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Home My WebLink AboutItem P10 P10 BOARD OF COUNTY COMMISSIONERS COUNTY of MONROE Mayor James K.Scholl,District 3 The Florida Keys Mayor Pro Tern Michelle Lincoln,District 2 Craig Cates,District 1 David Rice,District 4 Holly Merrill Raschein,District 5 Board of County Commissioners Meeting March 25, 2025 Agenda Item Number: P10 2023-3781 BULK ITEM: Yes DEPARTMENT: Administration TIME APPROXIMATE: STAFF CONTACT: Lindsey Ballard n/a AGENDA ITEM WORDING: Approval of appointment of Dr. Daniel Brook to the Health Council of South Florida for a 2-year term in the category of Consumer. ITEM BACKGROUND: PREVIOUS RELEVANT BOCC ACTION: INSURANCE REQUIRED: No CONTRACT/AGREEMENT CHANGES: STAFF RECOMMENDATION: Approval. DOCUMENTATION: Monroe County BCC Appointment Request_Board of Directors (Daniel Brooke) .pdf 2024 District 11 Health Profile- Final.pdf HCSF Board Member Roster 2024-2025.pdf HCSF Bylaws Approved 11-18-10.pdf HCSF—Total patient Days_T'hird Q 2024_Monroe County.pdf FINANCIAL IMPACT: 3598 1HCSF ud February 19, 2025 Office of County Administrator 1100 Simonton Street, Suite 2-205 Key West, FL 33040 Albert Collazo Chairman Re: Request for Review by Board of County Commission — Membership Appointment to the HCSF Board of Directors—Dr. Daniel Brooke Evelyn Terrell, OTD, MHSA, OTR/L Member Dear Office of County Administrator: G.Bryan Stewart,Ph.D.,NREMT The Health Council of South Florida Inc. (HCSF), Florida local health planning agency Member overseeing Miami-Dade and Monroe Counties (District 11), hereby requests the Linda Carmona Sanchez appointment of Dr. Daniel Brooke, Director of Sciences & Nursing, at The College of the Member Florida Keys, located in Key Largo, FL to serve on the Local Health Council District XI Board of Directors in the category of Consumer. Per the HCSF Bylaws and its membership Nicholas X.Duran,JD requirements, the membership term is for a two-year term. Member Please find attached the HCSF Board membership application form and accompanying bio Olveen Carrasquillo,MD, MPH for review by the County Commissioners.We respectfully request that this application be Member added to the County Commissioners agenda for review and appointment at the next Meeting. Santiago Lean,JD Member Please feel free to contact Vanessa Naranjo, Director of Operations, at (305) 592-1452, ext. 110 should you have any questions or need additional information. Sincerely, Nicole A.Marriott,MBA President&CEO Nicole A. Marriott, MBA President&CEO Health Council of South Florida, Inc Equal Opportunity Employer 3599 HCSFid BOARD OF DIRECTORS CANDIDATE APPLICATION TO SERVE ON THE LOCAL HEALTH COUNCIL DISTRICT XI, MONROE COUNTY NAME BUSINESS ADDRESS TEL ---------- (Street) FAX (City,State Zip Code) RESIDENCE ADDRESS TEL -- (Street) FAX (City,State Zip Code) E-MAIL ADDRESS MOBILE PHONE SEX (M/F) AGE 60 OR OLDER? (Y/N) RACE ETHNICITY SEAT APPLYING FOR : PURCHASER PROVIDER CONSUMER EMPLOYER -- NATURE OF BUSINESS/PROFESSION TITLE HAVE YOU EVER BEEN CONVICTED, PLEAD GUILTY OR PLEAD NO CONTEST TO A CRIME? (if yes please explain). Please provide a Resume or Curriculum Vitae with your application I, (candidate's name) , a citizen of the United States, and a duly qualified elector of Miami-Dade County, would, if appointed, be willing and able to discharge the responsibilities and functions of a member of the Local Health Council. I declare that I do not serve on another board, agency or advisory group created and/or funded by the Monroe County Commission. Z/)aw, � CANDIDATE'S SIGNATURE DATE Health Council of South Florida, Inc. 7855 NW 12th Street,Suite 117—Doral, FL 33126 Phone 305-592-1452—Fax 305-592-0589—Web www.healthcouncil.org—Email healthcouncil@healthcouncil.org 3600 �Homu Ho urea. I��ua Board of Directors Candidate Questionnaire Candidate Name: Phone: Email: -------------------------------------------------------------------------------------------------------------------------------------------- Please provide answers to the following questions. 1. What interests you about the Health Council of South Florida? I am interested in the HCSF board position because of the lack of health care services and providers traditionally attributed to Monroe County, and my dedication towards improving health services in my community. In addition, other board members have communicated a lack of participation and coordination within the Monroe County healthcare stakeholder population, and I believe my unique relationship with many healthcare providers and county resources can aid in further HCSF's mission to reduce access disparities and health promotion. 2. What skills, connections, resources, and expertise do have to offer and are willing to use on behalf of the Health Council of South Florida? I believe my personal and professional network in Monroe County will provide a suitable foundation for the HCSF strategic plan, and my administrative and leadership skills will allow for practical and regular accomplishments within the county. 3601 3. Have you had any experience in serving on non-for-profit boards and, if so,what has that experience taught you? I have served on the College of the Florida Keys Nursing Advisory Board and EMS Advisory Board since beginning at the college three years ago.Through this experience, I have developed a better understanding and practical knowledge of board procedure such as Robert's Rules of Order as well organizing agendas, minutes, and annual reports for board use. In addition, I have led the coordination of several indirectly related stakeholder groups as well as the arbitration of our several annual meetings. Given that many of our stakeholders have a direct impact on the success of our Nursing and EMS programs, prioritizing stakeholder benefits and communication has been vital to my time on these boards. 4. What expectations do you have from the management of organizations on whose boards you serve? I strive to operate independently and to self-start on projects assigned to me. My only expectation is that I receive clear and direct requests for team assignments. I am a practical communicator and work best with conversations that start from the bottom-line or end-goal. 5. What challenges do you anticipate having in being able to fulfill your board commitments? My greatest challenge that I anticipate is my current balance between work, school, family, and personal professional projects. As my college department is currently understaffed, and because of my current enrollment in a PhD program, extra time is at a premium for me. However, because of the overlap between the interests of the HCSF and my own work, I believe I can successful in all aspects, if given the time to adjust to a new schedule. 