Who We Are: VISN 20 includes eight (8) Health Care Systems, with five (5) inpatient medical centers, forty-seven (47) Community Based Outpatient clinics, six (6) Domiciliary Programs, and six (6) Community Living Centers managing over 471,450 unique patients with a Veteran Population of 1 million, a budget of over $5.4 billion, and approximately 17,000 employees. Mission: Honor America’s veterans by providing exceptional care that improves their health & well-being. Vision: To be a patient-centered integrated health care organization for Veterans providing excellent health care, research and education; and organization where people choose to work; an active community partner; and a back-up for National emergencies. Core Values: The Department of Veterans Affairs (VA’s) Core Values and Characteristics apply across the entire VA system.
1601 E 4th Plain Blvd
Who We Are: VISN 20 includes eight (8) Health Care Systems, with five (5) inpatient medical centers, forty-seven (47) Community Based Outpatient clinics, six (6) Domiciliary Programs, and six (6) Community Living Centers managing over 471,450 unique patients with a Veteran Population of 1 million, a budget of over $5.4 billion, and approximately 17,000 employees. Mission: Honor America’s veterans by providing exceptional care that improves their health & well-being. Vision: To be a patient-centered integrated health care organization for Veterans providing excellent health care, research and education; and organization where people choose to work; an active community partner; and a back-up for National emergencies. Core Values: The Department of Veterans Affairs (VA’s) Core Values and Characteristics apply across the entire VA system.
1601 E 4th Plain Blvd
| Facility Name | State | Status Code | Additional Info |
|---|---|---|---|
| Fairbanks VA Clinic | Alaska | NOTICE | Our Fairbanks clinic has no water and will not be open until Thursday, February 8. The team is working to change appointments to phone or video. |
| Lacey Vet Center Outstation | Washington | LIMITED | We're currently open for limited in-person service. For individual and group counseling, we recommend using our telehealth services. If you need to speak with someone confidentially, please call us anytime 24/7 at 877-927-8387. |
| Lewiston VA Clinic | Idaho | NOTICE | Effective April 3, face masks are currently optional when entering any building. If you are ill, please wear a mask. If you would like to staff member to wear a mask, please ask. |
| Morrow County VA Clinic | Oregon | LIMITED | The clinic is open 8 a.m. - 4:30 p.m. Tuesdays for appointments. Clinic staff are available Monday as well as Wednesday through Friday for telephone and VA Video Connect services. |
| Spokane VA Mobile Clinic | Washington | CLOSED | This facility is closed. Please visit one of our other system locations to support your health care needs. |
| Wallowa County VA Clinic | Oregon | NOTICE | This clinic is open for Veteran appointments on Tuesdays and Wednesdays from 8 a.m. to 4:30 p.m. Veterans can connect the clinic Monday as well as Thursday-Friday via phone and via VA video connect during business hours. |
Find a VISN 20 Medical Center or Clinic near you. Click on the location below to learn more about each healthcare system, including its outpatient clinics.
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The VISN 20 Chief Veteran Experience Officer is responsible for overseeing the Veteran Experience and Patient Advocacy Programs and is committed to High Reliability Organization (HRO) and the VA Core Values (I CARE). The VISN 20 Chief Veteran Experience Officer is a servant leader, with emphasis on improving the Veteran Experience, advocating for Veterans and their families, understanding the voice of the Veteran by reviewing qualitative data, and delivering exceptional customer service and experiences.
Katina CollinsWe are available to assist media in answering questions about our health care systems, locating an expert or obtaining more information about the Department of Veterans Affairs.
