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Item N1 BOARD OF COUNTY COMMISSIONERS AGENDA ITEM SUMMARY Meeting Date: 12/17/03 Division: N/A Bulk Item: Yes -X... No Department: Monroe County Health Department AGENDA ITEM WORDING: Approval sought for the selection of Dr. Susana Mayas Health Department Director. ITEM BACKGROUND: Dr. Rutherford resigned as Monroe County Health Department Director in August 2003. The Department of Health has followed selection process procedures and has selected Susana Mayas the new Monroe County Health Department Director. PREVIOUS RELEVANT BOCC ACTION: N/A CONTRACT/AGREEMENT CHANGES: N/A STAFF RECOMMENDATIONS: Approval TOTAL COST: approximately $120.000.00 plus benefits BUDGETED: Yes ..X- No_ COST TO COUNTY: o SOURCE OF FUNDS: Monroe County Health Dept. REVENUE PRODUCING: Yes No --X AMOUNT PER MONTH_Year APPROVED BY: County Atty _ OMB/Purchasing _ Risk Management_ DIVISION DIRECTOR APPROVAL: s:- ~ ~ . Steve Mason, Acting Administrator DOCUMENTATION: Included X To Follow Not Required_ DISPOSITION: AGENDA ITEM #~ Susana May, MD, MPH 141 Lake Road Tavernier, FL 33070 Phone: 305-852-7490 Fax: 305-853-5920 E-mail: keyswell@msn.com RECEIVEb AUG 1 5 2003 Department of Health State Health Officer August 13, 2003 Florida Department of Health c/o Lana Gibson HDSH, Bin A-07 4052 Bald Cypress Way Tallahassee, FL 32399-1708 Dear Ms. Gibson: I am responding with great interest to a recent advertisement for the position of County Health Department Director, Monroe County. I am a Board Certified Family Physician in private practice in the Upper Keys, with experience and training in public health. I was awarded the degree of Master of Public Health by the University of California, Los Angeles in 1983. Concurrently with graduate study at UCLA, I was employed by the Los Angeles County Department of Health Services. In 1985, I was assigned to tlle investigation of an outbreak of Listeriosis of high morbidity among Mexican-Americans. My fluency in Spanish and knowledge of the culture were valuable skills in this effort. I was a principal investigator of the team that discovered the source of this epidemic - a contamiIk1ted brand of Mexican-style cheese. The results of this study were published in the New England Journal of Medicinc. For several reasons, I feel that I could offer a uniquc perspective to the Monroe County Health Dcpartment. First of all, I htlve worked as a primary care physician in the Upper Keys for over ten years, providing for the wide variety of medical problems that our patients present in the office, the hospital, and the convalescent center. I am well-versed in utilizing existing resources as well as facing limitations in our Keys health care system. Secondly, as the owner of a private practice, I have had to develop business plans and budgets 111at address shrinking revenues while providing for increased demands for health care services. I face the same challenges as all 111e other small business employers in the Keys, attempting to provide my employees with health insurance and decent benefits that are increasingly unaffordable. This experience led me to participate in the Rural Health Network's Health Insurance Task Force, a group that is trying to find solutions to the health insurance crisis in the Monroe County. Also, as a Cuban-American physician, I have first hand experience in dealing with the unmet health needs of our Hispanic population, especially in the prevention and control of chronic diseases. The incidence of diabetes and cardiovascular morbidity is rapidly increasing in our population, much of which can be prevented by control of obesity. This field of study is my special