We provide comprehensive health care services to Hillsboro and surrounding communities.

Our Leadership

Leadership Team

Lori James-Nielsen

Lori James-Nielsen, R.N., B.S.N, M.H.A.


Lori James-Nielsen has over 25 years of clinical and leadership experience in a variety of community hospital settings. Throughout her career, she has operated 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. In her most recent roles, James-Nielsen served as the Chief Strategy Officer at Salem Hospital and as Vice President of Operations and Integrations at OHSU Partners. If the constant state of change in health care was not enough, she and her husband Dave have a blended family of six grown children, including three girls still in college. She enjoys watching her daughter play volleyball, hiking, and a newfound hobby of 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, M.H.A.

Executive Director of Ambulatory Services

Michelle Kirkland 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

Vice President, Ancillary Services

Steve Krautscheid has deep roots in Hillsboro, growing up on Jackson School Road when it was mostly farmland. He served as Tuality’s director of facilities & properties until he was promoted to ancillary services administrator in 2013. Krautscheid is a proponent to community-based hospitals like Tuality. He calls Tuality an asset of the community. 


Diana Gernhart

Senior Vice President and Hospital Chief Financial Officer, OHSU


Kim Leathley

Director of Strategic Initiatives


Jen Packer, M.S.N., R.N., C.E.N.P., C.E.N.

Chief Nursing Officer