Our Mission

CALNOC's Unwavering Commitment to Our Mission

We are committed to our mission by being a catalyst in advancing excellence in nursing care delivery by:

  • Building nursing expertise in the generation and use of practice based evidence.

  • Facilitating clinical inquiry to optimize care excellence.

  • Convening thought leaders to inform strategies to advance nursing practice.

The CALNOC Nightingale Research Fund Areas of Interest


  • Care coordination and transition management
  • Nursing leadership development and education
  • Key care issues e.g. Population Health, Social Determinants 
  • Key issues in measurement e.g. staffing attribution
  • New care models
  • Impact of care to patient outcomes

       Financial Impacts of Care:

  • Meaningful ROI
  • Data Literacy: Understanding & Using Data
  • Measurement and Benchmarks

       Research Support:

  • Leverage Matching Funds
  • Support New Nurse Researchers

Our Mission

Our History

Since 1996, CALNOC has been at the forefront of supporting inter-professional, nursing focused patient care excellence. CALNOC is a 501 (c) (3) public benefit corporation which created the first database registry of nursing sensitive quality indicators in inpatient and ambulatory care settings. In addition to developing and refining NQF-endorsed measures and establishing benchmarks with participating hospitals, CALNOC’s database has been used by hospitals and nurses to monitor care, improve care and achieve quality and safety goals. Using CALNOC databases, health services researchers have published important papers covering such topics as Nurse Sensitive Measures in Ambulatory Care, Improving Hospital Patient Falls, Economics of Preventing Hospital Falls, Improving Medication Administration Safety, Culture of Safety and Relationship to Nurse Sensitive Metrics, Nurse Staffing and its Impact on Hospital Quality Care, and Nurse Patient Ratios and Quality of Care. 

In March of 2019, Press Ganey acquired the CALNOC database of both inpatient and ambulatory care nurse sensitive indicators; this transition will ensure the continued growth and refinement of the registry. As a result of the acquisition, CALNOC will continue as a health services research organization focusing on nursing’s contributions to improving clinical care of patients, population health management, staff engagement and satisfaction, and health care operations. 

We look forward to working with partners and individuals in our renewed efforts in supporting nursing's contribution to the health of our community.

Our Story

CALNOC is the leading provider of actionable information and research on nursing sensitive quality indicators.

Our Board of Directors

Jason Atkins, MBI, RN-BC

W. Jason Atkins, MBI, RN-BC is the Chief Nursing Information and Quality Officer for Emory Healthcare and adjunct instructor at the Nell Hodgson Woodruff School of Nursing at Emory University.  He received his BSN from University of South Carolina and began his career as a U.S. Navy nurse in the critical care unit of the Balboa Navy Medical Center.  While working in critical care and as an interventional radiology nurse, Jason became interested in using technology to improve nursing efficiency.  Jason decided to pursue education and a career in clinical informatics and received his Master of Biomedical Informatics degree from Oregon Health & Science University and worked as a systems analyst, project manager, and clinical product manager at an electronic medical record software vendor in Austin, Tx.  After several years on the vendor side, Jason decided it was time to return to a healthcare organization and accepted the position of Chief Health Informatics Officer for the New England Veteran’s Integrated Service Network in Bedford, MA.  There Jason collaborated on the expansion of the VA Corporate Data Warehouse, the MyHealtheVet Patient Portal, and expanded the clinical informatics program in New England from a team of four informatics specialist to a department with four divisions focused on improving efficiency of clinical workflows through the use of technology and promoting a data driven organization. 

As a Georgia native, when the Emory Healthcare CNIO position opened, Jason was eager to return home to Georgia and the prospect of working at Emory Healthcare where he has been for the past 4 and a half years. His role as the Chief Nursing Information and Quality Officer for Emory Healthcare focuses on optimization of the electronic medical record and data analytics for quality improvement.  He currently resides in Lilburn, Ga. with his wife, Trisha and three girls, Emily, Olivia and Clara, and their dogs Gracie and Buddy.

Diane Storer Brown, PhD, RN, FAAN

Diane Storer Brown, PhD, RN, CPHQ, FNAHQ, FAAN, is the Regional Executive Director for Medicare  Strategy and Operations for Kaiser Foundation Hospitals/Health Plan in the Northern California Region. In this role she is responsible for leadership of an integrated program across the continuum to transform care to enable our aging population to live well and have access to affordable quality health care. 

