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  • Frontier Nursing University Celebrates 100th Anniversary of Its Inception

    Frontier Nursing University Celebrates 100th Anniversary of Its Inception

    Throughout 2025, Frontier Nursing University is celebrating the 100th anniversary since its inception. Originally founded as the Mary Breckinridge Kentucky Committee for Mothers and Babies in 1925, the organization was renamed as the Frontier Nursing Service (FNS) in 1928.

    Frontier Nursing University Nurses on Horseback
    Two nurses on horseback.

    In 1928, the Hyden (Kentucky) Hospital opened as FNS became the first organization in America to use nurses trained as midwives under the direction of a single physician. That same year, the FNS Courier program began. The Couriers assisted nurses with everyday chores such as delivering supplies to the clinics and caring for the horses that the nurses used to traverse the mountains to reach the women and children in their care. In 1933, Metropolitan Life Insurance Company published a summary of the first 1,000 FNS births. The summary concluded that the services provided by FNS significantly decrease maternal and neonatal mortality.

    The Frontier Graduate School of Midwifery, since renamed as Frontier Nursing University, was founded in 1939 by FNS as a part of its demonstration project in the care of the mother and child in rural areas of Kentucky. Today, Frontier has more than 12,000 alumni from all 50 states and a current enrollment of 2,700 students.

    “We are so excited to celebrate the incredible and impactful 100-year history of Frontier,” said FNU President Dr. Brooke A. Flinders. “This is a great opportunity to reflect on how we got here and be reminded of the importance of the work we are doing to educate and prepare nurse-midwives and nurse practitioners to improve the healthcare in their communities across the country.”

    FNU’s celebratory plans include an “Alumni & Friends” cruise in April and a nationwide presidential tour where alumni, students, and supporters can meet Dr. Flinders. FNU is also introducing a new series called “On the Trail”. This series of videos, which will be on FNU’s YouTube page, will take viewers behind the scenes for Frontier.

    In September, FNU will induct its first Alumni Hall of Fame class and announce its annual service award recipients as part of commencement weekend.

    The year-long celebration has already begun with the university’s “Century of Stories”. These stories, which will be posted throughout the year on the Frontier.edu website, feature the people, moments, initiatives, and stories that shaped Frontier’s first 100 years.

  • A Century of Stories: Delphine Jewell

    A Century of Stories: Delphine Jewell

    In 2025, Frontier Nursing University honored the 100-year anniversary of the inception of the Frontier Nursing Service. We are grateful for the alumni, students, couriers, donors, volunteers, friends, and employees who have made an incredible impact on FNU’s century-long journey. We celebrated this milestone year by capturing and sharing some of the countless stories that make up our history. Whatever your connection to FNU, we hope you enjoy these stories.

    Former FNS nurse-midwife Delphine Jewell wrote the following letter in response to our call for stories for the Frontier Century of Stories project. She worked at Hyden Hospital from March 1956 to March 1957 and became a Certified Nurse-Midwife at Frontier. She went to do missionary work in Nigeria and Zimbabwe. She coordinated the establishment of an in-house birth center in Tulsa, Oklahoma. Delphine was a maternal-newborn nurse educator, serving as chair of the nursing education program for 12 years. She retired in 1992. Delphine is currently 94 years old and lives in a retirement center in Oklahoma City, Oklahoma.

    From Delphine Jewell:  

    I had many interesting experiences while at Frontier Nursing Service. One of the most important lessons learned while there was one of Mary Breckinridge’s requirements: 

    It was required that all registered prenatal patients come to the hospital prenatal clinic for a check prior to delivery, even if they were scheduled for a home delivery. However, if a patient missed two prenatal visits, we made home visits to check on them. Patients were aware that this would happen, and some would not make the effort to get to the hospital, knowing that we would come to them.  

    As students, we questioned this requirement and felt the patient should take more responsibility. However, when we questioned this requirement, we were informed that this was a rule of Mrs. Breckinridge’s and she felt that if the life of one baby or mother could be saved due to such a rule, it was worth the trip. I remembered her ruling for the rest of my professional life and attempted to help my nursing students adopt this kind of philosophy when giving care.  