3602 6. What are your personal aspirations that could be enhanced by service on our Board? My first personal priority as a professional is the completion of my PhD in Organizational Leadership. I believe that participation in the HCSF will provide me with an opportunity to develop experiences specific to Monroe and Miami-Dade county, while also providing me an opportunity to utilized the skills learned in my doctorate program. My first priority as a Monroe County education stakeholder is the strengthening of the relationship between Monroe County health providers and consumers and the Health Council of South Florida to the benefit of my own network and the offerings at The College of the Florida Keys. I aspire to serve the student and health care employer stakeholders of South Florida from the position of a higher education administrator, and I believe that membership with the Health Council of South Florida will aid in that endeavor. 7. Please mark the skills and/or interest you bring to our board: Accounting Membership Growth Grant Writing Human Resources Fundraising Nonprofit Experience Administration Outreach/Advocacy Law/Legal Issues Community Service Leadership Development Medical/Healthcare Policy Development Real Estate Strategic Planning Program Evaluation Public Relations Education/Instruction For Board Use Applicant has met with the following board members or staff: Date application has been reviewed by Board of Advisors: Action taken: 3603 DANIEL BROOKE Higher Education Executive Administrator—Specialized in Science, Health, and Limited Access Programs Passionate for Student Advocacy, Faculty Representation, Institutional Success, and Community Unification Key Largo, FL 33037 dan,eiserrn.ann,brooke iiLcorn ......................................................................................................... ............................................... ............................................. (305) 304 2515 WORK EXPERIENCE Director, Sciences & Nursing College of the Florida Keys—Florida Keys, FL September 2021 to Present • Directed Course/Event Scheduling/Advising for the Sciences& Nursing Division. • Supervised Faculty in Math, Biology, Chemistry, Nursing, EMS, and Psychology Disciplines • Established,Tracked, and Planned Benchmarks for the Sciences & Nursing Division's Annual and Three-Year Goals. • Managed Requisitions, Budgeting, and Purchasing for Nursing, Math, and Science Programs. • Budget Narrative Proposals, Reports, and Execution of Perkins, LINE, and PIPELINE Grants 22-23 and 23-24. • Managed Faculty and Student Compliance for Baptist Health, Lower Keys Medical Center, and General Program Requirements. • Lead Center Administrator for General Building Needs—Including Point of Contact for Major On- Site Projects at Upper Keys Center • Maintained Post-Graduation Records for Licensure Programs such as Nursing and EMT • Managed Clinical Site Affiliation Agreements and Contracts • Established and Maintained specific Program Outcomes for the Nursing Department • Partnered with Nursing Administrator to Complete ACEN Initial and Re-Accreditation Process for ASN and BSN Programs. • Oversaw and Executed the Recruitment, Enrollment, and Orientation of New Limited Access Program Students. • Conducted Annual Program Reviews,Textbook Reviews, Specific Program Evaluations, and Semi-Annual Advisory Board Meetings for Nursing and EMS, and built Regional Accreditation Narrative and Evidence Sections • Member of Multiple Committees, including Commencement, Mental Health Services, Quality Matters, Curriculum Committee, Union Relations Committee and Multiple Hiring Committees. 3604 • Evaluation of Curriculum Modifications, Student Appeals, Academic Integrity Violations, and Formal Complaints Regional Manager/Compliance Officer Remedy's Nutrition—South Florida, FL May 2017 to September 2021 • Staff Recruitment,Training, and Supervision • Managed Sales and Sales Representatives for the South Florida Region in 132C and 13213 Nutraceutical Sales. • Managed biohazard waste protocols, disposal, clinic services, certifications, and team sales focus. • Verified and managed patient treatment records while ensuring HIPAA compliance. • Responsible for USDA compliance, FDA compliance, Florida Department of Health compliance, FTC compliance, and Florida Department of Agriculture compliance. • Responsible for purchase and quality control of compounded injectables. • Responsible for trademark management and intellectual property discourse. Regional Manager Marine Science Eco Experience—South Florida, FL May 2017 to September 2021 • Team Management and Scheduling • Client Outreach Management • Regional Scheduling for Presentation • Education Seminars • Specimen Collection • Program Formatting for Customized Client Presentations Assistant Director/Teacher Tutoring Club—Charlotte, NC August 2016 to June 2017 • Tutoring and curriculum creation for K-12 students. • In-depth standardized testing training for SSAT, SAT, ACT, and GED. • Staff scheduling management. • New client outreach. Gym Manager Hollis Center—DeLand, FL August 2012 to June 2016 3605 • Organized and Set Appointments for Clients • Delegated Cleaning and Guest Service Activities to Appropriate Staff • Responsible for Documenting and Servicing Guest Requests, Property Damages and Guest Complaints EDUCATION Doctorate of Education (PhD) Southeastern University College of Education — Lakeland, FL January 2023 to Present Master of Science in Biomedical Science (MS) Barry University College of Nursing and Health Science—Hollywood, FL August 2017 to June 2019 Bachelor of Science in Biology (BS) Stetson University—DeLand, FL August 2012 to June 2016 SKILLS • Banner, CRM Recruit, Canvas, Argos Reporting, and Degree Works. • Microsoft Office Suite including Excel, Word, PowerPoint, Teams, and Outlook. • Adobe Acrobat, Illustrator, and Photoshop. • ScanSnap and HP Products Functionality. • HIPAA Compliance Education. • OSHA Compliance Education. • FERPA Compliance Education. • Functional Fluency in Spanish. • Clinical Compliance Management Software • Networking, Communication, and Interpersonal Skills. • Teaching and Course Curriculum Familiarity. • Data Collection and Statistical Extrapolation. 