Karey is the president of Quilts, Inc., director of International Quilt Market, International Quilt Festival, Patchwork & Quilt Expo, and Embellishment(r). Karey's business acumen, enthusiasm for quilting, and perserverance helped her create and foster the quilting industry. She has been the driving force in fostering the growth of quilting in Europe, having started Expo there in 1988. Karey is a fifth-generation Texas quilter and an acknowledged expert on quilt dating. She has served as a quilt appraiser and quilt contest judge. A personal quilt collection that includes family quilts, rare antique quilts, art quilts, and quilts made especially for her, testifies to Karey's love for this art form.