Dr. Koshy-Nesbitt holds a dual role overseeing quality outcomes across Texas Health Resources, the largest nonprofit health system in North Texas, which serves more than 1.7 million patients annually across 29 hospital locations and more than 420 access points. She leads continual regulatory readiness for 14 wholly owned and five joint venture hospitals, directs enterprise infection prevention strategy, and oversees clinical quality improvement for the system’s physician organization of 6,800 employed and affiliated physicians. Under her leadership, system-level teams have driven mortality outcomes to top national quartile-to-decile rankings for three consecutive years, including acute myocardial infarction, congestive heart failure, pneumonia and sepsis mortality. She introduced real-time data tools and multidisciplinary service line committees that create a forum for sharing best practices and aligning goals across the system. Texas Health Resources ranked first on Fortune‘s “Best Places to Work in Healthcare” in both 2024 and 2025, and the system has received the Press Ganey “Zero Harm Award” for Texas Health Physicians Group in 2026.
