C U R R I C U L U M V I T A E

C U R R I C U L U M V I T A E V I C T O R I A C.V E N A B L E F L E T C H E R R N, M S N, C N M, F A C N M BIOGRAPHICAL Birthplace: Detroit, Michigan Citizenship: United States EDUCATION Bachelor of Science, Nursing University of, Seattle Master of Science in Nursing Maternal-Child Health/Nurse Midwifery; Minor: Education University of Illinois at the Medical Center, Chicago Certificate Nurse-Midwifery Internship Los Angeles County/U.S.C. Medical Center BUSINESS VCF EDUCATIONAL SERVICES UBI# 601-226-070 EIN# 26-2687126 PROFESSIONAL EXPERIENCE October 2011- Director of Affiliate Operations Evaluation, Accreditation and Evaluation Present Department, Planned Parenthood Federation of America, New York, N.Y. May 2011 Dec. 2011 June 2007 May 2011 Mar. 2003- May 2007 Director of Health Services, Planned Parenthood of the Great Northwest, Seattle, Director of Clinician Services, Planned Parenthood of the Great Northwest, Seattle, Assistant Director of Clinician Services, Planned Parenthood of Western, Seattle, VICTORIA C. VENABLE FLETCHER JULY, 2015 1 1

Nov. 1990 Mar. 2003 Family Planning/STD Nurse Practitioner, Bremerton-Kitsap County Health Department (part-time, on-call), Bremerton, July 1997 July 2004 Nov. 1996 - Present Nov. 2002- Mar. 2003 Aug. 2002- Nov. 2002 Jan.1992 Dec. 2001 Sept. 1996 Dec. 2001 July 1996 - July 1997 May 1991 - June 1996 Feb. 1988 - Dec. 1991 Jan. 1986 - Feb. 1988 Aug. 1985 - June 1987 Sep. 1985 - Jan. 1986 July 1984 - Nov. 1984 July 1981 - June 1984 Sep. 1979 - June 1981 Pro-Tem Member, State Nursing Care Quality Assurance Commission, Olympia, Legal Nurse Consultant, Port Orchard, Clinician, Planned Parenthood of Western, Seattle, Per diem Clinician, Planned Parenthood of Western, Seattle, Director Center for Clinical Education, Director Continuing Medical Education, Director Wagner Resource Center/Medical Library, MultiCare Health System, P.O. Box 5299, Tacoma, 98415-0299 Adjunct Faculty, Pacific Lutheran School of Nursing, Tacoma, Chair, State Nursing Care Quality Assurance Commission, Olympia, Member, State Nursing Care Quality Assurance Commission, Olympia, Perinatal Outreach Coordinator, Southwest Regional Perinatal Program, Tacoma General Hospital, Tacoma, Staff Nurse-Midwife, Naval Hospital Bremerton, Bremerton, Family Planning Nurse Practitioner, Bremerton-Kitsap County Health Department, Bremerton, Staff Nurse-Midwife, Pierce County Health Department Urban Health Initiative Project, Tacoma, Assistant Professor, College of Nursing, Medical University of South Carolina, Charleston, South Carolina. Graduate and Nurse-Midwifery programs. Instructor, College of Nursing, Medical University of South Carolina, Charleston, South Carolina. Graduate and Nurse-Midwifery programs. Nurse-Midwife, National Health Service Corp, Sea Island Comprehensive Health Care Corporation, Johns Island, South Carolina VICTORIA C. VENABLE FLETCHER JULY, 2015 2 2

