Board Members, Committee Chairs, & Group Leadership


Ronald L. Brown, MD – Board President & HR Committee Chair

Ronald Brown, MD has been with NSEM since June of 1999. He served on the NSEM Board previously in 2003, and was again elected to the Board by his colleagues in October of 2013. Dr. Brown was elected Board President in June 2016. He is a current member of the Finance Committee and has served on the Human Resources/ Scheduling Committee for over five years.

Dr. Brown was born in New Orleans, Louisiana. He attended the University of California in San Diego where he received his Bachelor Degree in Animal Physiology & German Literature. He subsequently earned his Medical Degree at Emory University School of Medicine in Atlanta, Georgia and also completed his General Surgery and Emergency Medicine Residencies at Emory University. While he did live in Georgia and California for several years, he was ultimately drawn to Washington where he now calls home.

Dr. Brown is an avid leader of Emergency Medical Services in Snohomish County. For over ten years he has served as Medical Director for the City of Everett Fire Department and two Snohomish County Fire Districts. Since 2005, Dr. Brown has carried out the duties of Medical Director and Flight Physician for Snohomish County Search and Rescue, an organization comprised of 300 volunteers who respond to emergency calls 24 hours a day/365 days a year.

From 2005 – 2012 Dr. Brown served as the EMS Medical Director for the Washington State Department of Health in Snohomish County. In this capacity, he was responsible for developing and maintaining county protocols, establishing a continuing education curriculum for medics, and instituting an electronic medical records system for the county Emergency Medical System; to name just a few of his numerous duties in that position.

Dr. Brown served until 2012 as a member of the US Department of Health & Human Services - International Medical Surgical Response Team which deploys surgical medical specialists to provide critical care during disaster or public health emergencies. These have included both domestic and international deployments such as the World Trade Center Bombings, Hurricane Katrina, and the earthquake in Haiti.

When not working in the Emergency Department or performing search and rescue missions, Dr. Brown enjoys hiking and spending time outdoors with his dogs. Dr. Brown also raises goats, rabbits, and chickens on his five-acre farm.


C. Ryan Keay, MD - Providence Regional Medical Center Everett Medical Director/Board Member

C. Ryan Keay, MD began working with NSEM in July of 2009. She was elected to the NSEM Board of Directors in May of 2014, and appointed ED Medical Director for Providence Regional Medical Center Everett in October of 2014. 

Dr. Keay was born in Durham, North Carolina. She grew up in Germany and Minnesota, with a few stops in between. Dr. Keay earned her bachelor’s degree in Biology and Anthropology at the University of Alaska Fairbanks. After her studies, she did contract work with the Smithsonian's Museum Conservation Institute, examining human remains and performing archaeological surveys. During this time, she was also employed as a flight medic and volunteer firefighter, carrying out medevac missions and fighting wildfires in rural Alaska.

Dr. Keay earned her Medical Degree at the University of Washington, School of Medicine; during which time she completed a Certificate in Tropical Medicine from Mahidol University, Bangkok Thailand. Dr. Keay completed her Emergency Medicine Residency at the Denver Health Medical Center in Denver, Colorado. In addition to working at North Sound Emergency Medicine, Dr. Keay spent four years as a clinical instructor at Harborview Medical Center.

Some of Dr. Keay's other professional responsibilities include serving on the Board of Directors for Washington American College of Emergency Physicians (WA-ACEP) and the Washington Poison Center; both since 2015.

Through her travels, Dr. Keay has developed a passion for international medicine and currently volunteers with refugee communities from Burma. In addition, she frequently serves as ship physician with Quark Expeditions to Antarctica.

Dr. Keay’s many interests include traveling, running, skiing, hiking, gardening, kayaking, and open-water swimming. She spends the majority of her free time engaged in outdoor recreation accompanied by her husband and two children.


Patrick B. Barry, MBA – Executive Director & Board Secretary

Patrick Barry joined NSEM as the Executive Director in March of 2007. Patrick has over 24 years of medical management experience encompassing ambulatory and acute care in both academic and community care settings. Patrick’s main focus is to help NSEM best adapt to the continual challenges within the dynamic heath care industry and ensure the myriad of administrative functions are completed accurately and timely in order to allow the providers to focus on practicing medicine for our patients.

