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Lexington VA Medical Center


Leadership Team

Portrait of Emma Metcalf, MSN, RN

Emma Metcalf, MSN, RN | 859-281-4901

Medical Center Director

Appointed in July 2013, Ms. Metcalf is the Director of the Lexington VA Medical Center, a dual division with four community-based outpatient clinics. She is responsible for the day-to-day operations of the medical center as well as its overall clinical performance. She provides executive leadership, budgetary and operations oversight, and collaborates with other VISN 9 Medical Center Directors in the formulation of budget, policy, and strategic business planning at the Network level.

Her progressive VA career includes positions as Director of the VA Illiana Health Care System; Chief Operating Officer, Alvin C. York Campus of the VA Tennessee Valley Healthcare System; Chief, Strategic Management Service, VAMC in Louisville, Kentucky where she also held the position of Administrative Officer for Associate Director of Operations; and Compliance Officer at the Central Arkansas Veterans Healthcare System. She is a strong advocate for Veterans with the belief that the best way to care for Veterans is to ensure they are at the center of everything that we do.

Ms. Metcalf received her Master’s Degree in Nursing in 1985 from Bellarmine College in Louisville, Kentucky. She received her Associate Degree in Nursing from Jefferson Community College in 1981 and a Baccalaureate of Science in Community Health from the University of Kentucky in 1979. Ms. Metcalf is a Certified Case Manager in the Case Management Society of America and a Certified Professional in Healthcare Quality. She is a graduate of Leadership VA (2000); the Executive Career Development Program (2002); Senior Executive Service Candidate Development Program (2009); and is a Certified VHA Fellow Mentor (2010). She is also a member of the College of Health Care Executives.

Portrait of Patricia Breeden, MD

Patricia Breeden, MD | 859-233-4511

Chief of Staff

Patricia Breeden, M.D. was appointed Chief of Staff at the Lexington VA Medical Center in September 2013. In this role, she serves as the conduit between the clinical and administrative staffs. Dr. Breeden works closely with the Medical Center Director, Associate Director, and Associate Director for Patient Care Services in the strategic planning and developing of programs to meet the needs of veterans and with clinical staff in developing policy and procedures to implement the programs.

Dr. Breeden is spearheading a patient centric environment that is data-driven, results-based, and emphasizes patient safety, customer comfort, and satisfaction. She chairs the Clinical Executive Council and the Executive Committee of the Medical Staff, and has charged all medical center staff with becoming forward thinking and stronger patient advocates. She is working diligently to instill this concept at all levels and in every aspect of healthcare. Dr. Breeden oversees the credentialing and privileging of medical staff; monitors quality improvement programs including chairmanship of the Quality Peer Review Committee; and facilitates the coordination of clinical, education and research programs. Additionally, Dr. Breeden represents the medical center on the University’s Medical Executive Committee, which meets to discuss and coordinate teaching activities.

As Chief of Staff, she works collaboratively with the Dean at the University of Kentucky and other university faculty to deliver seamless health care and to also provide training and education to medical students and residents.

Prior to her appointment, Dr. Breeden served as the Director, Emergency Department at the Lexington VA Medical Center.

Portrait of James Belmont

James Belmont | 859-233-4511x4901

Associate Director

Mr. Belmont was appointed Associate Director in August 2013. In this role he acts as a full deputy of the Medical Center Director. He has direct responsibility for Police, Fiscal, Logistics, Environmental Management, Human Resources, Health Administration, Canteen, Nutrition and Food, and Engineering. He also supervises the Privacy Officer and the Patient Advocates. Prior to this appointment, Mr. Belmont has served as the Associate Director at the Northern Arizona VA Health Care System (NAVAHCS), Prescott, Arizona since May, 2011. Mr. Belmont held overall responsibility for medical center operations while supporting administrative service lines, 900 employees and an operating budget of over $166 million, as well as responsibility for operational and strategic planning for medical center operations.

During Mr. Belmont’s employment at the Fayetteville, NC VA Medical Center, he filled roles as: Staff Assistant/Facility Planner/Public Affairs Officer; Chief, Engineering Service; Assistant Chief, Engineering Service; Chief, Biomedical Engineering.

Mr. Belmont has a Master’s Degree in Business (Health Care Management), a Bachelor’s Degree in Health Care Administration and is a graduate of VA Management Development and the Health Care Leadership Institute as an Executive Career Field candidate. He is a member of the American College of Healthcare Executives, credentialed member of the American Academy of Medical Administrators, Fellow, American College of Health Care Executives. He is also a Carey Award Examiner.

Portrait of Mary Kelly McCullough, MSN, RN, NE-BC, V

Mary Kelly McCullough, MSN, RN, NE-BC, V | 859-233-4511 ext. 4229

Associate Director Patient Care Services

Ms. McCullough was appointed as the Associate Director for Patient Care Services March 9, 2014. She works closely with the Medical Center Director, Associate Director and Chief of Staff in planning and implementing medical center policies and programs. Ms. McCullough provides leadership for both clinical and administrative departments in development of programs to meet the needs of the veteran population. Her responsibilities are serving as Nurse Executive with administrative oversight of Nursing Service, Social Work Service, Recreation Therapy, Ward Administration, Chaplain Service, Sterile Processing Service and Voluntary Service.

Ms. McCullough has her Master’s Degree in Nursing and Health Care Administration. Prior to this appointment, Ms. McCullough served as the Chief Nurse for Medicine and Acute Care for Tennessee Valley Healthcare System (TVHS) at the Nashville Campus. Ms. McCullough graduated from Middle Tennessee State University with an Associate’s Degree in Nursing in 1990. She began her career with the VA in 1990 as a staff nurse on a medical telemetry unit at TVHS. Ms. McCullough received the NNEI Scholarship in 2000 and completed her BSN and MSN in 2005. She is a graduate of the VA Leadership Institute, the Federal Executive Institute and is a Certified VHA Fellow Mentor. She served as a Healthcare Examiner for the Tennessee Center for Performance Excellence (TNCPE) in 2013. TNCPE is the state award for Baldridge. Ms. McCullough has clinical experience in Medicine, Surgery, Telemetry, Critical Care, Chemotherapy and Palliative Care. She has administrative experience as an off tour Nursing Supervisor, Nurse Manager in Oncology, Rehabilitative and Palliative Care, Nurse Manager of Surgical Intensive Care and Chief Nurse of Medicine and Acute Care. Ms. McCullough also has a certification in Nursing Administration (NE-BC).