Our commitment to providing you with the highest quality health care in South Carolina will continue in the coming years with planned expansions, affiliations, and collaborations throughout the state.
At every level of MUSC, our leadership team is committed to delivering compassionate, high-quality care backed by cutting-edge research and world-class expertise.
Dr. Patrick J. Cawley is the Chief Executive Officer of MUSC Health and Executive Vice President for Health Affairs of the Medical University of South Carolina. In this role, he oversees all clinical matters as they relate to MUSC.
During his leadership, MUSC has significantly expanded its clinical enterprise with a new Children's Hospital, a regional health network, multiple ambulatory sites, development of additional clinical affiliates, and numerous novel joint ventures. Additionally, MUSC has become a national leader in telehealth and has continued as South Carolina's #1 hospital/health system per US News and World Report. Under Dr. Cawley's leadership, MUSC continues to receive a number of quality awards across all domains of quality: safety, effectiveness, efficiency, equity, timeliness, and patient centeredness.
Previously, he served as the chief medical officer of MUSC Medical Center. In that role he was responsible for the quality and safety of all patient care programs as well as direct oversight of clinical service lines. He has led MUSC's improvement transformation in quality and patient safety, which was recognized by the University Healthsystem Consortium in 2007 and again in 2012 by awarding the coveted Rising Star honor to MUSC.
Dr. Cawley is a certified physician executive through the American College of Physician Executives and a fellow of the American College of Healthcare Executives. He is a Fellow in the Liberty Fellowship Program and a member of the Aspen Global Leadership Network. He has been named one of America's Best Doctors. He has also been awarded the Master of Hospital Medicine from the Society of Hospital Medicine.
Dr. Cawley is a Past-President of the Society of Hospital Medicine. He is actively involved in leadership roles in the American Hospital Association, the South Carolina Hospital Association, America's Essential Hospitals, Vizient, and the health care collaborative, Initiant.
Dr. Cawley graduated from the University of Scranton. He earned his medical degree from Georgetown University before completing an internal medicine residency at Duke University. He holds a Master of Business Administration from the University of Massachusetts-Amherst. He is board certified in internal medicine with focused recognition in hospital medicine.
Our commitment to providing you with the highest quality health care in South Carolina will continue in the coming years with planned expansions, affiliations, and collaborations throughout the state.
Crystal Broj is the Enterprise Chief Digital Transformation Officer at the Medical University of South Carolina (MUSC), where she leads the organizations Digital Transformation Strategy across healthcare, research, and university operations. Since 2022, she has driven the adoption of innovative solutions that enhance access, efficiency, and patient experience.
A recognized leader in healthcare innovation, Crystal was named to the Global Chief Digital Officer 100 in both 2024 and 2025. She is a frequent speaker at national leadership events, sharing insights on AI, digital transformation, and patient-centered care.
Her previous roles include AVP of Digital Strategy & Transformation at NorthShore University Health System and Chief Technology & Innovation Officer at the American Association of Diabetes Educators, where she advanced digital front-door strategies and health education tools.
Originally from Chicago, Crystal now calls Charleston home - bringing her Midwest work ethic to the Lowcountry's vibrant healthcare community.
Michael A. de Arellano, Ph.D., serves as chief organizational excellence officer for the Medical University of South Carolina (MUSC) and MUSC Health and leads the Division of Organizational Engagement and Excellence. Under his leadership, the Division of Organizational Engagement and Excellence spearheads strategic initiatives designed to ensure every member of MUSC feels welcomed, included, and engaged—fostering a genuine sense of belonging across the MUSC community. He and his team partner with leaders across the academic health system to increase health care access and quality and to improve health outcomes for all South Carolinians.
De Arellano came to MUSC in 1995, and he joined the faculty in 1998 as a clinical psychologist at the National Crime Victims Research and Treatment Center (NCVC) in the Department of Psychiatry and Behavioral Sciences. His health disparities work at the NCVC has focused on increasing access to evidence-based mental health services for trauma-exposed youth and families from traditionally underserved backgrounds through a variety of in-person (e.g., home-based, school-based) and virtual (e.g., telehealth) programs. In addition, he currently provides training and technical assistance to communities affected by mass violence, in his role in the National Mass Violence Center. He earned his bachelor's degree in psychology at the University of Miami, and he earned his master's and Ph.D. in Clinical Psychology from the University of North Carolina at Greensboro. He interned and completed his postdoctoral fellowship in traumatic stress at the NCVC at MUSC.
As the General Counsel for the Medical University of South Carolina, Ms. Drachman serves as the chief legal officer for MUSC and is responsible for the legal affairs of the academic, research and clinical components of the University and Hospital Authority. Prior to her appointment as General Counsel in 2012, Ms. Drachman served as the Director of Legal Affairs and Associate General Counsel for Healthcare with the Medical University Hospital Authority. She has been an adjunct faculty member in the Department of Healthcare Leadership and Management of the College of Health Professions at MUSC since 1999.Ms. Drachman legal practice focuses primarily on governance, higher education and health law issues.
Ms. Drachman has a Bachelor's degree in history and economics from the University of North Carolina at Chapel Hill, a law degree from the University of South Carolina, and a Master's degree in health administration from the Medical University of South Carolina.
As the MUSC Health System Interim Chief People Officer, Clay England provides strategic leadership across the enterprise. This dual leadership role oversees the MUSCP and MUHA HR departments and serves as a senior leader within the Health System. Clay will provide leadership in developing and executing human capital strategy to support the organization's overall business plan and strategic direction. Each division’s human resources leaders will have dotted line responsibility to the System CPO with solid line authority to the Division CEO.