interest, and I have recently become Board Certified in Bariatric Medicine. To be Director of the Monroe County Health Department would be a stimulating, as well as challenging, endeavor, and I hope to be considered to fulfill it. I do, however, request that my application be kept confidential, since I have not indicated to my patients and staff that I am considering a change in my current practice. I may be contacted via the information in the above letter heading. The Keys has been my home for over a decade, and, I hope, for the rest of my life. There would be no greater pleasure than to dedicate my career to promoting the health of our Keys community. Sincerely, t'\M) M." t+ H Enclosure: Curriculum Vitae EDUCATION: Undergraduate: Medical School: Graduate: TRAINING: Internship: Post-Graduate: Residency: Fellowship: SUSANA MAY, M. D., M. P. H DIPLOMATE, AMERICAN BOARD OF FAMILY PRACTICE DIPLOMATE, AMERICAN BOARD OF BARIATRIC MEDICINE 141 Lake Road Phone: (305) 852-7490 Tavernier, FL 33070 Fax: (305) 853-5920 E-mail: k~y.~lY.~U~~n..,~J?.m University of Miami Coral Gables, FL B. S. Degree, Chemistry, magna cum laude May 1977 University of Miami School of Medicine Miami, FL Medical Doctor Degree June 1981 UCLA School of Public Health Division of Health Services Los Angeles, CA Master of Public Health July 1982 through July 1983 Los Angeles County Harbor! UCLA Medical Center Torrance, CA PGY 1 OB/GYN (flex) June 1981 through June 1982 Los Angeles County Women's Hospital Los Angeles, CA PGY 2 OB/GYN July 1983 through August 1984 Memorial Medical Center of Long Beach Memorial Family Practice Residency Program (DCI Affiliate) Long Beach, CA July 1985 through June 1987 University of California, Itvine Department of Family Medicine Memorial Center of Long Beach Irvine, CA Fellow in Geriatrics and Faculty Development June 1987 through June 1988 Page lof3 SUSl SUSANA MAY. M. D., M. P. H. EMPLOYMENT mSTORY: Page 2 of3 APPC pun: Susana May, MD, Professional Association, Tavernier, FL (1994 to Present) Family Practice and Obesity Medicine. Provided comprehensive care to patients in the office, hospital and convalescent center. Managed practicelbusiness, hiring/termination of employees, formulating business plan/budl review of P /L, accounts receivables, account payables, staff issues, employee benefi ts, insur, contracts, patient satisfaction. Joanne Mahoney, MD, Key Largo, FL 33037 (November 1992 through March 1994) Locum Tenens. Provided comprehensive care to patients in the office, hospit11 and convalescent center. PRO Director and Visiting Assistant Clinical Professor, Family Practice Residency Program, University of Carabobo School of Public Health, Valencia, Venezuela (Sponsored by the Department of Family Medicir University of Tennessee, Memphis) (July 1989 through November 1992) Academic liaison between the University of Tennessee and the Family Medicine Foundation Venezuela. Designed and implemented a new model of family practice residency training at the Universi Carabobo. Associate Director, Family Practice Residency Program, San Pedro Peninsula Hospital, Los Angeles, CA ( 1988 through July 1989) (program was discontinued by hospital) PRO Physician, Department of Health SelVices, Los Angeles County, CA (August 1984 through July 1985) Assistant to Director, Santa Monica District. Clinic Physician. Investigator, assigned to work with CDC EIS team on Listeriosis outbreak. HOSPITAL AFFILIATIONS: Mariners Hospital 91500 Overseas Highway Tavernier, FL 33070 cor CERTIFICATION: American Board of Family Practice Recertified 2000-2006 CAQ in Geriatrics: 1990 American Board of Bariatric Medicine Certified December 2002 LICENSURES: HO: Florida ME0062312 