Quality Oversight Committee for The StayWell Company, LLC and Krames LLC


The Quality Oversight Committee (QOC) is charged with setting and enforcing standards regarding sourcing of content, ethical standards, and acceptable levels of performance. The committee conducts business to:

  • Ensure that digital health content and self-management tools (SMTs) owned by StayWell and Krames will enter the medical review process every 24 months. Digital health content enters its “first” medical review two (2) months prior to the expiration of the last review date and the medical review process - two medical reviews, one editorial review, a QA process (a clinician review), and translation - may take up to six months to complete. Dates of medical reviews are tracked and stored in StayWell and Krames Content Management Systems (CMS). Certain diseases and conditions that have ongoing medical research, frequent updates to treatment guidelines, or new medical practices are medically reviewed more often to remain current with standards of care. Health content is also reviewed and updated to address content errors.

  • Ensure adherence to URAC Web Standards/Guidelines and NCQA Elements/Standards for the development, medical review, sourcing, and updating of digital health content and self-management tools.

  • Ensure commitment to StayWell and Krames standards that health communication solutions are developed based on evidence-based medicine, as well as being user-friendly and behavior-change focused.


Members will:

  • Conduct business each quarter (or as needed) via conference calls or electronically.

  • Review site performance indicators based on URAC Standards/Guidelines and NCQA Standards/Elements.

  • Review feedback and complaints received from StayWell and Krames clients and/or end users.

  • Implement interventions, as needed, to improve site operations and situations that may pose a threat to the health and welfare of users.

  • Monitor initial and ongoing compliance with standards outlined in policies, procedures, and agreements. 

  • Approve new policies and procedures as well as revisions to existing policies and procedures to improve the quality of StayWell and Krames digital health content.

  • Evaluate client satisfaction reports of digital SMTs each year.

  • Review usability, understandability, and 508 Compliance testing reports of SMTs every two years.

About our members

The following table lists the credentials and background of each QOC member.



Manager, Quality, Regulatory, and Accreditation

Daphne manages the accreditation and quality assurance processes for StayWell and serves as the chairperson for the Quality Oversight Committee. Ms. Pierce-Smith has more than 30 years of professional nursing experience in healthcare and has held several leadership and educator positions – Clinical Nurse Manager, Research Manager & Educator, Change-Agent, Research Chairperson, Pediatric Nursing Instructor, and Adjunct Faculty. In 1989, she received a Master of Science in Nursing - Family Nurse Practitioner/Clinician track - and was certified as a Clinical Research Coordinator (CCRC) by Association of Clinica Research Professionals (ACRP) for almost 20 years. In 2008, she completed a two-year certification program in healthcare management, and in 2013, she completed a federally funded program based on the Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH Act) and received a certificate as a Health Information Technology (HIT) Pro-Clinician/Practitioner Consultant. Daphne was a guest researcher at the Centers of Disease Control and Prevention (CDC) and co-authored numerous abstracts, manuscripts, and medical and nursing articles while employed at Emory University School of Medicine (EUSOM). She sat on several regulatory, academic, state, and national boards, as well as EUSOM’s Institutional Review Board. For several years, Daphne sat on the Commission for Nursing Practice for Georgia Nurses Association (GNA) and wrote articles for their official publication. She is published and has been a contributing author in gastroenterology (GI) textbooks and clinical GI handbooks for 20 years.



Vice-President, Content

Amy is Vice President of Content at StayWell, leading a team of creatives and clinical experts who provide engaging, educational, and results-driven content solutions to health care providers and payers across the country. Her areas of expertise include content strategy, content creation, health literacy, and client relations. Amy is passionate about bright, clear prose that resonates with readers and empowers them to live healthier lives. Her 20 years of editorial experience also includes custom publishing, academic publishing, and corporate communications. Amy holds an M.A. in Writing from DePaul University and a B.A. in History from Hope College. She lives and works in Chicago.