    I’m grateful to be alive and to have experienced the process of becoming a Certified Nurse-Midwife at the Frontier Nursing Service as it existed in 1956. 

    >> Read More from “A Century of Stories” 

  • A Century of Stories: Pandemic Heroes Part 2

    A Century of Stories: Pandemic Heroes Part 2

    In 2025, Frontier Nursing University honored the 100-year anniversary of the inception of the Frontier Nursing Service. We are grateful for the alumni, students, couriers, donors, volunteers, friends, and employees who have made an incredible impact on FNU’s century-long journey. We celebrated this milestone year by capturing and sharing some of the countless stories that make up our history. Whatever your connection to FNU, we hope you enjoy these stories.

    When the COVID-19 pandemic spread to the United States in early 2020, the public responses ranged from panic to denial. As businesses and services were restricted or completely shut down across the country, FNU alumni stepped forward. True to the Frontier mission, they were determined, creative, and brave in their efforts to serve their communities.

    Here are two examples of the countless acts of heroism performed by FNU alumni amidst the panic and chaos of the pandemic:

    Opening A New Practice During a Pandemic:  Traci Buran, MSN, FNP, DNP (Class 34) knew there was a need for her new clinic when she opened Affinity Family Practice on March 2, 2020, in Cheyenne, Wyoming, just days before the COVID-19 Pandemic. That need was emphasized as the adoption of masks in public places and working and attending school from home became the norm.

    “I don’t think that anyone was truly prepared for COVID. However, FNU did a great job of instilling evidence-based practice and sense of community into us as students, and I believe that these two principles combined are very powerful tools in the healthcare setting, especially during a pandemic,” Buran said.

    The new practice faced an unexpected question: How could Buran and her team care for their patients safely? They adjusted quickly, implementing telehealth visits and offering drive-up care for COVID swabs and services.

    “When you are trying to advertise and attract new patients, it is very difficult when people are scared to leave their homes,” Buran said shortly after the grand opening of Affinity Family Practice. “We quickly adapted to offering telemedicine visits, which has been a great way to bridge the gap for many patients, and we are still able to provide triage and medical guidance over the phone.”

    In the Fall of 2021, Buran and her husband moved back to her home state of Michigan as they prepared to welcome their first child. They now have two children – a son and a daughter — and Buran is practicing in two separate urgent care facilities in rural Marquette County, which is located in Michigan’s Upper Peninsula. Meanwhile, Affinity Family Practice continues to serve its community in Wyoming.

    “It makes me happy and proud to have been part of the planning and opening of the practice, and that it continues to be an integral part of the healthcare network of the Cheyenne community,” Buran said. “Although it was a change to go from a clinic owner to a staff member, I have been able utilize my past experience as an owner to bring new ideas and offer insight to my current practice sites.”

    The Oath in Action:  When Jaime Westlund, DNP (Class 37), APRN, FNP-C (Class 156), moved with her family from her home state of Idaho to Hawaii in August 2019, she did so with the intent to serve the community, staying true to the history and mission of FNU. Little did she know at that time how quickly her commitment to the community would be tested.

    She was working as a nurse practitioner in the general surgery department at Ali’i Health Center in Kailua Kona during the COVID pandemic. Her typical week before the pandemic involved seeing patients in clinic on some days and scrubbing in for surgeries at the hospital on others. The pandemic brought on additional responsibilities and priorities. She began creating posters for the community, informing them about the pandemic and how to take precautions. She also screened patients for the virus and utilized telehealth when possible.

    In Hawaii, supplies are frequently in high demand, and they were even more so during the pandemic.

    “We live on an island, so it is truly rural health care at its finest,” Westlund said in 2020. “There are gaps and shortages everywhere,” Westlund said. “Unfortunately, that is a typical day for us here.”

    Despite the risks and challenges, Westlund upheld her oath to care for those in her community throughout the pandemic and continues to do so today at Aloha Kona Primary & Urgent Care.

