A management shakeup in the Louisiana State University hospital system has left the state's public hospital in New Orleans without a permanent leader for the third time in a year. Roxane Townsend, MD, who has served as interim chief executive of the Interim LSU Public Hospital in New Orleans since January, has been named head of LSU's Health Care Services Division in Baton Rouge. The division oversees the seven state-run charity hospitals in South Louisiana. She replaces Michael Butler, MD, who has run the hospitals' division since 2007.