Way back in the 1980s Kev swapped suburban Cleveland, Ohio for the London School of Economics, a Master's in Social Policy and a career in health services research and consulting, Finding himself "up north" he joined Staffordshire Social Services just in time to implement performance management and metrics across the board. He also learned words like "nesh" and "pikelet". From there he led performance improvements in services ranging from careers advice, drug & alcohol treatment, child care and nursing care, culminating in leading the expansion of large scale primary care mental health services across the English Midlands. In 2012 he returned to Ohio to join Cleveland Clinic Innovations and from 2014-17 led Cleveland Schools' Transformation Plan as well as campaigns to reduce chronic absenteeism and introduce summertime food programs. He currently consults, coaches and trains in the nonprofit sector, both in person and online across the US, Canada and UK and hosts the Nonprofit Problem Solver podcast.