Sep. 1978 May 1979 Instructor, University of San Diego, Philip Y. Hahn School of Nursing, San Diego, California MAJOR RESPONSIBILITIES Director of Affiliate Responsible for significant aspects of the accreditation and evaluation program of Operations Planned Parenthood Federation of America. The accreditation process ensures Evaluation, compliance with established standards and elements of performance that protect Accreditation and the Planned Parenthood trademark, ensure quality health care, and compliance Evaluation with applicable state and federal regulations. Specific areas of responsibility Department, Planned include the following areas: human resources, board and administration, Parenthood information technology, public affairs, fund development, finance, business Federation of America operations, and education. Supervises Accreditation Evaluation Department Staff, October 2011-Present program subject matter experts, and consultants. Director of Health Services, Planned Parenthood of the Great Northwest May 2011- December 2011 Responsible for administrative oversight and clinical supervision of approximately 100 advanced practice clinicians(midlevel providers) and registered nurses throughout a three state area health network consisting of at thirty-one practice sites. Worked to continually improve the quality and cost effectiveness of customer-focused care. Integrated best practices into the overall operations and functions of the agency in collaboration with and support of members of the senior management team. Project co-lead for implementation of electronic practice and medical records systems. Director of Clinician Services, Planned Parenthood of the Great Northwest June 2008 May 2011 Planned Parenthood of the Great Northwest (PPGNW) (formerly Planned Parenthood of Western ). Provided administrative oversite to nursing and clinician services; worked to continually improve the quality and cost effectiveness of care provided by PPGNW Clinicians and Registered Nurses and incorporates those functions into the overall operations and improvement of the agency. Responsible for administrative oversight and clinical supervision of approximately 100 advanced practice clinicians(midlevel providers) and registered nurses throughout a three state area health network consisting of at thirty-one practice sites. Assistant Director of Clinician Services, Planned Parenthood of Western Mar. 2003-May 2007 Responsible for administrative oversight and clinical supervision of approximately 40 advanced practice clinicians and registered nurses throughout the south Puget Sound area at eleven practice sites. As part of the leadership team, accountable for aspects of strategic planning, quality improvement, evaluation and development of new service lines, community outreach, and regulatory compliance. Responsible for management of personnel issues and performance appraisals for the advanced practice clinicians. Supervises clinician/rn trainers. Provides direct patient care on a routine periodic basis. VICTORIA C. VENABLE FLETCHER JULY, 2015 3 3

Bremerton-Kitsap County Health Department Aug. 1985 - June 1987 (and) Nov. 1990 Mar. 2003 Family Planning Nurse Practitioner. Practice in a joint family planning/std clinic, responsible for physical assessment, selection of contraceptive methods and treating sexually transmitted diseases. Patient teaching re: women's health care, STD prevention, and health promotion. WA State Nursing Care Quality Assurance. Commission July 1997 July 2004 Pro-Tem member of state regulatory board. Member of practice and advanced practice subcommittees. Performs disciplinary and professional practice related activities including review of investigation files, identification of departures from standard of practice and health profession regulations. Worked with legal staff to determine disposition of cases. Legal Nurse Consultant Nov. 1996-Present Provides legal review, analysis, and expert testimony related to Medical-legal cases involving registered and advanced practice nurses. Clinician Planned Parenthood of Western Aug. 2002-Mar. 2003 Provides health care services to clients in an ambulatory setting. Screens, diagnoses, educates treats, prescribes, and evaluates medical interventions for conditions related to the reproductive, sexual, and gynecologic health of clients. Center for Clinical Education, MultiCare Health System Jan. 1992 Dec. 2001 Continuing Medical Education, MultiCare Health System Responsible for daily departmental operations and supervision of professional and non-professional staff. Responsible for managing cost centers (budgets) totaling over $800,000. Provided educational services to the system s 5,000 employees. Oversaw 3-year phased implementation of performance based development system or PBDS, a system-wide performance based competency assessment process. Developed the educational process, including curriculum, and approach to support the operations restructuring initiative, Patient Focused Work Design (PFWD). Facilitated training and retraining of over 1,300 employees as preparation for roles in the restructured health system environment. Designed and developed a multimedia employee resource center to support continuing education, staff development, and lifelong learning. Oversaw the design planning, implementation and evaluation of clinical education and other programs that enhance staff development. Administrative responsibility for affiliation agreements with institutions of higher education. Administered continuing education accreditation activities. Managed fiscal and strategic planning processes of the department. Served as resource and consultant to senior management for staff development, scope of practice, regulatory, and perinatal standard of care issues. Special projects as needed or assigned. Responsible for daily operations and supervision of staff in carrying out a program of educational activities for physicians and mid-level providers which promoted continued improvement in quality of patient care. Customer base drawn from VICTORIA C. VENABLE FLETCHER JULY, 2015 4 4

