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Colleen Bryan has worked in the home care industry since 1996, holding various positions in both home health & hospice agencies including field nurse, case manager, educator, QA manager, DON and Administrator.  Colleen is currently a senior consultant and lead educator with JCC Consulting, and services home health and hospice agencies in Texas.

Colleen enjoys helping agency leaders navigate the constant changes and challenges in the current home health and hospice industries.  She enjoys assisting in the incorporation of meaningful and impactful changes into their agency’s operations – both administrative and clinical, in order to provide high quality care that is both sustainable while maintaining regulatory requirements and promoting excellent patient care.

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Jennifer Elder started with TAHC&H in September 2019. Her experience includes Home Health and Hospice Administration, DME Management and Home Care Consulting. Prior to coming to TAHC&H she worked as a consultant from 2012 – 2017 for home health and hospice agencies and DME agencies throughout Texas.  She has hands on experience in the home care industry with the ADR process, QAPI programs, Marketing and Business Development, Licensing, Accreditation, Plans of Correction and Informal Dispute Resolutions, Human Resources, Policy Development and Strategic Planning. Jennifer has been in the home care industry since 2007.  

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Melinda A. Gaboury, with more than 28 years in home care, has over 18 years of executive speaking and educating experience, including extensive day to day interaction with home care and hospice professionals. She routinely conducts Home Care and Hospice Reimbursement Workshops and speaks at state association meetings throughout the country. Melinda has profound experience in Medicare PDGM training, billing, collections, case-mix calculations, chart reviews and due diligence. UPIC, RA, ADR &TPE appeals with all Medicare MACs have become the forefront of Melinda’s current impact on the industry. She is currently serving on the NAHC/HHFMA Advisory Board and Work Group and is Associate Director on the Home Care Association of Florida Board of Directors. Melinda is also the author of the Home Health OASIS Guide toOASIS-D1.



J’non Griffin is a 34 year veteran of home care as an RN. She received her Master’s Degree in Health Care Administration in 2005. She has experience as a field nurse, director and executive with home health and hospice agencies, both large and small. J’non is certified as a Homecare Coding Specialist-Diagnosis (HCS-D), Certified in OASIS competency, COS-C, Certified in Homecare Coding Specialist-Hospice (HCS-H), Home Care Specialist-Compliance (HCS-C) and is an AHIMA approved ICD-10-CM trainer/ambassador. J’non is an accredited ACHC and CHAP consultant. She has presented several webinars, and has been a nationally recognized speaker on a variety of subjects.



Rachel Hammon received her Bachelors of Science degree in Nursing from the University of Texas in Austin. She has 26 years of experience in nursing with 22 years’ experience in the home health industry. During her employment with a home health agency, she served in many roles (i.e. Pediatric Case Manager, Medicare Case Manager, DON / Administrator and Corporate Director of Clinical Services), which gave her a diverse knowledge of the industry. At the Texas Association for Home Care and Hospice Rachel assisted member agencies with compliance with state and federal laws (Medicare, Medicaid, OSHA, BON, etc.), served as a liaison with state and federal government officials, and on the Nurse Practice Advisory Committee for the Board of Nurse Examiners, the committee that developed the RN Delegation Rules we are talking about today. As the Executive Director, Rachel is responsible for implementing the mission of the association which is to advocate for ethical practices, quality, and economic viability of licensed providers of home and community support services in Texas. As part of that advocacy she routinely works with legislators and state agency staff on legislation and policy that affects the home care industry.



Brian Bruenderman brings almost 20 years of M&A experience to Stoneridge Partners - nearly a decade has been devoted exclusively to companies serving the health and human services arena.

Brian Bruenderman joined Stoneridge Partners after a successful stint as Director of Business Development for Almost Family, a leading provider of home health nursing, rehabilitation and personal care services with over 250 locations in 15 states. During his tenure, despite much uncertainty in the home health industry at the time, Almost Family acquired $160 million in annual revenues, including the largest transaction in the company’s history.

Prior to Almost Family, Bruenderman was the Senior Director of Development for ResCare, Inc., a national human services company with more than $1.6 billion in revenue and operations in 42 states. Bruenderman's strategic approach to developing new markets through selective acquisitions led to $350 million in growth for ResCare and launched the company into the Fortune 1000. Today, he has been involved in the purchase of over 125 health and human service companies.

