Center for Patient Safety & Health Policy



Email: Karen Aufdemorte, MHA is the Clinical Research Project Manager in the Center for Patient Safety and Health Policy at The University of Texas Health Science Center at San Antonio. She has a B.A. in English from The University of Texas at San Antonio, and a Master’s degree in Healthcare Administration from Trinity University.
Ms. Aufdemorte began her career at the University of Texas Health Science Center in 1982 and is a Histotechnologist, certified by the American Board of Clinical Pathology.  She has worked in various capacities in clinical research for over 20 years, including program management and grants administration. She has extensive experience in the regulatory aspects of clinical research, and has served in the role as Administrative Director of an Institutional Review Board.  After completing her Master’s degree, she served as the Director of Research Administration and Quality Improvement for INTEGRIS Health in Oklahoma City, Oklahoma, before returning to the UTHSCSA in early 2013.

Leticia Bresnahan

Hope Nora, PhD received her Master’s degree in Counseling Psychology in 1972 and a Doctorate degree in Social Psychology with emphasis on Program Evaluation and Organization Development in 1986.
Following completion of her Masters, Dr Nora worked in the behavioral medicine field designing and managing outpatient community mental health programs. Upon completing her doctoral work, she returned to her career in healthcare administration serving in the capacity of senior level quality/outcomes management positions for both private and public sector hospitals.
Since 1996 she has capitalized on her extensive experience as both an administrator and outcomes researcher by serving as a consultant to healthcare organizations in the areas of accreditation survey preparation, program evaluation and clinical informatics.
In 1999, she joined the staff of the St Luke’s Episcopal Hospital as a statistician. Her work there involved assisting clinical, administrative and business staff on research design, development of data collection tools and data analysis utilizing various sources of clinical and financial data. She also provided research design and data analysis support to the Kelsey-Seybold Research Foundation and worked extensively with the IM department in the design, testing and maintenance of automated report generating systems.  
Dr Nora also served as the Coordinator of Performance Improvement and Statistician for the SLEHS  Independent Practice Association (IPA)  on their clinical integration initiative researching, developing and analyzing performance indicators for improvement of outpatient clinical practice, cost effectiveness and compliance with pay-for performance agreements for the physician members.
In 2007, Dr. Nora was named Director of the Clinical Effectiveness and Performance Measurement Department for the St. Luke’s Episcopal Health System. She established a centralized, system-wide model for the collection, transmission and analysis of publicly reported data and a Clinical Informatics section that supported research and performance improvement initiatives. The Department also worked closely with Information Technology to prepare for the transition to an EMR and compliance with Meaningful Use standards.
 Since relocating to San Antonio, Dr. Nora is an independent healthcare consultant and a volunteer grant writer and researcher for the Batz Foundation, a non-profit patient advocacy organization promoting patient safety through the active involvement of both patients and families in the treatment decision-making process.

Leticia Bresnahan

Edna J. Cruz, M.Sc., RN, CPHQ is a 30+ year nurse certified as a Professional in Health Care Quality and currently consults to Pfizer Pharmaceutical and UTHSCSA.  She earned her masters degree from George Mason University in Fairfax, Virginia with a 15 hour concentration in Performance Improvement and Outcomes.  She studied Health Economics, Health Delivery Systems and Quality of Life Tools at Oxford University, England.  In June of 2002 she received a certificate in Measurement, Design and Analysis Methods for Health Outcomes Research through the Harvard School of Public Health.   She implements many improvement strategies learned through Master Facilitation Training, Quality Tool School, and the Leadership Institute at the Inova Health System.  She completed the CS&E course in August 2009 and was recognized as a CS&E Fellow for 3 years through UTSA.  Most recently she completed Lean Six Sigma Training at the Black Belt level.