Confluence Healthcare Culture Consulting works with a broad array of healthcare clients to provide patient safety and safety culture expertise, including:

  • Interpreting quantitative and qualitative survey data and providing summaries and reports to drive leadership and frontline staff engagement

  • Leading focus groups of frontline staff to debrief data

  • Reviewing qualitative comments data sets to identify themes and trends across a facility or system

  • Reviewing adverse events/incident reports to identify particular areas of concern and trends at the unit through hospital levels

About Anne

E. Anne Millman Headshot

Anne Millman, MS CPPS

I am a patient safety professional with more than 15 years of experience working with hospitals and health systems in North America, the United Kingdom, and the Middle East. I have a particular interest in the measurement and understanding of culture and its contributions to patient safety and staff engagement, the implementation of Just Culture principles, and the use of event reporting data to identify system defects and drive change. I have extensive experience interpreting quantitative survey data and facilitating groups of individuals to elicit feedback and context regarding their work environments to inform safety initiatives.

I have served as the Director of Patient Safety at both tertiary (Johns Hopkins Bayview Medical Center) and community hospitals (Greater Baltimore Medical Center), where I was responsible for the oversight of the patient safety program, including adverse event reporting, regulatory accreditation, the culture and engagement survey, and the peer review and grievance resolution processes for both acute care and ambulatory practices. As a consultant, I have worked with facilities ranging from academic medical centers to critical access hospitals, providing interpretation of their safety culture survey results, leading focus groups and guiding improvement in their culture and teamwork.

Through my work as both a patient safety officer and as a consultant, I can provide guidance across a range of topics. I understand the intersection of culture and teamwork, what a high-performing work setting looks like, and how to achieve that. I have first-authored and co-authored numerous peer-reviewed publications on a broad variety of patient safety topics.


Anne was initially our Senior Patient Safety Consultant for our institutional safety culture survey. She did a great job of explaining our results in a clear manner for different levels of staff and leadership. She also led numerous focus groups to debrief the data and trained our staff to lead these sessions.  This led to a deep insight into the data, making it actionable which fostered meaningful change.  This work helped our organization build a strong safety culture which is now in the 90th percentile nationally.   During a period of transition before Anne relocated, I was fortunate to have her join my team as the Interim Director of Patient Safety and Accreditation Improvement.  She brought a wealth of experience, a passion for patient safety and strong leadership skills to the role that really helped shape our Patient Safety program.  Anne is a delight to work with!

Carolyn Candiello, MA, CPHRM, Vice President, Quality and Patient Safety
Greater Baltimore Medical Center, Towson, MD

I had the pleasure of working closely with Anne during her tenure as the Director of Patient Safety at The Johns Hopkins Bayview Medical Center. While this position is occupied typically by someone with clinical training, she demonstrated her effectiveness in this position as she worked closely with the clinical staff to investigate and mitigate issues related to patient quality and safety. She has an excellent command of medical terminology and clinical process. Anne was effective in her position and had the respect and trust of the clinical and administrative staff throughout the Johns Hopkins health care system.

Kevin Gerold, MD JD, Associate Professor (Ret’d.). Former Director Critical Care Medicine (Burn and Surgical ICUs)
Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins Bayview Medical Center, Baltimore, MD

I worked with Anne when she was our Patient Safety Consultant. She really engaged the staff in the results of the safety culture survey, and taught us how make the most of the data. It helped us to establish a new norm which was critical for driving positive change.

Elizabeth Armstrong, MBA. Vice President of Operations – Surgical and Acute Care Services
Southern New Hampshire Health, Nashua, NH

Anne is passionate about using safety culture data to really understand what a hospital or work setting needs, and how to respond appropriately. She brings a wealth of expertise in survey design, administration, and use of the data to all of her work.

Barbara Olson, MS, RN, CPPS, FISMP, Chief Clinical Officer & Executive Lead, Healthcare Operations
Outcome Engenuity and The Just Culture Company, Ft Lauderdale, FL

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