3606 1 / f9m:171 4 nnc lcdS if II �I//�� s i ,; � IY IUD1d 1�11DlV-� I� 21� 7�`uW'U➢i d ✓r r i 0 IIII Ilum Illlllllllum (IIIIIIII IIIIIIIVIIu Illlllllllum IIIIIIIIIIIIIIII uuuuuuuuui IIIIIIII ,,,,IIIIIIII IIIIIIII III IIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIII IIIIIIIIIIIII I IIIIIIIIIIII IIIIIIII III IIIIIIIIIIIIIIIIIIlIIIIIII IIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIII IIII II II u� uu III Ilh II 14 Ilh III II III II II IIL.. III III R II II 0III jjjj Ilh° 0 III ...m 0 U NIIIIIj II II III visslom I he I Iealfh Council of Sou lh I Inrida(I I sl:::::')i �o IDe'CIhe source of Gir'lolaserl healfh and qualify of life rlv'C'v and vnvlysls fIhe creferred cvrfner for qualfty (program Islanning IrrvinagelrrenC evvluav loin and csirrirrunl� �y selrvlce Uhe fvclhw�or v�f collaboras ion and Isaftnersh ilos lain Miami (Dade and l count les,and lIhe trusted cfrelrrlclon for elfricel and terJelerl freelU care Isolicy at Uhe local slate, and nae tonal levels Updated January 30,2025 360 7 2 uuullllluuiuuiuuiulluuilllllllluuu uuuuuu uuuiiiiiiii�l uuuuuiu luuuuuuii'ulul i�uuuuiu uuiuui �� The Health Council of South Florida (HCSF) District 11 Health Profile shows key social determinants of health indicators that reflect or contribute to health and wellness in Miami-Dade and Monroe counties. Health indicators for Miami-Dade and Monroe counties are comparable to other counties, state, and national data, when available. However, disparities in various health conditions among population or people groups based on race, ethnicity, sex, age, education, and income must be considered when observing data. Indicators are grouped into fourteen (14) general sections with an attempt to capture the top ten (10) leading causes of death and high-cost Emergency Department visits for District 11. ■ Population Demographics ■ Social and Economic Indicators ■ Access to Care ■ Maternal and Child Health ■ Crime and Public Safety ■ Health Care Utilization ■ Hospital Utilization ■ Preventive Health ■ Infectious Diseases(e.g., COVID-19) ■ Behavioral Health and Substance Use ■ Diversity ■ Measures of Health Status ■ Seniors ■ Miscellaneous dIIIIIiThe HCSF Is one of eleven local health councils created by S 408.033 to coordinate health services planning across the state. Serving District 11 (Miami-Dade & Monroe Counties), HCSF offers a variety of contracted services. Let our team of experienced and knowledgeable staff help you with your next project! .......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... 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Community Health Needs Assessments(CHNAs) Ryan White Care Part B: Monroe County Hospital Needs Assessments(990 Requirement) Miami Matters Data Platform Customized Health Data Report Cards Health Insurance Open Enrollment/Marketplace Assistance Program/Project Evaluation Housing Opportunities for Persons with AIDS (HOWPA) Data Gathering,Analysis and Reporting Miami-Dade Health Action Network(M-DHAN) Grant Research,Writing and Management Healthy West Kendall(Data Dashboard) Quality Assurance and Improvement Community Connections Program Coalition and Partnership Building Southeast Florida Cancer Control Collaborative (SFCCC) '"or !IuieslJolinn regair6ing Viflis report, or for ul�nolrn uliifolrulnn�lJoln asso61aled Wuflh ad&uflonalll nlnnlllysins, I Illnnnn nulnnulll tlhn IC IVIIII�" nt How In This Iti oro)ntloti Useful? Indicators contribute to a comprehensive picture of the health of the community in Miami-Dade and Monroe counties and this report is relevant and useful to state government and community-based organizations working to make a positive impact on policy or service changes. Disclaimer:All data elements included in this report derive from the most recent data available for publication.The inclusion of information prior to 2025 is the result of data being released and published according to different reporting cycles,which usually precedes the current reporting year of this report(2024);such as the quarterly hospital utilization reports published by the Agency for Health Care Administration (fourth quarter 2024 hospital utilization report will be available for publication after May 2025).In addition to the information depicted in this report,zip code and GIs mapping anaivgiq for Miami-Dade and Monroe counties could also be conducted for:communicable diseases,demographics,Emergency Department utilization,ho 3608 utilization,household income,leading causes of death,and maternal and infant health indicators. 3 11112IM1111111111110M MIAMI-DADE MONROE FLORIDA Total Population Estimate 2,723,579 (%) 83,008 (%) 22,724,182 (%) Black or Africa n-American 383,698 14.1 4,808 5.8 3,422,507 15.1 Hispanic or Latino 1,913,644 70.3 20,275 24.43 6,342,625 27.9 White 795,911 29.2 59,535 71.7 12,793,848 56.3 Asian 43,145 1.6 1,184 1.4 702,094 3.1 American Indian/Alaskan Native 9,337 0.3 369 0.4 104,193 0.5 Native Hawaiian/Pacific Islander 574 <0.1 80 0.1 15,232 0.1 Male 1,309,786 48.1 43,185 52.0 11,027,237 48.5 Female 1,413,793 51.9 39,823 48.0 11,696,945 51.5 VVIII Lessthan5 126,137 4.6 2,887 3.5 1,058,499 4.7 5-17 376,902 13.8 8,744 10.5 3,144,287 13.8 18-34 587,250 21.6 12,998 15.7 4,625,153 20.4 35-64 1,129,985 41.5 36,187 43.6 8,505,403 37.4 65+ 503,305 18.5 22,192 26.7 5,390,840 23.7 MIAMI-DADE MONROE FLORIDA Householdswith Internet Subscription 87.0% 88.0% 89.7% Average Time to Work(Minutes) 31.0 19.0 26.6 Households with No Vehicle 9.7% 6.7% 6.0% Household Rent Burden 63.4% 61.9% 58.7% Average FamilySize 2.74 2.32 2.54 Median Workforce Age 42.2 42.9 41.0 Renter-occupied Housing Units 48.1% 37.8% 33.1% Owner-occupied Housing Units 51.9% 62.2% 66.9% 3609 4 MIAMI-DADE MONROE FLORIDA High School Diploma or Higher 83.1% 93.3% 89.4% Median Household Income $68,694 $82,430 $78,538 Persons in Poverty 14.1% 10.0% 11.1% Unemployment Rate 4.6% 3.4% 5.0% MIAMI-DADE MONROE FLORIDA Uninsured 15.0% 15.4% 12.3% Medicaid Eligible 732,441 742,162 4,223,894 MIAMI-DADE MONROE FLORIDA Total Resident Live Births 29,529 689 221,413 Births Covered by Medicaid 38.6% 37.5% 42.2% Teen Birth Rate(Ages 15-19)(Per 1,000) 9.0 6.7 12.8 Preterm Birth Rate(<37 Weeks Gestation) 10.1% 8.4% 10.7% Infant Death Rate(Per 1,000 Live Births) 4.8 7.3 6.0 14121 Cesarean Deliveries 45.4% 40.5% 36.2% 111221"IME111M MIAMI-DADE MONROE FLORIDA Total Violent Crimes(2020) 13,477 297 83,290 Homicide Deaths 227 3 1,336 Domestic Violence Offenses(Per 100,000) 271.1 404.4 314.9 MIAMI-DADE MONROE FLORIDA ER Visit Rate(Per 100,000)due to Dental Conditions(Ages 0-64) 243.6 469.7 591.2 Age-Adjusted ER Visit from Mental Disorders(Per 100,000) 771.6 1,220.4 962.4 Al2i �IIII IIIIIII I V�IIIIIII�IIIV uI III hI�� MIAMI-DADE MONROE Routine Checkup in the Past Year u u 72.9% 72.0% Mammography use amongwomen aged 50-74years 75.5% 72.8% Colorectal cancer screening among adults aged 45-75 years 57.4% 59.4% 3610 5 mm Numberof % Emi Discharges' Miami-Dade County(January-December 2023) Total Resident Discharges 308,158 100.0% Miami-Dade County Hospitals a 277,196 90.0% Resident Discharges by Hospital(Top 15) Jackson Memorial Hospital 33,442 10.9% Baptist Hospital Of Miami 28,389 9.2% Mount Sinai Medical Center of Florida 22,205 7.2% FICA Florida Kendall Hospital 20,789 6.7% FICA Florida Mercy Hospital 19,716 6.4% Steward Palmetto General Hospital 16,008 5.2% South Miami Hospital 15,356 5.0% FICA Florida Aventura Hospital 13,174 4.3% University Of Miami Hospital And Clinics-Uhealth Tower 12,023 3.9% Jackson South Medical Center 11,102 3.6% West Kendall Baptist Hospital 10,512 3.4% Jackson North Medical Center 10,470 3.4% Steward North Shore Medical Center 10,437 3.4% Nicklaus Children'S Hospital 8,317 2.7% Homestead Hospital 7,705 2.5% All Remaining Hospitals 68,513 22.2% �I�IIIII�I�I�gllllllll�I�I�IIII I�I�I�II 114141�1 IvIIII IIIIIII�III�II�IIII�IgI Ull I�I�I�I�IIIIIII�ICI UI III�IIIII�IIIIIIII1111111�I�ICI UII