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Regional Medical Director Leadership Team

Meet Our Regional Medical Director Leadership Team


Jeff Ruzich

Jeff Ruzich, MD, FACEP

Regional Medical Director - Southwest & Southeast Region

Jeffery Ruzich, MD, FACEP, is a residency trained, board certified physician with over 25 years of experience in emergency medicine. He trained in emergency medicine while acting as chief resident at Albert Einstein/Jacobi Medical Center in Bronx, New York, after serving in the United States Air Force as a Major. He subsequently joined the teaching staff at Montefiore Medical Center and became Assistant Professor of Medicine at Albert Einstein Medical Center. Dr. Ruzich earned his Doctorate of Medicine from Hahnemann Medical College in Philadelphia, PA.

Dr. Ruzich joined IMM in 2002, serving as Medical Director and Chairman of Emergency Medicine at Seton Health/St. Mary’s in Albany, New York. Dr. Ruzich contributes his vast leadership experience to the organization; prior roles include acting as Director of Fast Track Services at Montefiore/Albert Einstein Medical Center in the Bronx, where his emergency medicine team cared for patient volumes in excess of 100,000 annual visits.

After an eight year tenure with our organization, Dr. Ruzich expanded his role within IMM’s Southwest division. He now serves as Regional Medical Director of the Southwest Region and Emergency Medical Director of Eastern New Mexico Medical Center in Roswell, NM. Dr. Ruzich’s extensive expertise and collaborative leadership approach has made him a valuable asset of the IMM organization.

Joshua Kugler, MD

Joshua Kugler, MD, FAAEM, FACEP

Regional Medical Director - Northeast Region

Dr. Joshua Kugler MD, FAAEM, FACEP, is the Chairman of the Department of Emergency Medicine and Director of Emergency Services at South Nassau Communities Hospital. Additionally, Dr. Kugler is in his second consecutive term as the Chairman of the Nassau County Regional EMS Advisory Committee.

Dr. Kugler is a graduate of Duke University and the University of Pittsburgh School of Medicine, where he was awarded the UPJOHN Scholarship for Academic Achievement, and he earned a Master’s Degree of Healthcare Management from Harvard University.

Dr. Kugler’s prior clinical and administrative roles include being the Chief Medical Officer and Senior Vice President at South Nassau as well as Assistant Director of Emergency Medicine at St Charles Hospital in Port Jefferson. He also served in the US Navy and was honorably discharged after attaining the rank of Lieutenant Commander.

In 2013 Dr. Kugler was awarded the New York State Physician of Excellence Award from the NY State Department of Health’s EMS Council after serving eight years on the NY States Governance Council for EMS delivery across the state.

Dr. Kugler continues his energy and commitment to the field of Emergency Medicine by participating in numerous committees at the hospital, regional, state and national levels.

An experienced leader and esteemed colleague, Dr. Kugler is a valuable asset of the IMM physician leadership team.

Shan Ahmed, D.O.

Shan Ahmed, DO, MS, FACOEP

Regional Director of Operations, North-East Region
Director of Recruitment and Retention

Shan Ahmed, DO, MS, FACOEP, is a graduate of the New York College of Osteopathic Medicine. Dr. Ahmed completed his residency in osteopathic emergency medicine at Good Samaritan Hospital Medical Center in New York, where he served as Chief Resident. Following residency, he went on to become a member of the core faculty and subsequently served as Assistant Residency Director of the Emergency Medicine program.

Dr. Ahmed then joined IMM where he has been an asset throughout his tenure with the organization. This established leader and well respected colleague has served in numerous departmental roles, including Assistant Medical Director and Medical Director. He currently serves as Regional Medical Director of IMM’s Northeast Region, where he has extended his efforts to include physician recruitment and retention in addition to his clinical and operational responsibilities.

