·        Review, assessment and development of a standardized hospital costing methodology in the Eastern Caribbean (PAHO)

·        Development, pilot and training in the use  of a hospital costing Model software (HCM) General Hospital, Grenada, QEH Barbados (PAHO).

·       Queen Elizabeth Hospital Costing study and development of a revised fee schedule, Barbados, 2004 (PAHO).

·       Development of baseline unit costs of surgical interventions at the QEH, Barbados (PAHO).

·       Dialysis in Barbados: the cost of haemodialysis provision at the Queen Elizabeth Hospital.

·        Development and Review of efficiency (performance) indicators and monitoring approached for improved TQM   - Caribbean Benchmarks 2006-2008 (AIDInc)

·       Pre-programme development Technical Assistance to the Government of Anguilla – Economic consultancy on the costing of Hospital services, Anguilla, 2003 (PAHO/DFID).

·       The economic costs of managing diabetes mellitus in Barbados. (Technical supervision of  research paper)

·       Economic concept paper - Considerations of National Health Insurance in  small Caribbean Island (PAHO)

·        National Health Insurance Assessment in Anguilla, 2003 (PAHO/DFID).

·        The Development of an Appropriate and Equitable User Fee structure for the Anguilla Health Authority, 2003 (PAHO/DFID).