I�I�IIIIIIIIIIII�I�I�I�II�I�IIII II�I�I�II�I�IIII IIIIIIII�ICI ICI I�I�IIIIIIIII�IIUIIIIIII I�I�IIII�II�I�I�I IIII�I UIIIIIII I�Illll II MIAMI-DADE MONROE FLORIDA ICI ICI Ill III�III�I III�III�41�Ul�l�ll I�I�I�I ICI IUI UI Ill�llll�Il lvl Illlllp lil UI Illlt<`I011llb IVIVI� Illlllli 11ti5571�II ICI I�I�VI IUIVI III lll��l 1111� IIII)Illll lll�1111�11��IIII ly�lly ,Ills �IIIU I ` '',IIIU�� VIVA VIVA III �IVi��VIVA III WIII II ' ��„(IIIIW^: @ l or mi�l�iml�uu u�1Vu mV�iIVllm IIVIVuuuoi u�Vhuuuuuu�uuum��ImiNllhu u�Vul�uuuuu�Vll�uuV�u�IlVuuum�u�VuuIIVu�luu uuuuu uuuuul�IVuuuuo Vuuuu Vuuuml uuVumlVlmiVmi imum�Vuuuu�llluuuuu Vuum uuuuu uuuu�I�u��IIVIII�II�)�I�II� Total Hospital Resident Discharges(January-December2023) 308,158 8,646 2,862,949 Population Estimates(2023) 2,685,296 81,840 21,928,881 Rate per 100,000 population 11,475.8 10,564.5 13,055.6 (Based on U.S.Census 2023 Five-Year Population Estimates) 'Miami-Dade County Residents Discharged from Miami-Dade County Hospitals b Monroe County Residents Discharged from Monroe County Hospitals °Monroe County Residents Discharged from Miami-Dade Hospitals "Based on Primary Diagnosis e Total does not include discharges from patients who reside out-of-state,the homeless,foreign residences, and unknown cities and zip code of residence(please refer to the table below highlighting number of hospital discharges observed among these population 3611 6 010 o s�harg s d Monroe County(January-December 2023) I Total Resident Discharges 8,646 100.0% Monroe County Hospitals b 3,526 40.8% Miami-Dade County Hospitals` 4,556 52.7% Resident Discharges by Hospital(Top 10) Lower Keys Medical Center 2,611 30.2% Mount Sinai Medical Center Of Florida 893 10.3% Baptist Hospital Of Miami 860 9.9% Depoo Hospital 581 6.7% South Miami Hospital 545 6.3% HCA Florida Kendall Hospital 489 5.7% Mariners Hospital 289 3.3% Doctors Hospital_ 242 2.8% Homestead Hospital 231 2.7% Jackson Memorial Hospital 205 2.4% All Remaining Hospitals 1,700 19.7% Other Populations Florida Discharges Out-of-State 94,843 Homeless 23,310 Foreign Residence 6,547 F Unknown Cities and Zip Code of Residence 5,224 Total 126,924 'Miami-Dade County Residents Discharged from om Miami-Dade County Hospitals b Monroe County Residents Discharged from Monroe County Hospitals °Monroe County Residents Discharged from om Miami-Dade Hospitals "Based on Primary Diagnosis e Total does not include discharges from patients who reside out-of-state,the homeless,foreign residences, and unknown cities and zip code of residence(please refer to the table below highlighting number of hospital discharges observed among these population 3612 7 y IIIIIIIII,IIII Jllllll�lllllll III111111111UIIIIIIII lllllly II pIIIJ 111111111 II III,IJ 11 IIIIJI _ MIAMI DADE MONROE FLORIDA Respiratory Diseases p Y Age-Adjusted Deaths from Influenza and Pneumonia (Per 6.8 7.3 8.2 100,000) Age-Adjusted Deaths from COVID-19(Per 100,000) 8.8 1.7 9.9 Age-Adjusted Deaths from Pneumonia(Pere 100,00) 5.6 6.8 7.2 SexuallyTransmitted Disease Rate(Per 100,000) 1,011.5 488.3 788.2 HIV Diagnosis Rate(Per 100,000) 37.6 28.4 20.8 HIV/AIDSAge-Adjusted Death Rate(Per 100,000) 3.0 0.6 2.1 I I I 1 111�J I I 1 1 I 11 1 1 1 1 1 JJ 11J IIIII 11111111 11 II 11 111! !11 JJJJJJ JJ JJ JJ 11111111 Ill 111111111111 1 111111J 11111J III 11111111111 111 JJJ 11111111J JJ 1!!1111111 1!!!U 1 JJ 1,U U J JJ J 1 J J 1 1 11 J JJ ! J J JJ J 11 J1 J J 11 1 , J 1 J 1 1 )1 1 ) 1 �� , 1 1 � 1 l � JJJJ JJ! JJ i i J J �I I.III t1J111J. 1 1 IIIIIIIfIIIIIIIIf II��IllYllllllll�llll((III�IIIIIIII((iII��IIIIIIIJIIIII�IIIIIII�IIPIIIIIttIIIIIIIIII�11111�1111111�111il�lllYrrIII�I�IIIIII�IIIIII111111111�IIIIII�IIli1111�11111�11�rI�Illttlllllll�lllllllr�llllll1111111�1111111rr��l��l�rlrlJllrlrrll�l�J�lJ��1��rrr�rrr�� ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, �1��,II II II w II , II III ��OE�II II II II"'�AIII�;,II��' "��; II 1��;.II�� „Y II II A' S L.III 4 "J"C S Y 1 41, 0 0 V 0 S S 935 160 'E rI w I ,,,Y A ,,,YV ,,,Y w AA !U G 6,047 236 IIIIIIIIII� � I IIIIIIIIIIIIIIIIII IIIIIIIII�IIIIIII�II IIIIIIIIIIIIII m IIII IIIII IIIIII IIIIIII, : III IIII IIIIIIIIIII IIII IIII I IIIIII � IIIIII�III�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II ilil 11 III �I Heart Disease m 1. Symptoms,Signs,and Ill-defined Conditions Cancer 2. Injury and Poisoning Stroke 3. Diseases of the Digestive System COVID-19 4. Diseases of the Genitourinary System 5. Diseases of the Respiratory System Unintentional Injury 6. Musculoskeletal System&Connective Tissue Alzheimer's Disease 7. Diseases of the Circulatory System 8. Pregnancy,Childbirth, Puerperium Diabetes 9. Diseases of the Nervous System Chronic Lower Respiratory Disease 10. Mental, Behavioral&Neurodevelopmental Disorders Hypertension Kidney Diseases 3613 8 �ulluNllllllll`lllN9�119 HN00NHNHpHN� VR�MNN0M0 N�H�IIII MIAMI-DADE MONROE Life Expectancy 81.6 81.5 Food Insecurity 11% 11% Adultswith Poor Physical Health 22.6% 16.8% Obesity Prevalence 30.3% 29.7% Cancer(Excluding Skin Cancer) 6.1% 10.5% Arthritis 19.2% 22.0% Asthma 9.1% 9.0% Diabetes 13.3% 9.5% Excessive Drinking 15% 25% COPD 5.8% 6.4% CHID 6.5% 6.0% Stroke 3.4% 2.9% Current Smoking 15% 16.0% Fair or Poor Self Rated Health 20% 14.0% Frequent Mental Distress 15% 15% Frequent Physical Distress 12% 10% Physical Inactivity 33% 23% e ra e • Shortage of mental health providers • High cost for treatment • Lackof insurance covera e MIAMI- MONROE FLORIDA 111MMENNEEM DADE Language Spoken Other than English at Home 75.5% 21.2% 30.1% Speak English Only at Home 24.8% 78.8% 69.9% Speak English less than"Very Well"at Home 34.7% 9.4% 12.1% Speak Spanish at Home 66.40% 17.32% 22.06% Foreign Born Naturalized US Citizens 60.5% 58.7% 58.5% puiu uuuuuuiupi a uiiiii uuiiiu°0 MIAMI-DADE MONROE Seniors(65+)Living Alone 98,306 4,865 (19.5%) (21.9%) 3614 9 IIIIIIIulullllllllll IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIII IIIIIIIIIIIIIIIIII IIIIIIIIIIIII ulullllllllll IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIII IIIIIIIIIII uuu°uu uu IIIIII 1. Nielsen Claritas.2024 Population Estimates,2023[data file].The Nielsen Company; [2025 January 13]. 2. U.S. Census Bureau.Quick Facts—Miami-Dade and Monroe County. Retrieved on Jan 13,2025,from https://www.census.gov/quickfacts/fact/table/monroecountyflorida,miamidadecountyflorida,US/INC110223 3. U.S. Census Bureau.American Community Survey,2022 Five-Year Estimates,Table S1101. Retrieved on January 15,2023,from https:Hdata.census.gov/table/ACSST5Y2022.Sl 101?q=average%20family%20size&g=050XX000S 12086,12087 4. U.S. Census Bureau.American Community Survey,2022 Five-Year Estimates,Table DP03. Retrieved on January 15,2025,from https:Hdata.census.gov/table/ACSDP5Y2022.DP03?q=unemployement&p=040XX000S12_050XX000S12086,12087 5. Agency for Health Care Administration.(December 31,2024). Medicaid Eligibles Report. Retrieved on January 15,2023,from https:Hahca.myflorida.com/Medicaid/Finance/data_analytics/eligibles_report/index.shtml 6. Florida Department of Health, Bureau of Vital Statistics.