Along with his professional accomplishments, Dr. Ahmed has dedicated himself to extensive volunteer work within the medical community. He is a recognized national leader, an EMS Medical Director, and active member of the American College of Osteopathic Emergency Physicians (ACOEP). With the goal of providing future physicians a better insight into the world of emergency medicine, Dr. Ahmed has enhanced both the organization’s resident and student chapters; he is responsible for the introduction of hands-on learning workshops as well as the much-loved annual Emergency Medicine Jeopardy Tournament.

Donald Brock, D.O.

Donald Brock, DO, FACEP

Regional Medical Director - Midwest Region

Donald Brock, DO, FACEP, earned his Doctor of Osteopathic Medicine degree from the Chicago College of Osteopathic Medicine in 1991. The board certified emergency medicine physician went on to complete an internship and residency at Pontiac Osteopathic Hospital. In addition to his current role serving as Regional Medical Director within IMM’s Midwest Region, Dr. Brock is the acting departmental Medical Director of Hillsdale Community Health Center in Hillsdale, MI. 

Prior to joining the IMM team, Dr. Brock previously served as a Regional Medical Director for NES Healthcare and as a departmental Medical Director at Mercy Memorial Hospital in Monroe, MI.  Previous positions held include Chief Medical Officer of EROne in Livonia, MI, and Chairman of Emergency Services of Oakwood Healthcare in Dearborn, MI.

Throughout his more than twenty years of practice in the field of emergency medicine, Dr. Brock has remained involved in emergency department service operations on a national level; his specific special interests include both ED operations and customer service. In addition to his professional and clinical positions at IMM, Dr. Brock is a member of the Certifying Board of Emergency Medicine and a Medical Board Examiner.

Ryan Nagy, M.D

Ryan Nagy, MD, ACP, FAAP

Regional Medical Director of Hospitalist Services

Ryan Nagy, MD, is a dual boarded physician in both internal medicine and pediatrics. Dr. Nagy obtained an undergraduate degree from the University of Toledo and his medical degree from the American University of the Caribbean. He completed his residencies in internal medicine and pediatrics at Michigan State University.

Dr. Nagy has extensive experience in hospitalist medicine and pediatrics. He joined IMM in 2014, serving in the role of Regional Medical Director of Hospitalist Services, and has proven to be not only an excellent clinician, but a great communicator among the clinical and administrative staff.

As IMM’s hospitalist division has grown, Dr. Nagy has been instrumental in managing the needs of our programs. Under his leadership IMM has developed a ‘hospitalist culture’ and expectations to maintain thriving, compassionate, effective programs. His focus remains on providing the highest quality patient care in each community we service.

Steven Lepsky, M.D.

Steven Lepsky, MD, FACEP

Regional Medical Director – Midwest Region, UH East

Certified by the American Board of Emergency Medicine, Steven Lepsky, MD, FACEP is a graduate of Northeastern Ohio Universities College of Medicine. He went on to complete dual residency programs in internal medicine and emergency medicine at St. Thomas and Akron City Hospitals in Akron, Ohio. Dr. Lepsky then became board certified in both emergency medicine and internal medicine and is a fellow of the American College of Emergency Physicians.

Dr. Lepsky became a Regional Medical Director of IMM in January 2015. Prior to joining the team, Dr. Lepsky served as Medical Director at Dunlap Memorial Hospital, Trinity Twin City Hospital, Trumbull Memorial Hospital, and Summa Barberton Hospital. Dr. Lepsky led Ashland's Samaritan Regional Health System to develop their first Chest Pain Center. He was instrumental in the design, implementation, and accreditation of the Chest Pain Center for the Summa Southwest Region.

Dr. Lepsky also piloted the EMR launch for Summa's Southwest Region and now serves as the EMR Committee Chairman for the University Hospitals of Cleveland as they initiate their own EMR roll-out in 2016. His special areas of interest include EMR development and implementation.

As an experienced leader and esteemed colleague, Dr. Lepsky is a valuable asset of the IMM organization. Providing the highest quality of patient care remains his focus in each community we serve.

Ryan Nagy, M.D

Richard V. Hausrod, MD, FACEP, FAAEM

Regional Medical Director – Midwest Region, UH West

Richard V. Hausrod, MD, FACEP, FAAEM, serves as Regional Medical Director in IMM’s Midwest Region, and provides clinical and administrative leadership to our operations through UH West.

