Item N2
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: August 18. 2004
Division:
County Administrator
Bulk Item: Yes --X- No
Department: County Administrator
AGENDA ITEM WORDING:
Approval of the reappointments of Liz Kern and Debbie Premaza to the Health Council of South
Florida Board of Directors, connnencing on August 18,2004 and expiring on June 30, 2006,
ITEM BACKGROUND:
Ms. Kern and Ms. Premaza are active Board members and currently serve as officers. Each term will be
for two years in the placement category of Provider.
PREVIOUS RELEVANT BOCC ACTION:
Previous approvals of appointments.
CONTRACT/AGREEMENT CHANGES:
N/A
STAFF RECOMMENDATIONS:
Approval.
TOTAL COST:
-0-
BUDGETED: Yes
No
COST TO COUNTY:
-0-
SOURCE OF FUNDS:
REVENUE PRODUCING: Yes
No
AMOUNTPERMONTH_ Year
APPROVED BY: County Atty _ OMB/Purchasing _ Risk Management
DIVISION DIRECTOR APPROVAL: --IIa--?~P ~ /,Qfi' ,
~ James L. Roberts
DOCUMENTATION:
Included X
To Follow
Not Required_
DISPOSITION:
AGENDA ITEM #J~~
/)-
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~
~
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Of ~~'i\\
July 22, 2004
Mr. James Roberts
County Administrator
County of Monroe
5100 College Road, Room 312
Key West, FL 33040
Dear Mr. Roberts:
The Health Council of South Florida Inc. is pleased to request the
reappointment to the Board of Directors of those listed below. The
placement category is listed next to each Board member.
. Liz Kern, R.N.
· Debbie Premaza, R.N.
Provider
Provider
Ms. Kern and Ms. Premaza are active Board members and
currently serve as officers. Their current two year terms of office
were from July 2002. The re-appointments are for two-year terms.
A resume accompanies each application form, "for nomination to
serve on the Local Health Council District XI, Monroe County". If
possible, we would like to have these names submitted to the
Commissioners for reappointment at the next County Commission
Meeting.
Please feel free to contact me, or Priscilla Pouchet, Office
Administrator, at (305) 592-1452 should you need any additional
information.
Sincerely,
CST- f~
Sonya R. Albury
Executive Director
enclosure
Our mission is to engage in
community-based planning
that improves health and
promotes wellness in
Miami-Dade and Monroe
Counties.
8095 NW 12 Street
Suite 300
Miami, FL 33126
Tel 305,592,1452
Fax 305592,0589
www,healthcouncil,org
e-mail hcsf@healthcouncil.org
Officers
Max B Rotllman, JD, L.L.M,
Chalf
Liz Kern, R,N,
Vice Chair
Albert Collazo
Treasurer
Debbie Premaza, RN, BSN,
Secret<lry
Board Members
Castell Vaughn Bryant EdD,
Thomas L, Garvin, M,D,
Paul Gluck, M,D,
Charles Gray
Kerry Shelby, CPA
Ana Rita Velazquez, ScD
Executive Director
Sonya R, Albury
All Equal Opportumty Enip/over
FROM : HOSP r CE/~
FAX I\[). 3052949348
SuI. 09 2004 05: 12PM P2
CANOIOATE FOR NOMINATION TO SERVE ON THE LOCAL HEALTH COUNCIL
DISTRICT XI, MONROE COUNTY
NAME L, Z' tee Jl IV 1 ~ S' N.: u2 ~ A AI
BUSIN!;SS ADDR!;SS / 2f'!.!.tI~ -.", ...s:~. TEL Si7'r- ~tt- rr~
K~ /5h6f;FL. 5J'~t/J FAX!(J"f~<i,;/-<1!~?
ity. st.te Zip
RESIDENCE ADDRESS /~tf'7 '4..:E-J,~~(J~ ff:TEL So;,?, ~.I-bt.q
(Str..t)
~~ ~6R- ~-9/'-If)FAX' '..J. u'~,"
( , State Zit) Code
MALE_ FEMAL~ BLACK_ CAUCASIAN ".J LATIN_ AGE600ROLOER~
TYPE OF SEAT: PURCHASER PROVIDER~; CONSUMER
E
~
~r~1AA
PERTINENT 810G~ INFORMATION (Resume or Curriculum Vitae may be attached)
C t/ ~-,L.- -
,
I, (candid.te's name) ~ I Z; 4~ ~/ . a citizen of
the United States, and a duly qualified electo,. of Monroe County, would. If appointed. be willing and ./:Ne to
diacharOe the ~tWb\\itie$ 6I'Id fun<:.t\on. of a memMr of thAi L.oc:al H.ealth Council, I declare that 1 do not serve
on a~",. "",,"cy or advisory group __ted andlor funded by the Monroe Cou7~zn,
L ~ ~4"----- 1 ~ <:i
CANDID TE'S S TURE DA E!