Prior to joining NSEM, Patrick served as the Associate Director for Operations with the University of California, Irvine Medical Center in Orange, California for 7 years. In this position, he directed the operations of the Emergency Department, the only Level I Trauma Center and Burn Center in Orange County. There he developed the tools and methodology to monitor clinical service productivity and profitability, including benchmarking against other academic groups throughout the country. He also was key in developing short-term and long-term strategic plans for the Department, and created financial systems and statements to track, analyze and audit departmental billing, revenue and expenses.

Patrick was born in the Bronx, New York and was raised in Northeastern Pennsylvania. Patrick received a Bachelor's of Science Degree in Business Administration from the University of Pittsburgh at Bradford and shortly thereafter went onto earn his Masters of Business Administration from the University of Pittsburgh’s Joseph M. Katz Graduate School of Business.

Patrick’s primary interests include woodworking, outdoor recreation and spending time with his son.

Richard L. Smith, PA-C – APP Director/Board Member

Richard Smith, PA-C is the most recent member appointed to our Board of Directors. Richard has been with NSEM since 2011. Richard serves as the APC Director and is largely responsible for the future growth of our advanced practice clinicians, being their administrative lead and voice of communication. Richard is also in charge of the PA Student Training program at PRMCE. In addition, Richard is an active member of NSEM’s Human Resources Committee.

 Richard was born in Minnesota, and raised in Arizona. He comes to NSEM with 30 years of combined experience, starting as a Medic in the US Army. He then worked as a paramedic in both first response and air medical transport, completing over 3,000 air medical missions. After graduating from the University of Washington Physician Assistant program in 2003, Rick continued his dedication to Emergency Medicine, working full time as an ED PA-C.

Richard enjoys golfing, skiing, and spending time with a good book, family, friends, and claims he grills a great steak.

F. Alexander de la Fuente, MD – Board Member & Litigation Manager

Dr. de la Fuente joined NSEM in 2007. He was elected to serve on the Board of Directors in October of 2014. Dr. de la Fuente was appointed as Litigation Manager in 2013 and is an active member of NSEM’s Risk Management and ED Operations Committees. He also serves as Chair of the Pacific Northwest Emergency Physicians Claims Committee. Dr. de la Fuente is a clinical faculty member with the University of Washington’s Harborview Medical Center; a world-renowned Level 1 adult and pediatric trauma/burn center located in Seattle.

Dr. de la Fuente attended Harvard University where he received his Bachelor’s Degree in Environmental Science and went on to earn his Medical Degree at Meharry Medical College in Nashville, Tennessee. He completed his residency in Emergency Medicine at John. H. Stroger Hospital in Chicago, Illinois.

Dr. de la Fuente was born and raised in Tallahassee, Florida. He enjoys kayaking, snowboarding, and amateur carpentry. 

Brad E. Talley, MD – Treasurer/Board Member

Brad Talley, MD joined NSEM in July of 2010. In December 2014, he was appointed Chairperson of the Finance Committee. In this role, he is responsible for leading the committee in reviewing the organization’s financial performance, and recommending financial policies, goals, and budgets that support the mission, values, and strategic goals of the organization. Dr. Talley is committed to supporting the growth and long-term financial stability of NSEM.

Dr. Talley is also a member of the ED Operations and Quality Assurance Committees for NSEM.  At PRMCE, Dr. Talley has been a member of the Stroke and Code Stroke Review Committee. In the community, Dr. Talley works as the supervising physicain for Snohomish County Fire Districts 3, 5 and 7 providing medical oversight, education, training and QA for our county pre-hospital providers. 

Dr. Talley was born in Walla Walla, Washington, and was raised in Snohomish, Washington. He attended the University of Washington where he obtained his Bachelor’s of Science Degree in Biology and his Bachelor’s of Arts Degree in Economics. He continued his education with the University of Washington - School of Medicine, where he received his Medical Degree. Dr. Talley completed his residency training at Denver Health Medical Center in Denver, Colorado before returning to his home State of Washington.

