Rooted in her training as a nurse, Smalley is dedicated to improving both the patient and provider experience. Balancing her deep understanding of patient-driven health and operational innovations, she advises Real Time on helping acute care systems achieve post-acute interoperability to improve the quality of care and enhance care coordination across the delivery system.

Smalley has more than 30 years of senior-level executive experience. As Regional President of Mercy Oklahoma, she oversaw 15 hospitals and more than 100 clinics. She also served in various leadership roles with Alegent Health where she co-founded Avantas, a nationally recognized company for proven best-practice work strategies for the healthcare industry.

She is an active fellow with the American College of Healthcare Executives (ACHE) where she served as chairman, chairman-elect, and immediate past chairman. Acknowledged for her contributions in advancing care delivery, Smalley received ACHE’s highest honor, the Gold Medal Award, which identifies ACHE fellows who exemplify leadership at the organizational, local, state, and national levels while improving healthcare services and community health beyond their organization.

She holds a Master of Public Health from the University of Minnesota and a Bachelor of Arts in biology from Midland Lutheran College, Fremont, Nebraska. Smalley is a graduate of the Nebraska Methodist School of Nursing in Omaha.