Teresa D. Boyd, D.O., is the Network Director for the Veterans Integrated Service Network (VISN) 20, the VA Northwest Health Network. VISN 20 includes the states of Alaska, Washington, Oregon, most of Idaho, and one county each in Montana and California. The 135 counties, in VISN 20, cover 817,417 square miles, approximately 23% of the United States land mass, making it the largest VISN geographically. Approximately 463,500 enrolled Veterans reside in VISN 20, with 39% in rural or highly rural areas. In the past 3 years, VISN 20 provided services to approximately 328,000 unique patients. VISN 20 is also home to 273 federally recognized American Indian/Alaskan Native tribes, 229 of which reside in Alaska. The VISN 20 medical centers currently operate 1,052 inpatient beds for acute medical and surgical, mental health, nursing home, and rehabilitative care. In fiscal year 2023, VISN 20 facilities recorded 2,591,561 outpatient visits, an 8% increase from FY22. Dr. Boyd is a diplomat of the American Osteopathic Board of Family Physicians. She practiced emergency and family medicine in VA and the private sector. Her executive leadership roles include Deputy Chief of Staff San Antonio VA, Chief of Staff Boise VAMC, VISN 20 Chief Medical Officer, and Assistant Under Secretary for Health for Clinical Services/CMO. She has led a variety of national groups including Strategic Planning, Healthcare Operations, Quality Safety and Value Councils and serves on the national governance board. She was honored to lead the enterprise clinical response to COVID-19. Dr. Boyd is a member of a variety of society memberships, including American College of Healthcare Executives, American Osteopathic Association, Texas Osteopathic Medical Association, American College of Osteopathic Family Physicians and Mensa. Teresa is married to Jack Mynier and they have three adult children and are proud grandparents. Her hobbies are hiking, cooking, gardening, music, and photography.
Network Director
Tiel H. Keltner was appointed Deputy Network Director of VISN 20 effective October 23, 2022. She is responsible for overseeing the administration functions of VISN 20, a system of 8 medical centers and 31 clinics in a four state region. Prior to her appointment at VISN 20, Ms. Keltner worked at the VA’s Office of Healthcare Transformation, where she led multiple priority initiatives for the Department. She worked in VISN 20 from 2013-2018 as the Executive Assistant to the Chief Medical Officer. Previously Ms. Keltner was a Health System Specialist in VA Central Office for the VHA Principal Deputy Under Secretary for Health. Ms. Keltner is a graduate of the Healthcare Leadership Development Program, the VA/University of Chicago Fellowship in Clinical Medical Ethics, the Excellence in Government Fellowship, and holds FAC-P/PM and COR certifications. She began her VA career as a Presidential Management Fellow after receiving her Juris Doctorate with a focus on Health Law.
Deputy Network Director
Dr. Yee has been serving in an interim role as our CMO since June 2023. Prior to that, he served as Special Assistant to the Office of Patient Care Services in VA Central Office, Chief of Staff at the Central Alabama Veterans Health Care System and has provided senior leadership, program-level oversight, and technical expertise for multiple Medical Centers, Networks, and several areas in Central Office. He has been in public service for over 30 years, having held healthcare administrative positions at Federal, state, and county levels. Dr. Yee has extensive leadership experience in healthcare system operations including performance oversight of clinical programs, quality management, clinical and customer service-based systems, and statistical/functional assessments. He has also published articles, abstracts, books, and compilations on topics relevant to leadership, ambulatory care, resident physician performance, organizational planning, and performance improvement. Dr. Yee received his medical degree in 1987 at the Medical College of Virginia, and completed residency training under the University of California, San Francisco (UCSF). He was Associate Clinical Professor of Medicine at UCSF prior to joining VA. He is board certified in internal medicine and has received numerous teaching awards. He was inducted as Fellow of the American College of Physicians in 1998, recognized by the State of California in 2001 for contributions to their correctional healthcare system, recognized by VA in 2011 for improvements in disability assessments using Systems Redesign, and inducted as Fellow of the American College of Healthcare Executives in 2016. He received his second doctorate in Healthcare Administration at Central Michigan University in August 2021
Chief Medical Officer (CMO)
Terisa Sjue-Loring, MN, RN was appointed Chief Nursing Officer (CNO) of VISN 20 effective December 6, 2020. Prior to her appointment as the CNO she served in a dual role as the QMO/CNO since April 28, 2018. She is responsible for multiple key clinical services and programs including nursing, which have direct impact of healthcare operations at the VISN level. Serving a core member of the VISN senior executive leadership team she is involved in strategic planning, organizational assessment, and program development. Her experience includes acute care in the inpatient and outpatient setting as well as quality program oversight, direction, coordination and leadership in the private and public sector. Her career in VHA started at the Portland VA Healthcare Center over 18 years ago. Mrs. Sjue-Loring earned her associate degree of nursing in 2003 at Portland Community College in Portland, Oregon. In 2004, she received her bachelor degree of science in nursing at Oregon Health Science University and in 2014 she acquired her master degree of science in nursing with a focus on advanced population health at Washington State University.
