Senior Advisory Committee Agenda 11/05/2018November 5, 2018 10:30 AM
Senior Advisory Committee Meeting
3299 Tamiami Trl E
Naples FL, 34112
Second Floor County Manager’s Front Conference Room
1. Call to Order
2. Pledge of Allegiance
3. Roll Call
4. Adoption of the Agenda
5. Public Comment
6. Adoption of Minutes from Previous Meeting
6.1. October 1, 2018
7. Staff Reports
8. New Business
8.1. Naples Daily News
8.2. Harriet Lancaster Report on Falls and EMS Calls by Seniors
9. Unfinished Business
10. Announcements
11. Committee Member Discussion
12. Next Meeting Time, Date and Location
12.1. December 3, 2018 10:30 a.m. County Manager’s Office Front Conference Room
13. Adjournment
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Packet Pg. 1021 Attachment: Agenda and Backup - November 5, 2018 (7500 : Senior Advisory Committee - November 5, 2018)
“Community Medicine and Possible Future Impact on Collier County EMS”
Roundtable Discussion Points**
Hodges University, Naples, FL
February 15, 2017
Most Americans get primary medical care via primary care physicians and
emergency rooms.
US Health Resources & Services Administration says If today's system for
delivering primary care remained fundamentally the same in 2020, there will be a
projected shortage of 20,400 primary care physicians, a number that might be
somewhat lessened if other healthcare professionals were integrated into health
care delivery.
The CDC says 80% of all healthcare cases come from chronic diseases.
Mayo Clinic says chronic non-life threatening conditions are reasons for most US
healthcare provisions.
Canadian experts report chronic condition-patients use healthcare services more
frequently and intensely.
In Collier County, Florida, according to public health experts, most prevalent
chronic conditions include COPD (14,000+ people), diabetes (31,000+ people),
hypertension (117,000 people), falls (41,000 people), and asthma (10,000).
In Collier County, Florida most non-crime related 911 calls, responded to by the
Sheriff’s 660 certified law enforcement deputies, 75 Naples City and Marco
Island’s 37 police officers involve health-related issues.
And in Collier County nearly 70% of all 911 calls responded to by Collier
County’s certified fire & rescue officers and all responded to by the County
Emergency Medical Service officers involve health-related issues.
Experts agree most chronic health conditions can be managed most effectively
and efficiently by proven strategies to delay and prevent their advancement.
For a variety of reasons, especially payment and funding policies, most American
emergency rooms are episodically overloaded, the number of primary care
physicians is shrinking and, relative to behavioral health and addition services,
our jails and other holding facilities have large stabilized but not treated mental
illness populations.
Hence, it is imperative that a comprehensive and sustained strategy be
implemented to activate proven tactics to improve the quality of primary
healthcare, prevent complications, reduce the need for more expensive health
services and secure better quality of life for all.
36.A.2
Packet Pg. 1022 Attachment: Agenda and Backup - November 5, 2018 (7500 : Senior Advisory Committee - November 5, 2018)
*Compiled by Mike Reagen with much appreciation and sincere apologies for the liberal lifting and cribbing of
undocumented ideas, data and comments from the excellent resources acknowledged at end of this paper.
Population Based Healthcare [PBH] / Community Medicine [CM] which
assess and make healthcare decisions for the healthcare needs of specific
populations rather than on an individual by individual basis, are gaining
interest and acceptance.
One model for PBH/CM proactively, systematically and consistently
focuses on managing the needs of populations of individuals in those
populations with similar chronic diseases that most often present to
primary care physicians and emergency rooms.
Significant discussions among collaborative national organizations,
agencies and associations are centered on promoting innovation in the
USA’s EMS and Fire & Rescue systems staffed by emergency medical
technicians and paramedics.
These discussions prompt a private study group in Collier County, FL [aka
“Greater Naples”] to determine if there are opportunities to advance EMT
& Paramedic services through public commentaries, forums and a
possible pilot project in the largest geographical jurisdiction in southwest
Florida.
On Feb. 15, 2017, a Roundtable luncheon is scheduled at Hodges
University’s Naples Campus to discuss these possible opportunities.
Admittedly, there are several nationally-recognized barriers to refreshing,
refocusing or recreating model EMS systems.
Our current EMS systems are fragmented. Financial reimbursement,
medical direction, jurisdictional issues, codified organizational cultures and
education standards focus exclusively on individual emergency care and
transport rather than on primary care of specific population-wide chronic
conditions.
Moreover, there is little collaboration between EMS and the academic
community. EMS rarely effectively uses data or shares information with
other agencies/systems. Indeed, experts state “fragmentation, silos and
entrenched interests prevail through emergency and trauma care.”
Also, current, most EMS organizations are not designed to provide
community services nor to adapt to new opportunities. EMS is a neglected
area of US healthcare. The EMS culture resists innovation and integration
within the larger public safety and healthcare systems. Its adaption to the
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Packet Pg. 1023 Attachment: Agenda and Backup - November 5, 2018 (7500 : Senior Advisory Committee - November 5, 2018)
opportunities presented by PBH/CM may present daunting national
challenges.
However, the Institute for Medicine’s [IOM] envisions an EMS system that
maximizes community value by providing new essential services to
become an integral part of a healthcare system focused on PBH/CM. The
IOM sees future EMS agencies bringing definitive primary care of chronic
conditions into patients’ homes and helping the nation increase quality
care, decrease costs and improve communities’ health.
To do so, the IOM argues significant changes are critical: movement to
proactive rather than reactive care; delivering necessary care rather than
traditional care; and, moving from a fee-for-service/hospital-based service
to aligning EMS to PBH/CM services.
To function effectively, all components of a community’s healthcare
system must be integrated. Leaders, “key players” in each
community/region, must work together to make decisions, deploy
resources and monitor/adjust system operations based on performance
feedback.
American healthcare is changing dramatically---focusing increasingly on
value, quality over quantity and projected different future payment models.
In several communities/regions in the USA, EMS organizations have
experience working with patients in their homes and are already major
providers of out—of-hospital care because their leaders recognize the
value of home-based care, social determinants of health and community-
based care and have retuned their agencies accordingly.
Indeed, many EMS/Fire & Rescue agencies provide EMT and Paramedic
care already—operating 24 hours a day, 7 days a week rather than just
during business hours—navigate patients, provide essential services and
improve the quality of coordinated aspects of patient care.
Surely, the past two decades attest to marvelous advancements when
EMS/Fire & Rescue agencies intersect to provide timely care for stroke,
heart attack and trauma emergency management. Why cannot this
success move to providing primary care to patient populations with chronic
conditions that lead to these acute conditions in specific communities?
