Susan Paschke is a part-time instructor in the nursing administration and health care leadership program at Kent State University. She retired in 2016 from the Cleveland Clinic, where she served as the senior director for ambulatory care nursing. Her previous positions include chief clinical and quality officer at the Visiting Nurse Association of Ohio and roles as staff nurse, clinical manager, assistant director, administrator, and associate chief nursing officer for operations during her career at the Cleveland Clinic. She began her nursing career more than 40 years ago as an LPN and has experience in hospital inpatient care, ambulatory care, and the home care and hospice arena. Her expertise is in clinical management, nursing leadership, and quality improvement. Susan is a member of numerous professional organizations; she has been a member of the American Academy of Ambulatory Care Nursing for more than 30 years and has held various committee positions, presented at multiple national conferences, and served on the board of directors and as a past president of AAACN. 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 since 2000 and for the online Relias/On-Course Learning ambulatory care review course since 2014.