Chris has provided consultation to various state agencies on health care matters, health care providers on planning and regulatory matters, and Ohio's Executive Branch on state long-term care policy matters. She provides expert testimony and offers presentations on Community Health Needs Assessment, Certificate of Need and cardiac catheterization and cardiovascular surgery service requirements. She has conducted Community Health Needs Assessments since enactment of the requirement under the Affordable Care Act and has conducted cardiac catheterization service reviews for compliance with state regulations. As director of Ohio's Certificate of Need and Health Care Services programs from 1997-2009, she prepared legislation and developed policy directives to address standards for cardiac catheterization and cardiovascular surgery services, community needs, and the safe and effective re-distribution of long-term care beds, including developing and introducing the long-term care bed need methodology currently in use in Ohio. She is instrumental in effecting facility and long-term care bed right transactions. Chris works with provider associations, industry groups, state agencies, and providers on various health care regulatory matters.