Meet Erika
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I grew up in South Florida, bicultural, first-generation American. I watched my mother, a woman with an accent, uninsured — move through a healthcare system that didn’t always see her fully. I was uninsured too, as a child and as a working adult.
I learned early that healthcare isn’t a universal experience. And that the gap between what care is supposed to be and what it actually is has a human cost.
That knowing never left me.
I've also been the patient.
During my pregnancies I experienced severe hyperemesis — relentless, debilitating. I remember my last day of full-time work before it took over: I was in a conference room with a city commissioner, telling myself to breathe as I picked up the pace to get to the bathroom to throw up. The evening I was hospitalized I didn’t fully understand what was happening. I was so sick I got lost driving to the OB-GYN’s office.
What followed was home infusion care. Nurses who came to my home when I couldn’t go anywhere. I remember the vulnerability on both sides. Mine as a scared pregnant patient completely dependent on a system to work, and theirs as clinicians showing up to meet me where I was.
That experience didn’t change what I believed about healthcare. It deepened it. Being that vulnerable — needing that level of care, being that dependent on the people and systems around me made it something I carry in my body, not just my mind.
Years later, when I spoke at the National Home Infusion Association, it was a full circle moment.
During my pregnancies I experienced severe hyperemesis — relentless, debilitating. I remember my last day of full-time work before it took over: I was in a conference room with a city commissioner, telling myself to breathe as I picked up the pace to get to the bathroom to throw up. The evening I was hospitalized I didn’t fully understand what was happening. I was so sick I got lost driving to the OB-GYN’s office.
What followed was home infusion care. Nurses who came to my home when I couldn’t go anywhere. I remember the vulnerability on both sides. Mine as a scared pregnant patient completely dependent on a system to work, and theirs as clinicians showing up to meet me where I was.
That experience didn’t change what I believed about healthcare. It deepened it. Being that vulnerable — needing that level of care, being that dependent on the people and systems around me made it something I carry in my body, not just my mind.
Years later, when I spoke at the National Home Infusion Association, it was a full circle moment.
In 2013, I was recruited to join Cincinnati Children's Hospital Medical Center — one of the country's top pediatric systems — working at the intersection of patient care, language access services, human resources, and diversity, equity, and inclusion. Building programs. Training clinical teams. Sitting with teams in the moments that no protocol fully anticipates.
One afternoon, I was working with an external consultant — a former P&G brand executive hired to help our department tell its story. I told him that doing this work felt like coming home. He stopped. Paused. Said nothing for a moment.
In 2016, I resigned my position. I turned down a raise and a promotion and founded Moxie Consulting Group. Not because I had a business plan. Because I knew something I couldn’t unknow.
I felt the energy in my body before I understood what it meant.
In 2016, I resigned my position. I turned down a raise and a promotion and founded Moxie Consulting Group. Not because I had a business plan. Because I knew something I couldn’t unknow.
Some people expect a trainer. What they get is someone who has worked inside some of the country’s most complex healthcare environments.
That breadth is what makes my work different.
I’ve rounded with doctors, precepted in the ED with nurses, shadowed medical interpreters, de-escalated patients and families, had the huddle meeting before the family meeting, prayed with families while waiting for pastoral care, been in root cause analysis meetings after harm, while also building the HR and organizational systems that shape what happens in that room before anyone comes through the door.
I’ve rounded with doctors, precepted in the ED with nurses, shadowed medical interpreters, de-escalated patients and families, had the huddle meeting before the family meeting, prayed with families while waiting for pastoral care, been in root cause analysis meetings after harm, while also building the HR and organizational systems that shape what happens in that room before anyone comes through the door.
I am not a clinician. I don’t pretend to be. My clinical research training, grounded in federal regulations, taught me how to bring standards into practice.
My work in human resources and leadership taught me how people actually behave under pressure: how they protect themselves, how trust is built and lost, and why changing systems requires understanding people first.
I can sit with a compliance team and speak the language of federal standards. I can sit with a clinical team and speak the language of what actually happens at the bedside. I can sit with a leadership team and name the gap between those two rooms.
Most people live on one side of that divide. I've spent twenty five years on both. What that means in practice: I come through the door already knowing the terrain. The learning curve most consultants have — I don't have it. The trust that takes months to build — it comes faster, because the people in the room can tell I've been there.
My work in human resources and leadership taught me how people actually behave under pressure: how they protect themselves, how trust is built and lost, and why changing systems requires understanding people first.
I can sit with a compliance team and speak the language of federal standards. I can sit with a clinical team and speak the language of what actually happens at the bedside. I can sit with a leadership team and name the gap between those two rooms.
Most people live on one side of that divide. I've spent twenty five years on both. What that means in practice: I come through the door already knowing the terrain. The learning curve most consultants have — I don't have it. The trust that takes months to build — it comes faster, because the people in the room can tell I've been there.
Curiosity is my compass. People ask, “what drives my work?” I'm fascinated by people and systems and I have the book collection to prove it!
I'm wired to connect people and patterns. My top CliftonStrengths: Achiever, Learner, Communication, Relator, and Individualization span all four domains (Executing, Strategic Thinking, Influencing, and Relationship Building), which means I see connections others miss.
Places shape people. I was raised in South Florida, where diversity and resilience gave me grit, along with a deep love of people, language, music, and culture.
Cincinnati, Ohio rooted me in Midwestern values and community. It’s where I built my family and my career; putting me inside health systems at the point of care.
And Richmond, Virginia?
I didn't choose it, it chose me. My husband got an job opportunity and we came. What I found was a city unafraid of complexity, rich with history and healing. Still unfolding. And without knowing it, exactly the right place to build Moxie. It reflects where I am in my own journey: growth, honesty, and transformation.
Beyond the work. I serve on the Board of Trustees for Riverside School, supporting students with dyslexia and language-based learning differences because I am also the parent of a child with dyslexia, and the belief that transformation is possible doesn’t stop at the hospital door.
I’m also a wife, a mom of three teenagers, and a lifelong learner.
I'm wired to connect people and patterns. My top CliftonStrengths: Achiever, Learner, Communication, Relator, and Individualization span all four domains (Executing, Strategic Thinking, Influencing, and Relationship Building), which means I see connections others miss.
Places shape people. I was raised in South Florida, where diversity and resilience gave me grit, along with a deep love of people, language, music, and culture.
Cincinnati, Ohio rooted me in Midwestern values and community. It’s where I built my family and my career; putting me inside health systems at the point of care.
And Richmond, Virginia?
I didn't choose it, it chose me. My husband got an job opportunity and we came. What I found was a city unafraid of complexity, rich with history and healing. Still unfolding. And without knowing it, exactly the right place to build Moxie. It reflects where I am in my own journey: growth, honesty, and transformation.
Beyond the work. I serve on the Board of Trustees for Riverside School, supporting students with dyslexia and language-based learning differences because I am also the parent of a child with dyslexia, and the belief that transformation is possible doesn’t stop at the hospital door.
I’m also a wife, a mom of three teenagers, and a lifelong learner.
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