Dr. Talley enjoys spending time with his wife and two children. His other interests include running, cycling, hiking, and skiing.

Sarah M. Hansen, MD – Compliance Manager & Quality Assurance Committee Chair

Sarah Hansen, MD has worked with NSEM since 2005. She is the Group’s Quality Assurance Manager, Chairperson for the Quality Assurance Committee, and has recently been appointed Compliance Officer. During her tenure in these positions, Dr. Hansen has made a significant impact on the Group’s operations. Dr. Hansen is a member of the Emergency Department Operations Committee and sits on the PRMCE's Credentials Committee. In addition, Dr. Hansen serves as Chairperson of Pacific Northwest Emergency Physicians Risk Management Committee. 

Dr. Hansen was born and raised in the Midwest and earned her Bachelor’s Degree in Psychology from Illinois Wesleyan University in Bloomington, Illinois. Dr. Hansen went onto earn a Medical Degree from Rush Medical College in Chicago, Illinois where she also performed an Internship in Internal Medicine at Rush Medical Center. Later she went on to complete her Emergency Medicine Residency at Cook County Hospital in Chicago, Illinois.

While attending college and completing her residency, Dr. Hansen held many leadership roles including serving as President of the Student Division of Alpha Omega Alpha where she currently maintains membership. Dr. Hansen also served as Chairperson for the Charity and Welfare Committee Student Senate, and served on the Student Senate Financial Advisory Board and was a member of the Student Senate and the St. Basil’s Steering Committee. Dr. Hansen was also awarded the Dean’s Fellowship, and was honored as a Presidential Scholar and Alpha Lambda Delta.

While in Illinois, Dr. Hansen volunteered her time at the Pilsen Homeless Clinic and the Community Health Clinic and founded the Health Education Program at Deborah’s Place, an organization which provides emergency, interim housing, and various supportive programs for homeless women in Chicago.

Dr. Hansen is married with two children, and when not spending time with her family, enjoys fitness activities.

Matthew J. Beecroft, MD – Medical Director-Observation Unit

Matthew Beecroft, MD joined NSEM in July of 2007. In April 2014, he was appointed Chairperson of the ED Operations Committee, which oversees the day to day operations of the Emergency Department at PRMCE. Dr. Beecroft assists in optimizing operations, with the primary goal being to ensure patient and provider satisfaction while providing top-tier medical care. As the ED liaison between nursing and medical staff, he collaborates on a wide range of departmental matters from ED design/patient flow, patient prioritization and treatment protocols to disposition issues and provider interactions, among others. Dr. Beecroft is committed to providing the necessary support to our providers and nursing staff in order to maintain an organized, efficient patient flow throughout the ED.

Dr. Beecroft was born and raised outside of Columbus, Ohio. He attended Case Western Reserve University in Cleveland, Ohio where he obtained his Bachelor’s of Science Degree in Civil Engineering. He continued his education with Case Western Reserve University - School of Medicine, where he received his Medical Degree. Dr. Beecroft completed his residency training at Cook County Hospital in Chicago, Illinois.

Dr. Beecroft is currently active in numerous committees within NSEM and PRMCE that focus on financial performance and quality process improvement. These include the Finance, Charity, Quality Assurance, ED Flow, Sepsis, Chest Pain, Social Admits, and Telemetry Use committees. In addition, he is a member of a local multi-EM group Risk Management Committee. Dr. Beecroft’s clinical interests involve coordinating Journal Club, a discussion group comprised of several specialty services, which reviews recent medical literature articles that may have direct implications for our practice. These Journal Clubs often result in establishing new policies or changing an existing policy based on multidisciplinary consensus. 

Along with his work at PRMCE, Dr. Beecroft also maintains privileges as a clinical faculty member with the University of Washington’s Harborview Medical Center; a world-renowned Level One adult and pediatric trauma/burn center located in Seattle.

Dr. Beecroft enjoys spending time with his wife and children. His other interests include snowboarding, trail running, sailing, and playing the guitar.