Bruenderman received his Bachelor of Arts degree and Juris Doctor from the University of Louisville. While in college, he purchased several small businesses and credits his later success to that experience. His business background and legal education give him the skills and perspective to successfully negotiate transactions all the way through closing. Specifically, his almost two decades of involvement with strategic buyers gives him a unique insight into how they approach valuation, diligence and negotiation. This combination of education and experience makes him a valuable addition to any transaction.

Bruenderman runs the Louisville office.

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Laura Barnett serves as a Vice President of Interoperability Sales. In this role, she drives the growth of Axxess’ partnerships and integrations to cultivate our partners and clients’ success. Prior to this role, she served on both the marketing and communications teams at Axxess.  

Before joining Axxess in January 2018, Laura previously served as the Vice President at communications consulting firm Spaeth Communications, where she helped execute the communications plan for the largest political action committee supporting Texas Sen. Ted Cruz’s presidential campaign. At Spaeth, Laura also coached C-level executives on media training and presentation skills. Prior to that, she handled communications for commercial law firm Gray Reed & McGraw LLP., and a suburban Dallas school district. Laura also spent eight years as a news anchor and managing editor for KTXS-TV in Abilene, Tex.

Laura is actively involved in the community as a member of the 2022 class of Leadership Dallas. She is also a sustaining member of the Junior League of Collin County and as a member of the City of McKinney Animal Services Facility committee. She is also the Vice President of Communications for the Dallas Alumnae of Sigma Kappa. Laura graduated from the University of Missouri with a bachelor’s degree in broadcast journalism.

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A Doctor of Management in Organizational Leadership qualifies Dr. Anita as an expert in management and leadership.  An undergraduate and a Master’s in Social Work adds to her educational advancement and knowledge of the social effects of equality.  As a Certified Professional Coach, Dr. Anita is also qualified as a motivator for professional and individual growth, intelligence, professionalism, ethical values, leadership skills, and educational creativity.  These are a few of the extraordinary attributes Dr. Anita exhibits as a speaker, teacher, mentor, trainer, coach, and motivator. With over 25 years of leadership experience, Dr. Anita believes inclusion starts with diversity. In-Depth knowledge of federal and state regulations allow Dr. Anita to train on policy and procedures at multiple levels. A resume holding positions of administrator, director, owner, and operator of several organizations across her career makes Dr. Anita’s character and personality can be defined as an overall professional in leadership, management, and simply hands-on in employee oversight.

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Candyce is a geriatric-focused nurse serving San Antonio since 1995 in multiple settings, specifically PAS since 2004.  As a Home Care Consultant my primary goal is to help agencies provide the highest quality care to seniors in their communities through regulatory compliance, creating a culture of accountability, and simplifying work-flow systems. Candyce has been a Master Trainer for the Stress-Busting Program for Family Caregivers,  Co-founder of M.U.S.I.C. Project, a 501C3 organization focusing on implementing Music and Memory™ in regional nursing facilities, Volunteer speaker for the Alzheimer’s Association, Board Member, past President for the Alamo Area Home Care Council and Founder of SLUSHER Consulting.



Zaundra Ellis is the Hospice Product Manager for Axxess. She leverages her many years of expertise in the hospice industry to create a software that is easy to use and allows clients to be clinically, administratively and financially compliant. Prior to joining Axxess, Zaundra served as the Executive Director and Regional Director for Kindred Hospice and Heart to Heart Hospice agencies across Texas. In this role she oversaw an inpatient hospice facility, created and implemented a companywide QAPI program for an organization that served more than 2,500 patients, and used her experience to create operations that improved compliance and maximized reimbursements.  Zaundra is an active member of the Texas Association of Home Care and Hospice and has served on multiple committees including the Education,  Hospice and Medicare/Medicaid committees.

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Petria McKelvey is CEO and Founder of PMB, with 30 years of experience in the medical billing industry.  Petria's expertise runs wide and deep. She has helped hundreds of private practitioners and healthcare organizations solve their billing challenges and recover millions of dollars in lost revenues. She personally has performed over 1000 audits.

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Trent is currently the Manager of Licensing and Certification with Long-term Care Regulatory Licensing and Credentialing for the Health and Human Services Commission. He has served as the Home Health (HCSSA) Manager, an Investigator VI (Team Lead) with Professional Credentialing Enforcement Unit, Regulatory Services Division with Health Human Service Commission.  He previously served as an Investigator IV in the PCEU at the Department of Aging and Disability Services (DADS). Prior to that, he was an investigator at the Texas Department of Juvenile Justice’s Office of Inspector General. Trent was previously a Youth Rights Specialist in the Office of General Counsel at the Texas Youth Commission where he worked to ensure the Rights and Safety of juvenile offenders.  
Trent has a bachelor’s degree in International Studies from Southwest Texas State University.



