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HomeMy WebLinkAboutAgenda - 09-15-2015-11b 1 ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: September 15, 2015 Action Agenda Item No. 11-b SUBJECT: Board of Health —Appointments DEPARTMENT: Board of Commissioners PUBLIC HEARING: (Y/N) No ATTACHMENT(S): Under Separate Cover INFORMATION CONTACT: Member Roster Clerk's Office, 919-245-2130 Recommendations Applications for Persons Recommended Interest List Applications of Persons on the Interest List PURPOSE: To consider making appointments to the Board of Health. BACKGROUND: The following information is for Board Consideration: • Appointment to a first full term (Position #6) "At-Large Citizen BOCC Appointed" for Barbara Chavious expiring 06/30/2018. • Appointment to a first full term (Position #7) "At-Large Professional Engineer" for Timothy Smith expiring 06/30/2018. POSITION NO. NAME SPECIAL REPRESENTATIVE EXPIRATION DATE 6 Barbara Chavious At-Large Citizen BOCC 06/30/2018 Appointed 7 Timothy Smith At-Large Professional 06/30/2018 Engineer NOTE - If the individuals listed above are appointed, the following vacancies remain: • None FINANCIAL IMPACT: None SOCIAL JUSTICE IMPACT: Enable Full Civic Participation. Ensure that Orange County residents are able to engage government through voting and volunteering by eliminating disparities in participation and barriers to participation. RECOMMENDATION(S): The Manager recommends that the Board consider making appointments to the Board of Health. 2 Board and Commission Members And Vacant Positions Board of Health Meeting Times: 7:00 pm fourth Wednesday of each month Terms: 2 Contact Person: LaToya Strange Meeting Place: Chapel Hill and Hillsborough Alt.HD Positions: I I Length:3 years Contact Phone: 919-245-2411 Description: The Board of Commissioners appoints representatives of specific health-related professions and the general public to this board. It makes policy and is charged with protecting and promoting the public health in Orange County. To learn more about this Board,go to the following web address:http://www.co.orange.nc.us/health/index.asp Dr. Susan Elmore Day Phone: 919-541-3474 Sex: Female First Appointed: 09/21/2010 1 Vice-Chair Evening Phone: 919-967-4172 Race: Caucasian Current Appointment: 09/16/2014 308 Glenwood Drive FAX: Township: Chapel Hill Expiration: 06/30/2017 Chapel Hill NC 27514 E-mail: elmore @niehs.nih.gov Resid/Spec Req: Number of Terms: 2 Special Repr: Veterinarian Dan Dewitya Day Phone: 919-906-6762 Sex: Male First Appointed: 03/03/2015 2 Evening Phone: 919-906-6762 Race: Asian American Current Appointment: 03/03/2015 112 Bolinwood Dr FAX: Township: Chapel Hill Expiration: 06/30/2016 Chapel Hill NC 27514-2643 E-mail: dan.dewitya@gmail.com Resid/Spec Req: At-Large Number of Terms: Special Repr: Pharmacist MI's. Jessica Frega Day Phone: 919-426-9465 Sex: Female First Appointed: 06/16/2015 3 Evening Phone: 919-426-9465 Race: Caucasian Current Appointment: 06/16/2015 1511 Park Lane FAX: Township: Hillsborough Expiration: 06/30/2017 Hillsborough NC 27278 E-mail:jessicalois @gmail.com Resid/Spec Req: At-Large Number of Terms: 1 Special Repr: Citizen/Commissioner Appointment MS Llska Lackey Day Phone: 919-968-1450 Sex: Female First Appointed: 06/07/2011 4 Evening Phone: Race: Caucasian Current Appointment: 09/16/2014 507 Oak Ave FAX: Township: Chapel Hill Expiration: 06/30/2017 Carrboro NC 27510 E-mail: liska.lackey @gmail.com Resid/Spec Req: At-Large Number of Terms: 2 Special Repr: Nurse Reena Mehta Day Phone: 919-943-9039 Sex: Female First Appointed: 06/16/2015 5 Evening Phone: 919-943-9039 Race: Other Current Appointment: 06/16/2015 1400 Starmont Drive FAX: Township: Hillsborough Expiration: 06/30/2018 Hillsborough NC 27278 E-mail: reenagupta429 @gmail.com Resid/Spec Req: At-Large Number of Terms: 1 Special Repr: Optometrist Monday,August 31,2015 Page 1 3 Board and Commission Members And Vacant Positions Board of Health Meeting Times: 7:00 pm fourth Wednesday of each month Terms: 2 Contact Person: LaToya Strange Meeting Place: Chapel Hill and Hillsborough Alt.HD Positions: 11 Length:3 years Contact Phone: 919-245-2411 Description: The Board of Commissioners appoints representatives of specific health-related professions and the general public to this board. It makes policy and is charged with protecting and promoting the public health in Orange County. To learn more about this Board,go to the following web address:http://www.co.orange.nc.us/health/index.asp VACANT Day Phone: Sex: First Appointed: 6 Evening Phone: Race: Current Appointment: FAX: Township: Expiration: 06/30/2015 E-mail: Resid/Spec Req: At-Large Number of Terms: Special Repr: Citizen/commissioner appointment VACANT Day Phone: Sex: First Appointed: 7 Evening Phone: Race: Current Appointment: FAX: Township: Expiration: 06/30/2015 E-mail: Resid/Spec Req: At-Large Number of Terms: Special Repr: Professional Engineer Nick C7alvez Day Phone: 727-418-9921 Sex: Male First Appointed: 03/18/2014 8 Evening Phone: 727-418-9921 Race: other Current Appointment: 06/16/2015 403 N Elliott Road FAX: Township: Chapel Hill Expiration: 06/30/2018 Chapel Hill NC 27514 E-mail: ngalvez1234(?�gmail.com Resid/Spec Req: At-Large Number of Terms: 1 Special Repr: Citizen/Commissioner Appointment Dr. Sam Lasris Day Phone: 919-732-7362 Sex: Male First Appointed: 03/18/2014 9 Evening Phone: 919-732-7362 Race: Caucasian Current Appointment: 03/18/2014 7020 Caviness Jordan Rd. FAX: Township: Cedar Grove Expiration: 06/30/2016 Cedar Grove NC 27231 E-mail: samlasris @hotmail.com Resid/Spec Req: At-Large Number of Terms: 1 Special Repr: Dentist Dr. Paul Chelminski Day Phone: 919-966-0471 Sex: Male First Appointed: 08/19/2009 10 Evening Phone: 919-932-1755 Race: Other Current Appointment: 06/18/2013 116 Watters Road FAX: 919-966-4507 Township: Chapel Hill Expiration: 06/30/2016 Carrboro NC 27510 E-mail: chelminp @med.unc.edu Resid/Spec Req: At-Large Number of Terms: 2 Special Repr: Physician Monday,August 31,2015 Page 2 4 Board and Commission Members And Vacant Positions Board of Health Meeting Times: 7:00 pm fourth Wednesday of each month Terms: 2 Contact Person: LaToya Strange Meeting Place: Chapel Hill and Hillsborough Alt.HD Positions: I I Length:3 years Contact Phone: 919-245-2411 Description: The Board of Commissioners appoints representatives of specific health-related professions and the general public to this board. It makes policy and is charged with protecting and promoting the public health in Orange County. To learn more about this Board,go to the following web address:http://www.co.orange.nc.us/health/index.asp Ms. MIa Burroughs Day Phone: 919-932-6282 Sex: Female First Appointed: 01/27/2015 11 Evening Phone: 919-932-6282 Race: Caucasian Current Appointment: 01/27/2015 110 Cedar Hills Drive FAX: Township: Chapel Hill Expiration: 02/29/2016 Chapel Hill NC 27514 E-mail: mburroughs @orangecountync.gov Resid/Spec Req: At-Large Number of Terms: Special Repr: B.O.C.C. Monday,August 31,2015 Page 3 5 Thom Freeman From: LaToya Strange Sent: Wednesday,August 26, 2015 3:40 PM To: Thom Freeman Cc: Meredith Stewart Subject: BOH Appointments for the Next BOCC Meeting Thom, This email is to affirm that we will have two new BOH recommended appointments actions for the next BOCC meeting. They have recommended Barbara Chavious to fill the General Public position vacated by Corey Baker. Timothy Smith has been recommended as the new BOH member to fill the Engineering position vacated by Tony Whitaker. Respectfully, La Toya Strange Administrative Assistant to the Health Director Orange County Health Department 300 West Tryon Street Hillsborough, NC 27278 919-245-2411 Istrange@orangecountync.Eov All http;//oran�ecountync.