Application of the Texas Enterprise Risk Management Guidelines

Lisette Osborne
Occupational Health Nurse and Program Director, TX Health and Human Services Commission
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On this week’s podcast, Lisette Osborne discusses the application of an occupational health program merging within the risk management arena.

As a public health nurse for over 30 years, Lisette has ventured into the occupational health world; defining what occupational health is to a variety of individuals.

Occupational health primarily focuses on prevention of workplace-related illness and injury, which includes education, training and bringing awareness to employees on personal prevention strategies.

Key considerations of designing a program:

- What is the benefit of the agency?
- What is the value added?
- Why does this risk management exist?
- How will it function?
- What is the importance of evaluating the program?
- Who do you need to convince or sell the program to stakeholders?

*The views and opinions expressed in the Public Risk Management Association (PRIMA) blogs/podcasts are those of each respective author/speaker. The views and opinions do not necessarily reflect the official policy or position of PRIMA.*

Lisette Osborne
Occupational Health Nurse and Program Director, TX Health and Human Services Commission

Summary of Qualifications

Lisette is a public health and nursing executive with over 28 years of public health administration/program management experience. After serving over eight years as the manager of the Preparedness Branch in the Center for Health Emergency Preparedness and Response of the TX Department of State Health Services, she joined the Texas Health and Human Services Commission as the occupational health nurse director within emergency and risk management in April 2021. In this role she is the clinical lead conducting assessments of COVID work exposures as well as crafting an occupational health program for the agency. Her role was recently expanded to include serving as the senior advisor for the System Support Services division of the agency.


Lisette serves as the occupational health nurse and program director for TX Health and Human Services, and legislative coordinator and senior advisor for the System Support Services. Responsibilities include conducting and facilitating legislative bill analysis and cost estimates, working closely with human resources, the office of chief counsel, local and regional business services, and others on occupational health-related issues, evaluating reports of occupational health-related injury/accidents and illnesses, providing consultation on FMLA, reasonable accommodation requests, and worker' compensation claims, conducting statistical analysis, and developing relevant policy and procedure.

Business Experience

  • Public health nursing and program management
  • Contracts and procurement
  • Emergency preparedness and response
  • Adjunct nursing professor
  • Public speaking
  • Past president TX Public Health Association, (National) Association of Public Health Nurses
  • Site visitor for the Public Health Accreditation Board

Professional Affiliations

  • TX Public Health Association
  • PRIMA (TX HHSC roster)


  • BS Nursing, University of Texas Health Science Center, San Antonio, TX 1986
  • MS Nursing, Major: Neonatology, Minor: Education, University of Texas Health Science Center, San Antonio, TX 1991
  • Executive Certificate, Public Administration, Liberty University, Lynchburg, VA 2021

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