James R. Floyd, MPA/HA, FACHE
801-671-1107(c)
918-505-5739(h) floydjc@msn.com
PROFESSIONAL EXPERIENCE
Director, Department of Veterans Affairs, Veterans Health Administration (VHA)
Jack C. Montgomery Medical Center, Muskogee, OK
01/15/2012 - Present
CEO of an acute care hospital and four outpatient health centers serving 37,000 veterans in
25 counties providing comprehensive medical, surgical, behavioral, primary care, and emerging
telemedicine services in urban and rural settings. Foster numerous university affiliations serving
a prominent teaching role for health professionals. Assure accreditation by multiple entities.
Coordinate with national and local veteran and non-profit groups, US and State legislators.
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Implemented full-time Utilization Management Program for inpatient care resulting in a
decrease in LOS and hospital re-admissions; best outcomes in Network of 10 hospitals.
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Led VHA in establishing direct care reimbursement agreements with all IHS and Tribal
health facilities in Eastern Oklahoma providing 48 additional care sites for veterans.
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Served as the VA Oklahoma City Health Care System Interim Director; organized
executive management teams and improved employee relationships.
Network Director, VHA Heartland Network, Kansas City, MO
10/12/2008 –01/15/2012
Senior executive of a comprehensive health care system consisting of seven medical centers and
47 community-based outpatient clinics, with 10,600 employees serving 164,000 veterans in six
Midwestern states. Administered a $3.5 billion annual operating budget. Services included
cardiac and general surgery, intensive and acute medicine, mental health services, substance
abuse treatment, and medical research. Developed affiliations with more than 40 university and
college health care training programs.
 Opened nine new outpatient health centers in four years.
 Initiated major new facility construction investments exceeding $94 million for program
upgrades in all seven hospitals.
 Increased third-party revenue through enhanced billing and collection principles.
 Redesigned sterile processing practices which became the model for VHA nationally.
Medical Center Director, VA Salt Lake City Health Care System,
Salt Lake City, UT
05/25/97 – 10/11/2008
CEO of a regional health care system consisting of a 121-bed tertiary care hospital and nine
community-based outpatient clinics, more than 1,425 staff, and a $226 million annual operating
budget. Affiliate of the University of Utah and administered their largest medical resident and
health professionals training sites, National VHA Heart Transplant Center, medical Research and
Development, and regional Geriatric Research Center.
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Under my leadership, the medical center was recognized by the McKesson Corporation
as the most efficient inpatient facility in the VHA for seven years (2001-2008).
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Consistently led VHA large hospitals category in third-party collections.
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Planned and coordinated all federal health care services for the 2002 Winter Olympics.
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Established emergency receiving site for evacuees from Hurricane Katrina; provided
medical triage, urgent care, and transfer of more than 350 patients in coordination with
UHA, State of Utah, and University of Utah Hospital.
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Served a seven-month assignment as the Acting Network Director for the VHA Rocky
Mountain Network of seven hospitals and thirty-five clinics.
Co-designed Tribal Veteran Representative Training Program that has trained more than
a thousand people to assist the VA in rural Native American communities.
Director, Portland Area Indian Health Service (IHS), Portland, OR
1986-1997
Regional CEO of a comprehensive multi-facility public health care system serving more than
120,000 American Indian and Alaska Natives residing in Washington, Oregon, and Idaho.
Administered outpatient medical and dental care, contract inpatient care, facilities planning,
environmental health/engineering services, and health management services for 42 Indian tribes.
The annual budget of $123 million included federal appropriation supplemented with Medicaid,
Medicare and third-party collections.
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IHS national committee co-chair on Agency reorganization.
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Acting Director of the Indian Health Service for six months.
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Negotiated with Tribal Governments, the first Self-Governance compacts to transfer
federal funds to tribes for them to operate health care programs and services.
IHS Associate Director, Area Office Operations, Portland, OR
1989 - 1992
COO of the Area Office. Directed financial management, personnel, contract health service,
environmental health engineering, program planning, and substance abuse treatment with a $76
million annual budget. Coordinated internal and external program reviews. Prepared executivelevel presentations for the Congressional review.
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Served US Senate detail for Indian Health law and policy development.
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Streamlined Area Office functions saving more than one million dollars annually.
IHS Health System Specialist, Portland, OR
l986 -1989
Directed cost containment activities of federal and tribal purchased care programs. Developed
technical assistance and training programs for quality of care and cost effectiveness of outside
providers. Negotiated managed care contracts with providers that became national model.
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Implemented the first hospital billing retrospective review program in the IHS.
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Successfully restructured the IHS Fiscal Intermediary Contract significantly reducing
billing processes and payment timeliness.
Director, Division of Community Services,
Muscogee (Creek) Nation of Oklahoma, Okmulgee, OK
1982-1986
Administered tribal service programs including a community hospital for the third-largest Indian
tribe in the Nation. Directed federal and private funded programs of inpatient/outpatient health
care and social services. Managed programs for housing rehabilitation, environmental health,
nutrition, and food distribution.