    “As the department chair in cardiology, I have continued to answer the call for healthcare in our community, although the landscape has shifted significantly since the pandemic,” she said. “My focus has been on enhancing access to quality healthcare at our rural clinic on the Big Island, where the need is particularly pronounced. Over the past years, I have worked tirelessly to implement 18 new programs within the cardiology department, each designed to address specific needs and improve patient outcomes. This journey has been challenging yet rewarding, as it reflects my commitment to serving our community and ensuring that everyone has access to the care they deserve.”

    “Working in rural healthcare requires a unique blend of passion and resourcefulness,” Westlund continued. “It takes a special kind of person to thrive in this environment, where thinking outside the box is often necessary to overcome the limitations of available resources. I am dedicated to providing the very best care possible to my patients, and I take immense pride in my work. My love for the community drives me to strive every day to enhance the health and well-being of those I serve, making sure that they feel valued and supported in their healthcare journey. Together with my team, I am excited about the progress we are making and remain committed to fostering a healthier future for all in our community.”

    >> Read More from “A Century of Stories” 

  • Graduate Spotlight: Karen Tepper’s family history inspires her focus on underserved populations

    Graduate Spotlight: Karen Tepper’s family history inspires her focus on underserved populations

    At the heart of Frontier Nursing University is a talented community of students, alumni, faculty, staff, Couriers and preceptors. Spotlight blogs feature members of our FNU community that are focused on the mission of educating nurse-midwives and nurse practitioners to deliver quality health care to underserved and rural populations.

    FNU graduate Karen Tepper, DNP, ANP-BC, HHCNS-BCN/A, has consistently dedicated her three-decade career in healthcare to the betterment of underserved communities. Based in Massachusetts, Dr. Tepper’s passion for improving healthcare access and outcomes is rooted in her own family’s history—her parents, both immigrants, endured immense challenges, including her mother’s survival of World War II and her father’s family fleeing oppression in Eastern Europe.

    “I understand what it means to be underserved from that experience,” she said. “That led to my passion to work with those communities.”

    As the Director of the VISN 1 Clinical Contact Center for the Veterans Health Administration, Dr. Tepper is responsible for the administrative, supervisory, and health care aspects of the center. Clinical Contact Centers provide patients 24/7 virtual access to dedicated staff, providers, and a range of clinical and administrative services, including RN clinical triage for evaluation of symptoms, disposition, and care coordination of health care concerns; virtual clinical visits with medical providers for acute, episodic, and exacerbation of chronic care needs; pharmacy services; and appointment scheduling.\

    Dr. Tepper holds a Doctor of Nursing Practice (DNP) from FNU, which she earned in 2020. While writing a Request for Proposal (RFP) for a Nurse Practitioner Residency program, she recognized the need for additional education to effectively co-direct the program and lead broader initiatives. This realization inspired her to pursue her DNP. She was inspired to attend Frontier by a colleague’s recommendation and the university’s emphasis on underserved populations.

    “I appreciated the focus on underserved populations, and the emphasis of ensuring students are successful,” she said.

    In addition to her professional achievements, Dr. Tepper serves her community as Chair of the Massachusetts Board of Health. She has served as a member for 18 years. In addition, she has also served on the Board of Nurse Practitioner Associates for Continuing Education (NPACE)  for the past nine years.

    Recognizing her lifelong commitment to improving patient care, Dr. Tepper was recently honored with the 2024 Gerontological Advanced Practice Nurses Association (GAPNA) Excellence in Clinical Practice Award.

    “Many nurses develop incredible programs that affect the lives of patients for the better. I am grateful and humbled to be selected for this award,” she said.

    Reflecting on her journey, Dr. Tepper advises others to advocate for their communities actively.

    “It is important to have a seat at the table at your organization and be politically active to achieve change for our communities,” she said.

    Thank you, Karen, for your unwavering dedication to underserved communities and for embodying Frontier’s mission.

    To read more graduate stories, visit the FNU graduate stories page.

  • A Century of Stories: Pandemic Heroes Part 1

    A Century of Stories: Pandemic Heroes Part 1

    In 2025, Frontier Nursing University honored the 100-year anniversary of the inception of the Frontier Nursing Service. We are grateful for the alumni, students, couriers, donors, volunteers, friends, and employees who have made an incredible impact on FNU’s century-long journey. We celebrated this milestone year by capturing and sharing some of the countless stories that make up our history. Whatever your connection to FNU, we hope you enjoy these stories.

