Fay has more than two decades of experience in healthcare risk management. A lawyer, she has served as a consultant in Australia, Canada and throughout the United States. She has provided consulting services to trade associations, government, hospital, long term care, home health, and physician practices on a range of topics.

Fay is renowned as an educator in healthcare risk management and patient safety. She pioneered "live to air" risk management education in Canada, first by satellite radio uplink to remote nursing outposts in Newfoundland and Labrador and then on television throughout Atlantic Canada.

She is a former faculty member in the Department of Legal Medicine at Virginia Commonwealth University Medical College. Currently, Fay teaches in the Barton Certificate Program in Healthcare Risk Management. On an annual basis Fay offers dozens of educational programs on specific topics in risk management and patient safety.

A prolific writer, Fay has published more than 500 articles on subjects in health law, risk management, patient safety, and medical ethics. With more than 18 books to her credit as an author, co-author or editor, Fay is known as the authority on consent to treatment. Her treatise on the subject has been cited by the highest courts in several states and the U.S. Supreme Court. A past president of the American Society for Healthcare Risk Management, Fay received the highest honor bestowed by the Society, the Distinguished Service Award.

In her spare time, Fay is an active member of the Greater Hartford Providence College Alumni Association, and an avid sportswoman. She enjoys cooking, golfing, biking, and spending time with her family, friends and dogs.