California G48098 DEA AMI710436 HONORS: University of Miami Honor Scholarship. Magna Cum Laude Phi Kappa Phi National Honor Society Alpha Epsilon Delta National Honor Society State of Florida EMPLOYMENT APPLICA TION Agency Authorized Signature I Date Class Code Status Equal Opportunity Employer/AfllnnaDve ActIon Employer The State of Flc.ri&.!r"Wll. 1M 1tI1tiI1lle violence in the tta1.place. Where to FInd Vacancy InfonnaDon: Ollll1lFlhVlnlllt: . Job and Benefils Cen!ers - Consun your local phone directory . Slate Agency Personnel Offices Agency: n~Frhv\eV\. 1- of /-lea. I f-,^ Tide: t) 1 re..c...t-or; M on roe ~vn. -h.t HeA.I~ De.pt Position Number. Dale Available: CounUes of Interest: MONRoe MinImum Sal . l'"ypeorprint in ink \his application in its enUrely. Specify the position for which you are applying. (Note: A separate application must be submitted for each vacancy. Photocopies are acceptable.) Susana f\.~Q. MD MPH Your Name Submit yoor application to the office announcing the vacancy no later than the close of business on the announced deadline date. .;l(o~ -:2 S- - 2. 11 "1 Social Security Number Sign your nana in the Certification Section (page 4). AU Information you submit is subject to verificaUon. . 141 La.~ RoaJ Your Mailing Address MoV\ rOe County FC 33D70 Stale Zip Code EDUCATION Home Phone Business Phone M,o..lI\'\l I=L """""""'i~~'C:~I~~~':'~I~'~a "0 ol~~ri~;eCify) . ':";:""~.':"""~;';': '.'';;:'-j~:'. ';". :,.;.-,~-;:: NAME I LOCATION OF SCHOOL LOUf"'des AWe.rn o None YOUR NAME, IF DIFFERENT WHILE ATTENDING SCHOOL: LOCATION -." -. '...,".:,....- MAJORlMrNOR COURSE OF STUDY TYPE OF DEGREE EARNED NAME OF SCHOOL CREDIT HOURS EARNED QTR SEM YOUR NAME, IF DIFFERENT WHILE ATTENDING SCHOOL: I . ',,, . ~ ...;, ",,',,1 .".,.-,...;...'-".;.' ..", l/";,;I::;';F:" -'h'i,:-~.'" ." .,., ,,,,,,,,,,;,,. (""'."""" '";;";,.",,,,,.,'''' l 1 DATES OF CREDIT TRAINING NAME OF SCHOOL LOCATION ATTENDANCE HOURS COURSE OF COMPLETED? (MONTHIYEAR) EARNED STUDY 'Sf E. FROM TO CLASS CLOCK YES NO 1~~SUM(? },~INs.t.'tE, IF ~'a\1" WHIl.E~;r;r.s\'-l>>NG SC\\W..:. LICENSURE REGISTRATION CERTIFICATION EXAMPLES: Driver License. TeacherCertffication, RN, LPN, PE. CPA, Etc. ~":~--'"".,,>. . , ';>- .>.~.:. .,:..':, ;-',1 "1"..-: ',.~': 'SEE I?. c. $ V {VI ~ 1 PERIODS OF EMPLOYMENT Describe your work experience in detail, beginning with your current or most recent job. Indude military service (indicate rank) and job-related volunteer work, if applicable. Indicate number of employees supervised. Use a separate block to describe each position or gap In employment. If needed, attach additional sheets, using the same format as on the application. All information in this section must be completed. Resumes may be attached to provide additional Information. 1 Name of Present OJ \.:a5\ 'Employer. SVSd V\? fVlo.~ I MD, MP /4 Address: /LIt Lt\.1ce R.oo.dl Ta. Ve.v'"t'He...V--, i=L 330(0 Phone No. U (30$') ~S~-93()0 Your Job Title: P r e..se Y"\ + Supervisor's Name: FROM:3 , ,9 t/ TO: " preseYl + 3 HOURS PER WEEK: > 40 ( ) MD Y -1..1 D Y zoo YOUR NAME IF DIFFERENT DURING EMPLOYMENT Duties and Responsibilities: PI e..a.se.. Se.e.. C.\.lw-k e d re. s U IY\. e- Reason for Leaving: S'hll sel+'- eht ploLferl 2 Name of Present or Last Employer: J 6a.. \"\ r\(~.. M ~ h..o he ~ I f'vlD Address: q~3ho Overs€.a.S l-\-w\J Itet.t ~ 0 Phone No. U C~) g<;2- 7<{1 7 f.l- s SoC.U'~~-e.. I I lX, Ma.. k-o YI~y Your Job Title: Supervisor's Name: FROM:"" 92. TO: Ju34 HOURS PER WEEK: '> i/-D ( ) M D Y M 0 Y YOUR NAME IF DIFFERENT DURING EMPLOYMENT Duties and Responsibilities: P Ie.o..s e s~e CL(fAl'..t....ed reS u me. Reason for Leaving: ~+C.{ rt-erl MI1 01""'1 P r I liMe:> prcU/-';.p 3 Name of Present or last Employer: P I etJl,Se. See. CL.