Recently, Community Paramedicine [CP] has emerged as an innovative
and evolving model of community-based healthcare designed to provide
more effective and efficient services at a lower cost.
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Packet Pg. 1024 Attachment: Agenda and Backup - November 5, 2018 (7500 : Senior Advisory Committee - November 5, 2018)
Community Paramedicine allows paramedics to function outside their
traditional emergency response and transport roles to help facilitate more
appropriate use of emergency care resources while enhancing access to
primary care for medically underserved populations.
Community Paramedicine is successfully operating in North Carolina,
Colorado, Minnesota, Maine and Texas where it had been demonstrated
that paramedics can be trained to safely and effectively performed in an
expanded role with cost savings.
Community Paramedics are licensed paramedics who have receives
specialized training in addition to general paramedicine training and work
within a designated Community Paramedicine program under local
medical control as part of a community-based team of health and social
service providers.
Community Paramedics are uniquely positions for expanded roles as they
are geographically dispersed in nearly all communities, inner-city and
rural; always available, work in home and community-based settings; are
trusted and accepted by the public and trained to make health status
assessments, recognize and manage life-threatening conditions outside of
the hospital; and operate under medical control as part of an organized,
system approach to Population Based Healthcare/Community Medicine.
In fifteen California jurisdictions, Community Paramedics are currently
engaged in pilot projects focusing on niches of Population Based
Healthcare/Community Medicine: Post Discharge, Alternative Destination,
Frequent 911 Callers, Hospice Care, and Behavioral Health.
While obstacles and barriers surely exist, conditions in Collier County,
Florida may be ideal for an informal study group to look at the future
possibilities of the community’s EMS system and to make suggestions
about advancing it. Here are just a few opportunities that might be
leveraged:
o New-elected members of the County Board of Commissioners have
taken Office.
o The Sheriff of Collier County has installed a nationally recognized CAD
central dispatch system where every protective service [first responder]
asset/vehicle is viable 24/7 to be dispatched to the nearest
need/incident. The system will be totally perfected in 2017.
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Packet Pg. 1025 Attachment: Agenda and Backup - November 5, 2018 (7500 : Senior Advisory Committee - November 5, 2018)
o The Medical Director of Collier County’s EMS Department, a
nationally-regarded emergency medicine physician with 41 years of
experience, is now entering his fifth decade of leadership.
o The County Manager, a nearly 30-year veteran of public
administration, is in the midst of refocusing his administration to a
public service model from a public trust model of management.
o A nationally recognized EMS leader, well versed in PBH/CM and CP
will join Collier County Government in January 2017 to assist in
system-analysis and make strategic/tactical recommendations for the
future of Collier County’s EMS Dept.
o Seven independent fire districts [governments under Florida Law] have
morphed into five districts and future district, operations and protocol
consolidations are underway.
o Demographic growth [population, wealth, property values] is surely
underway including the development of several large demographic
clusters and continuous care facilities.
o The NCH Healthcare System continues to mature, including its two-
emergency medicine department at its two locations, the employment
of more physicians and the expansion of its support for the Blue Zone
program countywide among homeowner’s associations [gated
communities], business firms, civic organizations and public institutions
[schools].
A small private group of Collier County citizens---with proven expertise in various
aspects of human services, health care, public safety, communication and public
administration---has been individually discussing the various concepts of
Population Based Healthcare/Community Medicine and the future
opportunities/challenges of public protection services [mainly EMS and Fire &
Rescue Services and law enforcement advances] in Collier County.
The Group recognizes there is a revolution taking place in emergency medical
services in several communities across the United States. As the issues of health
care accessibility, quality and affordability continue to receive national attention,
there is a growing awareness that the traditional role of emergency medical
services can be expanded to help address some of these challenges.
36.A.2
Packet Pg. 1026 Attachment: Agenda and Backup - November 5, 2018 (7500 : Senior Advisory Committee - November 5, 2018)
On February 15, 2017, The Group…under the “TBA” of “The Roundtable” …will
privately meet at Hodges University in Naples, Florida to discuss the focus of this
Synopsis.
In addition to becoming further acquainted, The Roundtable will discuss
determining if Collier County EMS can be repositioned to expand its role into
prevention/primary care and chronic care management services in support of,
and in coordination with, other community health care resources (hospitals,
private physicians, public health department, etc.).
If there is interest in pursuing possible opportunities/challenges, The Roundtable
may wish to:
Produce a series of Guest Commentaries [aka “Op Ed Pieces] for
sequential submission for consideration of the Naples Daily News
to be published over a six-month period to raise public conscious of
aspects of this topic.
Produce, possibly under the aegis of Hodges University, a Public
Forum at which leaders of Community Paramedic Pilots could
present results of their efforts.
And seek support for a study of the possibilities of launching a pilot
Community Paramedic project in Collier County, Florida.
If a study would be undertaken, it is understood that the research would focus on these
outcomes:
1. Identification and definition of new/expanded services provided by EMS in
coordination with other community resources.
2. Identification of additional resources required to meet this new role.
3. Consensus and commitment of key stakeholders that expanded role of EMS is a
crucial component in the delivery of affordable, quality health services to the
community at large.
4. Development of a communication plan to educate key stakeholders and the public
on the changing role of EMS and its benefits.
5. Institute a pilot program.
Next Steps…if any? -mvr: 12/23/16-
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Packet Pg. 1027 Attachment: Agenda and Backup - November 5, 2018 (7500 : Senior Advisory Committee - November 5, 2018)
A Few Excellent Resources
Abrashkin, K. A., Washko, J., Zhang, J., Poku, A., Kim, H. and Smith, K. L. (2016),
Providing Acute Care at Home: Community Paramedics Enhance an Advanced
Illness Management Program—Preliminary Data. J Am Geriatr Soc.
doi:10.1111/jgs.14484 [pdf]
Agarwal, G., Angeles, R. N., McDonough, B., McLeod, B., Marzanek, F., Pirrie, M., &
Dolovich, L. (2015). Development of a community health and wellness pilot in a
subsidised seniors’ apartment building in Hamilton, Ontario: Community Health
Awareness Program delivered by Emergency Medical Services (CHAP-EMS). BMC
Research Notes, 8, 113. http://doi.org/10.1186/s13104-015-1061-8
Jane Bedford, MIHP: A Partnership for Patients, Nature Coast EMS, received,
11/10/16.
Broemeling, AM, Watson, DE, Prebtani, F, Population Patterns of Chronic Health
conditions, co-morbidity and healthcare use in Canada: Implications for policy
and Practice, Interior Health Authority and Centre for Health Services and Policy
Research, University of British Columbia, Vancouver, British Columbia, Healthcare
Quarterly [Toronto, Ont: 2008, 11(3): 70-76]
Bigham, B. L., Kennedy, S. M., Drennan, I., & Morrison, L. J. (January 01, 2013).
