Medical Journal - Houston (Internet / Print) May 2006 Responding in this issue’s Hospital Administrator Survey, Dr. Karen Sexton, vice president and chief executive officer for hospitals and clinics at the University of Texas Medical Branch at Galveston, answers seven questions ranging from a description of the most collaborative effort that she had initiated with organizations outside of UTMB in the past year to actions taken to improve the quality of care and patient safety. Other topics include whether physicians or patients have more influence over growth, how emergency room overcrowding and long wait times are being addressed and what direction health care will take in the next five years.