(2023).FLHealthCHARTS. Retrieved on January 15,2025,from https://www.flheaIthcharts.gov/ChartsDashboards/rdPage.aspx?rdReport=Birth.Dataviewer&drpFLRaceEthnicity=All&drpRaceEthn icity=All 7. Florida Department of Health, Bureau of Vital Statistics(2023). Infant Deaths Data Viewer. FLHeaIthCHARTS. Retrieved on January 15,2023,from https://www.flhealthcharts.gov/ChartsDashboards/rdPage.aspx?rdReport=InfantDeath.Dataviewer 8. Florida Department of Health, Bureau of Vital Statistics(2023). Deaths from Homicide Data Viewer.FLHealthCharts. Retrieved on January 15,2025 from https://www.flhealthcharts.gov/ChartsDashboards/rdPage.aspx?rdReport=Death.Data Viewer&cid=0118 9. Florida Department of Health, Bureau of Vital Statistics(2023). Domestic Violence Offenses Data Viewer.FLHealthCharts.Retrieved on January 15,2025 fromhttps://www.flhealthcharts.gov/ChartsDashboards/rdPage.aspx?rdReport=NonVitaI Ind NoGrp.Dataviewer 10. Florida Department of Law Enforcement.(2020). UCR Incident-Based: Domestic Violence&Crime Data. Retrieved on January 15, 2025,from https://www.fdle.state.f1.us/CJAB/UCR/Annual-Reports/UCR-Domestic-Violence 11. Florida Agency for Health Care Administration. Retrieved from Florida Department of Health, FLHeaIthCHARTS,on January 15, 2025,from https://www.flheaIthcharts.gov/ChartsDashboards/rdPage.aspx?rdReport=NonVitaIIndNoGrp.Dataviewer 12. Florida Agency for Health Care Administration. Retrieved from Florida Department of Health, FLHeaIthCHARTS,on January 16, 2025,from https://www.flheaIthcharts.gov/ChartsDashboards/rdPage.aspx?rdReport=NonVitaIInd.Dataviewer&cid=0890 13. Centers for Disease Control and Prevention. Places: Local data for Better Health:Compare Counties.Centers for Disease Control and Prevention.https:Hplaces.cdc.gov/?view=county&location Ids=12086%2C12087 14. Florida Agency for Health Care Administration(AHCA). Hospital Inpatient Data File,2023[Data File]. Power BI; [2025 Jan 22] 15. U.S. Census,American Community Survey. Demographic&Housing Estimates,Table DP05,2023 Five-Year Estimates[Internet]. [2023 Jan 22].Available from https:Hdata.census.gov/table?q=DP05&g=040XX000S12_05OXX000S12086,12087 16. Florida Department of Health, Bureau of Vital Statistics(2024). Deaths from Influenza and Pneumonia.Data Viewer.FLHealthCharts.Retrieved on January 15, 2025.https://www.flhea Ithcharts.gov/ChartsDashboards/rdPage.aspx?rdReport=Death.Dataviewer&cid=0125 17. Florida Department of Health, Bureau of Vital Statistics.(2024). HIV/AIDS Diagnosis&STD Data Viewer. Retrieved on January 16,2025 from http://www.flheaIthcharts.com/ChartsReports/rdPage.aspx?rdReport=HIVAIDS.Dataviewer&rdRequestForwarding=Form 18. Florida Department of Health, Bureau of Vital Statistics.(2024). Deaths from Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome(HIV/AIDS). Retrieved on January 24,2025 from https://www.flheaIthcharts.gov/ChartsDashboards/rdPage.aspx?rdReport=Death.DataViewer&cid=0122 19. Florida Department of Health, Bureau of Vital Statistics.(2024).Sexually Transmitted Rate. FLHealthCharts. Retrieved on January 24,2025 from https://www.flhealthcharts.gov/ChartsDashboards/rdPage.aspx?rdReport=STD.TenYrsRpt&cid=9767 20. Florida Department of Health, Bureau of Vital Statistics.2023 Estimates.Substance Use Dashboard. Retrieved on January 16, 2025 from https://www.flheaIthcharts.gov/ChartsDashboards/rdPage.aspx?rdReport=Substance Use.Overview 21. Florida Department of Health, Bureau of Vital Statistics.(2023). Leading Causes of Death. Retrieved on January 16,2025 from https:H w.flhealthcharts.gov/ChartsReports/rdPage.aspx?rdReport=MortalitVAtlas.Dashboard_MortalitVAtlas1 22. Florida Agency for Health Care Administration(AHCA). Emergency Department Data file,2023[Data File]. Power BI; [2025 Jan 27] 3615 10 23. Centers for Disease Control and Prevention. Places: Local data for Better Health: Compare Counties. Centers for Disease Control and Prevention. https://places.cdc.gov/?view=county&locationlds=12086,12087 24. Zhang, M., Garcia,A., &Bretones, G. (2019). Demographics and Clinical Profiles of Patients Visiting a Free Clinic in Miami, Florida. Frontiers in public health, 7,212. https://doi.org/10.3389/fpubh.2019.00212 25. Nielsen Claritas.2024 Estimates. Language Spoken at Home.The Nielsen Company. Retrieved from Miami Matters at https://www.miamidadematters.org/demographicdata/index/view?id=2170&localeld=l2 26. Florida Department of Health, Bureau of Vital Statistics. Individuals Living Alone(Aged 65 Years and Older). FLHealthCharts. Retrieved January 16,2025 from https://www.flhealthcharts.gov/ChartsDashboards/rdPage.aspx?rdReport=NonVitalIndNoGrpCounts.Dataviewer uuul 1pulllll uuul uuuul 1pulllll uuulu I'Ipuulllllllluu°u uu uuu�uuuuuul luau uuul uuuu uuu�uuuuuul iuuu uuu�uuuuuul uuul uuuu iuul�uuuiiiiiiiiiiiiiiiultuuu�uuul uuuuu IL...ASAlllllllHf WII IIIA""'ll""'IIIA II tS IIIIIH IIIIIIAIIIAIII IItAIItIIIII COAII'H""'ll""'Y Miami Matters, an initiative of the Health Council of South Florida, serves as a dynamic, interactive web-based intelligence platform with publicly available information that provides easy to understand health, environmental and other quality of life indicators for Miami-Dade County. This online web application serves as a roadmap for collaborative community planning and links its visitors to promising or evidence-based practices and resources that encourage and promote informed community action. This online data dashboard may be used by: Consultants/Grant Writers Legislators Health/Social Service Providers Government Agencies Community-Based Organizations Researchers County Health Departments Hospitals Community Health Centers IIo, III I�OIur III laii'Wu Ill ff lur , Isl .m .m G I �� i � � �. � lu ,; A ,, �ll�>!��fY�//�, ,•,„ i�fl��l/��l��Jf.,.'. ✓/ ��!!/fr ��/� ,:::r�1f�/�� ',,. uIIIIIII IIIIII ul�ul�u Iuuulll IIIIII IIIIIIIIIuuu IIIIII .III Iq��llll . IIIIII II ulgpu all IIIIIII uuul Aj II II IIII I� III a II III IIIIIII II III I 3616 Il�llllllllllllllllllllllll�lllllllllllllllllllllllllllllluuuuul liifi ti U)cn M W °} 0 E 0 cu a) cu 0 as o Q cu J0 rZ a} a) Qcu 0 cu W cu l Z CD CD �_ cu W J Z a) LCl - Fn c� U m O W L ci T L a) > U ) > O Q) (1) U) -0 ( Q L O Z ( Z) _0 E L O_ O � �_ � cu ca � � cu 06 a) ca U Q .- fn a) — = i N U cu cn U 06 >- J � aa)) a CU L) C � C V Z cu a) a) (A cu ai ca >. cU c ) c a) a)CV ~ U o � Z O � C) �) U o U aiL > 5a) J U)o O Z W Q o C Q o C� a) U CV U o C .