Dr. Koshy-Nesbitt serves in a dual leadership role overseeing clinical quality and safety across both Texas Health hospitals and the physician group. She leads strategic initiatives to improve quality outcomes, reduce hospital-acquired conditions, and ensure regulatory readiness across multiple hospital sites and affiliated facilities. Under her leadership, the system achieved top-decile mortality performance and national top-quartile central line bloodstream infection reductions in 2024. Dr. Koshy-Nesbitt also serves as executive sponsor for systemwide quality initiatives focused on infection prevention, readmissions and performance in CMS value-based programs. She is a nationally engaged leader, serving on committees for the American Heart Association, Premier, and other boards related to virtual care and health system oversight.