    When the COVID-19 pandemic spread to the United States in early 2020, the public responses ranged from panic to denial. As businesses and services were restricted or completely shut down across the country, FNU alumni stepped forward. True to the Frontier mission, they were determined, creative, and brave in their efforts to serve their communities.  

    Here are two examples of the countless acts of heroism performed by FNU alumni amidst the panic and chaos of the pandemic: 

    Mobile Midwifery: When the pandemic hit in 2020, FNU graduate Dr. Mary “Ginny” Bowers, DNP, PMHNP, CNM (Class 82), IBCLC was the head midwife at Chesapeake Women’s Health in Easton, Maryland. While much of the world came to a screeching half, Ginny knew that her patients would need her care more than ever. She came up with a plan and, on March 18, 2020, shared it with the world with a simple social media post: “Mobile midwifery! Taking care of my pregnant mamas in their cars in order to help out the community.”  

    The drive-up option reduced the risks of exposure as patients had direct access to a bathroom, lab, and ultrasound without ever stepping foot in the waiting room. Bowers measured patients’ blood pressure, fetal heart tones, and maternal heart rates while they remained in their vehicles.  

    “Pregnant women carry a significantly higher risk of complications when exposed to respiratory viruses and I wanted to help decrease that risk in any way possible,” Bowers said. “I elected to function as both the medical assistant and the provider so as to limit the patient’s exposure.” 

    In 2022, Ginny joined the University of Virginia. In 2024, she obtained her Doctor of Nursing Practice, and she now specializes in reproductive psychiatry. She has established two reproductive psychiatry practices, one of which is a subspecialty of UVA Psychiatry. That clinic offers comprehensive psychiatric services to individuals during the perinatal period. The second endeavor is a private telemedicine practice which enables her to provide reproductive psychiatric services across a broader area.  

    “I am currently licensed in Virginia and Colorado, with pending PMHNP licenses in Maryland, Delaware, and Maine,” she said.  

    Just as she did during the pandemic, Dr. Bowers continues to find innovative ways to serve as many patients as she can.  

    “Frontier is a fabulous university and I truly believe this organization helps foster my ability to problem solve. Midwives really have a way of thinking outside of the box.”  

    Serving A Mennonite Community During the Pandemic: Jennifer Scott, CNM (Class 75) MSN, was working at Community Midwives in Penn Yan, New York, in 2020. Penn Yan is located in the rural Finger Lakes region of central New York. The majority of Scott’s patients were from a large local Mennonite community. The women would often make appointments on the same day and share a ride to the clinic. 

    Like many businesses, Community Midwives closed its doors during the pandemic. Telehealth visits were not an option for most of Scott’s patients, who did not have computers or cell phones. Instead, Scott and her colleagues began performing home visits.  

    “We are doing home visits because it is easier to isolate and wipe down our equipment between homes,” Scott said in 2020. “This also keeps our clients from congregating in the waiting room.” 

    They also limited visits to patients who were near term or at higher risk. In addition to providing healthcare, Scott became a source of news for her patients, keeping them updated on the pandemic by printing and distributing the latest information from local and state health departments.  

    Today, Scott and Community Midwives continue to serve the Mennonite community in the Finger Lakes Region. The practice now employes three full-time nurse-midwives and one-part-time nurse-midwife, including fellow FNU graduate Lisa Benedetto, CNM (Class 50). They travel upward of 50 miles to see patients, attending over 100 births per year and providing well woman care, annual exams, family planning, and menopause management. They also have privileges at a community hospital for those patients who need to be transferred or choose a hospital birth. 

    “FNU taught me to grab my saddlebag, get on my horse and ride up that mountain,” Scott said. “It taught me that my calling is to care for the underserved, the vulnerable families, without hesitation.” 