Dr. Brown was previously the Regional Executive Director for Care Coordination, and Strategic Leader for Hospital Accreditation Programs, a position involving accreditation leadership with 21 hospitals to assure high-quality, safe patient care. Dr. Brown has served on multiple state and national committees which provide hospital industry leadership.  She is known professionally for her significant contributions to the quality and nursing fields through her research and practical application of quality methods explicated in multiple peer reviewed publications.

As a founding leader and senior scientist of CALNOC, she has influenced regional, national, and international efforts to improve the quality of patient care, safety, and outcomes in acute care hospitals.  Most recently she has been engaged in a collaboration with the American Association for Ambulatory Care Nursing, to extend nursing sensitive quality measurement into the ambulatory environment. Her research endeavors have focused on building capacity for nursing quality and safety measurement, research that examines nursing care, and translating emerging research findings to directly improve practice. Her leadership and accomplishments in the fields of both quality and safety and in nursing have been affirmed through fellow status with the National Association for Healthcare Quality and the American Academy of Nursing. 

Dr. Brown earned her doctorate and master’s degrees from the University of California San Francisco School of Nursing, and her bachelor’s degree from Viterbo University in LaCrosse Wisconsin.

Mary E. Foley PhD, RN, FAAN (Board Chairperson)

Mary Foley is a Clinical Professor at the University of California, San Francisco (UCSF) School of Nursing. She is the Director of the Center for Nursing Research and Innovation. Mary has worked with CALNOC since 2004. During that relationship, Mary developed an expertise in medication safety. Mary is past president of the American Nurses Association and the National Student Nurses Association. While at Saint Francis Memorial Hospital in San Francisco she was a Staff Nurse, Director of Nursing, and Safety Officer.

A registered nurse for over 40 years, Foley continues to write, teach, and lecture about safe care for workers and patients nationally and internationally. She served on the board of the National Patient Safety Foundation, continues as an advisor to the Partnership for Patient Safety (p4ps) and the Patient Safety Education Program, and is a continuing member of the TMIT Patient and Family panel. She is a nursing partner with Karen Curtiss to increase family involvement in hospital care through the “Safe and Sound in the Hospital” program. Foley received her nursing diploma in 1973 from New England Deaconess Hospital School of Nursing, her BSN in 1976 from Boston University School of Nursing in Massachusetts, and her Masters of Science in Nursing Administration and Occupational Health from UCSF in 1994. She received her PhD in Nursing from UCSF 2010.

Lori A. Loan, Ph.D.,RN, FAAN

Dr. Loan, is an Associate Professor at the University of Alabama at Birmingham.  She received her BSN degree from Pacific Lutheran University in Tacoma, Washington, and her MS and PhD degrees from the University of Washington, School of Nursing in Seattle. She is also a Lean Six Sigma Black Belt.  

Lori has extensive experience as a hospital executive (Director of Research & Development), clinical nurse scientist and nursing program evaluator.  She completed 48 research studies with grant funds totaling over $6,000,000, and has many data-based, published papers. Her research and leadership efforts led to improved policies, nurse staffing models, nursing specific system-level transformations, and health services enhancements.

Patricia Lenihan McFarland, MS, RN, FAAN (Board Secretary)

Patricia Lenihan McFarland, MS, RN, FAAN, is the CEO for the Association of California Nurse Leaders, a professional organization representing nurse leaders in hospitals, health systems, academia, research and business.

In addition to her role as CEO for ACNL, Patricia serves as the executive officer for the California Nursing Students Association (CNSA) and the California Association of Colleges Nursing (CACN), representing colleges and universities providing baccalaureate and higher nursing degree programs. Prior to joining ACNL, Patricia worked in both the clinical and administrative fields for Mercy Healthcare Sacramento.

Patricia graduated with honors from the University of California, San Francisco, where she received a masters of science in nursing. In 2004, Patricia was awarded the Diane F. Cooper Lifetime Achievement Award from NurseWeek/Nursing Spectrum. She was also the 2005 recipient of the Presidents’ Award from the American Nurses Association / California, for outstanding contributions to the profession. Patricia was inducted into the American Academy of Nursing in 2007. In 2014, Patricia was awarded the AONE Mentor of the Year Award for her work mentoring students and nurse leaders.

Patricia is a founding member of CALNOC the nation’s first nursing sensitive benchmarking registry. She serves on the Advisory Board of the California Action Coalition and as co-leader the Leadership Pillar of the Institute of Medicine’s Future of Nursing Report. Patricia frequently speaks throughout California about nursing leadership, professional practice and as an enthusiastic champion for implementation of the IOM’s Future of Nursing Initiatives.