�ov/departments/health i 6 Page 1 of 2 Barbara Chavious Volunteer Application Orange County Advisory Boards and Commissions Name: Ms. Barbara Chavious Name Called: Home Address: 401 N Nash St Hillsborough NC 27278 Phone (Day): 919-732-3469 Phone (Evening): 919-732-3469 Phone (Cell): 919-943-5319 Email: Barbara_Chavious @unc.edu Place of Employment: NC Institute for Public Health at UNC-CH Job Title: Retired Year of OC Residence: 1980 Township of Residence: Hillsborough Zone of Residence: Sex: Female Ethnic Background: Caucasian Community Activities/Organizational Memberships: Rape Crisis Center Feeding the People Misnistries Past Service on Orange County Advisory Boards: Boards/Commissions applied for: Board of Health Background, education and experience relevant to this board: During the past ten years in retirement, I have served as a site visitor for the NC Local Health Department Accreditation Program in 30 counties. Reasons for wanting to serve on this board: As a 40-year resident of Orange County, I am very much invested in promoting, protecting, and perserving the health of our citizens and our communities, and I would like to contribute to doing so, at a policy level, thorugh service on the Board of Health. Conflict of Interest: Supplemental Questions: Work Experience: 34 years in public health in NC; 12 as a regional consultant for the State Health Department, working in 8 local health departments; 22 at The UNC School of Public Health as Associate Director of an off-campus MPH, program in Health Administration as the School's alumni Director; as a continuing education specialst; and with the development of the NC Local Health Department Accreditation Program. 7 Page 2 of 2 Barbara Chavious Volunteer Experience: Former member-at-large on the Orange County Board of Health (1992-2000); Orange County Human Relations Commission member; OCIM volunteer; NC Public Health Assoc (member for 30 plus years; various leadership positions; American Public Health Association - member 30 years and representative from NCPHA on APHA's Governing Council for 9 years. Education: 1968 - BA - Psychology, Miami University, Oxford, Ohio; 1985 - MPH - Health Administration - UNC School of Public Health. Other Comments: I currently serve as a site visitor, representing Boards of Health for the NC Local Health Department Accreditation Program and during the past six years have served on over 15 site visit teams to other NC county Health Departments. STAFF COMMENTS: Updated application 06/16/2011. Applied for Board of Health. ADDRESS JURISDICTION: 401 Nash Street is HI Township. Updated application 02/06/2015. This application was current on: 2/6/2015 Date Printed: 2/11/2015 8 Page 1 of 1 Timothy Smith Volunteer Application Orange County Advisory Boards and Commissions Name: Mr. Timothy Smith Name Called: Home Address: 1107 Tupelo Drive Hillsborough NC 27278 Phone (Day): 919-616-6491 Phone (Evening): 919-616-6491 Phone (Cell): 919-616-6491 Email: tsmith @ppaengineering.com Place of Employment: Philip Post & Associates Job Title: Senior Engineer Year of OC Residence: 1976 Township of Residence: Hillsborough Zone of Residence: County Sex: Male Ethnic Background: Caucasian Community Activities/Organizational Memberships: New Sharon United Methodist Church National Society of Professional Engineers North Carolina Society of Professional Land Surveyors Past Service on Orange County Advisory Boards: None Boards/Commissions applied for: Board of Health Background, education and experience relevant to this board: I work as a civil engineer and have experience in water and sewer facilities design and installation, as well stormwater facilities design, inspection and maintenance, all of which are done to protect the health, safety and welfare of the public. Reasons for wanting to serve on this board: I would like to be involved in my local community and to help in such a way that would benefit the citizens that I share it with. Conflict of Interest: Supplemental Questions: Other Comments: This application was current on: 7/10/2015 3:28:58 PM Date Printed: 7/14/2015 9 Applicant Interest Listing by Board Name and by Applicant Name Contact Person: LaToya Strange Board Of Health Contact Phone: 919-245-2411 Debra Aycock Day Phone: 919-817-6037 Sex: Female 301 Tramore Drive Evening Phone: 919-817-6037 Race: Caucasian Chapel Hill NC 27516 Cell Phone: 919-817-6037 Township: Chapel Hill E-mail: debaycock22@gmail.com Res.Eligibility: Carrboro City Limits Date Applied: 02/10/2015 Skills: Also Serves On: MS. Martha Bell Day Phone: 919-968-4674 Sex: Female 100 Macrae Court Evening Phone: 919-968-4674 Race: Caucasian Chapel Hill NC 27516 Cell Phone: Township: Chapel Hill E-mail: mbell968@yahoo.com Res.Eligibility: Date Applied: 05/21/2015 Skills: Also Serves On: MS. Barbara ChavloAS Day Phone: 919-732-3469 Sex: Female 401 N Nash St Evening Phone: 919-732-3469 Race: Caucasian Hillsborough NC 27278 Cell Phone: 919-943-5319 Township: Hillsborough E-mail: Barbara Chavious@unc.edu Res.Eligibility: Date Applied: 02/06/2015 Skills: Public Health Also Serves On: Dr. Steven Thomas Daniels Day Phone: 919-732-8213 Sex: Male 206 Franklin Adams Road Evening Phone: 919-451-1874 Race: Caucasian Efland NC 27243 Cell Phone: 919-451-1874 Township: Cheeks E-mail: stdaniel@gmail.com Res.Eligibility: County Date Applied: 01/15/2014 Skills: Also Serves On: Dr. Brian Decker Day Phone: 919-360-6529 Sex: Male 109 Dublin Road Evening Phone: 919-360-6529 Race: Caucasian Chapel Hill NC 27516 Cell Phone: Township: Chapel Hill E-mail: bdeckerunc@gmail.com Res.Eligibility: Carrboro Transition Are Date Applied: 11/03/2014 Skills: Environmental Scientist Also Serves On: Skills: Pharmacist Also Serves On: Skills: Real Estate Broker