C;\DCX\U'l\ents and Scttingll\LIZK\..\I1y Document!;\Health Council ofSQ, FI\Monroe Application 0403.DOC
Health Cor..mclf of South Florida, loe
8Q95 NW 12. Street, Suite 300
Miami. FL 33176
SOS-S92-1452..phone; 305-592-0589-fax
LISBETH (LIZ) KERN
1607 Johnson St. . Key West, FL 33040 . 305/296-6156
Office:1319 William St. . Key West, FL 33040 . 305/294-8812
lzkern@bellsouth.net fax: 305/294-9348
EnUCA TION & LICEN&JRE
UNIVERSITY OF WISCONSIN
MADISON, WISCONSIN
(MAJOR - URBAN & REGIONAL PLANNING)
M.S.
SKIDMORE COLlEGE
SARATOGA SPRINGS, NEW YORK
(MAJOR - NURSING)
B.S.N.
REGISTERED NURSE
RN 1587512 (FL)
PROFESSIONAL EXPERIENCE
PRESIDENT & CEO
VISITING NURSE ASSOCIATION OF THE FLORIDA KEYS
1988-PRESENT
MONROE COUNTY, FLORIDA
PRESIDENT & CEO
HOSPICE OF THE FLORIDA KEYS, INC.
1985-PRESENT
MONROE COUNTY, FLORIDA
DIR. OF CLINICAL & HOUSE ST AFF AFFAIRS
UNIVERSITY OF CINCINNATI MEDICAL CENTER
(ADMINISTRATOR - MEDICAL STAFF Ill. HOUSE STAFF)
1975-1984
CINCINNATI, OHIO
ASSISTANT PROFESSOR
COLLEGE OF NURSING & HEALTH
(EDUCATOR-BSH SENIOR S1TJDENTS-COMMUNnY HEALm. LEADERSHIP)
1975-1979
CINCINNATI, OHIO
DIRECTOR OF NURSING
MADISON DEPARTMENT OF HEALTH
(ADMINISTRATOR-NURSING cl 011fER DIRECT SERVICE PROGRAMS)
1971-1979
MADISON, WISCONSIN
SPECIALIST, DEPARTMENT OF NURSING
UNIVERSITY OF WISCONSIN-MADISON
(EDUCATOR-BSH SENIOR STUDENTS-COMMUNlTY HEAL11f)
1970-1972
MADISON, WISCONSIN
EXECUTIVE DIRECTOR; HEALTH PLANNING COORDINATOR 1961-1970
(MODEL CITIES PROGRAM); COMMUNITY COORDINATOR BURLINGTON, VERMONT
(HOSPITAL COORDINATOR);
COMMUNITY HEALTH NURSE
VISITING NURSE ASSOCIATION
(DURiNG THIS PERiOD ALSO SERVED AS A CIVlLlAN RN, US ARMY, CRAlLSHElM, W. GERMANY j,5YRS)
STAFF NURSE
VISITING NURSE SERVICE OF NEW YORK
1960-1961
NEW YORK, NEW YORK
SIGNIFICANT BOARD/COMMITTEE MEMBERSHIPS/APPOINTMENTS
HEALTH COUNCIL OF SOUTH FLORIDA
BOARD OF DIRECTORS; EXECUTIVE COMMITTEE
LEA VE A LEGACY - MONROE COUNTY
BOARD OF DIRECTORS
FLORIDA COUNCIL OF VISITING NURSE ASSN, INC. & VISITING NURSE CORP. OF FL, INe.
CHAIR; BOARD OF DIRECTORS
FLORIDA HOSPICES, INe.