� ° U cu W N w Q Q 5 4 ' a � z ° O O U p 00 L L w ' _ U) i o 0 cu Z : 0 cu u o U 0 O •` L O r, 0 H �:: O cn cu a) a) a) a) a) a) m d U J_ d � H N LU O W L) 0 0 z (A o cu pz cu 2 U o 0 m m `n Xcu cu O �_ cuc cu cuaa)) W Q cu U U U L 0 U_ z o a)� C m Q W Adopted by the HCSF Board of Directors 8/92 Revised 09/94 Revised 04/95 Revised 08/95 Revised 01/96 Revised 10/98 Revised 08/01 Revised 02/05 Revised 12/05 Revised 08/07 Revised 10/07 Revised 11/13/08 Revised 11/18/10 HEALTH COUNCIL OF SOUTH FLORIDA, INC. BYLAWS 3618 Health Council of South Florida, Inc. Bylaws ARTICLE I Name, Area of Service, Office Section 1. The name of the organization shall be the "Health Council of South Florida", herein after referred to as the "Council". Section 2. The Council is a not-for-profit, voluntary corporation. Section 3. The area served by the Council shall be Miami-Dade and Monroe Counties, Florida. Section 4. The location of the business office of this Council is 8095 NW 12 Street, Miami, FL 33126, but may be at such other location as the Board of Directors shall determine in the future. ARTICLE II Purpose Section 1. The mission of the Council is to improve health care in Miami-Dade and Monroe Counties. The Council is part of a network of local health councils throughout the state of Florida formed in accordance with the provisions of Section 408.033, Fla. Stat. The mission of Florida's health councils includes profiling community health care needs and resources, using the results effectively to plan for the future, and addressing specific issues and health concerns. Article III Board of Directors Section 1. The business and property of the Council shall be managed by its Board of Directors ("the Board"), which may exercise all such powers of the Council and do all acts and things allowed by statute, and the Articles of Incorporation. Section 2. a. The Board shall consist of those individuals appointed by the County Commissions of Miami-Dade and Monroe Counties in accordance with State statutes to serve as members of the Board. For purposes of these bylaws, a member of the Board may be referred to herein as either a "Board member" or"Director". b. 1) The Nominating Committee shall provide notice to the public through newspaper advertisement that it is soliciting nominations for potential Board appointment. 2) The Nominating Committee will review candidates consistent with the process outlined in Article VI. 3) The Commissioners will appoint Board members from a slate of candidates developed by a Nominating Committee duly constituted by the Board in accordance with Article VI, below. c. Board members shall be appointed to serve for a term of 2 years. A member may serve no more than 4 consecutive terms after which he/she must remain off the Board for a 2 3619 minimum of one year before nomination can again be considered. Section 3. a. The Board of Directors shall meet at least once each calendar quarter. Special meetings may be called by the Chair, or upon petition by any four members of the Board. Written notice shall be given by first class mail, telefax, or e-mail to all Directors at least one week in advance of any meeting date. b. The annual meeting of the Council shall be held at such time and place within the Council area as shall be designated by the Board of Directors. c. Notice of a meeting of the Board need not be given to any Director who submits a signed waiver of notice whether before or after the meeting, or who attends the meeting without protesting, prior thereto or at its commencement, the lack of notice to him or her. Section 4. a. A majority (at least 51%) of the Directors duly appointed and serving shall constitute a quorum for transaction of business at any meeting of the Board. b. Actions shall be taken only by a vote of a majority of the Board members present and voting at a properly constituted meeting. Proxy voting is not permitted at meetings of the Board. If a Director cannot attend a Board meeting in person, then he or she may attend by telephone, provided that telephone conferencing equipment is available at the time the meeting is convened. Attendance and voting by telephone are acceptable. c. Public notice of all Board meetings shall be given in Miami-Dade and Monroe Counties in accordance with Florida Statutes. Meetings shall be open to the public. Records and data shall be made available to the public under the applicable laws. Section 5. Members of the Board, and all committees established by the Board, shall abide by the Florida Statutes regarding conflicts of interest for public officials. Section 6. If any Director is absent from three consecutive Board meetings or from more than half the Board committee meetings in a year, the Chair, or his or her designee, shall, at the Chairs discretion based upon the absentee Director's other contributions to the Council, notify the appropriate County Commission of such Director's absenteeism and request replacement of such Director. Section 7. If a vacancy occurs for any other reason, the appropriate County Commission shall be notified immediately. A Nominating Committee shall then be appointed to nominate a replacement outlined in Article VI of these Bylaws. Article IV Officers Section 1. The officers of the Board shall be members of the Board and shall consist of a Chair, a 3 3620 Vice-Chair, a Secretary, and a Treasurer. Section 2. a. Prior to the Annual meeting, the Board shall elect the officers from a slate developed by the Nominating Committee. They shall take office at the first meeting of the fiscal year. b. The Chair and Vice-Chair will have served a minimum of one year on the Executive Committee prior to being nominated as Chair or Vice-Chair. C. All officers shall serve a one-year term. No officer shall serve more than two successive terms in one office, unless extended by a two-thirds vote of the Board for one additional one-year term. Section 3. The duties of the Officers shall be those which usually apply to such officers and in addition thereto, such other duties as may be designated from time to time by the Board. Specific duties of each office are specified below. a. Chair: Shall preside at all meetings of the Board and the Executive Committee. Shall be an ex-officio non-voting member of all committee meetings. Shall receive notice of all committee meetings. Shall approve or disapprove the appointment of all committee chairs after receiving recommendations from applicable committee. Shall call an Executive Committee or Board meeting whenever the Chair deems a meeting to be appropriate and necessary. b. Vice-Chair: Shall act as Chair of the Board in the absence of the Chair with all the responsibilities and powers of the Chair. Shall assume at any time responsibility for presiding at any Board meeting at the request or in the absence of the Chair. C. Secretary: Shall supervise the recording of all Board proceedings to include specific record on all votes, motions, resolutions, proclamations, policy statements, and goals adopted by the Board. Shall supervise the maintenance of attendance records of Board members and be responsible for contacting Board members who have been absent excessively and notifying them of their absence and pending automatic resignation in accordance with the attendance rules stated in the articles above. Shall maintain records of term of membership of Board members and notify the Executive Committee and Board member when a term has been completed. 