Clay England joined MUSC in December 2024 as the Systems Executive Director for HR Operations and Transformation. He recently accepted the interim position of Systems Chief People Officer. With 30 years of experience in Human Resources, Clay has worked across multiple industries in various functional and leadership roles. Before joining MUSC, he served as the Chief Human Resources Officer for the largest hospital on the Oregon Coast.
Throughout his career, Clay has focused on improving the efficiency and effectiveness of the HR function, resulting in higher retention, better employee engagement, and an improved workplace culture. He has led and participated in multiple major Human Resource transformation efforts, including at Siemens AG, Grady Health System, and HCA. Clay holds a bachelor's degree from Brigham Young University and an MBA from Louisiana State University.
Clay recently relocated to Charleston. He enjoys spending time with his four children. In his spare time, Clay is passionate about outdoor activities, particularly backpacking and hiking. He has also developed a fondness for the Charleston Lowcountry beaches.
Megan Hays, Ph.D., ABPP, serves as Interim Enterprise Chief Well-being Officer for the Medical University of South Carolina (MUSC), where she leads Enterprise-wide strategies to promote mental health and well-being for more than 34,000 employees and learners. She oversees MUSC’s Center for Workplace Well-being, which delivers a comprehensive portfolio of programs including Stress First Aid training, Peer Support, Well-being Clinician services, and organizational consultation to advance psychological safety, belonging, and engagement.
Dr. Hays is a licensed clinical psychologist and board-certified rehabilitation psychologist through the American Board of Professional Psychology. She earned her Ph.D. in Clinical Psychology from the University of South Florida and completed fellowship training in Rehabilitation Psychology at the University of Alabama at Birmingham (UAB) Heersink School of Medicine. Before joining MUSC, she spent over a decade at UAB Medicine, where she served as an associate professor and Director of Wellness Education, developing systemwide initiatives to support workforce well-being and collaborating with executive leadership on strategic culture change.
She is a Fellow of the American Association of Cardiovascular and Pulmonary Rehabilitation and has served on the boards of the American Board of Rehabilitation Psychology and AACVPR. A frequent speaker and educator, Dr. Hays teaches nationally on topics such as psychological safety, burnout prevention, and workplace culture, with a focus on evidence-based strategies to create environments where employees and learners can thrive.
Dr. Hong is the Chief Physician Executive for MUSC Physicians and MUSC Health. In this position, he oversees the practice plan and serves as a senior leader in the health system. Hong is a leading authority on concussions, cardiac issues in athletes, overuse injuries and sports-injury prevention and has worked for decades as a team physician. He comes to MUSC from Drexel University in Philadelphia, where he was an endowed chair and professor in the Department of Family, Community and Preventive Medicine. He also served as chief of the division of primary care sports medicine, chair of the Drexel University Physician Board and associate dean for primary care and community health.
“Technology should not only support the business of health care – it should elevate the care experience for both patients and providers."
Amar Nagaram was named Enterprise Chief Information Officer (CIO) for MUSC and MUSC Health in July 2025, tasked with leading IS strategy for both. Nagaram brings more than a decade of health care IT leadership experience, with a proven track record in digital transformation, enterprise systems strategy and clinical technology enablement.
Nagaram most recently served as associate chief information officer at Indiana University Health, where he played a critical role in launching a multi-billion-dollar Epic Systems implementation. He led the project’s initiation phase, driving alignment across clinical, operational and executive stakeholders; securing vendor partnerships; and facilitating board-level approval. His leadership extended across enterprise applications, digital platforms, infrastructure modernization and IT governance.
Read: Amar Nagaram named enterprise chief information officer at Medical University of South Carolina
Danielle Scheurer, MD, MSCR is an adult Hospitalist physician, Professor of Medicine, and System Chief Quality Officer at the Medical University of South Carolina (MUSC) Health System. She completed undergraduate studies at Emory University, medical school at The University of Tennessee, and Medicine-Pediatrics residency training at Duke University. She then joined MUSC as a Hospitalist, and completed her Masters in Clinical Research. She then practiced as a Hospitalist and Medical Director of the Inpatient Medicine Services at Brigham and Women’s Hospital in Boston for 5 years, before returning back to MUSC in 2010. She is also a certified trainer in Just Culture and TeamStepps, is a Lean-Six Sigma Black Belt, a Baldrige National Examiner, and a certified mediator.
As System Chief Quality Officer, she oversees all Quality-Safety, Regulatory, Population Health, and Value-Based Payment models for the system. She is passionate about instilling High Reliability principles throughout the healthcare system, to improve safety and quality across all sites for all patients, while simultaneously enabling team engagement for performance excellence.
Kevin Spera is the inaugural Chief Experience Officer for MUSC Health. Kevin leads the organization in its efforts to deliver exceptional experiences across all touchpoints.
Kevin is an accomplished speaker, educator, and leader with over twenty years of experience across several areas of healthcare and professional sports. Over his career, Kevin has had the privilege of working for numerous organizations that are best in class in their respective industries.
Kevin has developed a track record of leveraging data to innovate, build and operationalize strategies that consistently outperform expectations. Through authentic collaboration, Kevin has consistently elevated others resulting in national recognition from organizations such as HealthGrades, HealthStream, Press Ganey, and Leapfrog to name a few.
Kevin holds a Bachelor of Science degree in Sports Medicine and Master of Science degree in Sports Administration from the University of Southern Mississippi. In addition to national certifications, he also holds a Master of Science degree in Clinical Exercise Physiology from Texas Tech University.