Mike Carr is the Senior Product Manager for our Axxess Certification product. His clinical expertise and industry knowledge has been critical to the development and implementation of the Axxess Certification program. Mike joined Axxess in 2018 through the acquisition of Home Health Gold. Mike had worked directly for Home Health Gold for more than a decade where he served in a variety of roles, including business development, sales, product enhancement, implementation, and clinical training. Mike has been intimately involved in the design, development, and creation of Axxess Certification and now oversees an international team of engineers and support personnel.  

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Domingo Y. Castillo has been employed with the Department of Labor Wage-Hour division since June of 2000.  He started his career with Wage-Hour out of the Dallas District Office where he worked as a Wage-Hour Investigator for nine years.  As a Wage-Hour Investigator he conducted numerous investigations under the various laws enforced by the Wage-Hour Division. From May of 2009 – to June of 2011, he worked as an Assistant District Director in both the New Orleans and Oklahoma City District Offices.  In this capacity he assisted both offices to meet its goals and obligations for the fiscal years.  More importantly, he supervised the work of experienced Wage-Hour Investigators and in the development and training of newly hired investigators.In 2011 he transferred back to the Dallas District Office to serve in the newly created position of Community Outreach & Resource Planning Specialist.  In this position he has and continues to work with other Federal Agencies, State Agencies, Consular Offices of various Foreign Embassies, Employer Associations of various Industries, Worker Advocacy Groups, and Non-Profit Organizations in various capacities – with the goal of educating employers about their responsibilities under the laws enforced and educating workers about their rights and responsibilities under the laws enforced by Wage-Hour.  And lastly, Mr. Castillo has been the recipient of numerous Secretary of Labor Awards in all positions held with the agency.

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Jennifer Gibson Osburn is a Registered Nurse with over 26 years of combined staff nurse, clinical management, administrator, and technology experience. She is a certified OASIS specialist and Home Health coder and uses this diverse background to engage attendees across the nation.  Past seminar experience includes presentations for The Joint Commission, CHAP, NAHC, and numerous state home health associations.

As a seasoned Medicare regulatory thought leader, Jennifer regularly trains on PDGM, Conditions of Participation, Emergency Preparedness, Infection Control, QAPI, Documentation, Coding, OASIS, agency operations and management.  She is committed to the success of the home care industry and currently serves TAHCH’s Clinical Practice, Medicare, and Government Affairs committees. 

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Cindy Krafft PT, MS, HCS-O is an owner of K&K Health Care Solutions based in Florida. She brings more than 25 years of home health expertise that ranges from direct patient care to operational/management issues as well as a passion for understanding regulations. For the past 15 years, Cindy has been a nationally recognized educator in the areas of documentation, regulation, therapy utilization and OASIS. She has and currently serves on multiple Technical Expert Panels with CMS Contractors working on clinical and payment reforms and bundled payment care initiatives. 
Cindy is an active member of the National Association of Home Care and Hospice (NAHC) and currently serves on multiple committees. She has written 3 books – The How-to Guide to Therapy Documentation, An Interdisciplinary Approach to Home Care and the Handbook to Home Health Therapy Documentation – and co-authored her fourth, The Post-Acute Care Guide to Maintenance Therapy with her business partner Diana Kornetti PT, MA, HCS-D.



is the Senior Director of Business Intelligence of Axxess, the fastest-growing home healthcare technology company. In this role, Jaime strategizes and implements the Axxess Business Intelligence solution and leads data integrations for new enterprise clients. He is also responsible for training and supporting clients on the company’s Business Intelligence solution. Prior to joining Axxess in 2018, Jaime was the Director of Software development at AccentCare. In this role, he oversaw all matters regarding business intelligence, integrations, and custom software development.  

Jaime is involved with Habitat for Humanity and The Medical, Eye and Dental International Care Organization (MEDICO). He earned both his Bachelor of Business and Management Information Systems degree and his Master of Public Affairs degree from the University of Texas at Austin. 

Jaime is involved with Habitat for Humanity and The Medical, Eye and Dental International Care Organization (MEDICO). He earned both his Bachelor of Business and Management Information Systems degree and his Master of Public Affairs degree from the University of Texas at Austin. 