4 3621 d. Treasurer: Shall chair the Finance Committee and be responsible for reviewing all financial documents of the corporation and reporting to the Board the financial status of the corporation on a routine basis. The Treasurer at the beginning of the term should make sure that all Board members are bonded with the cost of such being paid by the corporation. Section 4. If any officer is unable to complete the term of office for which that person has been elected, a replacement shall be elected from and by the Board. Article V President &Chief Executive Officer Section 1. The Board may employ a President & Chief Executive Officer (President & CEO) who shall, among other things, be responsible for the day-to-day management of the Council activities, keep and maintain the organizational records of the Council, implement and manage the programs of the Council, in accordance with these Bylaws and the policies of the Board and in conformity with applicable State laws and regulations. The President & CEO shall: a. have the authority to employ, supervise and terminate staff within financial and operational policy guidelines established by the Board of Directors. b. attend meetings of the Council and its committees, and participate without vote. C. be evaluated annually by a committee consisting of the Board's officers and any other person(s) who might be appointed by the Chair. Section 2. The Chair shall: a. Cause to be composed and placed in a local newspaper of general circulation, notification of the Council's intent to seek applicants for the position of President & CEO with the salary range available shown. At the discretion of the Board, preference shall be given to local applicants who demonstrate knowledge and understanding of the diverse population of South Florida and our local health care delivery system. The notice shall cite the primary qualifications required of an applicant (See b.1. below) and shall request that resumes from applicants be received by a specified date at the Council's office. b. Appoint an ad-hoc Search Committee composed of five members, one of whom shall be a delegate from Monroe County and one of whom shall be a delegate in a Consumer category to: 1) Determine the educational credentials and employment qualifications required of a President & CEO and submit them in writing to the Chair for inclusion in the newspaper notice (See 2a above). 2) Review all applicant resumes received as specified in 2a above. 5 3622 Section 3. The Search Committee shall, after reviewing all submitted resumes, identify and select the most qualified candidates for consideration for appointment as the President & CEO, as determined by a majority vote of the Committee, and they shall: a. Interview the applicants personally, using a standardized evaluation form containing questions that will allow for a comparison of applicant responses in the context of strategic challenges. b. Provide a written report to the Board indicating its recommended candidate, the process used in selecting the candidate, alternate candidates for the position, in the order of preference, and the justification for their selection. Section 4. The Board shall consider the attributes and qualifications of the candidate recommended by the Search Committee, and may elect to interview the recommended candidate. The Board shall, by a vote of at least two thirds (2/3) of the members present, ratify or reject the recommendation of the Selection Committee and may give further consideration to alternates for the position recommended by the Search Committee. a. If the Board ratifies the selection of the Search Committee, it shall direct the Executive Committee to negotiate employment terms with the candidate and cause the preparation of an employment agreement. If the employment agreement is acceptable to both the candidate and the Board, the Board shall direct the Chair, or his or her designee, to sign the employment agreement on behalf of the Council b. If the Executive Committee is unable to reach acceptable terms with the candidate, the Board may consider the remaining alternate candidates or direct the Search Committee to resume the search process in accordance with Section 2, above, or take such further actions as deemed appropriate by the Board. If the Board selects an alternative candidate, it shall follow the procedures set forth in subparagraph 4a. Article VI Permanent and Advisory Committees Section 1. Permanent Committees. At the time of approval of these bylaws, permanent committees of the Board include the following: 1. Executive a. The Executive Committee shall consist of the Chair, Vice-Chair, Secretary, Treasurer, one other Director nominated by the Nominating Committee and appointed by a majority vote of the Board and the immediate past Chair. If the immediate past Chair has reached term limit, he/she may then serve as a special consultant to the Executive Committee. The Executive Committee shall act for the Board between meetings of the Board, but all decisions of the Executive Committee shall be subject to review by the Board at its next meeting. A majority (at least 51%) of the Executive Committee members shall constitute a quorum for the transaction of business. 6 3623 b. Executive Committee meetings shall be subject to a three-day notice requirement, be open to the public, and be subject to the same attendance requirements outlined for the Board under Article III, Section 6. 2. Policy, Planning, and Advisory Committee ("PPAC") The PPAC should be broadly representative of the South Florida community and shall have that number of members as determined by the Board from time to time. This committee is expected to advise the Miami-Dade and Monroe Counties regarding strategic planning, the legislative agenda, and other policy recommendations as requested by the Board. Membership on the PPAC is sought through broad community solicitation of interested parties, with specific recommendations made annually by the Board, staff and current PPAC members. When vacancies or new appointments are available, the President & CEO shall prepare a slate for Board approval and appointment. Efforts should be made to assure that membership on this committee are consistent with the statutory requirements for membership on the Council's Board of Directors. Committee membership should include the permanent membership of the Director of the Miami-Dade County Health Department or his/her designee. At least one member should be a resident of Monroe County. To assure continuity, approximately half of the members, excluding permanent members, should be appointed each year, for a two-year term, so that half will carry over. If a member leaves before finishing a term of two years, someone else should be appointed to complete his/her term. Members leaving the committee after four consecutive terms may be reappointed following a one-year hiatus. 