Expanding paramedic scope of practice in the community: A systematic review of
the literature. Prehospital Emergency Care, 17(3).
CDC National Center for Chronic Disease Prevention and Health Promotion,
Report of November 14, 2016.
Brian Y. Choi, Charles Bloomberg, Kenneth Williams, Mobile Integrated Health Care
and Community Paramedicine: An Emerging Emergency Medical Services
Concept, Annals of Emergency Medicine, An International Journal, March 2016, Vol.
67, Issue 3, Pages 361-364.
36.A.2
Packet Pg. 1028 Attachment: Agenda and Backup - November 5, 2018 (7500 : Senior Advisory Committee - November 5, 2018)
Community Paramedics: 13 Projects, California Emergency Medical Services
Authority, The California Project. California Office of Statewide Health Planning and
Development, Health Workforce Pilot Project Program, 2014.
Conversations with Robert Tober, M.D., Edward Morton, Tabatha Butcher, Len Price,
Jorge Aguilera, Ed Boyer, Aysegul Timur, Ph.D., William Griz, Ph.D., James Delony,
Allen Bartlett, Jacklyn Faffer, Ph.D., Edwin Fryer, J.D., Leo Ochs, Stephen Weisberg,
M.D., David Trecker, Ph.D., Douglas Johnson, Ph.D., Hon. Kevin Rambosk, Stephanie
Spell.
Crockett, B. M., Jasiak, K. D., Walroth, T. A., Degenkolb, K. E., Stevens, A. C., & Jung,
C. M. (March 21, 2016). Pharmacist Involvement in a Community Paramedicine
Team. Journal of Pharmacy Practice.
Constance Donavan, 2 Factors Contributing to ER Overcrowding, Healthcare,
12/15/16.
Jennifer Goodwin [ED], Pamela Lane, MA [ED], Matt Zavandsky, MS-HAS, EMT, Troy
Hagen, MBA, Paramedic, Paul Hinchey, MD, MBA, Kevin McGinnis, MPS, Paramedic,
Scott Bourn, Ph.D., RN, Paramedic, Brent Myers, MD, MPH, Mobile Integrated
Healthcare and Community Paramedicine [MIH-CP], National Association of
Emergency Medical Technicians [NAEMT.Org], Supplement to EMS World.
James G. Hodge, JD, LLM, Daniel G. Orenstein, JD, Kim Weidenaar, JD, Expanding
the Roles of Emergency Medical Services Providers: A Legal Analysis, Association
of State and Territorial Health Offices, Arizona State University’s Sandra Day O’Connor
College of Law, funded from The Assistant Secretary for Preparedness Response
[ASPR].
Laura Lando, Revolution in EMS Care, Wall Street Journal, 9/26/16.
Martin, A., O'Meara, P., & Farmer, J. (August 01, 2016). Consumer perspectives of a
community paramedicine program in rural Ontario. Australian Journal of Rural Health,
24, 4, 278-283.
Mason, S., Knowles, E., Colwell, B., Dixon, S., Wardrope, J., Gorringe, R., … Nicholl, J.
(2007). Effectiveness of paramedic practitioners in attending 999 calls from elderly
people in the community: cluster randomised controlled trial. BMJ : British Medical
Journal, 335(7626), 919. http://doi.org/10.1136/bmj.39343.649097.55
Petterson, Stephen M; Cai, Angela; Moore, Miranda; Bazemore, Andrew: State Level
Projections of Primary Care Workforce, 2010-2030, Robert Graham Center, Sept.
2012.
Promoting Innovation in Emergency Medical Services {Draft}, Mount Sinai Health
System & University of California, San Diego, July 1, 2016, Supported by a Cooperative
36.A.2
Packet Pg. 1029 Attachment: Agenda and Backup - November 5, 2018 (7500 : Senior Advisory Committee - November 5, 2018)
Agreement with the U.S. Department of Transportation, National Highway Traffic Safety
Administration in collaboration with the U.S. Department of Health & Human Services—
Assistant Secretary for Preparedness & Resp9onse, and The U.S. Department of
Homeland Security.
Ross, D. W., Schullek, J. R., & Homan, M. B. (January 01, 2013). EMS triage and
transport of intoxicated individuals to a detoxification facility instead of an
emergency department. Annals of Emergency Medicine, 61, 2, 175-84.
Jennifer St. Sauver, Ph.D., et al, Why Patients Visit Their Doctors: Assessing the
Most Prevalent Conditions in Defining American Population, Mayo Clinic
Proceedings, 2013 Jan; 88(1): 56-57.
Paula Span, Going to the Emergency Room Without Leaving the Living Room, The
New Old Age, Nov. 4, 2016.
Tadros, A. S., Castillo, E. M., Chan, T. C., Jensen, A. M., Patel, E., Watts, K., &
Dunford, J. V. (September 07, 2012). Effects of an Emergency Medical Services-
based Resource Access Program on Frequent Users of Health Services.
Prehospital Emergency Care, 16, 4, 541-547. [pdf]
Tavares, W., Donelon, B., & Bowles, R. (September 07, 2016). Informing a Canadian
paramedic profile: framing concepts, roles and crosscutting themes. BMC Health
Services Research, 16, 1, 1-16.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5015210/
Tohira, H., Fatovich, D., Williams, T. A., Bremner, A., Arendts, G., Rogers, I. R.,
Celenza, A., ... Finn, J. (September 04, 2016). Which patients should be transported
to the emergency department? A perpetual prehospital dilemma. Emergency
Medicine Australasia. [pdf]
-mvr:1/3/17 -
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36.A.2
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36.A.2
Packet Pg. 1032 Attachment: Agenda and Backup - November 5, 2018 (7500 : Senior Advisory Committee - November 5, 2018)
Report on Research Related to the Issue of Repeated Falls and EMS Calls by Senior Residents
Prepared by Harriet Lancaster, member of the Senior Advisory Committee to the
County Commissioners of Collier County, Florida, Oct. 30, 2018
I read all the materials provided by Chief Butcher. As I understand it there have been in the last
year 313 calls related to falls, which apparently did not lead to transport to local hospitals.
There are often repeat calls from the same household. The real issue is how to reduce these
calls by enabling proper follow up and necessary preventative services to enhance seniors’ lives.
This will also reduce the burden on our first responders, EMS and Sherriff’s staff. In order to
look into this issue, I called and talked with several relevant service providers/leaders in the
county.