BOARD OF DIRECTORS; CHAIR, AIDS COMMITTEE
FL DEPARTMENT OF CHILDREN & FAMILIES
CHAIR, HEALTH & HUMAN SERVICES BOARD (HHSB), DISTRICT lIB
FLORIDA KEYS AREA HEALTH EDUCATION CENTER
PRESIDENT, BOARD OF DIRECTORS
HISTORIC ARCHITECTURAL REVIEW COMMISSION (HARC), CITY OF KEY WEST
SECRETARY
NURSING PROGRAM ADVISORY COMMITTEE (FLORIDA KEYS COMMUNITY COLLEGE)
MONROE COUNTY AIDS CONSORTIUM
SOUTH FLORIDA AIDS ADVISORY COUNCIL (DADE, BROWARD & MONROE COUNTIES)
SECRETARY, BOARD OF DIRECTORS
HEALTH ADVISORY BOARD, CITY OF KEY WEST
AIDS RESIDENTIAL COMMITTEE- AIDS HELP, KEY WEST
CHAIR
UNITED HOME CARE - CINCINNATI, OHIO
PRESIDENT, BOARD OF TRUSTEES
(FORMED BY MERGER OF VISITING NURSE ASSQC, OF TIlE GREATER CINCINNATI AREA & TIlE HOME AIDE SERVICE)
VISITING NURSE ASSOCIATION OF THE GREATER CINCINNATI AREA
PRESIDENT, BOARD OF DIRECTORS
WISCONSIN DEPARTMENT OF HEALTH
PROFESSIONAL ADVISORY COMMITTEE, E.P.s.D.T. PROGRAM
CITY OF MADISON, WISCONSIN
ENVIRONMENTAL IMPACT REVIEW TEAM
COMMUNITY HEALTH ACCREDITATION PROGRAM (CHAP)
SITE VISITOR
CURRENT MEMBERSHIP IN PROFESSIONAL ORGANIZATIONS
. ASSOCIATED HOME HEALTH INDUSTRIES OF FLORIDA, INC.
· FLORIDA COUNCIL OF VISITING NURSE ASSOCIATIONS, INC.
. FLORIDA HOSPICES, INC.
· NATIONAL HOSPICE ORGANIZATION, INC.
· VISITING NURSE ASSOCIATIONS OF AMERICA, INC.
SPECIAL HONORS AND COMMENDATIONS
FIRST HONORARY TRUSTEE OF UNITED HOME CARE, CINCINNATI, omo
PRESIDENT'S A W ARO, UNITED APPEAL & COMMUNITY CHEST OF THE CINCINNATI AREA
CANDIDATE fOR NOMINAnON TO SERVE ON THE LOCAL HEALTH COUNCIL
DISTRICT Xl. MONROE COUNTY
NAME l)Qk~ r, e (Y1(k2D-
BUSINESS ADDRESS ~ it q I CJ ~ D~~ ( f/w; TEL00S- s: q 31
(S~) ,
I<~Uu~ j FL FAX Or-lfr3 ~~
,- <pty,Stnl~e1 J .33D32... 8"~ 9to S-O~
RESIOENCE ADDRESS J.:j C; uJ-eSf (YJ 1I7,<:(J1.AlJK-TEL ~,,~Kr:;2.C:, 0 "3l)
(s"*'*)
--Ji;A.~~.f",,\e L. . PC-, 33()J~ F/lX AJI A-
(CIty. Sial. ZIp Cade') ,
MALE FEMALE ~tACK CAUCASIAN LATIN AGE 60 OR OLDER
-- - -- --
TYPE OF SEAT: PURCHASE'R "; PROVIDER ...; CONSUMER
et/~ Ca '
NA'TURE OF 8US\NESS/PROFESSION iJ..p 4. I C a. -e /J krt' -;
IF CORPORATION. INDICATE TITLE & DUTIES -'1dt:tJm /5 Ira kJtf /?..r j I 'n J;'.lt. ·
'l:> /~r~ L 1-0 If_
I. (candidate' me) ~ ({? r e. r(Y17 .LJ....- ' a citizen of
the United Stetes. and .. duly qualified elector af Monroe County. wouJd. If appointed, be willing and able to
discharge the responsibilities and functions of 8 member of the local Health CouncU. I declare that I do not seNe
on ano board. ~ or advieory group creeted and/or fu ed by the Monroe County Commlss1on.
6-~-OL/
DA: ,
urn Vitae may be attached)
PERTINENT BIOGRAPHICAL INFORMATION (Resume or C
F:\Common\BOARD\MEMBERS\APPLICA\FY1003-2004\Forms\M0DI'0C Application 0403.DOC
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