Dr. Hausrod is the Chairman of the Department of Emergency Medicine at UH Elyria Medical Center, serves as a member of the ED leadership team at UH Parma Medical Center, is Co-Chair for the UH System Sepsis HRM Committee, and a member of the UH VIP Emergency Medicine project.

Dr. Hausrod completed his undergraduate studies in pre-medicine at the University of Dayton in 1999, and achieved his Doctor of Medicine degree from the Wright State University School of Medicine in 2003. He then went on to train in the specialty of Emergency Medicine at Allegheny General Hospital in Pittsburgh, Pennsylvania, finishing in 2006.

Dr. Hausrod is Board Certified in Emergency Medicine by the American Board of Emergency Medicine. He is a Fellow of the American College of Emergency Physicians and the American Academy of Emergency Medicine. He is also a member of the American College of Physician Executives, the Ohio State Medical Association, and the Lorain County Medical Society. He volunteers as the Medical Director of the Lorain County Community College EMS Program. His professional interests include administration, EMS, and emergency ultrasound.

Bruce Burns

Bruce Burns, MD, FACP

Regional Medical Director – Southern Region, Central AL Division

Dr. Bruce Burns, MD, serves as Medical Director and Chairman of the Department of Emergency Medicine at Princeton Baptist Medical Center. Additionally, Dr. Burns is an acting Co-Chairman of the Brookwood Baptist Health System Emergency Department Council and a member of the Birmingham Regional EMS System Board of Directors.

A graduate of West Virginia State College and West Virginia University School of Medicine, Dr. Burns completed his residency at West Virginia University/Charleston Area Medical Center in 1995, and has over 20 years of experience as a practicing Emergency Physician in Birmingham, Alabama. The last 15 years of his career have been dedicated to Princeton Baptist Medical Center.

Dr. Burns continues his commitment to the field of emergency medicine through his contributions to medical education. As a repeat instructor at the Annual Ed Waits Respiratory Care Conference he has lectured on the topics of hands-on defibrillation, gunshot wounds to the chest, and thoracic trauma. Dr. Burns is also a clinical instructor of emergency medicine at the University of Alabama School of Health Professionals and Baptist Health System Alabama.

Dr. Burns was recognized by B Metro Magazine as a Top Doctor in the field of Emergency Medicine in both 2015 and 2016. An experienced leader and esteemed colleague, he is a valuable asset of the IMM physician leadership team.

Tom-meka Archinard

Tom-meka Archinard, MD, FACEP

Regional Medical Director – Southern Region, Huntsville Hospital System

As Regional Medical Director, Dr. Tom-meka Archinard oversees the emergency departments of Huntsville Hospital System (HHS) facilities management by Island Medical Management (IMM) including: Decatur Morgan Hospital, Parkway Medical Center, Athens-Limestone Hospital, and Red Bay Hospital. She leads a team of physicians, advanced practice providers, and scribes with a core goal of providing modern emergency medicine to the residents of North Alabama.

Dr. Archinard was raised in Lake Charles, La., as the daughter of two school teachers and granddaughter of a sharecropper. Pushed by her family in academics and athletics, she became an honors student, who also excelled on the track and basketball court. As an undergraduate, she attended Tulane University on an athletic scholarship, where she was an all-conference and honors athlete. She continues her affiliation with her college sorority, Alpha Kappa Alpha.

An honors graduate with a major in cellular and molecular biology, Dr. Archinard entered Wake Forest School of Medicine in North Carolina in 1995 and became the National Vice President of the Student National Medical Association. In 1997, her student chapter was named the organization’s Chapter of the Year. In addition to her medical studies, she conducted a multi-year anti-violence campaign in the public school system that provided outreach programs to at-risk youth. As a parting gift to future medical students, she published the first edition of the Wake Forest School of Medicine Survival Guide.