Also Serves On: Monday,August 31,2015 Page 1 of 5 10 Applicant Interest Listing by Board Name and by Applicant Name Contact Person: LaToya Strange Board Of Health Contact Phone: 919-245-2411 Dr. Nurum Erdem Day Phone: 9192591153 Sex: Female 10 Saint James Place Evening Phone: 9199330661 Race: Caucasian Chapel HIll NC 27514 Cell Phone: 9192591153 Township: Chapel Hill E-mail: nurumerdemggmail.com Res.Eligibility: Chapel Hill Township Date Applied: 06/03/2015 Skills: Also Serves On: Mr. Zachary Giles Day Phone: 910-308-7228 Sex: Male 8000 Oak Pointe Court Evening Phone: 910-308-7228 Race: Caucasian Mebane NC 27302 Cell Phone: 919-930-4459 Township: Cedar Grove E-mail: zach.s.gilesggmail.com Res.Eligibility: County Date Applied: 06/02/2015 Skills: Also Serves On: Mrs Linda Griffin Day Phone: 919-630-9078 Sex: Female 321 Mitchell Street Evening Phone: 919-630-9078 Race: Caucasian Hillsborough NC 27278 Cell Phone: 919-630-9078 Township: Hillsborough E-mail: lgriffin2gne.rr.com Res.Eligibility: Date Applied: 06/02/2015 Skills: Also Serves On: Greg Hughes Day Phone: 919-928-6438 Sex: Male 1601 Dunn Place Evening Phone: 919-928-6438 Race: Caucasian Hillsborough NC 27278 Cell Phone: 919-928-6438 Township: Hillsborough E-mail: Hugo1380ggmail.com Res.Eligibility: C.H.City Limits Date Applied: 06/03/2015 Skills: Also Serves On: Dr Daniel Kemp Day Phone: 336-406-7871 Sex: Male 2007 Starterwood Ln Evening Phone: 336-406-7871 Race: Other Hillsborough NC 27278 Cell Phone: 3364067871 Township: Bingham E-mail: spartan1999ggmail.com Res.Eligibility: Date Applied: 07/02/2014 Skills: Also Serves On: Monday,August 31,2015 Page 2 of 5 11 Applicant Interest Listing by Board Name and by Applicant Name Contact Person: LaToya Strange Board Of Health Contact Phone: 919-245-2411 Dr. Michelle McKee Day Phone: 828-230-9624 Sex: Female 2108 Country Air Lane Evening Phone: 919-644-7849 Race: Caucasian Hillsborough NC 27278 Cell Phone: 828-230-9624 Township: Hillsborough E-mail: mckeetarheelgyahoo.com Res.Eligibility: County Date Applied: 11/20/2014 Skills: Also Serves On: Mr Ken Morgan Day Phone: 919-218-8596 Sex: Male 2720 Buckboard Drive Evening Phone: 919-218-8596 Race: Caucasian Hillsborough NC 27278 Cell Phone: Township: Eno E-mail: morgangk@juno.com Res.Eligibility: Date Applied: 02/05/2015 Skills: American Heart Association Also Serves On: Skills: United Way Board of Directors Also Serves On: Miss Danielle Mosley Day Phone: 919-309-5685 Sex: Female 476 Melanie Court Evening Phone: Race: Caucasian Chapel Hill NC 27514 Cell Phone: Township: Chapel Hill E-mail: Dlynnm26ggmail.com Res.Eligibility: C.H.City Limits Date Applied: 10/01/2014 Skills: Club Nova Also Serves On: Mr. Patrick Murphy Day Phone: 919-304-9759 Sex: Male 1500 Prairie Court Evening Phone: 919-304-9759 Race: Caucasian Mebane NC 27302 Cell Phone: 919-304-9759 Township: Cheeks E-mail: CounselinggPatrickMurphyLPC.com Res.Eligibility: County Date Applied: 03/12/2015 Skills: Also Serves On: Ms. Antonia Pedroza Day Phone: 252-738-3770 Sex: Female 409 Saint Marys Road Evening Phone: 919-760-0210 Race: Hispanic Hillsborough NC 27278 Cell Phone: 919-760-0210 Township: Hillsborough E-mail: pedrozaantoniagyahoo.com Res.Eligibility: Hillsborough ETJ Date Applied: 08/13/2014 Skills: Also Serves On: Monday,August 31,2015 Page 3 of 5 12 Applicant Interest Listing by Board Name and by Applicant Name Contact Person: LaToya Strange Board Of Health Contact Phone: 919-245-2411 Dr. Todd Sega Day Phone: 814-490-5120 Sex: Male 1113 Arborgate Cir Evening Phone: 814-490-5120 Race: Caucasian Chapel Hill NC 27514 Cell Phone: 8144905120 Township: Chapel Hill E-mail: toddsegaggmail.com Res.Eligibility: Chapel Hill Township Date Applied: 11/20/2014 Skills: Also Serves On: Mr. Timothy Smith Day Phone: 919-616-6491 Sex: Male 1107 Tupelo Drive Evening Phone: 919-616-6491 Race: Caucasian Hillsborough NC 27278 Cell Phone: 919-616-6491 Township: Hillsborough E-mail: tsmithgppaengineering.com Res.Eligibility: Date Applied: 07/10/2015 Skills: Also Serves On: Dr. Edward Stlrman Day Phone: 919-241-4912 Sex: Male 554 E Hatterleigh Ave Evening Phone: 919-241-4912 Race: Caucasian Hillsborough NC 27278 Cell Phone: 423-677-3295 Township: Eno E-mail: monty.stirmanggmail.com Res.Eligibility: County Date Applied: 06/03/2015 Skills: Also Serves On: MS. Diane UzarSki Day Phone: 9196688595 Sex: Female 3017 Pleasant Green Rd Evening Phone: 9193097974 Race: Caucasian Durham NC 27705 Cell Phone: 9193097974 Township: Eno E-mail: diane.uzarskigdm.duke.edu Res.Eligibility: County Date Applied: 09/29/2014 Skills: Also Serves On: Mr. Leroy Werley Day Phone: 919-933-3099 Sex: Male 6916 Turkey Farm Rd. Evening Phone: 919-933-3099 Race: Caucasian Chapel Hill NC 27514 Cell Phone: 919-210-6604 Township: Chapel Hill E-mail: Lwerley3ggmail.com Res.Eligibility: County Date Applied: 10/31/2014 Skills: Pharmacist Also Serves On: Monday,August 31,2015 Page 4 of 5 13 Applicant Interest Listing by Board Name and by Applicant Name Contact Person: LaToya Strange Board Of Health Contact Phone: 919-245-2411 Dr. Delbert Williams Day Phone: 919-493-6310 Sex: Male 7110 Pine Hill Road Evening Phone: 919-493-6310 Race: Caucasian Durham NC 27707 Cell Phone: 919-801-3552 Township: Chapel Hill E-mail: delwilliamsgnc.rr.com Res.Eligibility: County Date Applied: 06/25/2014 Skills: Also Serves On: Dr. Dennis Williams Day Phone: 919-962-7122 sex: Male 209 Lake Manor Road Evening Phone: 919-933-5408 Race: Other Chapel Hill NC 27516 Cell Phone: 919-602-2440 Township: Chapel Hill E-mail: dwilliamsgunc.edu Res.Eligibility: Carrboro City Limits Date Applied: 11/15/2014 Skills: Also Serves On: Mrs Geraldene Yagnow Day Phone: 585-615-6100 sex: Female 1113 Saluda Ct Evening Phone: 585-615-6100 Race: Caucasian Chapel Hill NC 27514 Cell Phone: 585-615-6100 Township: Chapel Hill E-mail: geri.yagnowgnc.rr.com Res.Eligibility: Chapel Hill Township Date Applied: 03/10/2015 Skills: Also Serves On: Dr. Tracey Yap Day Phone: 502-686-0016 sex: Female 834 Providence Glen Drive Evening Phone: 919-240-4793 Race: Caucasian Chapel Hill NC 27514 Cell Phone: Township: Chapel Hill E-mail: tracey.yapgduke.edu Res.Eligibility: Date Applied: 02/05/2015 Skills: Director Also Serves On: Skills: Nurse Also Serves On: Monday,August 31,2015 Page 5 of 5 14 Page 1 of 2 Debra Aycock Volunteer Application Orange County Advisory Boards and Commissions Name: Debra Aycock Name Called: Home Address: 301 Tramore Drive Chapel Hill NC 27516 Phone (Day): 919-817-6037 Phone (Evening): 919-817-6037 Phone (Cell): 919-817-6037 Email: debaycock22 @gmail.com Place of Employment: Retired after 11 years at BCBSNC Job Title: Clinical Pharmacist Year of OC Residence: 1984 Township of Residence: Bingham Zone of Residence: Sex: Female Ethnic