Roxanne is a health care leader with a progressive record of success in nursing, hospice and palliative care, education, operations, and innovation. Her experience includes system design and implementation of education, research and innovation strategies along with operational and strategic planning skills. Roxanne brings expertise in nursing practice, curriculum development, learning and teaching theory, quality improvement, and systems thinking. Dr. Roth was instrumental in designing and implementing an innovative advanced illness management program. Her background includes oncology, community based practice and population based nursing. Roxanne desires to challenge the “status quo” and continually improve through innovation. Dr. Roth also serves as an Assistant Professor for Madonna University in Livonia, Michigan and the Vice President of the Great Lakes Provisional Chapter of HPNA.