We're building a healthier community by bringing quality clinical care and unparalleled service to our region.

Our Leadership

Leadership Team

Lori James-Nielsen

Lori James-Nielsen


Lori James-Nielsen, R.N., B.S.N., M.H.A., has over 25 years of clinical and leadership experience in a variety of community hospital settings. Throughout her career, she has worked as a staff educator, manager, and director for nursing units and cardiac care, and has been involved in creating clinical integration models to support organizations and independent providers in developing exceptional clinical programs and improve value for patients. She has been the Chief Strategy Officer at Salem Hospital and Vice President of Operations and Integrations at OHSU Partners. Lori and her husband have a blended family of six children. She enjoys watching her daughter play volleyball, hiking, and kayaking.


Joe Hardman, M.D.

Chief Medical Officer

Dr. Joe Hardman is a general internist who has been practicing at OHSU for nearly 10 years. His primary clinical focus is outpatient primary care internal medicine. He has also worked on the inpatient teaching service at OHSU. Dr. Hardman received his medical degree from UC San Diego School of Medicine and completed his residency and chief residency at Beth Israel Deaconess Medical Center in Boston, MA. He enjoys hiking, cooking, music, photography, and spending time with his wife and two children.


Michelle Kirkland

Vice President, Provider and Network Services

Michelle Kirkland, M.H.A., has been a healthcare leader for over 10 years with experience across community and academic hospital settings. Originally from the southeast, Michelle has spent the majority of her career in South Carolina providing leadership to primary care and specialty clinics. Her past roles include serving as Director of Community Hematology and Oncology, OHSU, Director of Physician Practices, AnMed Health/Cannon Memorial Hospital, and Operations Manager, Greenville Health System. She enjoys traveling and spending time with her husband and two wonderful children.


Steve Krautscheid

Steve Krautscheid

Vice President, Ancillary Services

Steve Krautscheid, M.H.S.A., leads the facilities support departments as well as laboratory, diagnostic imaging and pharmacy.  Steve holds a Bachelor of Science in Health Care Administration from Oregon State University and a Master of Arts in Health Services Administration from The University of Iowa.  He particularly enjoys working in Washington County where he and his wife have extensive family roots. Steve presently serves on the Forest Grove Economic Development Commission, Hillsboro Transportation Committee, Hillsboro Urban Renewal Committee, Hillsboro Chamber of Commerce Board, and the Forest Grove Lions Club.


Kelley Frengle

Kelley Frengle

Vice President, Human Resources

Kelley Frengle, SPHR, SHRM-SCP, brings to Tuality over 20 years of extensive experience in human resources and healthcare leadership. She was on the HR team at OHSU and served as the Senior Director of Human Resources for the PeaceHealth Southwest and PeaceHealth St. John hospitals. She grew up in Hillsboro and enjoys time with her family and dogs, traveling, cooking, and sailing.


Jen Packer

Chief Nursing Officer

Jen Packer, M.S.N., R.N., C.E.N.P., C.E.N., came to Tuality from OHSU, where she served as Division Director of Emergency Services. She managed and led the OHSU adult and Doernbecher pediatric emergency department, observation unit, trauma program and transfer center. She and her family enjoy outdoor sports and like to ski, boat, hike, and CrossFit.


Meredith Peterson

Meredith Peterson

Vice President, Finance

Meredith Peterson, M.B.A., worked for Kaiser Healthcare System, OHSU and most recently as a consultant with Kaufman Hall, a management consulting services firm that embodies best-practice approaches across planning, cost accounting and financial decision support. Meredith earned her Master of Business Administration from Portland State University and Bachelor of Science in Business Economics from Willamette University in Salem. She's a native Oregonian and enjoys traveling, cooking and going to concerts in her free time.