Feb. 1994 Dec. 2001 Med. Library/Wagner Resource Center, MultiCare Health System Feb. 1994 Dec. 2001 WA State Nursing Care Quality Assurance. Commission May 1991 June 1997 Southwest Regional Perinatal Program, Tacoma General Hospital Feb. 1988 - Dec. 1991 Naval Hospital Bremerton Jan. 1986 - Feb. 1988 MultiCare and its affiliates as well as the provider community at large. Responsible for annual needs assessment and accreditation related activities. Meeting and conference planning activities, as well as data entry and tracking activities were managed by the department. Responsible for supervision of Librarian and technical staff. The facility provided services for physicians and health system employees. Access promoted the delivery of quality care by providing direct access to the latest medical and health education information. Also participated in interlibrary loans with other library facilities. Maintained service contract with another local hospital and with hundreds of special members. Collection included hardcopy and electronic journals, books, and reference databases. Facility also housed a multi-media collection or educational resources. Oversaw design and construction of a new facility in 1997. Health profession regulatory board responsible for setting nursing standards of practice, licensure and educational requirements, and discipline sanctions for all practical, registered and advanced practice nurses in State. Offices: Chair, Vice-Chair Coordinates regional Perinatal education. Serves as resource for in-house and regional obstetric in-service educational programs. Provides consultation on clinical practice issues conducts nursing case reviews and consults on individual patient care. Is maternal transport liaison between community referring hospitals and Perinatal Center. Participates in formulation of maternal-child health policy by maintaining linkages with key local, regional and state agencies. Coordinates functional responsibility for State Regional Perinatal Grant. Staff Nurse Midwife. Provided antepartal, intrapartal, postpartal and gynecological care. Staff development for labor and delivery staff. Patient teaching in area of women's health care. Pierce County Health Department Sep. 1985 - Jan. 1986 Medical University of South Carolina July 1983 - June 1984 July 1982 - June 1983 July 1981 - June 1982 Staff Nurse Midwife. Antepartal, intrapartal, postpartal and gynecological care. Patient teaching in area of women's health care. Intrapartum Coordinator; Physical Assessment Coordinator. Responsible for didactic and clinical experiences of nurse-midwifery students. Physical Assessment Coordinator; Reproductive Health Co-Coordinator; Intrapartum Co-Coordinator. Responsible for didactic and clinical experiences of nurse-midwifery students. Co-Coordinator Health Assessment of the Individual Graduate Course; Physical Assessment Coordinator; Pelvic Gynecology Co-Coordinator. Responsible for VICTORIA C. VENABLE FLETCHER JULY, 2015 5 5

didactic and clinical experiences of graduate and nurse-midwifery students. University of San Diego Sep. 1978 - May 1979 Co-Coordinator of Physical Assessment and Community Health Nursing Courses for RNB Program. PROFESSIONAL ORGANIZATION MEMBERSHIP National: ACNM: American College of Nurse Midwives Sigma Theta Tau International, Honor Society of Nursing AWHONN: Association of Women's Health, Obstetric and Neonatal Nurses Planned Parenthood Federation of America Regional: Center for Nursing (WCN), non-profit nursing workforce center for the State of. Mission: The Center for Nursing supports a healthy by engaging nurses expertise, influence, and perspective and by building a diverse, highly qualified nurse workforce to meet future demands. Website: https://www.wcnursing.org/ Offices held: Board President (current), Secretary-Treasurer (former). As Board President led search for new executive director. As Secretary-Treasurer chaired the board s Finance committee. The committee developed the budget in consultation with staff, received and reviewed financial statements, monitored financial performance, led board finance discussions, reviewed RFPs from audit firms, recommended the audit firm, received and reviewed the annual audit, management letter and recommended the board s approval of the audit. Also coordinated the response to management letter when necessary. WithinReach, (formerly Healthy Mother, Healthy Babies Coalition of State). Mission: WithinReach serves as the foremost catalyst for improvements in maternal, child and family health. Website: http://www.withinreachwa.org/ Offices held: Board President, Second Vice President and Secretary- Treasurer 1990 2010. As Board President, led search for new executive director and led the organization s name change task force. As Secretary-Treasurer chaired the board s Finance committee. The committee developed the budget in consultation with staff, received and reviewed financial statements, monitored financial performance, led board finance discussions, reviewed RFPs from audit firms, recommended the audit firm, received and reviewed the annual audit, management letter and recommended the board s approval of the audit. Also coordinated the response to management letter when necessary. VICTORIA C. VENABLE FLETCHER JULY, 2015 6 6