First, I spoke with Louise Pelletier, who manages the County’s Senior Programs and Social
Services, which is mostly funded with Federal funds that come on a formula basis to our Area
Agency on Aging and then to the County. There are state funds as well. Louise told me that
Michael Reagen, an involved community leader, was a convener of a Roundtable held at
Hodges University on February 15, 2017 on the topic of Community Medicine and Possible
Future Impact on Collier County EMS.
While I subsequently spoke with Michael Reagen and have attached the participants list and
the report from the round table, I also found out from Louise that their health compromised
clients had not had any real problems with falls or needs for EMS. Of course, her funded service
(which almost always has a waiting list) provides case work management and adaptive
equipment to their clients. She attributed their absence of falls primarily to the adaptive
equipment which include walkers, raised commodes and lift chairs. They also provide adult
diapers to those who can’t readily transfer to the commodes. She understands that falls are a
big problem for the elderly. Her programs are limited but perhaps a stock of available adaptive
supplies for those with repeat falls could be developed by a nonprofit or even the county
through the EMS. Reagen believes that local businesses will supply funds for appropriate
programming as they did with Step Smart.
My next call was to Mike Reagen. I am attaching the list of participants which is impressive and
the findings of the Roundtable. Mike indicated that they hoped the county EMS would apply for
grants to train and fund community paramedics on a pilot basis There are currently programs
not only in Minnesota (the initial program was provided to us by Chief Butcher) but also in
North Carolina, Colorado, Maine and Texas. The Minnesota program receives Medicaid funds as
a State initiative. I don’t know how the other programs are funded. Mike indicated that he
thought that Chief Butcher’s immediate supervisor was not interested in applying for grants for
the program at that time.
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Packet Pg. 1033 Attachment: Agenda and Backup - November 5, 2018 (7500 : Senior Advisory Committee - November 5, 2018)
Mike urged me to speak with Jorge Aguilera, Assistant Chief of medical Services for North
Collier Fire and Rescue about possible approaches. I did not know how far to pursue this at this
time as we are in an information gathering mode at this point. We are not implementers but
advisors. If the committee thinks it is appropriate, I will speak with Aguilera about what he sees
as possible.
We also spoke about the 200 CERT trained individuals in the county who could help with
identification and possibly as a conduit to follow-up. He believes that Aguilera is the key to the
CERT folks who Reagen thinks might be interested in an experimental pilot. He mentioned
other possible groups that could help from Red Cross to Boy Scouts.
I also talked with Bruce Rosenblatt at Care Patrol. This is a group will come in and do an analysis
of needs and make referrals. They are paid by the organizations to whom they refer potential
clients. Bruce and his “people” do the assessments. While most of the organizations they refer
to charge fees there is sometimes funding for those with very limited resources. Bruce told me
he emailed Chief Butcher about helping with follow up visits by Care Patrol to help residents
appropriately access services. He has never heard back from her but would be interested in
meeting with her to see if there could be some sort of relationship with EMS. He indicated Care
Patrol has a medication reminder program and can arrange for food delivery at home at $7.00 a
meal. He indicated that veterans and their surviving spouses can also access funds for home
health services and assisted living and they can help with those available services.
I tried to track down Visiting Nurses whose website showed an office on Airport Pulling.
Eventually I got through to an administrator in Lee County who told me there is no longer a
Visiting Nurses program in southwest Florida. Hope Hospice bought the non-profit Visiting
Nurses of Southwest Florida out and it is now a nonprofit home health service under Hope
Hospice’s auspices. They do not have enough staff to do much work in Collier and have few
patients in our county.
I also spoke with Velma Delgado, who runs Almost Home health services. She indicated she
would be willing to come in and do a free assessment to see what the person who has fallen
might need. For example, they may not know about food services, Area Agency on Agency
services through the county, or how to do a Step Smart revision of their home to make it safer.
She would be willing to have her cards distributed by EMS and her organization does paid work
with the county’s senior services now. However, there would have to be a discussion about
handing out information even for a free assessment from a proprietary group as there are many
in the county. I think the solutions lie ultimately with the county through a community
paramedics approach, or possibly the CERT program with an expanded mission. Initially the
county EMS might establish a relationship with the nonprofit Care Patrol and perhaps a related
adaptive equipment “closet.”
Please see attached Round Table Report and Participants List provided by Michael Reagen.
36.A.2
Packet Pg. 1034 Attachment: Agenda and Backup - November 5, 2018 (7500 : Senior Advisory Committee - November 5, 2018)
Roundtable Participants: Hodges University, February 15, 2017
“Community Medicine and Possible Future Impact on Collier County EMS”
Robert B. Tober, M.D., Co-Chair: Dr. Tober graduated from Saint Louis University
School of Medicine in 1975 and has been in practice for 40 years. He completed a
residency at Barnes Jewish Hospital. He is Medical Director of Collier County’s EMS
Department, Medical Director of the Wound Healing Clinic of the NCH Healthcare
System, Medical Director of Bentley Village Clinic and Medical Director of the
Neighborhood Health Clinic. A former Faculty Member of Edison State College
[Southwestern Florida College], he served on the Board of Governors of the University
of Miami and as Medical Services Advisor of LifeLinkMD, Inc. Named Physician of the
Year by the Collier County Medical Society in 2015, he has been honored as the EMS
Medical Director of the Year in 1995 by the State of Florida, the Patients ‘Choice Award
2013-2014, Compassionate Doctor Recognition 2013-2014 and the On-Time Doctor
Award in 2014.[ rbtobermd@yahoo.com].
Edward Morton, Co-Chair: Member, Board of Governors, State University System of
Florida, is a Principal and Managing Director of the investment firm Wasmer &
Schroeder & Co. since 2007. He retired in 2006 after 34 years of service, as the CEO of
the NCH Healthcare System, a diversified healthcare holding company. He is a Florida
native and was raised in Islamorada. He holds a bachelor’s degree from the University
of Notre Dame, a Master of Business Administration from the University of Miami and a
Master’s of Health Science from Florida Gulf Coast University (FGCU). He is a past
Vice Chairman of the Board of Trustees of FGCU and past Chairman of the FGCU
Foundation. He has served and currently sits on the board of several civic-minded
boards serving the citizens of Southwest Florida. [em@wasmerschroeder.com].