~c..,W H" _Sol/ rn. e.... Address: Phone No. U Your Job Title: Supervisor's Name: FROM: ..LL TO: I I HOURS PER WEEK: ( ) II D Y -1..1 D Y YOUR NAME IF DIFFERENT DURING EMPLOYMENT Duties and Responsibilities: - Reason for leaving: 2 KNOWLEDGE J SKJLLS / ABILITIES (KSAs) List KSAs you possess and believe relevant to the position you seek, such as operating heavy equlpmen~ computer sklJ/s, nuency in language(s), etc. Plea.se See. <!..CVQ.t'" I e...f.k.... ~d J-e. s:: U l"Y\ e. EXEMPTION FROM PUBLIC RECORDS DISCLOSURE ARE YOU A CURRENT OR FORMER LAW ENFORCEMENT OFFICER, OTHER EMPLOYEE" OR THE SPOUSE DYES ~ OR CHILD OF ONE, WHO IS EXEMPT FROM PUBLIC RECORDS DISCLOSURE UNDER t119.07(3)(k)1 ,F.S.? "Other covered jobs inetude: correctional and correctional probation officers, firefighters, certain judges, assistant state attomeys, state attomeys, assistant and statewide prosecutors, personnel of the Department of Revenue or local govemments whose responsibilities inetude revenue collection and enforcement of child support enforcement and certain investigators in the Department of Children and Families [see t119.07(3)(k)1 ,F.S.]. BACKGROUND INFORMATION HAVE YOU EVER BEEN CONVICTED OF A FELONY OR FIRST DEGREE MISDEMEANOR? DYES ~ If .YES,. what charges? Where convicted? Date of Conviction HAVE YOU EVER PLED NOLO CONTENDERE OR PLED GUILTY TO A CRIME WHICH IS A FELONY OR A FIRST DEGREE MISDEMEANOR? DYES G:}1(10 If "YES,. what charges? Where? Date HAVE YOU EVER HAD THE ADJUDICATION OF GUILT WITHHELD TO A CRIME WHICH IS A FELONY OR A ~ FIRST DEGREE MISDEMEANOR? DYES If .YES; what charges? Where? Date NOTE: A "YES. answer to these questions will not automatically bar you from employment The nature, job relatedness, severity and date of the offense in relation to the poSition for which you are applying are considered. CITIZENSHIP The Siste or Florida hires only U.S. citizens and lawfully authorized alien workers. If a conditional offer of employment is made, you will be required to provide proof of citizenship or authorization to work in the U.S. ARE YOU A U.S. CITIZEN OR ARE YOU LEGALLY AUTHORIZED TO WORK IN THE U.S.? ~S DNO RELATIVES ~ TO YOUR KNOWLEDGE, DO YOU HAVE ANY RELATIVES WORKING IN THIS AGENCY? DYES SELECTIVE SERVICE SYSTEM REGISTRATION All males between the ages of 18 and 26 must be registered with the Selective Service System or exempted. IF YOU ARE A MALE BETWEEN THE AGES OF 18 AND 26, DO YOU HAVE PROOF OF REGISTRATION WITH THE SELECTIVE SERVICE SYSTEM OR EXEMPTION FROM SUCH REGISTRATION? DYES DNO CERTIFICATION I am aware that any omissions, falsifications, misstatements, or misrepresentations above may disqualify me for employment consIderation and; if I am hired, may be grounds for termination at a later date. I understand that any Information 'give may be investigated as allowed by law. I consent to the release of infonnation about my ability employment history, and fitness for employment by employers, schools, Jaw enforcement agencies, and other Individuals and other individuals and organizations to investigators, personnel staff, and other authorized employees of Florida state govemment for employment purposes. This consent shall continue to be effective during my employment if I am hired. I understand that applications submitted for state employment are public records~ rtlfy that to the best of my knowledge and belief all of the statements contained herein and on any attachments are 1m" 00"" ""p,.., and m'd~~"". ft' / I SIGNATURE: .. '",n """-_AA -'" ~./' /fA..D DATE: ~ / ( 03 I I 4 YOORNAME: <5 VSdV\~ M~ \ t\JtD I tV\P-H POSITION TITlE FOR WHICH YOU ARE APPLYING: DI rec...