American College of Nurse Midwives, State Affiliate Past Offices: Secretary, Nominating Committee (American College of Nurse Midwives, Region VI, Chapter 3). American Heart Association and American Stroke Association, Western States Affiliate, Health Equity Task Force; appointed June, 2011 Ebony Nurses Association of Tacoma, Tacoma, WA Health Coalition for Communities of Color, Tacoma, WA Current Office: Director Past Offices: Co-Director Jonhson & Johnson, State, Promise of Nursing Fundraising Campaign Steering Committee, 2006, 2009, and 2012 Northwest Organization of Nurse Executives Chair, Commission on Healthcare Policy 1999 2001 Sigma Theta Tau International Honor Society of Nursing, Psi Chapter Tacoma Chapter, AWHONN: Association of Women's Health, Obstetric and Neonatal Nurses. State Association of Black Professionals in Health Care. Past Office: Trustee Health Advocacy and Outreach (Past and Present) Chair Alpha Kappa Alpha Sorority, Inc. 2011 Far Western Regional Conference Community Service Projects. May 16-22, 2011, Seattle, WA Director, Health Coalition for Communities of Color, May 2008- present Co-Director 2004- May 2008 American Heart Association: Power to Live Smart Program, Heart disease and stroke prevention for African Americans, Barber and Beauty Shop outreach program American Cancer Society, Western, Sister Reach Program, Advisory Committee Member Pierce County Ethnic Healthy Heart Project Advisory Committee Kitsap County Health Planning Council, Vice Chairperson VICTORIA C. VENABLE FLETCHER JULY, 2015 7 7

Chair Midwives of Color Committee, American College of Nurse Midwives Pierce County Breastfeeding Alliance Pierce County Minority Health Coalition, Tacoma Pierce County Health Department March of Dimes/Millbank Foundation Partnership for Prenatal Care Project, Volunteer Coordinator, Pierce County. Project to determine the impact of managed care on access to prenatal care in State. 1994 2000 Co-Presenter, "Because I Care" - Breast Cancer Awareness and Early Detection Outreach Program, Pierce-Kitsap, State Perinatal Advisory Committee State March of Dimes Prematurity Campaign Steering Committee OTHER PROFESSIONAL ACTIVITIES March, 2013- Expanding Horizons Conference, Highline Community College, Des Moines, WA. Conference for middle schools girls to explore career options, high school and college requirements for Science, Technology, Engineering and Mathematics (STEM) careers. Panel presenter on nursing and advanced practice nursing careers. October, 2012- Panel presenter PPFA National Medical Committee Meeting, Electronic Health Record Optimization and Beyond, Denver, CO. April 2012- Panel presenter PPFA National Conference, Business Impact of Critical Advanced Practice Clinician Workforce Issues, Portland Hilton, Portland, OR. April 2011- Panel presenter PPFA National Conference, PPFA Nursing Workforce: Achillles Tendon or Golden Opportunity. Omni Hotel,, D.C. July 2005 present Board Member, Center for Nursing. Mission: To contribute to the health and wellness of State residents by ensuring that there is an adequate nursing workforce to meet the current and the future healthcare needs of the citizens of State. Member Board of Directors Current Office : Secretary/Treasurer Nov. 2007 Sept. 2011 Planned Parenthood Federation, Affiliate Evaluation Department, Accreditation Surveyor. VICTORIA C. VENABLE FLETCHER JULY, 2015 8 8