Background: Caucasian Community Activities/Organizational Memberships: Durham-Orange Pharmacists Association American Society of Health-System Pharmacists Regular blood donation at Red Cross Donate and have volunteered at TABLE, Inc. Past Service on Orange County Advisory Boards: N/A Boards/Commissions applied for: Board of Health Background, education and experience relevant to this board: I graduated from UNC-CH with a BS Pharmacy degree, and from Virginia Commonwealth University with a Doctor of Pharmacy degree. I have been a registered pharmacist for 35 years and have worked in a variety of settings, most recently at Blue Cross & Blue Shield of NC. I have also worked at Kaiser Permanente (clinical pharmacy coordinator), John Umstead Hospital (now Central Hospital), AccessCare, and Piedmont Health Services (formerly Orange-Chatham Health Services, a local network of community health centers. I understand general clinical pharmaceutical care including mental health, Medicare Part D, community health center care, and insurance coverage. Reasons for wanting to serve on this board: I believe I can be of assistance to the Board of Health with my varied background in pharmacy care. Now that I am retired, I have time to devote to it and would enjoy the opportunity. Conflict of Interest: Supplemental Questions: 15 Page 2 of 2 Debra Aycock Other Comments: This application was current on: 2/10/2015 4:11:43 PM Date Printed: 2/11/2015 16 Page 1 of 2 Martha Bell Volunteer Application Orange County Advisory Boards and Commissions Name: Ms. Martha Bell Name Called: Home Address: 100 Macrae Court Chapel Hill NC 27516 Phone (Day): 919-968-4674 Phone (Evening): as above Phone (Cell): N/A Email: mbe11968 @yahoo.com Place of Employment: Retired Job Title: Registered Nurse - Director of Nursing Year of OC Residence: 1995 Township of Residence: Chapel Hill Zone of Residence: Sex: Female Ethnic Background: Caucasian Community Activities/Organizational Memberships: Member, Sigma Theta Tau Vice Chair, DVAMC Veterans Mental Health Council Member, The Chapel of the Cross Volunteer, Ambulatory Care, DVAMC Member, Retired Officers Association Member, Army Nurse Corps Association (former Regional Director) Past Service on Orange County Advisory Boards: Nursing Home Community Advisory Committee Board of Health Boards/Commissions applied for: Nursing Home Community Advisory Committee Background, education and experience relevant to this board: After retiring from active duty with the Army Nurse Corps in 1995, accepted position of Director of Nursing, Carol Woods Retirement Community, serving in that capacity for 12 years, and then continued in special projects as identified by the President/CEO, Carol Woods, for another 5 years; also eventually had operational responsibility for assisted living, and infection control for the organization. Coordinated clinical assignments in long term care for nursing and nursing assistant students from DCC and NCCU. Taught fundamentals of elder care to staff and students; served as consultant with CARF and AAHSA reviewing health and service delivery standards. Reasons for wanting to serve on this board: Throughout the years at Carol Woods, I met many members of this Cmmunity Committee, through their advisory capacity; always impressed with their respect for the older adult and circumstances that lead a person(s)to seek long term care, I knew I was unable to serve this 17 Page 2 of 2 Martha Bell committee until I retired from the business of elder services. I ve continued to keep my nursing license current, attending related education offerings in the infection control, gerontology and health care for the years since retirement from full time work. While volunteering in Durham, I really want to serve my local community and continue to put my knowledge of aging services and long term care to good use. Conflict of Interest: Board of Health Background, education and experience relevant to this board: RN, BSN, MSN; attendance at 3.5 day infection control in long term care course offered by SPICE every two years; recent course attendance at offering regading CDiff; served as infection control consultant for Carol Woods Retirement Community 12 years while also serving as its Director of Nursing/Health Services. Reasons for wanting to serve on this board: Throughout the years at Carol Woods, I was often involved with Board of Health issues, including outbreak investigation, tuberculosis control, difficulties encountered in Infection Control for the older adult in a long term care/congregate living environment. I purposely kept my nursing license current despite my retirement from full time nurse because I hoped to eventually serve my community in some capacity related to my professional knowledge. I seek only an activity that will use my knowledge rather than any paid position. Conflict of Interest: Supplemental Questions: Other Comments: This application was current on: 1/9/2014 11:27:53 AM Date Printed: 1/9/2014 18 Page 1 of 1 Steven Thomas Daniels Volunteer Application Orange County Advisory Boards and Commissions Name: Dr. Steven Thomas Daniels Name Called: Home Address: 206 Franklin Adams Road Efland NC 27243 Phone (Day): 919-732-8213 Phone (Evening): 919-451-1874 Phone (Cell): 919-451-1874 Email: stdaniel @gmail.com Place of Employment: Self Job Title: Dentist Year of OC Residence: 2009 Township of Residence: Cheeks Zone of Residence: County Sex: Male Ethnic Background: Caucasian Community Activities/Organizational Memberships: NC MoM NC Dental Society Hillsborough Chamber of Commerce Hillsborough Exchange Club Past Service on Orange County Advisory Boards: None Boards/Commissions applied for: Board of Health Background, education and experience relevant to this board: Dentist since 2010. MoM Clinics &experience with the SHAC Clinic @ UNC. Reasons for wanting to serve on this board: Oral health outreach Conflict of Interest: Supplemental Questions: Other Comments: This application was current on: 1/15/2014 1:37:49 PM Date Printed: 7/17/2014 19 Page 1 of 2 Brian Decker Volunteer Application Orange County Advisory Boards and Commissions Name: Dr. Brian Decker Name Called: Home Address: 109 Dublin Road Chapel Hill NC 27516 Phone (Day): 919-360-6529 Phone (Evening): 919-360-6529 Phone (Cell): Email: bdeckerunc @gmail.com Place of Employment: CVS Health Job Title: Staff Pharmacist Year of OC Residence: 2000 Township of Residence: Chapel Hill Zone of Residence: Carrboro Transition Area Sex: Male Ethnic Background: Caucasian Community Activities/Organizational Memberships: UNC Eshelman School of Pharmacy Preceptor. Member North Carolina Association of Pharmacists. Past Service on Orange County Advisory Boards: Carrboro Northern Transition Area