-\o{' / M 0 n~ <!.ou (\ ~ VETERANS' PREFERENCE INFORMATION ~ Itk. TkF~ POSITION NUMBER: Completion of the Veterans' Preference section Is made on e voluntary basis and kept confidential In accordance with the Americans with Disabilities Act. Listed below are the four Veterans' Preflllence categories. 1. A veteran with a service-connected disability who Is eligible for or receiving compensation, disability retirement, or pension under public laws administered by the U.S. Veterans' Adminlslration and the Department of Defense, or 2. The spouse of a veteran..whb cannot qualify for employment because of a tolal and peonanent disability, or the spouse of a veteran missing In action, captured, or forcibly detained by a foreign power, or 3. A veteran of any war who has served on active duty for one day or more during a wartime pertod, excluding active duty for training, and who was discharged under honorable conditions from the Armed Forces of the United Slates of America, or 4. The unremarried widow or widower of a veteran who died of a service-connecled disability. A 00214 or comparable document which serves as a certificate of release or discharge claim must be furnished at the time of application. In addition, applicants claiming categories 1,2, or 4 above must furnish supporting documentation in accordance with the proVisions of Rule 55A-7.013, FAC. Wartime periods are defined in ~.1.01(4), F.S. Veterans' Preference shall expire after an eligible person has been employed by any state or agency of a political subdivision of that state. Under Florida law, preference in appointment shall be given by the state to those persons in categories 1 and 2 and then those In categories 3 and 4. Veterans' Preference does not apply to retired-for-Iongevity military personnel when a competitive examination is used. However, retired military personnel wilh a compensable disability are eligible. If an applicant daiming Veterans' Preference for a vacant position is not selected, he/she may file a complaint with the Department of Veterans' Affairs, P. O. Box 31003, Sl Petersburg, Florida, 33731. A complaint must be filed within 21 days of the applicant receiVing notice of the hiring decision made by the employing agency or within 3 months of the date the application Is filed with the employer If no notice Is given. VETERANS' PREFERENCE CLAIM IF ELIGIBLE, WHICH VETERANS' PREFERENCE CATEGORY ARE YOU CLAMING? (Pleasa indicate number from Veterans' Preference Infoonation the section above.) D HAVE YOU EVER BEEN EMPLOYED BY ANY GOVERNMENTAL ENTITY WITHIN THE STATE OF FLORIDA? ARE YOU A RESIDENT OF THE STATE OF FLORIDA? DYES ~ IDES D NO NOTE: If you are claiming Veterans' Preference you must meet the criteria and substantiate your dalm by furnishing a DO 214 (Certificate of Release or Discharge from Active Duty) and any other required supporting documentation with your application. ~ Emolover, ramove this section orier to the selection orocess. EEOSURVEY Although the following Infonnatlon Is not mandatory, n Is requested to aid the State of Florida In Its commitment to Equal Employment Opportunity and Afflnnalive Action. Refusal to answer will not resun In adverse treatment of any applicant Applicants who believe they have been discriminated against may file a complaint with the Florida Commission on Human Relations, Building F, Suite 240, 325 John Knox Road, Tallahassee, Florida 32303. POSITION TITTlE FOR WHICH YOU ARE APPLYING: D, ~c.kor 1 MoVl roe c.oV(\~ ~\~ltk Depar~~ . POSlTION NUMBER: ~ ~EMALE b/S-JS to SEX: 0 MALE DATE OF BIRTH: RACE (Check One Only): o WHITE (Non-Hispanic) 0 BLACK (Non-Hispanic) .NfC D ASIAN or PACIFIC ISLANDER o OTHER (Specify) D NATIVE AMERICAN 5