Ed Boyer : M. Boyer spent 40 years in health care [Senior Vice President for the Bon
Secours Health System, consultant and principal in the Baltimore Office of Arthur
Andersen, managing consultant in the Washington office of Towers Perri, and President
of the Maryland Health Care System. Since his retirement, Ed has become active in
various civic and charitable activities in Collier County. He currently is a board member
and President of Greater Naples Leadership, and serves on the Board of the Florida
Southern Gulf Chapter of the American Red Cross and Physicians Regional Health
System. He previously was on the Board of the Senior Friendship Health Center and
was Treasurer of the Villa Florenza Homeowners Association. Ed also was a member of
the Blue-Ribbon Panel that studied Emergency Medical Services in Collier County. A
graduate of the University of Maryland, he earned his M.B.A. from George Washington
University. [ednanboyer@gmail.com]
].
Aysegul Timur, Ph.D., Co-Host & Dean, Johnson School, Hodges University [HU],
joined HU in 1999, and she currently serves as Dean of the School of Business and
chairs the Business Administration programs. She received her Ph.D. majoring in
Economics, from the University of South Florida, her Master’s and Bachelor’s degrees
in Business Administration from the University of Istanbul. Her areas of expertise
include business policy, organizational development, quality control, statistics for
36.A.2
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strategic planning, health, and international economics. The author of 8 distinguished
journal articles, she is a member of Sigma Beta Delta and Beta Gamma Sigma
International Honor Societies and has presented at international and national
conferences. She is also a member of The Journal of American Academy of Business
Editorial Advisory Board, Clute Institute, Southern Economic Association, International
Health Economics Association, American Society of Health Economists. Active she with
Junior Achievement of SW Florida, Leadership Collier Alumni Association, GCHS, NAP
Academy, Engineering Program Advisory Board; and Collier County Public Schools
Business Plan competition, community research projects, she is often a guest speaker
in SWFL. [atimur@hodges.edu].
William M. Griz, Ph.D., Co-Host & Dean, School of Allied Health, Hodges University
[HU], joined Hodges University in 2003 as a full-time faculty member with
specializations in management and leadership. In 2009, he became chair of the
Interdisciplinary Studies program, and recently, was appointed dean of the School of
Allied Health. In 2014, he was named Hodges Professor of the Year. Receiving his
doctoral degree from Michigan State University, Griz spent 10 years in clinical practice
before accepting a position with Blue Cross Blue Shield of Michigan as an administrator
in their HMO network. Throughout the next 20 years, he worked as an administrator and
consultant in the managed health care field. [bgriz@hodges.edu].
Jorge A. Aguilera, Assistant Chief of Medical Services, Operational Training and
Community Relations, North Collier Fire & Rescue District [NCFRD] is a 34-year
veteran of emergency medical services. A graduate of Edison Community College and
Hodges University, he has earned seven advanced professional certifications including
those from the University of Miami School of Medicine, the National Fire Academy and
Florida State Fire Academy, Chief Aguilera is a member of Hodges University’s Identity
Fraud Institute Advisory Council, past Chair, Collier County In jury Prevention Coalition,
Board of Trustees of Physicians Regional Medical Center, Florida Emergency PIO
Deployment, Florida’s Fire Chief Association and the Collier County Public Schools
Health Academy Advisory Board among other professional associations. Prior to joining
the NCFRD, he was Division Chief of Training, a Lieutenant Paramedic and Flight
Medic with Collier County’s Emergency Medical Services Department.
[jaguilera@northcollierfire.com].
Jane E. Bedford, BA., RN, CCP, Education Director, Nature Coast Emergency Medical
Service, currently Chairs Florida’s Department of Health’s Committees on Access to
Care and the Community Paramedic Constituency Group. She earned her Associate
Degree [EMS] at Central Florida Community College, her Associate Degree and RN at
Hillsborough Community College, her B.S. in Health Care Administration at Ashford
University and 23 specialty certifications. A licensed Registered Nurse and Paramedic
in Florida, she has served as a Paramedic for 23 years focusing substantially on EMS
Quality Assurance, Cardiac Cath Lab Clinical Direction and EMS Education. Director
Bedford served as a contributing writer to three textbooks, a speaker/lecturer at four
national conferences and a member of 12 important Florida Committees including
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Packet Pg. 1036 Attachment: Agenda and Backup - November 5, 2018 (7500 : Senior Advisory Committee - November 5, 2018)
Florida’s Governor’s Domestic Security Task Force. She has been honored by
Governor Jeb Bush with the Distinguished Service Award for Meritorious Service, the
Distinguished Service Award for Paramedic Education and in 2010 was honored by
Florida’s Department of Health as the EMS Educator of the Year.
[janeb@naturecoastems.org]
Tabatha Butcher, Chief, Collier County Emergency Services Department [EMS], has
held this position since May 2016. During her nearly 20 years at Collier County
Emergency Medical Services, Chief Butcher has held various positions, including:
Emergency Medical Technician, Paramedic, Lieutenant, Captain, Flight Paramedic,
Battalion Chief and Assistant Chief. She studied Emergency Medical Services
Technology at Edison State College and Public Administration at Barry University. In
addition, she is a 2014 graduate of the Certified Public Manager Program administered
by the Florida Center for Public Management, which is part of the Askew School of
Public Administration at Florida State University. Chief Butcher is an experienced
instructor of American Heart Association courses, including: Basic Life Support,
Advanced Cardiovascular Life Support and Pediatric Advanced Life Support. Tabatha is
a graduate of Leadership Collier Class of 2016.Tabatha served as an EMS
representative on the EMS Advisory Council and works closely with the Public Safety
Authority, Collier County Injury Prevention Coalition and Safe and Healthy Kids
Coalition. [TabathaButcher@colliergov.net].
Angel "Al" Brotons, EMT-P, Al Brotons is the Associate Director for Operations and
Instructor Development in the Division of Prehospital & Emergency Healthcare, Michael
S. Gordon Center for Research in Medical Education, University of Miami, Miller School
of Medicine. Mr. Brotons is the AHA training Center director, which has several
municipalities as satellites. He continues his work as a firefighter/paramedic and
oversees the STEMI and Stroke program for Monroe County Fire Rescue, Marathon,
and Islamorada Fire Rescue. [abrotons@med.miami.edu]
Jarett Cotter, Jarett Cotter, Lieutenant- is the ALS Coordinating Officer, Greater Naples
Fire Rescue District. A 40-year resident of Collier County, he graduated in 1997 from
Edison Community College [Florida Southwestern] with an A.S. degree in Fire Science
and received his paramedic license in 2000. In 1997, prior to becoming a member of
Greater Naples, Lt. Cotter was instrumental in the development of the City of Marco
Island and was chosen as the very first assistant to the City Manager. He also has
employment experience with former Big Corkscrew, Marco Island, and East Naples
Fire/Rescue Districts. With over 25 years of experience in fire- rescue services, Lt
Cotter has been recognized for his numerous achievements and is a recipient of the
Eagle, Phoenix, and Stork awards. In addition, Lt Cotter received the Emergency
Medical Services Commendation Medal presented by the Naples Chapter of the Sons
of the American Revolution. Lt Cotter has been in his current position as ALS
Coordinating Officer since 2014. He leads the EMS branch, overseeing EMS related
health, safety, and training programs. Additionally, Lt Cotter is a point of contact for
infection control, handles EMS supply, and is the quality assurance officer. As the ALS
36.A.2
Packet Pg. 1037 Attachment: Agenda and Backup - November 5, 2018 (7500 : Senior Advisory Committee - November 5, 2018)
Coordinator, he manages local, regional, and state partnerships and is a key member of
the Greater Naples Fire/Rescue Logistics Section team. [jcotter@gnfire.org].
