Executive Staff
 Carla Acre Sivek, MSW
Deputy Network Director
Appointed July 2009
Sivek oversees operational aspects of VISN 4, including finance, logistics and capital assets.
 Dr. David S. Macpherson, MPH
Chief Medical Officer
Appointed June 2007
Macpherson oversees all clinical programs in the inpatient and outpatient settings along with research and education activities in VISN 4.
 James F. Baker
Chief Financial Officer
Appointed December 2009
Baker directs all financial management activities within VISN 4 to ensure compliance with departmental and Veterans Health Administration financial policies.
 Barbara Forsha, MSN, RN, ET
Quality Management Officer
Appointed February 2008
Forsha oversees operations for VISN 4’s quality management programs, which include performance measurement, internal and external accreditation, utilization management and Veteran satisfaction.
 David E. Cowgill
Public and Community Relations Manager
Appointed January 2007
Cowgill directs all media, communications and outreach initiatives as well as all stakeholder and congressional relations for VISN 4.
 Kimberly Butler, MPH
Executive Assistant
Appointed September 2012
Butler plans and facilitates projects, reports and initiatives for the network office as well as provides oversight and advice for administrative and logistical activities in VISN 4.
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