VA Sierra Nevada Health Care System
Ms. Lisa Howard was appointed as the Director, VA Sierra Nevada Health Care System (VASNHCS), Reno, Nevada, in June 2015.
Lisa is the chief executive officer, responsible for leading an integrated system providing health care across a large geographical area that includes 20 counties in northern Nevada and northeastern California. Approximately 108,000 veterans reside in the region, with Reno representing the largest urban area. The Reno campus is the site of the Ioannis A. Lougaris VA Medical Center, which operates 64 hospital beds and 60 Community Living Center beds. VASNHCS provides care to over 34,000 Veterans.
VASNHCS has an operating budget of more than $250m and employs over 1500 employees. It provides a broad array of inpatient care and outpatient services in medicine, surgery, neurology, mental health, pharmacy, interventional cardiology and radiology, geriatrics, alcohol/drug treatment, ophthalmology, audiology/speech pathology, dental care, and home care. Specialty care not available within VASNHCS is supported through a variety of means, including referrals to community hospitals and VA Medical Centers (VAMC) in San Francisco and Palo Alto, CA. Access to outpatient primary and mental healthcare is also available through community clinics: VA Sierra Foothills Outpatient Clinic (Auburn, CA), VA Carson Valley Outpatient Clinic (Minden, NV),VA Lahontan Valley Outpatient Clinic (Fallon, NV), VA Diamond View Outpatient Clinic (Susanville, CA), and the VA Rural Outreach Clinic (Winnemucca, NV). The major academic affiliations are the University of Nevada, Reno School of Medicine, and the East Bay Surgical Program at the University of California, San Francisco. The Research program has 36 active projects in neurology, oncology, surgery, cardiology, pulmonary medicine, and pharmacy.
She has served Veterans for 30 years in a broad range of positions in Phoenix, New Orleans, San Diego, North Chicago, Las Vegas, VISN 21 Network Office and Reno.
Jack Smith was appointed as Associate Director for VA Sierra Nevada Health Care System (SNHCS) in June, 2016. Prior to this time, Mr. Smith served as the Facility Chief Information Officer at SNHCS since 2010.
Prior to working for the VA, Mr. Smith served as an officer in the U.S. Coast Guard for 31 years.
During his military service, Mr. Smith had several command assignments both afloat and ashore. He also served in a variety of other assignments of increasing responsibility as his career progressed.
Mr. Smith is a graduate of the U. S. Coast Guard Academy earning a Bachelor’s Degree in Mathematics. Mr. Smith earned a Master’s Degree in Computer Systems Management from Stanford University and has completed the 10-month U.S. Department of State’s executive leadership program, The Senior Seminar. Mr. Smith is a member of the American College of Healthcare Executives.
Chief of Staff
Amy Sanguinetti serves as the Deputy Chief of Staff at the VA Sierra Nevada Health Care System. She grew up in the central valley of California and moved to Reno during high school. She attended the University of Nevada, Reno for her undergraduate studies in health science and continued her education pursuing a doctoral degree in biochemistry. She completed her doctoral training under the training of Cynthia Mastick, PhD focusing on oxidative stress cellular signaling pathways related to diabetes. After earning her PhD in biochemistry, she completed a one year postdoctoral fellowship in electrophysiology studying calcium activated chloride channels in the laboratory of Normand Leblanc, PhD. She has had the privilege of publishing in multiple peer reviewed journals in the areas of protein biochemistry, cellular signaling and electrophysiology as well as attended and presented at multiple scientific meetings. Despite her love of science and discovery she felt a continued draw toward serving people directly as a physician. She was accepted into medical school at the University of Nevada School of Medicine graduating in 2008 and completed residency training in Internal Medicine in Reno, Nevada. Following residency she joined the VA Sierra Nevada Health Care System as a primary care provider.
