Deputy Chief of Staff
Associate Director / Operations
Douglas V. Paxton, Sr. was designated Associate Director of the Department of Veterans Affairs Medical Center, Louisville, Kentucky, on October 7, 2012. As the Associate Director for Operations, Mr. Paxton oversees the Safety Section, Privacy Office, and the Ft. Knox/DoD Sharing Office, as well as the following administrative product lines: Engineering Service, Business Office, Fiscal Service, Human Resources Management Service, Police Service, Environmental Management Service, Acquisition and Logistics Service, Canteen Service, Information Management Service, and Prosthetics Service.
Mr. Paxton’s previous VA service career included assignments as the Associate Director at the VA Medical Center in Wilkes-Barre, PA; Associate Director at the VA West Texas Health Care System; Clinic Manager in Baton Rouge, Louisiana; Administrative Officer to the Chief of Staff, Orlando, Florida; Administrative Officer in Surgical Service, and Health Systems Specialist Trainee at the VA Central Texas Health Care System; and Human Resources Specialist and Social Work Intern at the VA Medical Center in Perry Point, Maryland.
Mr. Paxton is a Veteran of military service in the United States Army, and a graduate of Delaware State University in Dover, with a Master’s Degree in Social Work and Minor in Sociology. He also holds a Bachelor’s Degree in Social Work and Minor in Sociology from the University of Maryland. In March 2010, he completed VHA’s Executive Career Field Development Program (ECF), and is a graduate of VHA’s Health Care Leadership Institute. Mr. Paxton is also an active member of the American College of Health Care Executives.
Chief, Social Work Service
Chief, Environmental Management Service
Chief, Business Office
Infection Control Coordinator
Interim, ACOS/Ambulatory Care
Medical Center Director
Wayne L. Pfeffer was appointed Medical Center Director of the VA Medical Center in Louisville, Kentucky in July 2005. As Director, he is responsible for the day-to-day operations of Louisville’s Zorn Avenue facility and its eight community-based outpatient clinics in Louisville and Southern Indiana. His key responsibilities include providing executive leadership, budgetary and operations oversight for both clinical and administrative services as well as development and implementation of strategic program goals and actions for the medical center including the accreditation process (JC) and the overall medical center’s clinical performance. He is also coordinating the planning for an approved replacement VA Medical Center in Louisville.
Mr. Pfeffer is a member of the Mid South Healthcare Network (VISN 9) Executive Leadership Council and actively collaborates with other VA Medical Center Directors in Kentucky, West Virginia and Tennessee in the formulation of budget, policy, and strategic business planning at the Network level.
Having served in various capacities at 10 distinct medical centers, Mr. Pfeffer brings an enormous depth of knowledge and experience in Department of Veterans Affairs’ operations. Prior to assuming his current role, Mr. Pfeffer served as Associate Director of the two-division Lexington, KY VA Medical Center, and as Acting Director of that facility. Mr. Pfeffer has also served as Associate Director of the Boise, Idaho VA Medical Center.
Mr. Pfeffer began his VA career at the Bronx New York VA Medical Center. He has progressed from chief of fiscal service, to his present position. Mr. Pfeffer holds a master’s degree in Health Services Administration (MHSA) and is a Fellow with the American College of Healthcare Executives (FACHE).
Associate Director for Patient Care Services
Ms. Pamala Thompson was appointed to Associate Director for Patient Care Services at the Robley Rex VA Medical Center in May 2008. Prior to this appointment, Ms. Thompson served as the Associate Director for Patient Care Services at the VA Medical Center in Clarksburg, West Virginia beginning in January 2006. Ms. Thompson was responsible for nursing, infection control, education, care coordination, physical therapy, occupational therapy, and recreation therapy. During her tenure, she directed various groups in the development of programs to optimize patient care delivery and improve medical documentation. She used active and persistent team building skills to increase the facility performance improvement measures to lead VISN 4 to the second best ranking in the nation, with RN staff satisfaction being ranked third in VHA.
Since her appointment at the Robley Rex VA Medical Center, Ms. Thompson is responsible for the leadership of Nursing, Voluntary, and Hospital Education Services, Discharge Planning, Infection Control, and Bed Control programs. Ms. Thompson has led the implementation of the "Let's Get Certified Campaign", a national mandate to increase the number of specialized certifications for nurses. The target was to have an additional 20 percent of the nurses become certified. To this date 12 percent have become certified in areas of gerontology, nursing, and oncology.
Ms. Thompson has been instrumental in acquiring the patient education software "Krames on Demand" to allow health care providers to provide patient education based on their health status in various languages. She leads groups in establishing processes for the improvement of patient care, enhance the OEF/OIF program, increase educational opportunities for staff, and ensure volunteers are available to provide services to our Veterans.
Chief of Staff
Dr. Marylee Rothschild was appointed Chief of Staff of the VA Medical Center in Louisville, KY in May 2005. Prior to her appointment as Chief of Staff, Dr. Rothschild served as Associate Chief of Staff for Ambulatory Care Service for the previous twelve years at this facility.
As Chief of Staff at the Robley Rex VAMC, she acts as a link between clinical and administrative staffs. More specifically, she works closely with the Medical Center Director, Associate Director for Operations and the Associate Director for Patient Care Services in planning and implementing medical center policies and programs and brings to the Quad the needs and concerns of medical staff. Dr. Rothschild provides leadership for the clinical departments in development of clinical programs to meet the needs of the Veteran population. She oversees the credentialing and privileging of medical staff; monitors quality improvement programs; and facilitates the coordination of clinical, education and research programs. She integrates and coordinates the activities of the affiliated medical school as they relate to the Medical Center’s mission of quality patient care, research and education.
Dr. Rothschild completed her medical degree (1978) at the University Of Pittsburgh School Of Medicine, Pittsburgh, Pennsylvania. Her residency (1978-1981) in Internal Medicine from Montefiore Hospital of Pittsburgh, Pennsylvania, was concurrent with a teaching fellowship at the University Of Pittsburgh School Of Medicine. She was selected for a second Faculty Development fellowship at the University of North Carolina (1992-1994). Dr. Rothschild is boarded in Internal Medicine and holds a Masters of Public Healthe degree from the Medical College of Wisconsin.
Dr. Rothschild began her career at the Robley Rex VA Medical Center in 1983.