    >> Read More from “A Century of Stories” 

  • Student Spotlight: Kris Swanson plans to broaden scope as a Family Nurse Practitioner

    Student Spotlight: Kris Swanson plans to broaden scope as a Family Nurse Practitioner

    At the heart of Frontier Nursing University is a talented community of students, alumni, faculty, staff, couriers and preceptors. Spotlight blogs feature members of our FNU community who are focused on the mission of educating nurse-midwives and nurse practitioners to deliver quality healthcare to underserved and rural populations.

    With a goal of providing comprehensive care for all patients, Kristin “Kris” Swanson, BSN, RNC-MNN, IBCLC, is currently pursuing her Master of Science in Nursing to become a Family Nurse Practitioner. Set to graduate from Frontier Nursing University this year, Swanson serves as an International Board Certified Lactation Consultant (IBCLC) for Birthmark Doula Collective/New Orleans Breastfeeding Center.

    Birthmark Doula Collective is a birth justice organization dedicated to supporting, informing and advocating for pregnant and parenting people and their families in New Orleans. The organization provides childbirth education, birth doula and postpartum doula services and lactation support.

    In her current role, Swanson works in direct client care in the prenatal and postpartum period, supporting parents and families in their feeding choices. She has a special interest in induced lactation for non-gestational parents, low milk supply and the intersection of postpartum mental health and infant feeding choices.

    Swanson said while her career has focused on maternal-child health, she decided to pursue her MSN to broaden her scope as an FNP, noting that she wants to expand her knowledge base to provide care for the entire family. Swanson is also passionate about partnering in care with LGBTQ+, trans, and gender non-conforming individuals, especially concerning sexual health and family building.

    “Relationships are so important in healthcare: a person’s relationship to their own health, their relationship with their community and family and their relationship with their health care provider,” she said. “The long-term relationship building in primary care is in line with my values of compassion, trauma-informed care, evidence-based practice and shared decision making.”

    Swanson participated in FNU’s Professional Organizational Mentoring Program (POMP). This initiative pairs FNU faculty with nurse practitioner and nurse-midwifery students from underrepresented groups, offering crucial support and mentorship. Through POMP, students can join a professional organization in their field and attend a professional conference with their mentors, with all associated fees covered.

    Swanson said her participation in POMP has been a clear highlight in her time at FNU, noting that she learned about the program from a classmate and applied as soon as the application became available.

    “As an IBCLC, I have benefitted from mentor relationships and knew this would be important as I became an FNP,” she said.

    Through POMP, Swanson attended the 2024 American Association of Nurse Practitioners (AANP) National Conference in Nashville, Tennessee in June. The week-long event offered continuing education, exclusive keynote speakers, legislative and policy updates, hands-on workshops, exhibitors and networking opportunities. During the conference, Swanson was paired with Dr. Mary Hunt, an assistant professor at FNU.

    “Conferences can be overwhelming and it was helpful to have her guidance on where to go and how to manage time, as well as hear about her professional experience,” Swanson said. “I also got to connect more deeply with two classmates, which was perhaps the best part of the experience. Having peers and colleagues in the program has allowed me to stay more connected as I move into clinical, and I am happy to have made lifelong friends.”

    Thank you, Kris, for your dedication to serving families in your community and for your commitment to professional development, as demonstrated through your involvement with POMP. To learn more about POMP, click here.

    Learn more about advanced nursing degrees and specialties at Frontier Nursing University. Subscribe to our blog for the latest news and events at FNU and to get inspired with stories featuring our alumni, students, faculty, preceptors and staff!

  • A Century of Stories: Leslie Copp, MSN, FNP, DNP (Class 57)

    A Century of Stories: Leslie Copp, MSN, FNP, DNP (Class 57)

    In 2025, Frontier Nursing University honored the 100-year anniversary of the inception of the Frontier Nursing Service. We are grateful for the alumni, students, couriers, donors, volunteers, friends, and employees who have made an incredible impact on FNU’s century-long journey. We celebrated this milestone year by capturing and sharing some of the countless stories that make up our history. Whatever your connection to FNU, we hope you enjoy these stories.

    In 2025, Frontier Nursing University celebrates the 100-year anniversary of the inception of the Frontier Nursing Service. We are grateful for the alumni, students, couriers, donors, volunteers, friends, and employees who have made an incredible impact on FNU’s century-long journey. We are celebrating this milestone year by capturing and sharing some of the countless stories that make up our history. Whatever your connection to FNU, we hope you enjoy these stories and are inspired to share your own story with us.

