Dr. Sullivan-Marx brings her national leadership reputation and skills to the forefront for Penn nursing students. With a strong background as a primary care nurse practitioner, Dr. Sullivan-Marx teaches the foundation course on assessment, health promotion, and critical thinking at the undergraduate level - Promoting Healthy Lifestyles II. In addition, Dr. Sullivan-Marx lectures throughout the undergraduate and graduate courses on such topics as delirium in older adults, restraint-free care in hospitals and nursing homes, payment and reimbursement for advanced practice nurses, business and economic issues for nursing, and classification and coding of nursing services. Dr. Sullivan-Marx lectures across the University on health care system issues from a nursing perspective including the School of Medicine and the Leonard Davis Institute at the Wharton School. Dr. Sullivan-Marx currently chairs the University Council Committee on Campus and Community Life. Dr. Sullivan-Marx's research area focuses on nurse-sensitive outcomes of care for frail older adults. To date, she has investigated predictors and outcomes of advanced practice nursing care and physical restraint use in older adults in hospitals and nursing homes, along with Penn Nursing colleagues that have led to changes in U. S. health policy. In recent work, Dr. Sullivan-Marx's research indicates associations between better nurse-patient ratios, less use of physical restraints, and lower patient mortality in hip fracture patients. To facilitate improved outcomes through the use of advanced practice nurses, Dr. Sullivan-Marx has conducted the only study comparing nurse practitioner with family physician responses in the methods used to establish the Medicare Fee Schedule through relative work values. This work has been cited by the Medicare Professional Advisory Committee to the U.S. Congress in June, 2002.