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VA Healthcare-VISN 4


Leadership Team

Portrait of Michael D. Adelman, MD

Michael D. Adelman, MD | 412-822-3314

Network Director

Dr. Michael Adelman began his appointment as the VISN 4 director on January 10, 2016.

Dr. Adelman joined VA as a primary care internist in October 1998 and has held progressive leadership positions throughout VISN 4. Most recently, he served as the director at the Wilkes-Barre VA Medical Center. Prior to that appointment, he served consecutively as the chief of staff and director at the Erie VA Medical Center. He has also served as acting chief medical officer of the entire VISN for nearly a year as well as interim director of the Philadelphia VA.

Dr. Adelman holds a bachelor's degree from Allegheny College and attended medical school at the University of Pittsburgh. He is a member of the American Association for Physician Leadership and the American College of Physician Executives. He has also worked in the private health care sector and served as a commissioned officer in the United States Public Health Service, assigned to the Indian Health Service.

Portrait of Carla Sivek

Carla Sivek | 412-822-3314

Deputy Network Director

Carla Sivek oversees operational aspects of VISN 4, including finance, logistics and capital assets.

Portrait of Moira M. Hughes, FACHE

Moira M. Hughes, FACHE | 412-822-3294

Quality Management Officer

Moira Hughes oversees operations for VISN 4's quality management programs, which include performance measurement, internal and external accreditation, utilization management and Veteran satisfaction.

Portrait of David E. Cowgill

David E. Cowgill | 412-822-3318

Communications Manager

Dave Cowgill directs all media, communications and outreach initiatives as well as all stakeholder and congressional relations for VISN 4.

Portrait of Kimberly M. Butler, MPH

Kimberly M. Butler, MPH | 412-822-3316

Executive Assistant

Kimberly 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.