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VA Healthcare-VISN 4


Leadership Team

Portrait of Carla Sivek

Carla Sivek | 412-822-3316

Interim Network Director

Carla Sivek was appointed interim Network Director for VISN 4 on December 14, 2014. Previously, she was Deputy Network Director for VISN 4 since July 2009. During that period, Ms. Sivek also served as interim director of the Erie VAMC in northwestern Pennsylvania from June through September of 2014 and as interim director of the James E. Van Zandt VA Medical Center in Altoona, PA in the autumn of 2011.

As Deputy Network Director for VISN 4, she oversaw the operational aspects of the health care system, including finance, capital assets, logistics, human resources, strategic planning, and emergency management.

She previously worked in variety of roles at the VA Pittsburgh Healthcare System including business manager for the patient care service line, facility planner, and assistant to the director.

Portrait of Joseph J Delanko

Joseph J Delanko | 412-822-3316

Acting Deputy Network Director

Joe Delanko currently oversees operational aspects of VISN 4, including finance, logistics and capital assets.

Portrait of David S. Macpherson

David S. Macpherson | 412-822-3309

Chief Medical Officer

Dr. Macpherson oversees all clinical programs in the inpatient and outpatient settings along with research and education activities in VISN 4.

Portrait of James F Baker

James F Baker | 412-822-3322

Chief Financial Officer

James Baker directs all financial management activities within VISN 4 to ensure compliance with departmental and Veterans Health Administration financial policies.

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 Veronica L. Gamble

Veronica L. Gamble | 412-822-3316

Acting Executive Assistant

Veronica Gamble 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.