Attention A T users. To access the menus on this page please perform the following steps. 1. Please switch auto forms mode to off. 2. Hit enter to expand a main menu option (Health, Benefits, etc). 3. To enter and activate the submenu links, hit the down arrow. You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links.

Central Texas Veterans Health Care System

Veterans Crisis Line Badge
My HealtheVet badge
EBenefits Badge

Leadership Team

Michael L. Kiefer, MHA, FACHE, Director

Michael L. Kiefer, MHA, FACHE | 254-743-2306


Mr. Kiefer was appointed Director for the Central Texas Veterans Health Care System (CTVHCS) effective July 21, 2019. As Director, he is responsible for the day-to-day operations of this multi-million-dollar VA HCS with an annual budget of approximately $810 million and over 4,200 employees. In FY18, CTVHCS logged over 1.3 million outpatient visits and 8,700 admissions for approximately 107,000 unique Veteran patients. CTVHCS is a Joint Commission accredited, complexity level 1-A facility serving Veterans in 39 Central Texas counties. CTVHCS is comprised of 2 major VAMCs in Temple and Waco, a large outpatient clinic in Austin, and 5 community-based outpatient clinics located in Brownwood, College Station, Cedar Park, LaGrange, and Palestine, plus a Clinic Annex in Temple and a Joint VA/DoD Sleep Center in Killeen. Kiefer is a retired Army colonel who has over 32 years of service with an emphasis in health care leadership. His prior experience includes: Director, Amarillo VA HCS; Acting Network Director, VA Heart of Texas Health Care Network (VISN 17); Director, West Texas VA HCS; Regional Chief of Staff, Northern Regional Medical Command, Fort Belvoir, VA; Commander, Weed Army Medical Center, Fort Irwin, CA; Regional Chief of Staff, Pacific Regional Medical Command, Tripler Army MC, HI; as well as Chief of Staff, Carl R. Darnall Army MC, Fort Hood, Texas. Kiefer earned a master’s degree from Baylor University and a bachelor’s degree from Lehigh University, PA.

Olawale O. Fashina, MD, MHSA, CPE, Chief of Staff

Olawale O. Fashina, MD, MHSA, CPE | 254-743-2323

Chief of Staff

Olawale O. Fashina., M.D, was appointed the Chief of Staff for the Central Texas Veterans Health Care System (CTVHCS) effective July 13, 2014. Dr. Fashina is responsible for all medical programs, policies and medical operations of this multi-million-dollar VA health care system. It is comprised of the Temple and Waco VA medical centers, a large stand-alone outpatient clinic in Austin, and Community Based Outpatient Clinics located in Brownwood, Bryan/College Station, Palestine, and Cedar Park, and a rural outreach clinic in La Grange. Prior to this appointment, Dr. .Fashina served as the Associate Chief of Staff for Ambulatory Care from 2007-2014 with responsibility for Primary Care, C&P, Women Veterans’ Health, and Patient Education. He served as VISN 17 Lead for Primary Care. Dr. Fashina earned his medical degree from the University of Lagos in 1982. He is board certified in Internal Medicine and holds a Masters’ Degree in Health Administration. Dr. Fashina is a Certified Physician Executive and an assistant professor at Texas A&M College of Medicine.

Andrew Garcia, MHA, Associate Director

Andrew Garcia, MHA | 254-743-2332

Associate Director

Andrew T. Garcia was appointed Associate Director for CTVHCS on March 5, 2017. In this role, he is responsible for managing Finance, Human Resources Management, Medical Administration, Patient Administration, Logistics, VA Police and Security, and Finance, and oversees the Office of Information and Technology Service and the Information Security Officers. From March 3, 2019, to July 20, 2019, he served as Interim Director for CTVHCS. As Interim Director, Mr. Garcia was responsible for the day-to-day operations of this multi-million dollar health care system. Previously, Mr. Garcia served as the Assistant Director for Operations, with responsibility for day-to-day operations at the Olin E. Teague Veterans’ Medical Center in Temple. From November 1, 2011 until his transfer to Central Texas, he served as Acting Assistant Director at the South Texas Veterans Health Care System (STVHCS). In this capacity, he had oversight for an annual budget of approximately $20 million and management responsibility of more than 300 personnel in Environmental Management Service, Police Service, Voluntary Service, Recreation Service, Engineering Service, Facility Planning and Emergency Management. He was also responsible for coordinating with the Office of Information Technology and Veterans Canteen Service on behalf of STVHCS. He also served as the STVHCS’ Chief Financial Officer (CFO) and managed a budget of almost $600 million. Prior to his appointment at STVHCS, Mr. Garcia served 3 years as VISN17 Deputy Network CFO; Assistant CFO for North Texas VHCS; and Management Analyst for the Chief Medical Officer, VISN 17. Mr. Garcia began his VA career in 2003 as an Administrative Resident at the Olin E. Teague Veterans Medical Center in Temple, Texas. A graduate of The University of Texas at Austin, Mr. Garcia completed his Masters of Health Administration at the University of Mary Hardin-Baylor in Belton, Tex

Amy L Maynard, Assistant Director, Waco

Amy L Maynard | 254-297-3158

Assistant Director, Waco

Ms. Maynard was appointed Assistant Director for Operations at Waco for Central Texas Veterans Health Care System August 12, 2016. In this capacity, she is responsible for the day-to-day operations at the Waco VA Medical Center in Waco as well as responsible for managing Voluntary Service. Previously, Ms. Maynard served as the Chief Financial Officer of the Central Texas Veterans Healthcare System since July 2010, the Assistant Financial Officer at Central Texas Veterans Health Care System from 2008 to 2010, and the Chief Accountant also at the Central Texas Veterans Healthcare System from 2006 to 2008. Ms. Maynard holds a Master of Business degree from the University of Mary-Hardin Baylor and a Bachelor of Accounting from the University of Mary-Hardin Baylor.

Jennifer M. McGregor, MHA, Assistant Director, Austin

Jennifer M. McGregor, MHA

Assistant Director, Austin

Ms. McGregor has the primary oversight for the administrative, regulatory, capital investments, labor relations, customer service and community partnership functions at the clinic; plus, she will provide oversight of Voluntary, Chaplain, Prosthetics and Sensory Aids, Corporate Compliance, and Customer Service across CTVHCS. Ms. McGregor began her VA career in June 2003 as an Administrative Resident at CTVHCS. She served as the Administrative Officer for the Associate Director for Patient/Nursing Service from 2004 to 2007; Health Systems Specialist, Revenue Coordinator monitoring and evaluating the Veterans Equitable Resource Allocation (VERA) Program from 2007 to 2008; Health Systems Specialist for the Administrative Officer to the Chief of Staff from 2008 to 2009; and Chief, Systems Analysis and Management from 2009 to 2010 where she was responsible for gathering data for the revenue generation cycle to identify, improve, and refine systems and processes to enhance revenue generation. In August 2010, Ms. McGregor was selected as the Veterans Integrated Service Network (VISN) 17, Business Implementation Manager where she served as the Choice Champion ensuring facilities within the network were implementing the ever-changing Choice legislative policy, procedures, and processes for VA Community Care. From April 2016 to August 2016, Ms. McGregor served as the Acting Associate Director at the South Texas Veterans Health Care System. With an FY15 budget of $678 million, she was responsible for the daily operations for several services. Ms. McGregor holds a Master’s Degree in Healthcare Administration and Bachelor of Science in Biology, Minor in Psychology from the University of Mary Hardin-Baylor.