James Delony, Col., USA, Ret., past Vice President for Operations and a Project
Manager, DynCorp International, Fort Worth, TX, Col. Delony served as Public Utilities
Division Administrator, Collier County, Florida, District Engineer, Wilmington District, US
Army Corps of Engineers, Commander, 325 Engineering Battalion and Director of
Public Works, Fort Campbell, KY. Col. Delony, a civil engineering graduate of Texas
A&M University where he also earned an MS in Constructions Management, he
received an MA in Military Arts & Sciences, US Army Command and General Staff
College and an MA in Strategic Military Strategy, Quaid-E-Asam University, Islamabad,
Pakistan. He is a member of the Collier Citizens Council, the Collier ID Fraud Task
Force and is a graduate of the Collier Sheriff’s Advanced Citizens Academy.
[delonyjim@gmail.com].
Jacklyn Faffer, Ph.D., MSW: President & CEO, Jewish Family and Community
Services of Southwest Florida,, Collier County Leadership Coalition on Aging; Executive
Director and CEO, Ruth Rales Jewish Family Services of South Palm Beach County,
Inc.; Adjunct Associate Professor, Barry University, Wurzweiler School, Yeshiva
University, Hunter College. Director of Social Work Brunswick Hall; Director of Human
Services UJA/Federation of Jewish Philanthropies, New York. She helped organize and
chair the alliance of senior care organizations in Collier County, Florida that
documented the needs of elderly in specific demographic clusters. An outstanding
fundraiser, she is credited with establishing the first senior center in Greater Naples.
The Center has formed service-linkages with local hospitals and agencies. A Co-Chair
of the Collier Injury Prevention Task Force, she serves on the ID Fraud Task Force.
[jfaffer@jfcsswfl.org].
James Fogarty, Director Seattle King County Medic One, Department of Public
Health King County, Washington, the world-renowned system known for its "Medical
Model", tiered response system that produces consistently high survival rates. King
County’s response area covers some 2100 square miles, is home to some 1.8 million
residents. And encompasses a vast array of densely populated urban Seattle areas,
major ports and rail systems, heavy industrial and manufacturing plants (Boeing) as well
as some of the most remote areas of the Cascade Mountain range in the Pacific
Northwest. This regional system consists of 30 fire departments, 6 advanced life
support provider agencies and several public safety dispatch centers. Prior to King
County Medic One, he managed a fire based emergency services in Pinellas County
Florida. During his 38 years of experience in Emergency Services he has served in
many disaster activations such as the 2004 and 2005 "Hurricane Seasons" in Florida
and "Hurricane Andrew" in 1992, has managed medical care deployment for
presidential visits and has commanded teams into South Florida following Hurricane
Andrews’; into Charlotte County following Hurricane Charlie, and into Flagler and
Volusia Counties following wildfires within those areas. Director Fogarty earned an
MBA, is a graduate of the Executive Fire Officer (EFO) program at the National
Emergency Training Center and holds degrees in Emergency Medical Services and Fire
36.A.2
Packet Pg. 1038 Attachment: Agenda and Backup - November 5, 2018 (7500 : Senior Advisory Committee - November 5, 2018)
Administration. The author of several published research papers, he has been a
contributing author to several forums on Emergency Medical Care and Emergency
Management. He is considered a subject matter expert on both Fire and Emergency
Medical Services and has assisted FEMA since 1993 conducting over 100 courses on
Natural and man-made Disasters. He is former adjunct faculty for Saint Petersburg
College and Barry University in Florida and past Chairman for the American Heart
Association’s panels. [jfogarty@tampabay.rr.com].
Edwin (Ned) Fryer, Esq. has 35+ years as an attorney focusing on corporate
governance and compliance law, especially records management and data privacy.
Experienced in technology, he has assisted many business organizations in
successfully crafting and implementing records management programs and resolving
governance and corporate compliance problems Mr. Fryer has been publicly recognized
as one of the pre-eminent lawyers of the Missouri Bar Committee proposing laws to the
Missouri General Assembly. Vice chairman of the National Board of Governors of the
American Red Cross in Washington, D.C. and as a member of its Executive and
Biomedical Services Committees, he is chancellor Emeritus of the Episcopal Diocese of
Missouri, a Missouri-licensed paramedic, Civic Relations Officer with the St. Louis Fire
Department, trustee of the St. Louis Fire Department Lifesaving Foundation and former
chairman of the Downtown St. Louis Emergency Preparedness Organization and held a
gubernatorial appointment to the Missouri State EMS Advisory Council.
[EdwinFryer@colliergov.net].
Douglas Johnson, Ph.D. Chairman of the Board and Chair of the Clinical Committee,
David Lawrence Mental Health Center [DLC], is a retired senior executive in health
administration, He has been a board member since 2009 and has previously served as
President, Vice President and Secretary. He is also the Chairman of the Clinical
Programs Committee. Johnson was the President of Sentara Healthcare in Virginia,
which operates more than 100 care giving sites including seven acute care hospitals,
and includes nearly 400 primary care and non-primary care specialty physicians.
Johnson, a retired Rear Admiral, also served as Navy Assistant Surgeon General
supervising the reserve medical component of the Navy and Marine Corps. He is a
graduate of Greater Naples Leadership and has served on a variety of healthcare
related boards in Virginia. [douglasjohnson2@comcast.net].