Purpose: To ensure compliance with PPFA Standards of Affiliation and protect the Planned Parenthood trademark, each Affiliate of the Federation is scheduled for a periodic appraisal of its policies, practices and programs. April 2009 September 2010 Governor s Interagency Council On Health Disparities: Health Workforce Diversity Advisory Committee. Purpose: To recommend () state policy and program actions to guide the development of a state action plan to eliminate health disparities through varied strategies including by increasing the diversity of the health workforce. 2006 2008 Planned Parenthood Federation, Federation-wide Diversity Indicator Workgroup. Purpose: To develop accreditation standards related to diversity for incorporation in the affiliate accreditation process. 2003 Planning Committee Member of State March of Dimes Prematurity Conference. Searching for Solutions: Prematurity Symposium 2003 2002 AWHONN National Conference Program Committee Member, Boston, MA ACNM representative to the Office of Minority Health s Regional Meeting on the proposed standards for Culturally and Linguistically Appropriate Health Services (CLAS Standards), San Francisco, CA, January, 2000. Authored official comments on CLAS Standards for the American College of Nurse-Midwives. Submitted to Office of Minority Health, April, 2000. March 2002. Judge, Student Contests, Math, Engineering, and Science Achievement (MESA) Program, Pacific Lutheran University, Tacoma, 1996-2000 Editorial Board, Lifelines Magazines, AWHONN 1995 2001 University of, Tacoma, School of Nursing Advisory Committee 2000 AWHONN National Conference Host Committee Member, Seattle, WA AWHONN 1994 District VIII Conference Program Chair, Seattle, WA Community Interview Team, Dean School of Nursing University of, Tacoma NAACOG Spring Section Conference 1991, Finance Chair State Health Care Workforce 2000 Committee, State Department of Health, Olympia, 1995-1996 Editorial Board, Mother-Baby Journal VICTORIA C. VENABLE FLETCHER JULY, 2015 9 9

1992-2001 Highland Community College, Nursing Program Advisory Committee 1992-2001 Bates Technical College, Licensed Practical Nurse Program Advisory Committee 1997-2000 Program Committee Member, Reproductive Health Conference, Center for Health Training, Seattle,. RESEARCH EXPERIENCE The Relationship Between Sickle Cell Trait and Selected Indicators of Maternal and Fetal Pathology, Master's Thesis, 1978, unpublished PUBLICATIONS Fletcher, Victoria C. "The Nurses Role in Providing Culturally Competent Care". Lifelines, June 1997 Fletcher, Victoria C. "Changes" Message from the Chair, Newsletter, State Nursing Care Quality Assurance Commission, April 1997 Fletcher, Victoria C. "New Trends in Female Sterilization". Media Review, Journal of Nurse-Midwifery, July/August 1985 Venable, Victoria C. "Should Screening for Sickle Cell Anemia be Comprehensive?" Journal of Nurse-Midwifery, Fall/Winter 1977 AWARDS AND HONORS 2015 ACNM Foundation Clinical Star Award for over 25 years of excellence in clinical practice and for mentoring midwives entering midwifery. 2014 Women of Color Health Committee of Pierce County, Distinguished Woman Award 2013 University of School of Nursing, Diversity Advocate Award 2009 Miriam Manisoff Award Planned Parenthood Federation of America. In recognition for outstanding contributions to the advancement of the role of the nurse practitioner in the areas of clinical practice, scholarship, and/or leadership 2004 Inducted as a Fellow of the American College of Nurse Midwives VICTORIA C. VENABLE FLETCHER JULY, 2015 10 10

2001 Induction into Sigma Theta Tau International, Honor Society of Nursing 2001 Nominee MultiCare Health System President s Award, Workforce Effectiveness: Russian Translation of Critical Thinking Assessment Materials. Partnership with Tacoma Community House, Tacoma,. 1998 Nominee MultiCare Health System President s Award, Perioperative Nursing Residency Program. Partnership with Pacific Lutheran University School of Nursing, Tacoma,. 1995 Recipient MultiCare Health System President's Award, Certified Nursing Assistant (CNA), Bridging Program. Partnership with Tacoma Community College, School of Nursing. 1995 Recipient MultiCare Health System President's Award Cancer Pain Management Project 1990 Recipient G. Corydon Wagner Family Endowment Fund Award for Nursing Education, Tacoma General Hospital, Tacoma, Inducted into Mortar Board, Tolo Chapter, College Women s Honor Society, University of VICTORIA C. VENABLE FLETCHER JULY, 2015 11 11