    Frontier Nursing University alumni go on to do so many amazing things that it is sometimes easy to overlook the incredible accomplishments they achieved before graduating. Current DNP student Leslie Copp is a prime example.

    In the summer of 2023, Copp, whose husband Justin is a Sergeant First Class in the U.S. Army with 24 years of service, was one of 60 U.S. service members, veterans, and military spouses chosen as a Tillman Scholar. Tillman scholarships are available to active-duty service members, veterans, and military spouses.

    The Pat Tillman Foundation was founded by the family and friends of Pat Tillman, who, in 2002, put his National Football League career on hold to serve his country. Tillman died in April 2004 while serving with the 75th Ranger Regiment in Afghanistan. The Tillman Foundation identifies remarkable military service members, veterans, and spouses, empowering them with academic scholarships, lifelong leadership development opportunities, and a diverse, global community of high-performing mentors and peers. Tillman Scholars make an impact as they lead through action in the fields of healthcare, business, public service, STEM, education, and the humanities.

    Being a survivor of violence, Copp has made caring for others her lifelong passion. With 23 years of nursing experience, she currently works full-time as a forensic nurse examiner in Indianapolis. She specializes in trauma care and frequently is called to testify in court.

    “Watching my mother have to defend her and myself, and how scary that was, I know how children with trauma are affected the rest of their lives,” Copp said, reflecting on her own experiences with domestic violence. “But had I not gone through that, maybe I wouldn’t be able to care for my patients the way I do today. Our journey in life leads us to places we don’t expect. I’m so blessed to have not fallen victim to addictions or suicide or some of the things our patients face when they’re traumatized. I feel blessed to be here and to advocate for people.”

    While trauma care centers are common in metropolitan areas, they are rare in rural areas, such as the one in which Copp lives. With the support of the Tillman Scholars program, Copp’s goal is to establish trauma care centers in rural and underserved communities, such as where she lives in Odon, Indiana.

    “In these trauma centers, I’m hoping to not only be able to provide a medical exam, but I’m also hoping that it is a one-stop shop,” Copp said, noting that her vision is for the trauma care centers to include access to social workers, connections to prosecutors, and rooms for emergency housing. “We can eliminate so many things for law enforcement. They can have more time on the street doing what they need to be doing to keep the community safe while we’re doing the back work. We can take the photos, collect and bag the evidence and get it to the crime lab. There are a lot of benefits all the way around. I hope to see a huge stride in this in the next 10 years.”

    >> Read More from “A Century of Stories” 

  • Dr. Joan Slager Leaves Lasting Imprint on FNU

    Dr. Joan Slager Leaves Lasting Imprint on FNU

    Dr. Joan Slager, CNM, DNP, FACNM, FAAN, announced last fall that she will retire as Dean of Nursing on February 28, 2025. Dr. Slager’s tenure as Dean began in 2018, but her dream of becoming a nurse-midwife and her connection to Frontier Nursing University started long before.

    Dr. Slager grew up on a farm in rural Lake Odessa, Michigan. She enjoyed caring for the animals and was drawn to the wonder of the birthing process at a young age.

    “We would take turns checking on the cows in the barn during calving season,” Dr. Slager recalled. “I would sit for hours waiting for a calf to be born. It was fascinating to me, and I just loved being there and watching. I think that’s what drew me to midwifery. It made me respect birth a lot.”

    Dr. Slager graduated from Nazareth College in Kalamazoo, Michigan, with her BSN in 1980. She considered becoming a physician but chose nursing because she wanted to raise a family as well. During nursing school, she enjoyed her maternal/child rotations and chose to work as a nurse extern in the neonatal intensive care unit the summer between her junior and senior years. She continued working in the NICU after graduation. Drawn to birth, her favorite part of that job was being assigned to attend at-risk deliveries. She subsequently worked three years (1981-83) with the Kalamazoo County Health Department clinics and later took a position as a staff nurse at the Borgess Medical Center Family Birthing Center (1984-91).

