional organizations including the American Nurses Association, the American Organization of Nurse Executives, the American College of Healthcare Executives, the National Association of Healthcare Quality, Sigma Theta Tau and the Ohio Association of Advanced Practice Nurses. She has been a member of the American Academy of Ambulatory Care Nurses for the past 16 years and has held various committee positions, presented at multiple national conferences and currently is a member of the Editorial Board for Viewpoint, the AAACN journal. She is currently serving as a member of the AAACN Board of Directors. Susan is certified in ambulatory care and as an advanced nurse executive through ANCC and has been an instructor for the Ambulatory Care Nursing Certification review course for the past 10 years.