Douglas S. Lee, M.D., Associate Medical Director, Collier County Emergency Medical
Services Department, is Attending Physician, Lee Health System and Clinical Assistant
Professor, Department of Family Medicine, Florida State University. Prior to joining
Collier County EMS, Dr. Lee was Medical Director, Cape Coral Fire Rescue, Cape
Coral, FL, Attending Physician, Emergency Medicine, NCH System, Naples, FL and
Attending Physician, Emergency Medicine, Simi Valley Hospital, CA and Attending
Physician, Emergency Medicine, North Shore University Hospital, New York. He earned
is B.A. with Honors from the University of Pennsylvania and his M.D. from the New
Jersey Medical School. He Interned at St. Luke’s Roosevelt Hospital, NYC and did his
Residency in Emergency Medicine at Mount Sinai School of Medicine where he was
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Packet Pg. 1039 Attachment: Agenda and Backup - November 5, 2018 (7500 : Senior Advisory Committee - November 5, 2018)
Chief “Resident from 2002 to 2003. Dr. Lee is a Fellow of the American College of
Emergency Medicine and of the American Academy of Emergency Medicine. He holds
Medical Licenses in both Florida and Hawaii, is ATLS Certified, ACEP Emergency
Ultrasound Certified as well as ACLS, ATLS, PASL, and NALS Certified., Board
Certified in Emergency Medicine, American Board of Emergency Medicine, he is the
recipi9ent of five significant honors/awards including the Roche Pharm Unrestricted
Educational Grant, Mount Sinai School of Medicine, the Outstanding in Lifesaving
Service Award, Mt. Sinai Emergency Medicine Education Fund and the Triage
Research Emergency Research Grant, Amsterdam, The Netherlands. The author of
seven major research publications, Dr. lee has made three international presentations,
two national presentations and two regional presentations to major medical symposia.
Dr. Lee, in addition to serving on seven hospital committees during his career, has also
been a featured lecturer at eight lectures at eight medical institutions.
[duglee@gmail.com].
Michael Marcus, RN, CEN, EMT-P, Trauma Program Manager for Lee County Trauma
Services District since 2007. Currently Michael oversees implementation of regional trauma
system plan and Level II Trauma Center in 5 County Trauma Service area which provides a
safety net to residents and visitors of Lee, Collier, Charlotte, Hendry and Glades counties. He is
responsible for assisting with the integration and collaboration of regional and local acute care
hospitals, county emergency medical resources, comprehensive injury prevention and outreach
programs, and post-acute care rehabilitation programs as an advocate for the injured patient in
the five-county Southwest Florida Region. He plays an active role in all hazards disaster
preparedness and emergency response including area wide mass casualty surge planning. Mr.
Marcus is an active member of ten regional and Florida Pre-Hospital Medical Care and
professional organizations including the Mass Casualty Incident Trauma Task Force, the Florida
Committee on Trauma of the American College of Surgeons and is a Trauma Nursing Core
Instructor for the Emergency Nurses Association. He has previously served with distinction as
an Appointee by Florida’s Surgeon General on the Florida Trauma Registry Ad-Hoc Committee
to the Florida Department of Health. Michael co-authored a multicenter study “Variability in
Inter-Hospital Trauma Data Abstraction: A Challenge to The Accuracy of Trauma Registry” in
conjunction with the Tufts Medical Center, Boston, MA. Journal of Trauma and Acute Care
Surgery, Sept. 2015, Vol. 79, No.3. The study was presented at the 28th Annual Scientific
Assembly of the Eastern Association for the Surgery of Trauma, January, 2015.
[Michael.Marcus@leehealth.org]
Leo E. Ochs, Jr., Collier County Manager appointed on September 29, 2009 Leo is a
30-year veteran of local government management. He was hired by Collier County
government in 1986 after serving for eight years in various positions with the city
government of Joliet, Illinois. Leo obtained his Bachelor’s Degree from Illinois
Benedictine University and earned a Master’s Degree in Public Administration from
Northern Illinois University. His professional affiliations include both the International
and Florida City and County Management Associations. Leo has been an active
member of the community. He is a former board member and past President of the
United Way of Collier County. He served on the Board of Directors of the Collier County
Education Foundation and is a 1999 graduate of the Leadership Collier program
sponsored by the Greater Naples Area Chamber of Commerce. Leo also serves on the
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Packet Pg. 1040 Attachment: Agenda and Backup - November 5, 2018 (7500 : Senior Advisory Committee - November 5, 2018)
College of Business and Public Administration Advisory Board at Hodges University and
is a past director on the Leadership Collier Foundation Board. [leoochsjr@gmail.com].
Len Golden Price, Discussion Leader: Department Head, Collier County
Administrative Services Division, oversees logistics and internal government services
such as computer and telecommunication technology, building maintenance and
security, construction and real estate management, purchasing and procurement,
vehicle and equipment maintenance, risk and human resource management, and
records management, as well as the Bureau of Emergency Services, which includes
Fire Service, Emergency Management and EMS. During her 25-year career in public
administration, she held executive management positions in the Solid Waste,
Equipment Maintenance, and Police Departments with the City of El Paso, Texas. Len
holds a Master’s Degree in Organizational Management, Bachelor’s in Business
Management and an Associate’s Degree in Financial Accounting. She is a graduate of
the Leadership Collier Class of 2007 and earned her Certified Public Manager
designation from Florida State University in 2014. [LenPrice@colliergov.net].
Hon. Kevin Rambosk, Sheriff, Collier County, Florida, first elected, 2009, reelected
2016 with 90% majority, is a graduate of Bergen (N.J.) Community College [AAS in
Police Science], William Patterson University [BS in Public Safety Administration], Nova
University [MBA] and the FBI National Academy. A police officer for 21 years, Rambosk
has served with distinction as CCSO Undersheriff, Chief of Operations and Captain,
Organized Crime, Naples City Manager, Chief of Naples Police & Emergency Services
and with the Internal Security Division of the NJ Sports and Exhibition Authority. A NJ
native and 10-year volunteer with the Midland Park Civil Defense, Ambulance Corps,
Fire Dept. Reserve & Ridgewood Police Reserve, he holds an Amateur Radio Extra
Class license. Honored as a Man of Distinction by the Education Foundation of Collier
County, he has been awarded the Good Citizen Medal by the National Society of the
Sons of the American Revolution. Active in community service, he is a Member of the
Board of Directors of The Florida Sheriffs Association, the Collier Senior Resource
Center, the Shelter for Abused Women and Children, the Greater Naples Chamber of
Commerce, the Leadership Collier Foundation and The David Lawrence Center. He is a
past board member of the SWFL Boy Scouts of America, the Community Blood Center,
the Juvenile Justice Council and the Substance Abuse Coalition of Collier County.
Sheriff Rambosk Co-Chairs the SWFL Regional Domestic Security Task Force, the
Executive Law Enforcement Advisory Board, D.A.R.E., American International, the
National Sheriff’s Association Immigration and Boarder Security Committee and is a
member of the International Association of Chiefs of Police.
