In my experience, Catherine Mullahy is the expert; exceptional and dedicated as well as efficient and effective. I was exceedingly impressed, and the staffs were most appreciative, that she took personal interest to understand their unique practice in the service to the 115,000 vulnerable Native Americans in South Dakota, North Dakota, Nebraska and Iowa. During my nine years in the Aberdeen area, Ms. Mullahy is the single case management trainer to take this approach and it resulted in training designed specifically for these staffs’ case management needs. Ms. Mullahy formulated the curriculums in sound case management practice and principles, as well as offering workable solutions to undeniable health care barriers in the staffs’ practice settings. One case manager improved clinical outcomes by 30% in one year and saved the facility $175,000.