She is the co-creator of the One Key Question® initiative to better integrate reproductive health into primary care. She was a key advocate for the adoption of Oregon’s contraception metric, and as a content expert she was involved in the development of the specifications of the metric. She also was the chair of a national workgroup considering contraception metrics, and participated in the development of the national metric on contraception. She is currently the Associate Medical Director of Health Share of Oregon, the state’s largest Coordinated Care Organization.