Her passion for optimization and transformation peaked her interest in administrative processes and this led to an opportunity to serve as the Deputy Associate Chief of Staff for Ambulatory Care and then later as Associate Chief of Staff for Ambulatory Care. In June of 2017 she joined the executive leadership team as the Deputy Chief of Staff. Dr. Sanguinetti has been recognized by Director Lisa Howard as well as by the Network Director for VISN 21 for her efforts in improvement in various facility processes and policy. In her role as the Deputy Chief of Staff she is excited to mentor and empower others toward reaching excellence in serving our Nation’s veterans.
Associate Chief of Staff
Born in Las Vegas, Dr. Robert "Bob" Kimmel's family moved to northern Nevada when he was three years old. A graduate of Reno High School (Go Huskies!), and the University of Utah, Bob studied medicine at the University of Nevada, Reno School of Medicine. He then did his residency in family medicine at the University of Wisconsin. After completing his residency, he opened a private family medicine practice in Dayton, Nevada where he served his patients for over eleven years. Dr. Kimmel came to the Reno VA Medical Center in 2008 as a Primary Care Provider in Ambulatory Care. He later became Chief of Ambulatory Care but continued to also provide direct care to Veterans as that is his love of medicine. In March 2019, Dr. Kimmel was named Associate Chief of Staff for Community Care, a new service department fully focused on rolling out and administering the VA Mission Act, enacted into law on June 6, 2019. We are pleased that Dr. Kimmel is serving as our Deputy Chief of Staff. Dr. Kimmel and his wife, Deb, live with their three rescue pups. Bob enjoys running and mountain biking throughout northern Nevada especially with the dogs beside him. Dr. Kimmel considers VA his home and loves serving Veterans. Working at VA has allowed him to focus on being a doctor and practicing a higher quality of care for our heroes.
Director of Patient Care Services/Nurse Executive
Ms. Maisha Moore was appointed as the Deputy Associate Director of Patient Care Services/Nurse Executive as of November 2016. She is currently acting as the Associate Director of Patient Care Services/Nurse Executive. Ms. Moore is originally from Alabama and graduated from the University of Alabama at Birmingham with her Bachelor of Science in Nursing 2004. Ms. Moore completed a Master’s degree in Nursing from the University of Alabama in 2012. Prior to her current appointment as the Deputy ADPCS/NE she has served Veterans in a various capacities as a critical care nurse in the Emergency Department and Intensive Care Units in addition to supervisory roles in inpatient and outpatient care at the Birmingham VA Medical Center and the Tuscaloosa VA Medical Center. Ms. Moore is a certified Clinical Nurse Leader, a VHA certified mentor, and member of the American Nurses Association. She previously maintained a Critical Care Nurse Certification, induction into Sigma Theta Tau, and member of the American Association of Critical Care Nurses. Ms. Moore enjoys spending time with family and friends, reading, and traveling.
Associate Director of Patient Care Services/Nurse Executive
At just nine years old, Mrs. Beverly Johnson, MHA, BSN, RN, knew she wanted to be a nurse. Three days after graduating from the University of North Dakota, she packed her car and moved to Sacramento, CA. Beverly quickly landed a position as an Obstetrics Nurse serving high-risk patients. Within a few years, she was one of the first nurses to serve in the 1980s as a telehealth nurse from Sacramento for women who were at high-risk of going into early labor. Mrs. Johnson transitioned into home infusion care in the community and was soon recruited by Kaiser Permanente Health System to create and implement their first Hospital-Based Home Infusion and PICC Program for multiple therapies. Promoted as Administrative Service Director in 2004 for the Kaiser South Sacramento Medical Center, Beverly led nursing administration services, participated in the opening of a new trauma service, and implemented the Electronic Medical Record System (EMR), the alpha site for Kaiser. She was recruited to the Regional EMR Quality Lead position & oversaw EMR implementation for 21 hospitals in Northern California; focusing on quality, patient safety, & HRO training & metrics. In 2010, Beverly moved to Reno and, because her Veteran husband loved his VA care, in 2017, she joined the VA. In January 2020, Beverly joined the Leadership Team at the Reno VA. Her experience and knowledge are a tremendous asset to our Veterans patients and she is excited to serve our nation's heroes..