    “I worked labor and delivery for six months and then took the birth center job and worked there for seven years until the birth center closed. While at the Birth Center, I worked with Kalamazoo’s first nurse-midwife, who cared for me during my pregnancies. As a nurse, I loved the partnership we nurses had with the midwife. It made caring for the women so much easier, and for the women, their labor and birth was a process they controlled. As a patient, I valued participating in my care and being listened to and respected. I wanted that experience for all women and their families. I knew I had to be a midwife. I heard about CNEP (Community-based Nurse-midwifery Education Program) at a nursing conference. I was intrigued that I didn’t have to travel 150-plus miles to go to school, and I could complete my education in my home community. It sounded too good to be true. I applied and was among the first students that started in the distance program at Frontier. I attended Level III (Clinical Bound) in the Chicken Coop on Kitty’s (Ernst) farm in Pennsylvania, and my first trip to Kentucky was for graduation which was held at Wendover. That’s how my relationship with Frontier started.”

    Dr. Slager was part of Frontier’s first CNEP graduating class in 1991. She began working as a nurse-midwife in Battle Creek, Michigan, eventually becoming the Director of Nurse-Midwifery at the Family Health Center of Battle Creek. She assisted Bronson Methodist Hospital in Kalamazoo in developing a midwifery-led service in 1993, where she served as the Director of Nurse-Midwifery at the Bronson Women’s Service for 27 years.

    “It was so successful that it grew into one of the largest midwifery practices in the country,” Dr. Slager said. “They employ 17 midwives and three nurse practitioners now. The OB/GYN physicians and hospital administrators were very supportive of the midwives, who were among the first advanced practice providers in the health system. Our model of care resulted in decreasing the C-section rate, increasing patient satisfaction, and reducing the after-hours walk-in visits in OB triage.”

    Shortly after becoming the practice director at Bronson, Dr. Slager attended the first annual midwifery business institute at the University of Michigan (a weekend conference) to gain skills in directing a midwifery service. She offered a suggestion to include information on Billing and Coding at future meetings. A year later, she was leading a four-hour billing & coding workshop at that event. “Midwifery education comprehensively covers clinical management and skills, but our survival depends on us developing some business acumen as well. I started researching and learning about billing and coding to prepare for the presentation I was asked to do, and it took my professional career down a whole different trajectory. I started implementing what I was learning in my own practice, and in one year, we tripled our billed revenue. It wasn’t because we got a lot busier, we were just capturing the work that we were doing. That made the hospital administrators very happy and demonstrated how cost-effective a midwifery model was. Not only were the patients happy, but we were positively affecting the bottom line as well as improving care.”

    As a result of that workshop, Dr. Slager was invited to present at conferences and other midwife events or for individual practices and eventually founded Slager Consulting Business in 2000 while maintaining her everyday role as a nurse-midwife.

    “It was very rewarding to help other midwifery practices demonstrate their value, improve salaries, and be able to grow and sustain their practices,” Dr. Slager said. “A lot of times, they (midwives) were working hard, but they were underbilling from a lack of knowledge of how to bill for all of the services they provided. It was important to me that midwives understand and learn to use billing codes accurately so that the work they did and the outcomes they achieved were documented.”

    While occupied with a busy clinical practice, an independent consulting business, leadership roles in the American College of Nurse-Midwives, and raising an active family, Dr. Slager maintained her relationship with Frontier. During her 28 years of practice, she precepted over 100 FNU students.

    “I always had a connection with Frontier because I routinely had Frontier students in our practice. Precepting is really fun, and teaching is rewarding work,” Dr. Slager said. “I want women to get good care, so I want people who provide care to do it well. Whether the students were medical students, nurse practitioners, or midwives, it was always fun to teach them how to provide safe, satisfying, collaborative, and competent health care.”

    It was her own babies, fully grown with families of their own, that made Dr. Slager realize it was time for a change.

