Dr. Karlen is CNO and vice president of patient care at M Health Fairview Southdale Hospital, overseeing nursing practice and clinical operations across a high-volume, 300-average-daily-census hospital supported by more than 1,300 nurses. As a key member of the executive team, he drives patient-centered, evidence-based care and advances nursing excellence through shared decision-making structures, a unified practice model and continuous professional development. Dr. Karlen leads operational efficiency initiatives, including implementation of an operating management system grounded in Lean methodology to strengthen performance and outcomes. He also manages complex labor relations as the primary executive partner for the nurses’ union, navigating contract negotiations with diplomacy. Beyond the hospital, he is a visible advocate for the profession as policy and advocacy chair for the Minnesota Organization of Leaders in Nursing, equipping nurses to engage in the legislative process and testify effectively. His leadership and statewide impact were recognized when he was named “Nurse Leader of the Year” by the Minnesota Hospital Association in May 2025.