Advisory Board. Chapel Hill Bicycle & Pedestrian Advisory Board. Boards/Commissions applied for: Board of Health Background, education and experience relevant to this board: I am a practicing pharmacist and preceptor to student pharmacists. I will bring my knowledge of current community pharmacy practice, my relationship with the academy and the energy of students to the board. Reasons for wanting to serve on this board: Many of the health issues my patients face are rooted in, what I view as, public health problems: access and health literacy. Conflict of Interest: I am employed as a pharmacist with CVS Health. Any programs or partnerships with community pharmacies that involved pecuniary gain could be construed as conflicting. I would seek to recuse myself from any votes or actions related to this. Supplemental Questions: Work Experience: Real Estate Broker- Brian Decker Properties with Fonville Morisey in Chapel Hill; Manager - Franklin Street Cycles in Chapel Hill 20 Page 2 of 2 Brian Decker Environmental Scientist - Retec in Chapel Hill; CVS Pharmacy: Technician & Intern Volunteer Experience: Current Vice-Chair, former Chair, of the Chapel Hill Bicycle and Pedestrian Advisory Board; Member of the Chapel Hill Streetscape Review Committee; Past Member of the Chapel Hill Northern Area Task Force; Founding Member of the Triangle Off Road Cyclists; I am a former member of NTAAC. I am Chair of the Student Political Action Network. Education: BA Environmental Science - University of Arizona.; UNC PharmD - to be completed 2014. Other Comments: Currently sit on the NTAAC as a Carrboro seat.STAFF COMMENTS: Originally applied for Carrboro Northern Transition Area Advisory Committee 2/2/2008. STAFF COMMENTS: 09/21/2011 1 want to continue to help Carrboro and Orane County be a great place to live and work while adamting to the future/applied for Carrboro Northern Transition Area Adisory Committee. ADDRESS VERIFICATION: 109 Dublin Road, Chapel Hill is Chapel Hill Township, CAPL jurisdiction. Updated application 11/03/2014. This application was current on: 11/3/2014 Date Printed: 11/4/2014 21 Page 1 of 2 Nurum Erdem Volunteer Application Orange County Advisory Boards and Commissions Name: Dr. Nurum Erdem Name Called: Home Address: 10 Saint James Place Chapel HIII NC 27514 Phone (Day): 9192591153 Phone (Evening): 9199330661 Phone (Cell): 9192591153 Email: nurumerdem @gmail.com Place of Employment: Volunteer Physician Samaritan Health Center Durh Job Title: MD Year of OC Residence: 2000 Township of Residence: Chapel Hill Zone of Residence: Chapel Hill Township within C.H. city limits Sex: Female Ethnic Background: Caucasian Community Activities/Organizational Memberships: School Improvement Team Culbreth Middle School School Improvement Team Glenwood Elementary PTA Culbreth Middle School PTA Glenwood Elementary Volunteer Physician Samaritan Health Center Past Service on Orange County Advisory Boards: None Boards/Commissions applied for: Board of Health Background, education and experience relevant to this board: I am a board certified physician in internal medicine and geriatric medicine. Currently I am a stay-at-home mom and volunteer regularly at the Samaritan Health Center in Durham. Through my training and the various settings I have practiced medicine within (skilled nursing facility, hospital, private practice, uninsured clinic, rescue mission)I feel like I have a seen the needs of many different populations. I believe these experiences as a physician (and my background with a public health education)will give me a unique perspective of the health needs of Orange county. Reasons for wanting to serve on this board: I would like to serve on this board for several reasons. Firstly, I would like to be involved in improving the health and wellness of the residents in Orange County. As well, I see this as a time of great change in our health care system (in terms of insurance coverage and delivery of care). With change comes great opportunity for improvement. Being on this board will give me the opportunity to develop a more in depth knowlege of the needs of the county and be a part of the team to establish creative solutions to meet these needs. 22 Page 2 of 2 Nurum Erdem Conflict of Interest: Supplemental Questions: Other Comments: This application was current on: 1/17/2014 8:58:05 AM Date Printed: 1/21/2014 23 Page 1 of 2 Zachary Giles Volunteer Application Orange County Advisory Boards and Commissions Name: Mr. Zachary Giles Name Called: Home Address: 8000 Oak Pointe Court Mebane NC 27302 Phone (Day): 9103087228 Phone (Evening): 9103087228 Phone (Cell): 9103087228 Email: zach.s.giles @gmail.com Place of Employment: GlaxoSmithKline Job Title: LC/MS Field Service Engineer Year of OC Residence: 2008 Township of Residence: Cedar Grove Zone of Residence: County Sex: Male Ethnic Background: Caucasian Community Activities/Organizational Memberships: I have ran races (5k, marathon) for the American Cancer Society. Past Service on Orange County Advisory Boards: N/A Boards/Commissions applied for: Board of Health Background, education and experience relevant to this board: I have a BS in chemistry and have worked for the pharmaceutical industry for 6+years. My sister is a pathologist fellow at UNC-CH hospitals, and I come from a family of nurses so I have been exposed to the healthcare industry for a number of years without actually being affiliated to any specific entity. Reasons for wanting to serve on this board: Everyone has experienced changes to their personal healthcare in some way, shape, or form and I want to become more involved in those changes. Conflict of Interest: 24 Page 2 of 2 Zachary Giles Mebane Board of Adjustment Background, education and experience relevant to this board: I reside in the community of Mebane and I foresee changes in the community especially in the Orange County part of the community. I would like to become involved in future zoning regulations that could affect my part of the community. I also have an MBA and my profession is more scientific so I am exploring venues to cultivate my business skill set. Reasons for wanting to serve on this board: See Above. Conflict of Interest: I live in Mebane and could be directly affected by decisions made by this board. Orange Water&Sewer Authority Board of Directors Background, education and experience relevant to this board: My mother was the town clerk for my hometown (Linden NC) and was actively involved in water/sewer planning and bill payment. and as a child I assisted her with office duties. Reasons for wanting to serve on this board: Residents in my part of the county are on well water, and it s full of particulate (red clay). This is a problem everyone in my community faces, and