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Miami VA Healthcare System

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Leadership Team

Portrait of David J. VanMeter, FACHE

David J. VanMeter, FACHE | 305-575-7000, ext. 3124

Acting Director

Mr. David VanMeter was appointed Acting Director of the Miami VA Healthcare System in October 2018.

He was appointed Deputy Director of James A. Haley Veterans’ Hospital and Clinics in January of 2016 after serving as the Associate Director since March 2013. Prior to his transfer to Tampa, Mr. VanMeter served as the Assistant Director of the Harry S. Truman Memorial Veterans’ Hospital in Columbia, Missouri. He has served VA in various capacities of increasing supervisory and fiscal responsibility for fourteen years and his experience spans diverse operations and services.

Mr. VanMeter is a fellow in the American College of Healthcare Executives and a graduate of the LVA Class of 2016, Executive Career Field Development Program, VHA New Executive Training Program, Health Care Leadership Institute and GHATP Health Systems Management Program. He was recognized for his dedication, response, and recovery efforts from Hurricane Katrina by the Department of Veterans Affairs and South Central VA Health Care Network in 2006. He is the recipient of the 2012 ACHE Federal Sector Award for Federal Excellence in Healthcare Management for Early-Career Healthcare Executives.


Portrait of Loyman R. Marin

Loyman R. Marin | 305-575-7000 ext 3203

Associate Director

Mr. Marin joined the Miami VA Healthcare system in 2005 and was appointed to the position of Associate Director of the Miami VA Healthcare System effective December 10, 2017.

Prior to this appointment, he served as Acting, Associate Director/Assistant Director and worked collaboratively with leadership and key staff to accomplish operational goals. He served as the chief of Human Resources at the Miami VA Healthcare System from 2012 to 2017 and elevated the quality and customer focus of the HR department.

Prior to joining VA, Mr. Marin served in the United States Marine Corps from 2001 to 2005. Mr. Marin is an authentic leader that actively encourages creative thinking, collaboration, and accountability in his leadership.

Mr. Marin obtained an MBA from Nova South Eastern University in 2008, completed a leadership program at Nova South Eastern University in 2014, attended the Authentic Leadership Executive training program at the Harvard Business School in 2016 and is currently attending The Harvard Business School (HBS) Executive Education, Managing Health Care Delivery Program, 2017-2018 class. He is passionate about serving our Veterans and is committed to the ICARE values (Integrity, Commitment, Advocacy, Respect & Excellence) to deliver world-class, customer-focused, Veteran-centered patient care.


Portrait of Vincent DeGennaro, M.D.

Vincent DeGennaro, M.D. | 305-575-7000, ext. 3157

Chief of Staff

Dr. DeGennaro has helped make our community a better place in which to live, a safer place to grow and prosper. A gifted surgeon who possesses impeccable credentials and in an era of ever changing medical guidelines and procedures maintains a keen understanding of and a strong devotion to his profession.

A native of New Jersey, Dr. DeGennaro has been involved in the Miami-Fort Lauderdale community since 1987. He served on the Board of Directors of Leadership Broward Foundation, as Vice-Chair and Chairman of Youth Leadership Broward, and as a founding member of the Creative Arts Unit of the Boys and Girls Club. He has given his time to Habitat for Humanity and the Salvation Army Homeless Clinic.

Dr. DeGennaro is among the most respected surgeons in the community. He has been an integral part of the medical leadership at Holy Cross Hospital serving as Medical Staff President and on its Board of Trustees and has been President of the Broward County Medical Association and Chairman of its Board of Trustees.

Currently Dr. DeGennaro is Chairman of the Council on Education and Science of the Florida Medical Association as serves on its Board of Governors and as President Elect. He is a Voluntary Clinical Assistant Professor of Surgery at the University of Miami School Of Medicine and serves our Veterans as Assistant Chief of Surgical Services at the VA Medical Center in Miami.

He is an active volunteer and on the Board of Directors of Project Medishare for Haiti, traveling to Haiti on multiple occasions delivering medical and surgical care to the people of the impoverished rural central plateau and in Port Au Prince.

His activities have earned him the FMA's Harold F. Stasser Good Samaritan Award, the Humanitarian Award of the Caducean Society of Fort Lauderdale and the University of Miami Department of Surgery Humanitarian Award.


Portrait of Marcia Lysaght, RN, MSN

Marcia Lysaght, RN, MSN | 305-575-7000, ext. 4224

Associate Director, Patient Care Services

Mrs. Lysaght joined the VA system in 2003 and was appointed the Associate Director for Patient Care Services at the Miami VA Healthcare System on April 12, 2010. Prior to assuming this position, Mrs. Lysaght served as the Director of Case Management & Utilization Management at the Culinary Health Fund and Director of Quality for the Health Services Coalition in Las Vegas which included 23 health plans encompassing 350 thousand lives. In addition, she previously held academic and leadership/administrative positions at the Loma Linda VAMC, Victor Valley California College, St. Jude California Medical Center, Santa Ana Western Medical Center, and the Desert Valley Hospital in California.

Mrs. Lysaght is Board Certified in Executive Nursing Practice and has an extensive background in case management, as an educator, quality management specialist, and administrator. She received her Bachelor’s in Science from the California State University – Fullerton (CSUF); a Master’s in Science in Nursing from the University of California, Los Angeles (UCLA); and a Doctorate in Nursing Practice in Executive Health System Leadership from the University of San Francisco.
Mrs. Lysaght was born in Trinidad and enjoys cultural festivities and loves to travel. She manages to effectively balance a successful and demanding nursing leadership position with work and family life. She is a wife, mother and grandmother.


Portrait of Raquel Bulford-Frazier, MS, RD, LDN, FHC

Raquel Bulford-Frazier, MS, RD, LDN, FHC | 305-575-7000, ext. 3358

Assistant Director

Ms. Bulford-Frazier has 22 years of Healthcare Management Experience and joined VA in 2010 where she was appointed Assistant Director of the Miami VA Healthcare System effective June 2018. Prior to this appointment she served as the Chief of Nutrition and Food Services both at the Miami VA and as part of an integrated system with the West Palm Beach VAMC.

She was selected for the 2015 “Federal Manager of the Year” Award by the South Florida Federal Executive Board. She is a 2015 VHA Health Care Leadership Development Program graduate, 2014 America College of Healthcare Executive Executive Leadership program graduate, 2012 VISN 8 Competency Development Leadership Program graduate.

She has held detailed positions in VISN 8 and VISN 16 as: Acting Medical Center Associate Director, Acting Medical Center Assistant Director, Patient Safety Health System Specialist and Acting Chief, Environmental Services. She is a certified VHA Mentor at the fellow level, Advisory Board Member for both the Keiser BS and MS Nutrition and Dietetics Programs, an active member of the VISN 8 Patient Centered Care – Veteran Experience Council, Chair of the Miami VA Veteran Experience Committee and serves on the VHA NFS Performance Standard Board for Dietitians.

She currently sits on the South Florida Federal Executive Board’s HR Diversity Council that coordinates the Federal interagency High Performance Leadership Program, The Federal Friends and Family Picnic and the Federal Executive Board QUAD Conference. She is a certified Presidential Fellow Assessor for the Office of Personnel Management and the past Charter President of the local South Florida Young Government Leaders Chapter.

Ms. Bulford-Frazier is a graduate from Southern Illinois University in Carbondale, Illinois, where she obtained her undergraduate and Master’s Degree in Food and Nutrition. She also has a Culinary Degree from the Le Cordon Bleu in Chicago, Illinois.