Senior Leadership Team

Damian K.L. Archer, MD

Chief Executive Officer 

Dr. Damian Archer is a board-certified Family Medicine physician and a mission-driven leader committed to expanding equitable, high-quality care in underserved communities. As Chief Executive Officer of Outer Cape Health Services (OCHS), Dr. Archer guides a Federally Qualified Health Center that serves the ten outermost towns of the Lower and Outer Cape, delivering comprehensive primary care, behavioral health, recovery services, and community-based programs to residents and seasonal workers alike.

Dr. Archer brings more than a decade of clinical, academic, and equity-focused leadership to his role at OCHS. He maintains a clinical practice and holds several key appointments at Tufts University School of Medicine, where he serves as Assistant Dean for Multicultural Affairs, Clinical Assistant Professor of Family Medicine, and Director of the Sam W. Ho Health Justice Scholars Program. In these roles, he has shaped the next generation of physicians by advancing inclusive learning environments, mentoring emerging leaders, and elevating health justice across the curriculum.

A graduate of the University of the West Indies (MD) with residency training at the University of Wisconsin/Aurora Healthcare—where he served as Chief Resident—Dr. Archer has dedicated his career to strengthening community health systems, building culturally responsive clinical teams, and expanding access to compassionate, evidence-based care. Under his leadership, OCHS is embracing innovative models of team-based primary care, integrating medical and behavioral health services, and developing scalable programs that meet the evolving needs of the Cape’s diverse population. Dr. Archer’s vision centers on ensuring that every patient—regardless of background, identity, income, or geography—can rely on OCHS as their medical home.

Paul Geltman, MD, MPH

Deputy Chief Executive Officer

As a physician executive, Dr. Geltman has dedicated more than 30 years to improving healthcare delivery, advancing population health, and leading multidisciplinary teams in hospital, community health center, and public health settings. Throughout his career, he has successfully led healthcare transformation initiatives focused on quality improvement, operational excellence, patient access, physician engagement, and team-based and value-based care. He is passionate about building high-performing clinical teams that strengthen ambulatory healthcare systems, improve patient outcomes, and deliver compassionate, patient-centered care. 

Before joining Outer Cape Health Services as Deputy Chief Executive Officer, Dr. Geltman served as Chief of Medicine (and Interim Chief Medical Officer) at the Pappas Rehabilitation Hospital for Children, Massachusetts Department of Public Health. Previously, he served as Chief Medical Officer at the Upham’s Corner Health Center (part of Upham’s Community Care, a federally qualified health center). At Upham’s, Dr. Geltman led multidisciplinary teams across primary care, behavioral health, specialty services, pharmacy, eye and dental clinics, the WIC program, quality and patient safety, and community supports and social services. Key initiatives centered on augmenting the skills of clinical staff to support team-based care and the development and implementation of enhancements to patient access such as block scheduling modalities. He also led the health center’s clinical care response to the COVID-19 pandemic. 

In addition to his work in clinical medicine, Dr. Geltman served for 26 years as the Medical Director for Refugee and Immigrant Health at the Massachusetts Department of Public Health, where he helped develop statewide clinical policy for refugee health screening, advised on the creation of multidisciplinary programs across contracted clinics, managed NIH-funded research, and collaborated with state and federal agencies to improve healthcare outcomes for refugees and other vulnerable populations. 

Dr. Geltman studied history and Latin American studies at Princeton University. He then went on to earn his MD and MPH degrees from the George Washington University School of Medicine and Health Sciences before training in pediatrics at Tufts Medical Center and completing a post-doctoral fellowship at Boston Medical Center/Boston University School of Medicine. Dr. Geltman is a fellow of the American Academy of Pediatrics and a diplomate of the American Board of Pediatrics. He has held academic appointments at Boston University and Harvard University and is currently Associate Professor of Pediatrics at the Boston University Chobanian and Avedisian School of Medicine and Associate Professor of Health Policy and Health Services Research at the Boston University Henry M. Goldman School of Dental Medicine.  

Kate Swanson, MBA

Chief Strategy Officer

Kate Swanson is a mission-driven healthcare strategist with over 20 years of experience guiding organizations through transformative change. As Chief Strategy Officer at Outer Cape Health Services (OCHS), she leads organizational planning, transformation initiatives, and cross-functional alignment to ensure the health center can meet the evolving needs of the ten communities it serves. Her work centers on translating OCHS’s mission and values into clear, actionable strategies that strengthen access, improve care delivery, and build sustainable models for the future.

Kate is recognized for her rare ability to operate seamlessly at both the visionary and operational levels—crafting strategies that honor community need while navigating the practical realities of implementation. Her career has been devoted to helping healthcare organizations adopt patient-centered, equitable, and financially resilient models of care. She approaches her work with a clear purpose: to simplify complexity, dismantle inequities, and ensure that every community has access to excellent, affordable care.

Before joining OCHS, Kate served as Executive Vice President and Chief Operating Officer of North Shore Community Health Center, where she led the organization’s value-based care transformation and redesigned operational structures to deliver more timely, personalized care. She also worked within Mass General Brigham supporting primary care practices across the system as they pursued NCQA Patient-Centered Medical Home accreditation, offering coaching, operational support, and training to strengthen team-based care.

Across her career, Kate has brought together diverse teams, broken down silos, and facilitated collaborative approaches that support meaningful growth, operational excellence, and superior patient experience. She is frequently invited to share her expertise at statewide healthcare forums, including as a featured speaker for the Massachusetts League of Community Health Centers’ Community Health Institute.

Kate holds an MBA with a concentration in Healthcare Policy and Management from Brandeis University’s Heller School, a BA from Stonehill College, and a certificate in Social Impact Management and Leadership from the Institute for Nonprofit Practice in collaboration with Tufts University’s Tisch College of Civic Life.