I would like to help bring public water/sewer to my community if possible. Conflict of Interest: I could benefit directly from decisions made by this board. Supplemental Questions: Orange Water&Sewer Authority Board of Directors Please list/explain your experience, either professionally and/or from other boards/commissions that you have in the areas of budget, personnel, and management. I have a MBA from Elon University(graduated May 2013), and my mother has worked for the public works in my hometown (Linden NC). I assisted her with office duties (i.e. billing and meter reading). In addition to the experience listed in the question above, please list the work/volunteer experience/qualifications that would add to your expertise for this board. I currently work with LC/MS analytic equipment that is used in the water testing industry (although I work in pharmaceuticals) What do you see as the responsibilities of this board, and what do you hope to accomplish if appointed? To provide clean water and functional sewer to the residents of Orange County. What is OWASA's role in growth/development issues? To provide and maintain the infrastructure needed (i.e. pipes and meters) in providing water/sewer to Orange County residents, and to ensure quality control testing on water samples. Other Comments: This application was current on: 2/26/2014 1:18:11 PM Date Printed: 2/27/2014 25 Page 1 of 1 Linda Griffin Volunteer Application Orange County Advisory Boards and Commissions Name: Mrs Linda Griffin Name Called: Home Address: 321 Mitchell Street Hillsborough NC 27278 Phone (Day): 919-630-9078 Phone (Evening): 919-630-9078 Phone (Cell): 919-630-9078 Email: Igriffin2 @nc.rr.com Place of Employment: Duke Health System Job Title: Health Center Administrator Year of OC Residence: 1981 Township of Residence: Hillsborough Zone of Residence: Sex: Female Ethnic Background: Caucasian Community Activities/Organizational Memberships: Durham Technical Community College Medical Assisting Advisory Committee. I am a Fellow of the American College of Medical Practice Executives, Member of North Carolina Medical Group Managers, former Member and National Treasurer of Neurosurgical Executives Education and Resource Society. Past Service on Orange County Advisory Boards: none Boards/Commissions applied for: Board of Health Background, education and experience relevant to this board: I have been a resident of Orange County for over 30 years. My background in Health Care Administration both in Private Practice and at Duke will be a benefit to the Board Reasons for wanting to serve on this board: I have a great desire to make sure all residents of Orange County have good quality health care and am willing to help make decisions for our citizens with this in mind. Conflict of Interest: Supplemental Questions: Other Comments: This application was current on: 1/9/2014 12:38:35 PM Date Printed: 1/9/2014 26 Page 1 of 1 Greg Hughes Volunteer Application Orange County Advisory Boards and Commissions Name: Greg Hughes Name Called: Home Address: 1601 Dunn Place Hillsborough NC 27278 Phone (Day): 919-928-6438 Phone (Evening): 919-928-6438 Phone (Cell): 919-928-6438 Email: Hugo1380 @gmail.com Place of Employment: Durham VA Medical Center Job Title: Chief, Social Work Service Year of OC Residence: 2008 Township of Residence: Hillsborough Zone of Residence: Sex: Male Ethnic Background: Caucasian Community Activities/Organizational Memberships: Orange County Rec - Basketball Coach HYAA Baseball - Coach Past Service on Orange County Advisory Boards: None Boards/Commissions applied for: Board of Health Background, education and experience relevant to this board: I have worked in public health and mental health for over 25 years. Reasons for wanting to serve on this board: I would like to be more involved in my community. Conflict of Interest: Supplemental Questions: Other Comments: This application was current on: 6/3/2015 8:32:26 PM Date Printed: 6/8/2015 27 Page 1 of 2 Daniel Kemp Volunteer Application Orange County Advisory Boards and Commissions Name: Dr Daniel Kemp Name Called: Home Address: 2007 Starterwood Ln Hillsborough NC 27278 Phone (Day): 3364067871 Phone (Evening): 3364067871 Phone (Cell): 3364067871 Email: spartan1999 @gmail.com Place of Employment: GlaxoSmithKline Job Title: Director Quality and Risk Management Year of OC Residence: 2013 Township of Residence: Bingham Zone of Residence: Sex: Male Ethnic Background: Other Community Activities/Organizational Memberships: As I have recently moved to orange county I do not have any community memberships. However, I am a board certified toxicologist and member of the Society of Toxicologic Pathology, Society of Toxicology (SOT) and the American College of toxicology. As well as vice president of the Drug Discovery Specialty section of SOT. Past Service on Orange County Advisory Boards: none Boards/Commissions applied for: Board of Health Background, education and experience relevant to this board: I have a BS in Biochemistry and a PhD in toxicology from the University of North Carolina at Chapel Hill. I am certified by the American Board of Toxicology and a standing member of all toxicology societies (Society of Toxicology, American College of Toxicology and Society of Toxicologic Pathology). I have experience with the use of both small animals and large animals in terms of drug development, and am vice president of the Drug Discovery Specialty Section of SOT. I am also the past president of the Invitro and alternative animal models specialty section. I have worked in all phases of drug development from early discovery to clinical trials and I feel this experience makes me well suited for this board. Reasons for wanting to serve on this board: I have dedicated my career to the improvement of human health by believing my role in my industry is here to improve the quality of human life by enabling people to do more, feel better and live longer. This board dove-tails nicely with those beliefs and would allow me to give back to the community that I live in. Conflict of Interest: 28 Page 2 of 2 Daniel Kemp Animal Services Advisory Board Background, education and experience relevant to this board: I have a BS in Biochemistry and a PhD in toxicology from the University of North Carolina at Chapel Hill. I am certified by the American Board of Toxicology and a standing member of all toxicology societies (Society of Toxicology, American College of Toxicology and Society of Toxicologic Pathology). I have experience with the use of both small animals and large animals in terms of drug development, and am vice president of the Drug Discovery Specialty Section of SOT. I am also the past president of the Invitro and alternative animal models