Khatrina Swarup, RN, MSN, MBA

Care programs that work in real life.

Nurse. Operator. Founder. I design the workflows, patient education, and technology your team will actually use.

I've led ACO care management, a community COVID response, and EHR transitions.

Portrait of Khatrina Swarup, smiling, with shoulder-length dark hair, wearing a white top.

The gap

The plan usually exists. What breaks is everything in between: the handoff, the follow-through, the space where nobody's name is on it. Programs stall, staff lose trust, and leaders absorb the risk. I work there, from inside the problem.

Recent work

Whatever stands between a good plan and a working program.

  • A health education library for a value-based care program

    65+ patient education modules on asthma, heart health, parenting, and prenatal care, designed around clinical quality measures.

  • Patient education materials for a physician

    Written so patients can follow them without a clinical background.

  • A community lecture for a client

    The presentation and supporting materials, built for a public audience.

  • A grant application for a nonprofit I lead

    Built the budget and the story around community leverage, including volunteer labor. It was awarded.

Work with me

Care programs, workflows, patient education, AI integration, grants, and presentations. Project, retainer, or fractional.

How I work

Four steps, in order.

  1. Clarify

    Define the care goal and what supports it.

  2. Design

    Build workflows, roles, and training your staff will use.

  3. Integrate

    Add technology where it helps, once the workflow is clear.

  4. Refine

    Adjust to how staff and patients actually respond.

Results

Work that moves the numbers that matter to patients.

  • 20%

    increase in patient engagement for a care management team after an outreach redesign.

  • 45%to75%

    referral completion after a workflow redesign. That's 30 more completed referrals out of every 100.

  • 28.6%

    reduction in ER visits through care coordination and proactive engagement.

  • $1M+

    in savings from an initiative I co-led with physicians and IT, as the only nurse at the table.

About

I got tired of watching good programs stall, so I started building them.

I became a registered nurse in 2013 and have worked inside healthcare systems as a clinician and operational leader ever since, including as a director of care management. I've led an ACO care management program, a community COVID response, and EHR transitions.

The pattern was consistent. Programs stalled at the handoff: a workflow nobody owned, a tool nobody asked for, a step that depended on one person remembering.

When I moved a home health agency from paper to electronic documentation, we reached 100% staff adoption in two months, because the workflow fit how those nurses already worked.

I start with the people doing the work, since they know where it breaks.

Work with me

Credentials

  • RN, MSN, MBA
  • Post-Bacc Certificate in Nursing Informatics, Quality and Safety
  • Six Sigma Black Belt
  • Six peer-reviewed publications

Recognition

  • Moonshot Cochise County 2026, first place, with OncoNexus
  • UACI Sponsored Launch 2025 winner, with OncoNexus
  • Top 10 of 163, Lovable x Theanna Female Founder Hackathon 2025

Ventures

Also building.

OncoNexus

The visit creates the plan. OncoNexus helps the clinic carry it through.

One provider-approved plan from each cancer visit for the clinic team, with clear next steps for the patient. Co-founded with a practicing oncologist. Building toward our first beta partners.

Visit onconexus.ai (opens in a new tab)

Reap Goodness

A community food forest in Sierra Vista, Arizona.

A 501(c)(3) proving that water, food, and environment work together. Founder Carol Manetta spent over 20 years developing the Trio model. Next: a training app so any community can replicate it.

Visit reapgoodness.org (opens in a new tab)

Building a care program?Let's make it work in real life.

Tell me what you're working on, and we'll see if it's a fit.

Work with me