Debby Rogers RN

Debby Rogers is Vice President, Clinical Performance and Transformation for the California Hospital Association. She brings to CALNOC extensive experience in healthcare quality public policy and advocacy. Previously, she was appointed Deputy Director at the Center for Health Care Quality at the Department of Public Health by Gov. Jerry Brown. 

Rogers has been Vice President of Quality and Emergency Services California Hospital Association. She was associate secretary for legislation at the California Health and Human Services Agency from 2004 to 2005, a policy consultant for the California State Senate from 2000 to 2004, and a policy consultant for the California State Assembly from 1995 to 2000. Rogers has been a registered nurse since 1985 with specialization in emergency medicine. She is also on CALNOC’s Research Team.

Susan E. Shapiro, PhD, RN, FAAN

Dr. Susan E. Shapiro is the Associate Dean for Clinical and Community Partnerships at Emory’s Nell Hodgson Woodruff School of Nursing, a position she moved into after serving four years in a dual appointment as the Assistant Dean for Strategic Clinical Initiatives in the Nell Hodgson Woodruff School of Nursing and Corporate Director for Nursing Research and Evidence Based Practice at Emory Healthcare (EHC). In her joint appointment, she worked with clinical nurses and School of Nursing faculty to build a nursing research program across Emory Healthcare as part of their journey toward Magnet designation for all six hospitals in the system. Even in her new role at the school, she maintains a 10% commitment to Emory Healthcare as a preferred partner for training the next generation of nurse leaders and as a high level advisor to clinical staff conducting practice based clinical research.

Dr. Shapiro came to Emory from the University of California, San Francisco (UCSF), where she spent 5 years as Director of Research and Evidence-based Practice in the Department of Nursing at UCSF's Medical Center and as a Nurse Scientist in UCSF's Center for Nursing Research and Innovation. Dr. Shapiro has published extensively on a wide variety of topics including emergency nursing, health systems, clinically based nursing research, and implementing evidence into practice. Dr. Shapiro received a doctoral degree in nursing from Oregon Health and Science University in 2003, a master's degree in nursing from the University of California, San Francisco in 1975, and a bachelor's degree in nursing from the University of Pennsylvania in 1972.

Charleen Tachibana, DNP, RN, FAAN

Charleen is the Senior Vice President for Quality/Safety and the Chief Nursing Officer at Virginia Mason Medical Center in Seattle, Washington.

In her current position she is accountable for nursing, quality, safety, the patient experience, and clinical informatics. She has served as a nurse executive for the past 14 years. Over the past 13 years she has received extensive training in the Toyota Production System methodology. She has lectured and consulted internationally on the application of the principles and methods of the Toyota Production System to healthcare. Charleen is a past president of the Northwest Organization of Nursing Executives. She currently services on the Northwest Kidney Center board of directors as well as the board of regents for Pacific Lutheran University.

Charleen received her Bachelor of Science in Nursing from Pacific Lutheran University, her Masters of Nursing from the University of Washington and her Doctor of Nursing Practice from Vanderbilt University. Charleen is a Robert Wood Johnson Executive Nurse Fellow and was inducted as a Fellow into the American Academy of Nursing in 2013.


Tony Sung (Chief Executive Officer)

Tony Sung serves as Chief Executive Officer at CALNOC, responsible for the day to day operations as well as the implementation of corporate strategy imperatives. Tony has over 25 years’ experience in IT executive management and service operations. 

Prior to joining CALNOC, Tony was President/CEO of the Gold Mountain Group, a strategy and management consulting firm specializing in early start-up and high growth companies. He was Vice President of Customer Service and Training for KANA Software, a Service Experience Management Company, where he was responsible for assuring 90%+ service revenue renewals with highly rated customer satisfaction. Prior to KANA, he was Vice President of Customer Service and Training for Commerce One, the first B2B Global Trading Network, where he grew the service revenues to $100M with global service centers in EMEA, Americas and Asia Pacific. While at Commerce One, Tony was responsible for the establishment and cultivation of the Customer Advisory Board, representing executives from the Fortune 50 companies. 

He has held executive positions with such notable firms as Netscape Communications, Actra Business Systems, Sybase and Powersoft. Tony received his Bachelor’s from State University of New York, Stony Brook.