specialty section. I have been responsible for the care treatment and well being of animals throughout my career. I feel this experience makes me well suited for this board. Reasons for wanting to serve on this board: I deeply care for animals that we have been given the luxury to care for and I would like to show this support and give back to my community by serving on this board. Conflict of Interest: Supplemental Questions: Other Comments: This application was current on: 7/2/2014 10:34:08 AM Date Printed: 7/3/2014 29 Page 1 of 2 Michelle McKee Volunteer Application Orange County Advisory Boards and Commissions Name: Dr. Michelle McKee Name Called: Home Address: 2108 Country Air Lane Hillsborough NC 27278 Phone (Day): 828-230-9624 Phone (Evening): 919-644-7849 Phone (Cell): 828-230-9624 Email: mckeetarheel @yahoo.com Place of Employment: Formerly AstraZeneca Job Title: Senior Regional Scientific Manager/Director of Med Year of OC Residence: 2003 Township of Residence: Hillsborough Zone of Residence: Sex: Female Ethnic Background: Caucasian Community Activities/Organizational Memberships: Co-Creator of Tar Heel Tots (Community Fist-Time Moms Group) Member or Little Sprouts (Community First-Time Moms Group) Member of Fox Hill Farms Book Club I am interested in becoming more formally involved in the local community Past Service on Orange County Advisory Boards: I have not currently or in the past served on any Orange County Advisory Boards. Boards/Commissions applied for: Board of Health Background, education and experience relevant to this board: I have been a licensed pharmacist in North Carolina for over 16 years. I graduated from the University of North Carolina at Chapel Hill, where I received my Doctor of Pharmacy degree. I further specialized by completing a drug information residency at Campbell University School of Pharmacy. My breadth of experiences in the retail, hospital, industry, and academia sectors allows me to understand the needs and challenges of patients within the community. Reasons for wanting to serve on this board: As the mother of a small child and the daughter of an aging, sick parent, I have been searching for an opportunity to use my pharmacy talents without the constraints of traditional pharmacy employment. In addition, I strongly value community service and wish to further integrate myself within Orange County. Conflict of Interest: Supplemental Questions: 30 Page 2 of 2 Michelle McKee Other Comments: This application was current on: 11/20/2014 9:37:02 PM Date Printed: 12/5/2014 31 Page 1 of 2 Ken Morgan Volunteer Application Orange County Advisory Boards and Commissions Name: Mr Ken Morgan Name Called: Home Address: 2720 Buckboard Drive Hillsborough NC 27278 Phone (Day): 919-218-8596 Phone (Evening): 919-218-8596 Phone (Cell): Email: morgangk @juno.com Place of Employment: NAIFA North Carolina Job Title: Executive Director Year of OC Residence: 1982 Township of Residence: Eno Zone of Residence: - Sex: Male Ethnic Background: Caucasian Community Activities/Organizational Memberships: Past Service on Orange County Advisory Boards: Boards/Commissions applied for: Board of Health Background, education and experience relevant to this board: Reasons for wanting to serve on this board: Conflict of Interest: Supplemental Questions: Work Experience: NAIFA North Carolina, 1995-present American Heart Association, NC, 1982-1993 Volunteer Experience: Past President, Virginia Association of Volunteer Rescue Squads; Member Hall of Fame and Life Member; Chairman, Orange County United Way; Board of Directors, Rotary International; Personnel Advisory Committee, Orange County Education: M.Ed., Virginia Commonwealth University Other Comments: STAFF COMMENTS: Originally applied for Human Services Advisory Commission 7/20/2006. Applied for Board of Health 8/13/08. Updated application for Board of Health 05/05/2011. Applied for Orange County Emergency Services Work Group 01/02/2012. 32 Page 2 of 2 Ken Morgan ADDRESS VERIFICATION: 2720 Buckboard Drive Hillsborough, NC 27278 is Eno Township, OCPL jurisdiction. This application was current on: 11/6/2013 Date Printed: 12/27/2013 33 Page 1 of 2 Danielle Mosley Volunteer Application Orange County Advisory Boards and Commissions Name: Miss Danielle Mosley Name Called: Home Address: 476 Melanie Court Chapel Hill NC 27514 Phone (Day): 919-309-5685 Phone (Evening): Phone (Cell): Email: Dlynnm26 @gmail.com Place of Employment: Job Title: Year of OC Residence: 2011 Township of Residence: Chapel Hill Zone of Residence: C.H. City Limits Sex: Female Ethnic Background: Caucasian Community Activities/Organizational Memberships: Past Service on Orange County Advisory Boards: Boards/Commissions applied for: Adult Care Home Community Advisory Committee Background, education and experience relevant to this board: Reasons for wanting to serve on this board: Conflict of Interest: Board of Health Background, education and experience relevant to this board: Reasons for wanting to serve on this board: Conflict of Interest: Agricultural Preservation Board Background, education and experience relevant to this board: Reasons for wanting to serve on this board: Conflict of Interest: Supplemental Questions: Work Experience: Club Nova Volunteer Experience: Club Nova 34 Page 2 of 2 Danielle Mosley Education: Attending school for ged Other Comments: STAFF COMMENTS: Applied for Adult Care Home Community Advisory Committee, Board of Health, and Agricultural preservation Board on 06/26/2012. ADDRESS VERIFICATION: Melanie Court is Chapel Hill Township, Chapel Hill Town Limits. This application was current on: 6/26/2012 11:06:45 AM Date Printed: 12/27/2013 35 Page 1 of 2 Patrick Murphy Volunteer Application Orange County Advisory Boards and Commissions Name: Mr. Patrick Murphy Name Called: Home Address: 1500 Prairie Court Mebane NC 27302 Phone (Day): 9193049759 Phone (Evening): 9193049759 Phone (Cell): 9193049759 Email: Counseling @PatrickMurphyLPC.com Place of Employment: Patrick Murphy MA, LPC Job Title: Licensed Professional Counselor Year of OC Residence: 2006 Township of Residence: Cheeks Zone of Residence: Sex: Male Ethnic Background: Caucasian Community Activities/Organizational Memberships: None current. Former: National Association of Forensic Counselors Past Service on Orange County Advisory Boards: I am serving on no other advisory boards Boards/Commissions applied for: Board of Health Background, education and experience relevant to this board: I have a BA in psychology and an MA in Counseling Psychology. I am also a Licensed Professional Counselor in North Carolina. I have worked in government agencies, non-profit agencies, and for-profit community clinics. My experience has been primarily with the poor