In 1999, Dr. Archinard started her ER residency at State University of New York, Brooklyn Health and Sciences Center (SUNY)-Downstate and Kings County Hospital. At the time, this was one of the busiest trauma centers and ERs in the country. She was elected the Graduate Medical Association Chair, and was elected Resident of the Year in 2000. Maintaining her lifetime goal of balancing academics and athletics, Dr. Archinard took up competitive boxing during her residency and competed in the female Golden Gloves of New York.

Her first job out of residency was in Newark, N.J., at UMDNJ now Rutgers University. She served as the Associate Director of the Emergency Medicine Department and revised ER quality measures that could be applied statewide. Some have become national standard core ER measures. After five years, she moved on to become the Vice Chair of Operations of an ER in Brooklyn, Lutheran Medical Center. In addition to her ER responsibilities, Dr. Archinard opened the Great Oaks Charter School in Newark, NJ, with fellow ER physician, Dr. Karma Warren.

The next phase in her professional life came when she joined Pegasus Emergency Group, Inc. (now Island Medical Management) as a Regional Medical Director overseeing multiple ERs in New York and Louisiana. In 2013, Dr. Archinard accepted the position of ER Medical Director for Decatur Morgan Hospital (Decatur and Parkway campuses) in Decatur, AL. However, diagnosed with breast cancer, she was forced to delay her arrival for several months to undergo surgeries and complete chemotherapy. She approached the disease with the same courage and determination that has made her a renowned athlete, scholar, and medical professional.

As Medical Director of the Decatur Morgan Hospital ERs, Dr. Archinard has created a culture of teamwork that includes physicians, physician assistants and nurse practitioners, who work hand-in-hand with the ER nurses and technicians to deliver compassionate care to the community. She has overseen the establishment of emergency medicine training programs for medical students from the Alabama College of Osteopathic Medicine, physician assistant students from the University of Alabama at Birmingham, and nurse practitioner students from the University of Alabama at Birmingham and Huntsville, and Sanford University. She sits on the Decatur Morgan Hospital Medical Executive Committee, Clinical Review Committee, Credentials Committee, and the Decatur EMS City Council.

Adding to her responsibilities, Dr. Archinard was named Medical Director for Red Bay Hospital ER in 2015. She is currently developing a combined ER and hospitalist role for physicians working at that site. In May 2016, Dr. Archinard was named Regional Medical Director for all Huntsville Hospital ERs contracted by Island Medical Management. She is looking forward to continuing the success of ER systems that integrate teamwork and evidence-based emergency medicine.

Dr. Archinard lives in Madison, Ala., with her spouse and four children. Her eldest daughter is a highly ranked competitive gymnast.

Heather Marshall

Heather Marshall, MD, FACEP

Associate Regional Medical Director – Southwest Region

Dr. Heather Marshall is an Emergency Physician currently in clinical practice in New Mexico as an IMM Regional Medical Director, and Medical Director of the Emergency Department at Carlsbad Medical Center. Dr. Marshall graduated from Brown University in May 2015 as an Executive Master in Healthcare Leadership. Her graduate work concentrated on developing Alternative Payment Models for Emergency Physicians that maximize value for all stakeholders.

Dr. Marshall is board certified in Emergency Medicine and completed her residency at the University of California Davis Medical Center (Sacramento, CA) in 2003, after obtaining her medical degree from the Oregon Health and Sciences University (Portland, OR) in 2000. She graduated Magna Cum Laude from Westmont College in Santa Barbara in 1996 and was Scholar-Athlete of the year upon graduation after a four year intercollegiate career on the national semi-finalist women’s soccer team.

She is President-Elect of the New Mexico state chapter of the American College of Emergency Physicians and a member of ACEP’s Task Force on Healthcare Financing and Alternative Models. She has received multiple awards for the quality of her clinical care and educational presentations, and participated in the National Summit on Healthcare Reform in June 2016. Dr. Marshall has a passion for creating alignment in incentives for providers that maximize quality and value for all stakeholders, providers, patients, payers, and healthcare systems.