VA Sierra Pacific Network (VISN 21)
John A. Brandecker
John A. Brandecker was appointed as Network Director, VA Sierra Pacific Network, Veterans Integrated Service Network (VISN) 21, in October 2018. In this role, he has executive oversight of seven VA Health Care systems in Northern and Central California, Nevada, Hawaii, Philippines, and U.S. Territories in the Pacific Basin, 59 Community Based Outpatient Clinics (CBOCs), and an operating budget in excess of $3.9 billion. From 2013 to 2018, Mr. Brandecker served as the Director of Hunter Holmes VA Medical Center in Richmond, Va. In this role, he was responsible for 3,600 employees, ensuring care for nearly 60,000 Veterans in a 52-county area, and providing significant VA inpatient and outpatient services, including Polytrauma care and rehabilitation, spinal cord injury, and cardiac transplantation. Prior to joining the VA, Mr. Brandecker held several health care executive leadership positions within private industry, culminating as Associate Vice President and Chief Operating Officer of University Hospitals, UT Southwestern Medical Center in Dallas. He has also served as the Senior Vice President of Jackson Health System in Miami; Associate Hospital Director of University of Iowa Hospitals and Clinics, and Vice President of University of Chicago Hospitals and Health System. Mr. Brandecker holds a Master of Public Health degree from Columbia University, a Master of Business Administration from St. John’s University, and a bachelor’s degree from the State University of New York.
Ada YC Clark, FACHE, MPH
Deputy Network Director/Chief Operating Officer
Ada Clark was appointed Deputy Network Director (DND) for VA Sierra Pacific Network (VISN 21) in September 2018. She previously held the positions of Assistant Director at VA San Diego Healthcare System, Operations Officer at VA Desert Pacific Healthcare Network (VISN 22), Senior Health System Specialist to the VISN 22 Network Director, Executive Assistant to the Director and Administrative Officer to the Assistant Director at VA Long Beach Healthcare System, VISN 22 Administrative Fellow and Research Assistant at VA Greater Los Angeles Healthcare System. Ms. Clark served interim positions as the VISN 22 DND and Project Manager for the Los Angeles Veteran Health Administration (VHA) Homeless Veterans Program. As Deputy Network Director, Ms. Clark has executive oversight of seven VA Health Care Systems in Northern and Central California, Nevada, Hawaii, Philippines and U.S. Territories in the Pacific Basin, 59 Community Based Outpatient Clinics, and an operating budget in excess of $4 billion. She holds direct full-line authority and responsibility for Fiscal, Supply Chain, Capital Asset, Strategic Planning, Occupational Safety, Environmental Management, Police, Business Office, Prosthetics, Biomedical Engineering, Emergency Management and other administrative services for the region. She serves as the leadership liaison for Canteen and Information and Technology offices and is responsible for the operational oversight of the Manila Outpatient Clinic. Ms. Clark chairs multiple VISN 21 committees, is a member of the national Strategic Sourcing Subcommittee among other national committees and is a steering committee member of the Western States Network Consortium. Ms. Clark received a Bachelor of Science degree in Neurobiology, with a Minor in Biomedical Engineering, from the University of California, Irvine in 2005 and a Master in Public Health degree in Health Services Management in 2007 from the University of California, Los Angeles School of Public Health. She graduated from the VA Graduate Healthcare Administrative Training Program, the VA Leadership Development Institute, the VHA Health Care Leadership Development Program and the VHA New Executive Training Program. Ms. Clark is board certified in health care management as a Fellow of the American College of Healthcare Executives. She is also a VHA Certified Mentor at the Fellow level, a Past President of the Women in Health Administration of Southern California and a past Director of the UCLA Health Policy and Management Alumni Association Board. Ms. Clark currently serves as a mentorship committee member of the California Association of Healthcare Leaders, serves on the University of California, Riverside Design Thinking Advisory Board and is a member of the Women Health Care Executives organization in the San Francisco Bay Area. In 2013, Ms. Clark was named the VHA Certified Mentor of the Year, in 2015, she was awarded ACHE’s Early Career Healthcare Executive VA Regent’s Award, and in 2019 she received the ACHE Service Award.