    “Returning to Frontier was really driven by the fact that my three children, over a period of a couple of years, migrated to Phoenix, Arizona. We are a close family, and their spouses all grew up in Southwest Michigan too. One by one they relocated out to Phoenix. They all live close to each other, spend weekends together, and vacation together. I have nine grandchildren now between the ages of 4 and 11 and they are each other’s best friends. I realized I didn’t want to be the grandmother who only sees their grandkids on holidays and summer vacations. I wanted to be part of their lives.

    Seeking more flexibility in her career, Dr. Slager contacted FNU President Dr. Susan Stone about a faculty position. Noting that Dr. Slager had extensive management experience, Dr. Stone suggested a different position – Director of the Doctor of Nursing Practice (DNP) program.

    “Sue told me I had more management experience than teaching experience”, Dr. Slager said. “The more I learned about the DNP program and the director position, the more excited I got. I am good at fixing things or analyzing things and improving them. That’s what I did in my consulting business. I would go to a practice and spend time with the people there, learn what some of their challenges were, and then make suggestions to make things easier, faster, and more efficient. That was in perfect alignment with the DNP program curriculum which taught students to be change agents and to implement quality improvement projects.”

    After 15 months as the DNP Director, Dr. Slager received another call from Dr. Stone, asking her to be the Interim Dean of Nursing. Dr. Slager was named the Interim Dean of Nursing in March 2018 and became the full-time Dean of Nursing in August 2018.

    “I was enjoying myself. I liked it (acting as Dean) because it was an executive management position and a great match for my skill set,” Dr. Slager said. “I used to work with midwife colleagues, and now I collaborate with and advocate for faculty, I used to care for patients, and now I work with students – there is a lot of correlation.”

    The new position came at a pivotal time in the history of FNU, including the university moving its campus from Hyden, Kentucky, to Versailles, Kentucky. The Versailles property was purchased in 2017, and the planning and construction of the new campus began soon after.

    “Frontier already had great programs and accomplished faculty leaders. These were well-established before I came to FNU. But moving the campus was a big deal,” Dr. Slager said. “Fortunately, in my job as the director of the midwifery program at Bronson, we relocated our office a few times, and we built a new hospital, and experienced major renovations of the inpatient units. I really believe you are in places for a reason at the right time.”

    “I came to Frontier when we were starting the Versailles campus renovation project. I knew a lot about buildings, the things behind the scenes that people don’t really think about. I feel like bringing that experience to Frontier was a great way to contribute in a way that was completely unrelated to midwifery and people management.”

    Renovating the new campus meant not only new buildings but planning for new offices, classrooms, simulation labs, dorms, a dining hall, and more. It also meant a lot of packing and moving items from the Hyden campus, all while maintaining normal university activities.

    “I loved Hyden. I wasn’t anxious to move,” Dr. Slager said. “But I really love the Versailles campus and how it provides us with so many more opportunities and efficiencies. It was great to be part of the team that executed that. That’s probably one of the highlights of my career at Frontier. Someone could go through their whole career and never have the opportunity to move a university.”

    As if moving the university wasn’t enough of a challenge, the COVID pandemic provided additional hurdles and significant delays. On-campus programs needed to pivot quickly to an online format. When the campus was ready, it still could not be opened. Finally, in 2021, the first students came on campus for clinical bound.

    “It was very emotional for me to have that first group come to campus,” Dr. Slager said. “After all the planning and the waiting through the pandemic, we finally had students on campus. That was probably one of the most notable accomplishments at Frontier that I was able to be a part of.”

    More recently, Dr. Slager took pride in being part of the group that hired new FNU President Dr. Brooke A. Flinders. It marked one of the final milestones that allowed Dr. Slager to consider retiring. “I had planned to serve as Dean for only a couple of years and then retire, but I felt compelled to stay through the topsy-turvy events that followed.”

    “The pandemic hit, so I didn’t dare leave the university at such a challenging time. Then President Sue Stone announced her retirement, so I chose to delay retiring a little bit longer to facilitate a smooth transition in leadership. With Dr. Flinders in her position, I feel so great about where Frontier is. I can very comfortably and confidently step away knowing the university is in great hands.”

    Dr. Slager intends to stay connected with the university and be available for special projects and other opportunities where needed. Otherwise, she looks forward to traveling with her husband and spending time with her family, including her nine grandchildren.

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