3. Nominating a. The Nominating Committee will consist of two active members of the Board, two members from the community-at-large and up to two former Board members as appointed by the Executive Committee. The primary role of the committee shall be to provide recommendations for appointment by the Miami-Dade or Monroe County Commissions to the Board. Incumbents in good standing who are eligible for reappointment may be submitted for reappointment for another two-year term, if eligible. When vacancies occur, public notice shall be given through advertisement in at least one newspaper of general circulation. Three applicants per seat will be sought, if available. The Nominating Committee shall review and verify qualifications of each applicant for the seat being sought and shall develop a slate of one candidate for each vacancy. b. The Nominating Committee shall meet to develop a slate of officers: Chair, Vice-Chair, Secretary and Treasurer at least 30 days before the annual election of officers. One nominee per office shall be recommended. 4. Finance This committee will be chaired by the Treasurer. It will oversee the revenues and expenses of the Council, recommend to the Board uses for funds, and advise on the financial implications of significant actions. 7 3624 5. Ethics This committee will have oversight of questions relating to the development of, and compliance with, governance and ethics principles of the Council, and will, from time to time, make such recommendations in reference thereto as in its opinion may be desirable. Section 2. Advisory Committees a. The Board of Directors may appoint committees from the general public to advise it. b. Persons appointed to an advisory committee will normally serve a two-year term and can be reappointed for one consecutive two-year term. Appointed committee members who are absent from three consecutive meetings, or more than half the meetings in a year must be notified of his/her attendance record and that a written request must be submitted to remain on the Committee. Membership status shall then be decided by a majority vote of those present at the meeting. c. At the time a person is appointed to an advisory committee, that person shall declare to the Chair of the committee whether an alternate, with full voting authority, is desired. If an alternate is to vote, the Chair of the committee must be notified, in writing, at least 7 days prior to the scheduled meeting. Section 3. Ex Officio Membership The Chair shall be an ex-officio member of all committees but shall not have voting privileges Article VII Contracts, Deposits, and Gifts Section 1. The Board has primary responsibility for reviewing for approval all contracts of the Council. The Board may, by resolution or policy delegate to the President & CEO, or such other officer as deemed appropriate by the Board, authority to review and approve certain contracts. All approved contracts will be signed and delivered in the name of and on behalf of the Council. Section 2. All funds of the Council shall be deposited to the credit of the Council as the Board may elect. Section 3. The Board may accept for the benefit of the Council any appropriate contribution, gift, or bequest for carrying out the general purposes of the Council. Section 4. In the event that this corporation shall dissolve, the monies left in the treasury after all obligations have been met, shall be given to a non-profit organization following approval by the Board, in accordance with guidelines as the Board shall determine. Article VIII 8 3625 Amendments Section 1. These Bylaws may be adopted, amended, or repealed by two-thirds vote of the -Board at a properly constituted meeting. Section 2. Notice of all proposed amendments shall be mailed to each Board member at least ten (10) days prior to the meeting at which such amendments are to be considered for adoption. Article IX General Provisions Section 1. The fiscal year for the Council shall begin on July 1, and end on June 30. Section 2. When parliamentary procedures are not covered by these Bylaws, "Robert's Rules of Order" shall prevail. Section 3. The Corporation shall indemnify each Officer and Director, including former Officers and Directors, to the full extent permitted by the Florida General Corporation Act and the Florida Not For Profit Corporation Act against expenses reasonably incurred by them in connection with any action, suit or proceeding to which they may be made a party by reason of their being of having been a Director or Officer of the Council, except as to matters as to which they shall be finally adjudged in such action, suit or proceeding to be liable for negligence or misconduct; in the event of a settlement, indemnification shall be provided only in connection with such matters covered by the settlement as to which the Council is advised by legal counsel that the person to be indemnified did not commit such a breach of duty. The foregoing right of indemnification shall not be exclusive of other rights to which they may be entitled. Section 4. All activities of the Council shall be conducted in accordance with Article VI and Article VII of the Civil Rights Act. Article X Date of Effectiveness Section 1. These Bylaws and subsequent amendments shall become effective immediately upon approval by the Board. 9 3626 ® A A A I I A r A Monroe County/Subdistrict 2 ........ ......... ........., ......... ........., ......... Oasis at the Keys Nursing and Rehab 120 2,575 2,777 2,583 7,935 71.9% Palm Vista Nursing and Rehabilitation Center 120 2,746 2,874 2,897 8,517 77.1% Monroe County/Subdistrict 2 ........ ......... ........., ......... ........., ......... ................. ........,. ......... ........................................................................ ..........................., Oasis at the Keys Nursing and Rehab 7,935 1,743 1,895 1,905 5,543 69.9% ........ ......... ........., ........................... ...... ......... Palm Vista Nursing and Rehabilitation Center 8,517 1,808 1,826 1,682 5,316 62.4% Monroe County/Subdistrict 2 ........, ......... ........., ......... ................. ......,. ........ ... ...,...................................... ..........................., Oasis at the Keys Nursing and Rehab 7,935 635 754 534 1,923 24.2% ........ ......... ........., ........................... Palm Vista Nursing and Rehabilitation Center 8,517 356 510 719 1,585 186% U u o u• ��u i o u ¢ w ^ ,%'� � �a Ip, 6ii Di �"�I ,U; �IIG�0° Monroe County/Subdistrict 2 ........ ......... ........., ......... ........., ......... ................. ........,. ......... ...,....................................... ..........................., Oasis at the Keys Nursing and Rehab 7,935 197 128 144 469 5.9% ........ ......... ........., ........................... ...... ......... Palm Vista Nursing and Rehabilitation Center 8,517 582 538 496 1,616 19.0% I 1 1' ,•� • I •' *District 11 encompasses Miami-Dade and Monroe counties Source:Health Council of South Florida Hospital Utilization Data Page 1 of 1 3627