- Staff, charge nurse, St. Francis Hospital, Monroe, Louisiana, 1971-1973;instructor, St. John's School of Nursing, Springfield, 1973-1976;director institutional review, MOAF Professional Standards Review Organisation, Springfield, 1976-1981;evaluation consultant continuing education department, School of Nursing, University Texas, Austin, 1984-1985;product analyst, Hospital Corporation of America, Nashville, 1986-1987;senior product analyst, Hospital Corporation of America, Nashville, 1987-1989;director international nursing library, Sigma Theta Tau, 1989-1991;senior health policy analyst, AHCPR, since 1991. Adjunct assistant professor School of Nursing, Vanderbilt University, Nashville, 1987-1994.
President Mainline Crisis Intervention Center, Monroe, 1973. Member committee American Red Cross, Springfield, 1980. Member American Nurses Association, Missouri League for Nursing (board directors 1976-1977), Council for Nursing Informatics (nominations committee 1986-1987, chairman executive committee 1989-1991), National League for Nursing, (board governors 1989-1991), Philanthropic Educational Organization (P.E.O.), Phi Kappa Phi, Sigma Theta Tau (director international nursing library 1989-1991).