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X4 Health is a woman-owned small business dedicated to accelerating better health, better care, lower costs and better experiences for patients, families and health professionals.

Christine Bechtel
President & Chief Strategist
Jennifer Sweeney 
Chief Improvement Catalyst 

Christine Bechtel has spent her career shaping both public policies and on-the-ground practices that result in better health and care. She is a well-known consumer advocate and health care expert, having served in organizations like the National Partnership for Women & Families and AARP.


Christine is a skilled leader and strategist with experience developing and overseeing multi-faceted projects, managing initiatives funded by the nation's largest philanthropies, leading broad-based coalitions on issues like health IT, serving on multi-stakeholder boards and bodies, and developing innovative, real-world solutions for health care challenges. 


She has designed and managed community-based quality improvement initiatives, led membership and government relations for national organizations, built effective teams, led successful strategic and operational planning, managed operations, and conducted public opinion polling, in addition to her legislative experience in the U.S. Senate.  

Christine is a subject matter expert on issues ranging from health IT and quality improvement, to patient and family engagement and performance management. She co-chairs both the Shared Principles of Primary Care Steering Committee and the Patients, Families and Consumers Center at the non-profit Patient Centered Primary Care Collaborative (PCPCC). 

Jennifer Sweeney, M.A., ACC, harnesses her passion for catalyzing change to help both health care organizations and individual health care leaders enhance existing strengths and improve 

organizational effectiveness and leadership capacity. Jennifer possesses a deep knowledge of health care delivery system models, performance measurement and

public reporting, patient- and family-centered care and engagement, governance processes and quality improvement strategies.

She is skilled in strategic planning, program design and management, coalition- and networking-buildingchange management, team-building, and curriculum design and development.

Jennifer serves on the Virginia Hospital Centers Patient and Family Advisory Council, the American College of Physicians’ Advisory Board for Patient Partnership in Healthcare and sat on the Joint Commissions Patient and Family Advisory Board for more than six years.


She is a frequent speaker on health care issues, with a particular focus on consumer stakeholder engagement strategies, and

has collaborated with others to publish a variety of articles focused on patient and family engagement and patient- and family-centered care.

Jennifer holds degrees from Union College and the George Washington University.  She is a trained Crucial Conversations facilitator and an ICF-certified Leadership Coach.  Jennifer has also trained with the Health Literacy Institute and has a user design certification from the Darden School of Business at the University of Virginia.