Regina Godbout, MD
Chief Medical Officer
Dr. Regina Godbout was appointed as Chief Medical Officer, VA Sierra Pacific Network, VISN 21 (Pleasant Hill, California) on August 17, 2020. In this role she oversees all clinical programs, operations, and services for the network. VISN 21 serves Veterans in Northern and Central California, Nevada, Hawaii, the Philippines, and U.S. Territories in the Pacific Basin. Dr. Godbout received her medical degree from Chicago Medical School/Rosalind Franklin University of Medicine in 1994 and completed her categorical Internal Medicine Residency at University of California, San Francisco in 1997. She went on to serve in the Navy, completing Advance Traumatic Life Saving (ATLS), Combat Casualty Care Course, and the Fleet Hospital Operations Field Training Course. Dr. Godbout served at both Balboa Naval Hospital and Marine Corps Base Camp Pendleton before joining a multi-specialty care practice in the Seattle area. She has served as a Medical Director, Chief of Medicine, and has managed a thriving private practice for ten years. She is currently an Associate Clinical Professor in the Department of Internal Medicine at the University of California, Davis. Dr. Godbout’s special interests include Women’s Health, LEAN processes, and HRO principles. She strives to be a servant leader who advocates for Veteran-centric health care and a champion for excellence. Dr. Godbout served as interim Chief Medical Officer for VISN 21 and COVID-19 Incident Commander for six months prior to her appointment. In this capacity, she worked closely with facilities and their academic partners to coordinate pandemic efforts across the network. Dr. Godbout’s previous roles in VA include Deputy Chief of Staff for VA Northern California Health Care System, and Chief of Medicine, Women’s Health Medical Director and interim COS for VA Central California Health Care System.
Toby Underwood, DM, MSN, NE-BC, CPHQ
Nurse Executive/Quality Management Officer
Dr. Toby Underwood was appointed as Chief Nursing and Quality Management Officer, VA Sierra Pacific Network, VISN 21 (Pleasant Hill, California) on September 1, 2019. In this role, she oversees all quality and nursing clinical programs, operations, and services for the network. As Chief Quality Management and Nursing Officer, Dr. Underwood has executive oversight of seven VA Health Care Systems in Northern and Central California, Nevada, Hawaii, Philippines and U.S. Territories in the Pacific Basin, 59 Community Based Outpatient Clinics. She holds direct full-line authority and responsibility for Patient Safety, Risk Management, Quality Improvement, Accreditation and Regulatory Oversight Programs, System Redesign/Innovation Services, Integrated Ethics, High Reliability Services, and Patient Care/Nursing Services for the region. Dr. Underwood received her nursing degree from the University of Tulsa in 1995 and completed her Masters of Nursing from the University of Phoenix in August of 2004. Dr. Underwood obtained her Doctorate of Health Care Administration in April of 2019. Dr. Underwood is a certified professional in health care quality (CPHQ) and a board certified nurse executive (NE-BC). Dr. Underwood is a graduate of the VA Leadership Development Institute and the VA Healthcare Leadership Development Program. Dr. Underwood’s special interests include High Reliability Organization Principles, LEAN processes, organizational citizenship, and servant leadership. Dr. Underwood has served in various roles within the VA since 2003. Dr. Underwood’s previous roles in VA include Chief of Quality Safety Value at the Eastern Oklahoma VA Health Care System, Chief Nurse of Inpatient Services at the Eastern Oklahoma VA Health Care System, Quality Improvement Specialist at the Oklahoma City VA Health Care System, and various Nursing leadership roles at the Oklahoma City VA Health Care System. Prior to joining the VA, Dr. Underwood held several health care executive leadership positions within private industry, including Quality Improvement Consultant, a Chief Quality Officer, and a Chief Nursing Officer at various hospitals within Oklahoma.