[Kevin.Rambosk@colliersheriff.org]
36.A.2
Packet Pg. 1041 Attachment: Agenda and Backup - November 5, 2018 (7500 : Senior Advisory Committee - November 5, 2018)
Michael V. Reagen, Ph.D. Convener: Adviser, The Reagen Group; formerly served as
Commissioner, Human Services, Iowa; Director, Dept. of Social Services, Missouri;
County Administrator, Onondaga County, NY; Research Fellow, Syracuse University
Research Corporation; Sr. VP. And Clinical Associate Professor, Des Moines
University; In Florida, he has served as a former member, Regional Advisory Council,
Southwest Florida Regional Trauma Center; Pres. & CEO [Ret.], Greater Naples
Chamber & Leadership Collier Foundation, has served on the boards of several Naples
non-profits and facilitated the Blue-Ribbon Panel that studied Emergency Medical
Services in Collier County. Currently, he is a member David Lawrence Mental Health
Center Board, Wolford College Board, is Adviser to Collier’s 100 Club. He has co-
authored three books and authored 60 articles, has taught at seven universities and
received several awards including the National Public Service Award from the American
Academy of Public Administration. He is past President & CEO, The Greater Naples
Chamber and Leadership Collier Foundation. [mike@mikereagen.com]
Anke Stugk, [ABD,] Ph.D. Cand., Program Chair of the Business Administration
Programs, Johnson School, Hodges University, is an expert in financial management
and general business. Professor Stugk an alumna of Hodges University. She received
her associate, bachelor’s and master’s degrees from Hodges. After an early career in
hospitality, condominium and construction management, she served as vice chair and
an assistant professor in the Business Administration program, the assistant to the dean
of the Nichols School of Professional Studies and was an adjunct faculty member
teaching research and management courses. Stugk is a member of Golden Key
International Honor Society and Sigma Beta Delta, and in 2011, she received the
Research Collaborator of the Year award from The Greater Naples Chamber of
Commerce. [astugk@hodges.edu].
David J. Trecker, Ph.D., former Senior Vice President at Pfizer, received a doctorate in
organic chemistry at the University of Chicago. The author of some 60 scientific papers
and patents, he served on the editorial board of the Journal of Organic Chemistry and
executive committee of the Industrial Research Institute. He was a product manager at
Union Carbide and later headed R&D for Pfizer’s chemical business, developing
products for the food, energy and water-treatment sectors. After retiring to Naples,
Trecker served as chairman of the Greater Naples Better Government Committee,
Pelican Bay Foundation and Pelican Bay Property Owners Association. He is currently
vice president of the Collier Citizens Council and Collier County Presidents Council and
serves on the Pelican Bay Services Division and Classic Chamber Concerts boards. In
2014, he was designated Pelican Bay’s Person of the Year. Trecker is a blogger and
op-ed contributor to the Naples Daily News. [djtrecker@yahoo.com].
Stephanie Vick, M.S., B.S.N., R.N., Administrator, Florida Department of Health in
Collier County. Overseeing three health department locations, 170+ employees and a
budget of $11.2 million, Ms. Vick received her Bachelor of Science in Nursing from The
Catholic University of America in Washington D.C., and her Master of Science in Health
Services Administration from NOVA/Southeastern University. She has served as Clinic
Coordinator, Family and Personal Health Director, Executive CHN Nursing Director,
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Packet Pg. 1042 Attachment: Agenda and Backup - November 5, 2018 (7500 : Senior Advisory Committee - November 5, 2018)
and, most recently, Interim Administrator. She is a multi-year Davis Productivity Award
recipient for her work in community outreach in Collier County. She is an adjunct
professor at Hodges University and a trained Public Health Accreditation Board
Examiner. Prior to her Collier County service, Ms. Vick was Director of Women and
Infant Nursing at the Ohio State University Medical center in Columbus, Ohio where she
managed a budget of over $11 million, a construction budget of $7+ million for a new
Labor, Delivery and Recovery Department and 260 full time employees. Ms. Vick
chaired the Local March of Dimes, was a Board Member of the Healthy Start Coalition,
and twice as President for the Florida Association of Public Health Nurses. She is
heavily involved in support of wellness initiatives in the health department as well as in
the community as demonstrated by her willingness to collaborate with local community
partners on the Blue Zones Project. [Stephanie.Vick@flhealth.gov]
Stephen C. Weisberg, M.D. Graduated from the University of Minnesota Medical
School in 1964 having obtained a B.A. and B.S. prior to the M.D. Trained in Internal
Medicine in Minneapolis until 1968 at Hennepin County Medical Center. Served as
Chief of Allergy at Fitzsimmons General Hospital 1968-70 as a Major in the U.S.
Army. Obtained an M.S. in 1972 in Medicine from the University of Michigan for the
study of Allergy and Immunology. In private practice in Minneapolis for 25 years
devoted to the care of children and adults with Asthma and Allergic Diseases and
served as a Clinical Professor of Medicine at the University of Minnesota as well as 25
years on the County and State Boards of the American Lung Association. Founder and
Chair of the National Consortium of Children's Asthma Camps. Founder and Chair of
the Naples Men's Discussion Group. Previously volunteer Physician at Neighborhood
Health Clinic. Mentor to Collier County High School students through the Education
Foundation, now Champions For Learning, and selected in 2014 for the "Men of
Distinction Awards." [scweismd@gmail.com].
Jeffrey Ziomek, DPA, Professor, Florida Southwestern State College and Program Chair,
Hodges University Certificate EMS Program in partnership with Collier County EMS
Department. Dr. Ziomek earned his DPA [ Public Administration, Capella University, his MS
[Health Science, Health Professions Education], Florida Gulf Coast University, his B.S.
[Business], Empire State College] and his A.S. [Computer Science], Niagara Community
College. Since 2008 an Adjunct Faculty at Kaplan University where he serves as a Faculty
Evaluator and Course Leader, he also has been a Trainer for the Lee County Board of
Elections. For five years, he taught at the Western New York Emergency Medical Services
(EMS) Training Institute training physicians and nurses in Advanced Trauma Life Support
required for New York State Certification necessary to maintain intern and residency status.
Dr. Ziomek has also served as EMS Program Coordinator and EMS/Fire Program
Coordinator, Florida Southwestern State College, Fort Myers, Florida; Area Operations
Manager and Paramedic with Rural/Metro Medical Services, Buffalo, New York;
Administrator of an assisted living facility, and Director of Health Services, AIDS Community
Services of Western New York. He is a Certified Florida State Fire Service and EMS
Instructor, a member of the Florida Council of Emergency Medical Service Chiefs and was
Florida Association of EMS Educators Instructor of the Year, 2010. [jpziomek@fsw.edu]
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36.A.2
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