Chief Nursing Officer (CNO)
Ms. Friend was appointed as the Deputy Quality Management Officer at VISN 20 April 2022. Prior to VISN 20, Ms. Friend held several critical positions at the Phoenix VA Health Care System, including Chief of Quality, Safety, and Improvement, Risk Manager, Patient Safety Manager, and Nurse Manager of Medical Oncology. She has over 26 consecutive years with the Department of Veterans Affairs in positions of progressive leadership experience. Jill is proud of her long-standing service with VHA and the privilege to serve our nations heroes.
Acting Quality Management Officer
Dr. David Greaves is a clinical psychologist who worked within the VA Portland Health Care System since he arrived as a psychology intern in 1990. From October 2018 until he joined the VISN in December 2022 he worked as the Clinical Director of Whole Health at the Portland VA. Prior to his time in Whole Health, he was the Chief of Psychology and Administrative Director of the Mental Health and Clinical Neurosciences Division at Portland. Dr. Greaves is also a Professor in the Department of Psychiatry in the School of Medicine at OHSU. Dr. Greaves has held several leadership roles throughout his career, including Director of Training for Psychology Service, long time chair of the Professional Advisory Group supporting the Chaplain CPE program, supervisor and program manager for such Mental Health programs as MHICM, PRRC, PCT, SATP, Neuropsychology and the Salem CBOC BHIP team. He has also chaired numerous committees at VAPORHCS and OHSU. His work has included support for VHA at the national level. He is the past Co-Chair of the National Psychology Professional Standards Board, former National Mentor for new mental health leaders, current Co-Chair for the VHA Office of Patient Centered Care and Cultural Transformation (OPCC & CT) National Flagship Community of Practice (CoP) meetings, and former Co-Chair of the VHA OPCC & CT Whole Health Clinical Task Force. He has also represented the VA on workgroups and committees for the State of Oregon and the City of Portland. Dr. Greaves has been involved in change management initiatives throughout his career. Current certifications include Master Trainer, High Reliability Organization (HRO) Baseline Training course; Master Trainer, HRO Team Training course; Certified facilitator for CHCM Leading an Empowered Organization curriculum; Prosci Change Management Certificate Program; and LEAN Green Belt designation.
HRO Lead and Whole Health Exec Sponsor
Andrea Smith has held many roles within Human Resources during her 19 year tenure, starting as a GS-5 Payroll Technician at the Portland VA Healthcare System. She moved over to the Employee and Labor Relations section within HR where she went from an Assistant to a Supervisor. Andrea came to the Network Office in 2011 as a supervisor and shortly thereafter was promoted to the Deputy Chief HR Officer, where she has been a strong advocate for updating and creating consistent HR practices across the Network. Andrea also serves as Co-Chair of the Organizational Health Council for VISN 20 . Andrea is a true Northwesterner, having been born and raised in Washington State. She lives in Battle Ground, WA with her husband Ray and her two miniature yorkies Jack and Zoe. They spend their free time glamping in their 5th wheel and enjoying the wilderness.
Chief Human Resources Officer
Adam S. Merryweather was appointed Chief Financial Officer (CFO) of VISN 20 effective October 1, 2014. Prior to his appointment as CFO he served as the Managerial Cost Accounting and Analytics Officer for VISN 20. His experience includes significant involvement in consolidating all cost accounting functions at the VISN level and developing a highly complex analytics team that has been recognized nationally. He started his career in the Portland VA Healthcare System working as the cost accounting financial analyst in July of 2007. Adam earned his associate degree in business management in 2005 at the College of Eastern Utah and his bachelors degree in corporate finance in 2007 at Brigham Young University.
Chief Financial Officer (CFO)
Dan Kelly was appointed Chief Logistics Officer for VISN 20 in December 2018. Prior to that he served as the Deputy Chief Logistics Officer. As the CLO he is responsible for maintaining the Logistics and Supply Chain Management, Healthcare Technology Management, V20 Optical Fabrication Lab, and consolidated Prosthetics and Sensory Aid services for VISN 20. His previous VA experience was as the VISN 20 Compliance and Business Integrity Officer and prior to that a number of roles at the facility level to include Strategic Manager, Executive Assistant to the Director, Compliance Officer and as a Psychology Technician. Mr. Kelly began his VA career as a student work-study in the warehouse at the Roseburg VA before gaining full time employment as Psychology Technician. Mr. Kelly is an Army Veteran, graduate of Southern Oregon University and a graduate of the 2021 Excellence in Government Fellow program.
Chief Logistics Officer (CLO)
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Last updated September 6, 2024
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