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Established the first tribal-owned community hospital in the Nation.
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Transferred operation of four IHS clinics to tribal management.
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Health program innovations were highlighted in PBS NOVA television program.
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Testified at numerous U.S, Senate and House hearings on appropriation and authorization
legislation needs for Indian health programs.
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Professional Education
1990
Masters in Public Administration/Health Administration, Portland State University,
Portland, Oregon
1982
Bachelor of Science in Allied Health Administration, Northeastern State University,
Tahlequah, Oklahoma
1978
Associate of Science in Civil Technology, Oklahoma State University,
Stillwater, Oklahoma
Continuing Education
2011
Kenan-Flagler Business School, Executive Strategic Leadership Program,
University of North Carolina
2009-10
Brookings Institution, Executive Education, Certificate in Public Leadership
2008-09
VA Executive Fellows Program, graduate
Since 2007 Fellow, American College of Health Executives, (Board Certification)
1991-1992 Certificate Program, Center for Managed Care Administration,
University of Missouri
Significant Activities
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2010 Special Advisor to the VA Secretary to establish consultation policies with 565
federally recognized tribal governments. Established national office, initiated program
objectives and strategic plan, and recruited senior executive leader.
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2009 Co-Chair, VA Secretary’s Task Force on American Indian/Alaska Native Tribal
Consultation. Drafted Department’s Tribal Consultation Policy.
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2009 Testified before the U.S. Senate Committee on Veterans Affairs on proposed
legislation to improve health care in rural areas of Illinois, Indiana and Kentucky.
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2008-2012 Appointed by VA Secretary to the Rural Health Care Advisory Council.
Department representative in development of recommendations for National rural direct
care and telehealth program initiatives and policies.
Honors and Awards
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2009 Presidential Meritorious Rank Award Recipient
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2008 VHA Systems Redesign Champions Award for top efficiency in VHA for
sustaining patient flow, length of stay and quality performance measures
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2008 AMSUS (Association of Military Surgeons in the United States) Ray E. Brown
Awardee
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2005 Utah Hospital Association, Distinguished Service Award honoree
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2005 Indian Health Service Director’s Award for VHA’s Outstanding Performance and
Commitment to the mission of the IHS
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2004 Under Secretary for Health, National VHA Diversity Award Winner
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2002 VA Meritorious Service Medal recipient for leading the coordination of federal
health care services during the 2002 Winter Olympic Games
Professional & Civic Affiliations
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Member, American Hospital Association, Region 7 Policy Board
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Member, Oklahoma Hospital Association
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Member, Utah Health Care Executives (ACHE state chapter)
2013-Present
2012-Present
1997-2008
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President, Western Institute of Biomedical Research (VA non-profit)
1997-2008
Member, Utah Governor’s Veterans Advisory Council
1997-2008
Trustee, Utah Hospitals and Health Systems Association
1997-2007
Board Member, Rocky Mountain Heart Transplant Institute
1997-2005
Board member, KRCL Radio (non-profit Community Radio)
2002-2008
Board Member, Organization for Fatigue, Fibromyalgia Education and Research
(OFFER)
2002-2007
Habitat for Humanity, ACHE Katrina Project, New Orleans, Louisiana
2007
Presentations
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Federal Bar Association, Indian Law Conference, Health Care Policy and American
Indians, April 2010
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VHA, National Leadership Board (NLB), VA Salt Lake City Electronic Morning Report,
December 2007
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National Rural Health Association Annual Meeting, Outreach to Indian Veterans and
Telemedicine Services, August 2007
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VHA, National Leadership Board (NLB), Tribal Veterans Representative(TVR) Program,
January 2007
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Poster Display, American College of Health Care Executives, An Electronic Clinical
Reminder System Improved Satisfaction and Quality While Decreasing Outpatient Visits
and Subsequent Health Care Cost, VA Salt Lake City Health Care System, March 2007
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Department of Veterans Affairs, Tribal Veterans Representative Program, Facilitators
Guide, November 2006
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Video Broadcast, Care Coordination and Telehealth in VHA, September 2006
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Poster Display, American College of Health Care Executives, Our Approach to
Promoting Patient-Centered Care and Excellent Customer Service, VA Salt Lake City
Health Care System, March 2006
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VA, American Veterans Video Series, Rocky Mountain Network, Native American
Veteran Outreach (Episode 9), November 2005
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VHA national broadcast panelist, Telehealth Collaboration with the Indian Health
Service, May 2005
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Video Production, Developing Leaders at Every Level, January 2005
Publications
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Author, VA Minority Veteran Resource Guide, September 2000
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Co-Author, Indian Tribal Health Systems Governance and Development, the Henry J.
Kaiser Family Foundation 1998
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Co-Author, Design for a new IHS, Report Number II, January 1997
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Co-author, Design for a New IHS, Final Report, November 1995
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Co-author, Returning to a Natural State of Good Health, National Summit on Indian
Health Care Reform, March 1993
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Tribal Veterans Resource Guide, April 2008
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Subject, VA Vanguard article, Crossing the Cultural Divide November/December 2006
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