Medical and Clinical Advisor 

Dr. Nirmal (Nim) Patel is a primary care physician, trained at the University of Manchester, UK where she received her Doctor of Medical (MD), then at Yale, where she received her Master of Public Health (MPH). Nim is passionate about high quality, patient centric care delivery, using evidence, data and information technology to improve efficiency at the point of care. She has more than two decades of experience working with senior executives, and her teams, in developing high performing primary care delivery systems and digital health solutions, that are outcomes focused. Nim has deep knowledge of the US healthcare system, clinical care, health benefits and her insights inform her approach to strategy, business and markets she has been responsible for. Having worked within the large employer, hospital, managed care and growth, early stage company environments, Nim understands business imperatives of stakeholders and her work focuses on business solutions and timely delivery. Her differentiated knowledge of clinical operations, evidence based medicine, HIT and care variation, have enabled her to innovate in the design of optimal primary care delivery systems, which when combined with her strong quantitative skills have allowed Nim and her teams to consistently measure outcomes and success. Nim is a subject matter expert in tele/digital health having created first of the kind care-ata-distance solutions focused on primary care, dermatology, as well as behavioral health. She understands high performing ACOs models, development, deployment of innovative population health software with clinical decision support and telehealth applications for the point of care, to drive affordability and quality. Nim is a respected thought leader and spokesperson for the businesses she represents. Areas of research, public speaking engagements are notable, she participates in nationally renowned boards, leadership councils as well as advisory boards of venture capital and early stage companies and is often in the media sharing her expertise.


Associate General Counsel - & -  Chief Privacy Officer

As Associate General Counsel and Chief Privacy Officer, Jim oversees a variety of legal matters for StayWell, including commercial contracting, as well as regulatory and intellectual property matters.  Jim comes to StayWell after a decade in private practice at the law firm of Montgomery McCracken in Philadelphia, PA, where he divided his time between the business group, serving as a corporate and patent attorney, and the litigation group, counseling clients with respect to regulatory compliance in a variety of areas, including HIPAA, the Federal Food, Drug, & Cosmetic Act, the False Claims Act, and the Anti-Kickback Statute. Jim received his bachelor's degree  from The Pennsylvania State University and his Juris Doctor degree from Temple University's Beasley School of Law.  Jim is a registered patent attorney, with experience prosecuting patent applications in the mechanical, chemical, and biotechnological fields.


Vice President, Information Security

Kathryn is the Vice President of Information Security at StayWell. She has been a part of the StayWell company for over 12 years, dedicated to the technology team. Before assuming her current role, Kathryn worked in various Information Technology (IT) positions at StayWell, including Vice President of Appication Development. Kathryn holds a Master's Degree in Business Administration, Bachelor of Science in Computer Science and Management Information Systems, and maintains a current Certified Information Systems Security Professional (CISSP) certification. Prior to joining StayWell, Kathryn developed software applications in both the healthcare and banking industries.


Director, Product Management

Patricia has over 12 years’ experience in bringing patient education solutions to the market place. She enjoys working with clients and partners who are helping patients and consumers understand their health care options and improve their health journey and outcomes. Patricia focusses on bringing together the right business and people process, turning data into information and utilizing winning technology.  Patricia has developed successful products for point of care and care management organizations. In addition, she leads initiatives to enable clients to meet their accreditation goals including Meaningful Use, NCQA, and URAC.


Director, Account Mgmt. and the Help Desk 

Carrie Smaga is a Client Service Operations Director.  She has over 10 years of experience supporting hospitals and health systems achieve their quality and process improvement goals.  As part of this work, Carrie, and the teams she has led, have partnered with clinicians, quality teams, and data analysts to identify, define, and capture data to support quality improvement programs and initiatives.  Additional areas of speciality include engaging executives in a meaningful way and ensuring client success. 


Director, Editorial Projects (PES-Digital)

Dianna is the Editorial Project Director for digital patient education at StayWell. She oversees PES-Digital clinicians and a team of writers, editors, and contractors who create new content and ensure the editorial quality of existing content. She is involved in all editorial aspects of digital content, from the style guide to the technical aspects of metadata, crucial for digital content delivery. She and her team troubleshoot client issues, assess content for readability and plain language, and work closely with clinicians on medical review of digital content. Dianna began her editorial career as a print journalist. She has been an editor and reporter for newspapers in California, Kansas, Georgia, and Pennsylvania, including the Philadelphia Inquirer. Dianna has a Bachelor of Arts in English Literature from the University of Missouri-Kansas City and a Master of Arts with an emphasis in science writing from the University of Missouri-Columbia School of Journalism.


Coordinator, Clinical Content (PES-Digital)

Linda Renée has been a registered nurse for over 35 years, specializing in oncology, hospice and palliative care, triage nursing, ambulatory care, healthcare quality, and medical writing. Ms. Watson holds an Associate of Science and a Bachelor of Science in Nursing from Boise State University and a Master of Science in Nursing and Health Leadership from Gonzaga University.  Linda Renée previously sat on the Idaho Medical Board's Dietetics Licensure Board. She currently is serving her second term as a Board Member for the Idaho State Board of Nursing.   


Reviewed and Approved by the Quality Oversight Committee: July 2021

Revised: July 2021

Date Last Reviewed: 7/23/2021