Leadership Team - White River Junction VA Medical Center, Vermont
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White River Junction VA Medical Center, Vermont


Leadership Team

Brett Rusch, MD, Executive Director

Brett Rusch, MD | 802-295-9363 Ext. 5400

Executive Director

Brett Rusch, MD, was appointed Executive Director for the White River Junction VA Medical Center and its seven Community-Based Outpatient Clinics on April 28, 2019. He is a practicing psychiatrist and mental health expert, and has been providing care to Veterans throughout his medical career. Additionally, Dr. Rusch is active as an Assistant Professor of Psychiatry at Dartmouth's Geisel School of Medicine, and as White River Junction’s Executive Director he represents VA as an ex-officio member of Geisel’s Board of Advisors. Dr. Rusch received a Bachelor's Degree in Psychology from the University of Wisconsin and completed his medical degree and a psychiatry residency at the University of Wisconsin School of Medicine and Public Health (UWSMPH). Dr. Rusch originally joined the White River Junction VA in 2015 as the Chief of Mental Health and Behavioral Science Services. He then served as Chief of Staff from December 2016 through April 2019. Prior to joining the White River Junction team, Dr. Rusch served as Director of Inpatient and Intensive Outpatient Mental Health Services at the William S. Middleton Memorial Veterans Hospital in Madison, WI. During his tenure at the Madison VA Hospital, he was on the faculty at the UWSMPH, where he received the Department of Psychiatry's Award for Excellence in Resident Education for the three consecutive academic years bridging 2012-2015.

Becky Rhoads, Associate Director

Becky Rhoads | 802-295-9363 Ext. 5410

Associate Director

Dr. Becky (Daley) Rhoads, Au.D., was appointed as the facility’s Associate Director in August, 2018. Dr. Becky Rhoads began her VA career at the White River Junction VA Medical Center in June, 2009. She was a staff audiologist and was then selected for the Chief of Audiology position. She has extensive experience in clinical care for Veterans and health care administration. Dr. Rhoads moved to health care administration in 2016 and has served Veterans through the Executive Assistant to the Director role since that time. She is a 2017 graduate of the premier VA Health Care Leadership Development Program (HCLDP). Dr. Rhoads is a graduate of the University of Vermont with a dual degree in Communication Sciences and Psychology. She earned a Doctorate in Audiology from Northeastern University in 2008. Dr. Rhoads is a Rutland, Vermont native and she currently resides in the Upper Valley with her family.

Dr. Daniel O'Rouke, Chief of Staff

Dr. Daniel O'Rouke | 802-295-9363 Ext. 5420

Chief of Staff

Daniel O'Rourke, MD, joined the staff at the White River Junction VA Medical Center in 1996. Upon graduating as valedictorian from Siena College, Dr. O’Rourke earned his MD with magna cum laude honors at the SUNY at Syracuse and completed internal medicine training at the University of Pittsburgh where he was recognized with an award for outstanding teaching. He completed his cardiology fellowship at DHMC in 1996, followed by a master’s degree from the Center for Evaluative Clinical Sciences from Dartmouth College in 1997. He earned a master’s degree in education from Xavier University in 2017. He is board certified in internal medicine, cardiovascular disease and nuclear cardiology, and holds an academic appointment with the Geisel School of Medicine at Dartmouth as an Associate Professor of Medicine. He has been a very popular clinical teacher and has >50 abstracts and publications in peer-reviewed journals. He stepped into the role as Acting Chief of Staff from March 2018 to November 2018 and again in April 2019 to present. In his spare time, Dan coaches the girls’ varsity basketball team at Hanover High School (Hanover, NH).

Laura F. Miraldi, RN, MSN, Associate Director for Nursing/Patient Care Services

Laura F. Miraldi, RN, MSN | 802-296-5127

Associate Director for Nursing/Patient Care Services

Laura Fisher Miraldi, MSN, RN, NEA-BC, was appointed to the position of Associate Director, Nursing and Patient Care Services/Nurse Executive at the White River Junction VAMC in June of 2010. Mrs. Miraldi has responsibility for all Nursing programs and personnel, as well Geriatrics and Extended Care, Social Work Service, Home Based Primary Care, Case Management, Office of Education, Sterile Processing Services, Infection Control and Chaplaincy, programs serving Veterans across the state of Vermont and four counties in New Hampshire. Mrs. Miraldi began her career at the NY Regional Burn Center at NY Hospital/Cornell/Presbyterian Medical Center, New York City, in 1980. In 1985 she began her work at the White River Junction VAMC, first as a staff nurse, then Nurse Manager, in the Intensive Care Unit. She worked as a clinical research coordinator, Administrative Officer for Research & Development and the Executive Director of the Collaborative Medical Research Corporation from 1997 to 2008. Ms. Miraldi obtained her Master of Science degree in nursing from the University of Vermont in 1998, with a focus on community health and nursing administration. Mrs. Miraldi successfully completed the VA's Healthcare Leadership Institute and graduated from the Executive Career Field Development Program in 2009. She participated in the Federal Executive Institute's Federal Executive Leadership Program, is LEAN Yellow Belt Certified, and is a VHA Certified Mentor at the Fellow-Level. Throughout her career, Mrs. Miraldi has focused on initiatives to improve the quality of patient care and patient satisfaction, and empowerment and development of nurses and others. Mrs. Miraldi is the daughter of a Veteran of the Korean war, and the mother of two active duty Army soldiers. Mrs. Miraldi is proud to be a long serving member of the White River Junction VA community and honored to provide leadership in promoting excellent patient care for our Veterans.