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 Lisa McClammy has more than 25 years of nursing experience in various areas of healthcare. She currently holds certifications in OASIS-D, and ICD 10 coding. Lisa is a Senior Clinical Education Consultant for MAC Legacy. She has presented for various state associations and well as conducting training and education on a variety of topics. Her experience as a consultant, Director of Customer Success for a Home Health Software company, and Director of Patient Care and Alternate Administrator for a home health agency give her a unique perspective and an understanding of the challenges home care agencies face. Lisa is an active member of the Texas Association of Home Care & Hospice for the last 6 years, serving on both the Medicare/Medicaid and Clinical Practice committees. 

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 John Rabbia brings over a decade of home health operations leadership experience and provides a balance of both clinical and operational expertise.  As a consultant with SimiTree Healthcare Consulting, John has worked with agencies across the country to use their data to drive strategic improvement efforts for financial and operational indicators.

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Arnie Cisneros is the President of Home Health Strategic Management; he has 30+ years of experience as a Physical Therapist across the care continuum, and he serves as a Post-Acute Consultant for multiple Pioneer ACO systems.He is renowned for his adaptation of traditional Healthcare operations to address ongoing CMS reforms.

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Richard Cheng is a health care attorney focused on corporate transactions, regulatory and compliance matters. He represents a variety of health care providers (e.g., nursing facilities, home health agencies, hospices, assisted living facilities), investors and private equity groups in healthcare purchases/sales, operations and before administrative agencies. He is certified in health care compliance and worked as an occupational therapist before becoming an attorney. 

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Lisa has over 25 years of experience in the health care industry; from acute care hospitalization, home healthcare, to hospice and palliative care. She is currently the Clinical Compliance Educator for Accreditation Commission for Health Care (ACHC) - a nationally-recognized non-profit accreditation organization that has CMS Deeming Authority for Home Health, Hospice and DMEPOS and am responsible for educating organizations on the ACHC Accreditation process as well as assisting providers with interpreting the ACHC Standards and Medicare Conditions of Participation.  

Lisa also successfully prepared and lead the home health and hospice agency where she was previously employed by through the ACHC Accreditation and Medicare recertification process. Lisa have also worked as an ACHC Hospice Surveyor, allowing me the opportunity to assist organizations with developing best practices and compliance strategies and has spoken at national and state conferences, and conduct workshops on the accreditation process as well as other relevant health care topics. 

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Andrew Awoniyi is the Director of Patient Engagement and Clinical Education for Axxess. In this role, Andrew is responsible for providing industry thought leadership and the strategic direction and delivery of AxxessCAHPS, a patient engagement solution aimed at improving client organization’s patient survey and quality ratings. Prior to joining Axxess in 2014, Andrew accumulated more than 25 years of experience designing, building, testing, implementing and evaluating various aspects of electronic health records across various clinical settings.

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Christina Andrews is Director of Professional Services at Axxess, where she delivers practical operational solutions to help clients scale operations using technology for home health, home care, hospice and palliative sectors. Prior to joining Axxess, she was the Senior Manager of Growth Solutions at SimiTree Healthcare Consulting, formerly Simione Healthcare Consultants, LLC. She earned her bachelor’s degree in business administration with a concentration in marketing from the University of Toledo in Ohio. 

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Partner, has more than 30 years of healthcare expertise. At Stoneridge Partners, he brings experience in the areas of mergers and acquisitions, finance, regulatory compliance, human resources and business development. After receiving his Business Administration degree from the University of Mississippi, Joe began his career working closely with corporate management to successfully grow OrNda Healthcorp’s (now Tenet’s) home health care presence. In 1997, he founded Reachout Home Care, a Medicare and private duty agency, where he served as co-owner and CEO. Over the next 17 years, Joe steadily grew Reachout through both acquisition and organic growth into three operating companies in Dallas and Houston, employing more than 170 health care workers. In 2014, he sold his company to Humana. Throughout his career, he has been a leader in revenue growth and expansion via start-ups, acquisitions and organic growth through marketing and sales in both public and private companies. He has worked in the health care industry for decades and brings his vast experience along with a high degree of professionalism to each transaction.

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Kimberly McCormick, RN/BSN, a highly accomplished nurse consultant in the Home Health industry, is Executive Clinical Director for Home Health Strategic Management. Kimberly served as an Associate Consultant with Home Health Strategic Management for 2 years, during which she has established herself as an expert in the area of Utilization Management of Home Health services.