and I am regularly in contact with community and government stakeholders. Reasons for wanting to serve on this board: Mental health is changing, and many have access only through state and county services. The quality of a community s mental health infrastructure can affect the economic stability of its citizens and the services that support them. Inadequate access can put a strain on emergency, law enforcement, and judicial resources. Conflict of Interest: Supplemental Questions: Other Comments: 36 Page 2 of 2 Patrick Murphy This application was current on: 3/12/2015 12:28:07 AM Date Printed: 3/18/2015 37 Page 1 of 2 Antonia Pedroza Volunteer Application Orange County Advisory Boards and Commissions Name: Ms. Antonia Pedroza Name Called: Home Address: 409 Saint Marys Road Hillsborough NC 27278 Phone (Day): 252-738-3770 Phone (Evening): 919-760-0210 Phone (Cell): 919-760-0210 Email: pedrozaantonia @yahoo.com Place of Employment: Vance County Government Job Title: DSS Director Year of OC Residence: 2002 Township of Residence: Hillsborough Zone of Residence: Sex: Female Ethnic Background: Hispanic Community Activities/Organizational Memberships: none in Orange Past Service on Orange County Advisory Boards: N/A Boards/Commissions applied for: Human Relations Commission Background, education and experience relevant to this board: My entire career has been focused on serving people who are living in poverty and/or experiencing poverty due to barriers to employment including disabilities, lack of education and experience. Reasons for wanting to serve on this board: I live in Orange County and want to participate in community in a meaningful way. Conflict of Interest: Board of Health Background, education and experience relevant to this board: I have a Master in Health Administration and a Master in Business Administration. The work I do as a DSS Director is often related to health and well-being. Reasons for wanting to serve on this board: I would like to serve my community. Conflict of Interest: 38 Page 2 of 2 Antonia Pedroza OPC Oversight Board Background, education and experience relevant to this board: Prior to working in Social Services, I worked with person with disabilities in Orange County. I have over 25 years of experience working with person with a wide range of disabilities. Reasons for wanting to serve on this board: I have always been an advocate for person with disabilities. Conflict of Interest: Supplemental Questions: Other Comments: This application was current on: 8/13/2014 5:32:48 PM Date Printed: 8/14/2014 39 Page 1 of 3 Todd Sega Volunteer Application Orange County Advisory Boards and Commissions Name: Dr. Todd Sega Name Called: Home Address: 1113 Arborgate Cir Chapel Hill NC 27514 Phone (Day): 8144905120 Phone (Evening): 8144905120 Phone (Cell): 8144905120 Email: toddsega @gmail.com Place of Employment: Pharmacy Quality Solutions Job Title: Manager of Payer Relations Year of OC Residence: 2014 Township of Residence: Chapel Hill Zone of Residence: Chapel Hill Township within C.H. city limits Sex: Male Ethnic Background: Caucasian Community Activities/Organizational Memberships: Due to establishing residence less than four weeks ago, past community activities are listed: *Volunteer Pharmacist - The Care Clinic, Fayetteville, NC. Helped staff the pharmacy along with physicians and dentists for underserved, working individuals in cumberland county. *Medication Review Sessions - Edinboro United Methodist Church, Edinboro, PA. Conducted medication reviews and education sessions for the congregation at a hometown church. *Prescription Drug Abuse Educator- Developed a prescription drug abuse presentation targeted to 5th grade students in local schools around Northwest Ohio. The session included slides, a pledge, and wristband after completing the pledge which resulted in some students identifying abuse even at 11-12 years of age. Organizational Memberships: *Academy of Managed Care Pharmacy *National Community Pharmacists Association *Ohio Pharmacists Association *North Carolina Association of Pharmacists Past Service on Orange County Advisory Boards: None 40 Page 2 of 3 Todd Sega Boards/Commissions applied for: Board of Health Background, education and experience relevant to this board: As medical professionals, we strive to improve the health related quality of life of those that we serve. From a broader perspective, all of those on the care team contribute in unique ways hoping that individual care results in improved health for the population and the community in which we live. To be sure, this belief has been held in earnest throughout my training and carried through as a licensed pharmacist. I have served in several capacities where I have educated individuals on the key role pharmacists can have on improving outcomes. In addition, I have advocated for expanded roles for pharmacists knowing the impact that can be achieved through increased involvement on care teams. I have practiced in a community setting which allows me to understand the unique challenges front-line community pharmacists face on a daily basis. At the same time, this experience allows me to recognize the often uncapitalized opportunities pharmacists and pharmacies can have on improving overall population health. I have also served as a staff pharmacist at the Academy of Managed Care Pharmacy(AMCP), which allowed me to develop a stronger understanding of how clinical decisions and programs can affect a large population. Furthermore, serving in a membership society provided valuable experience to represent the needs, ideas, and goals of passionate members practicing in a particular area of the profession. I believe that this experience would correlate well to the Board of Health as those selected to serve in this capacity need to constantly represent and be cognizant to the needs of the community. In addition, due to my unique volunteer experience and work with prescription drug abuse awareness programs, I believe that I could successfully leverage that experience to deploy similar programs throughout the schools in Orange County. Prescription drug abuse is unfortunately becoming the number one cause of accidental death as it is even surpassing vehicle accidents in some states and counties, and would suspect that Orange County hasn t been immune to these statistical trends. Reasons for wanting to serve on this board: As I mentioned, I believe that healthcare professionals have a duty to serve the public and be active in the communities where they reside. Therefore, I enjoy to become actively involved and participate along with others sharing a similar view to work towards improving the individual lives for community betterment. I believe that my unique experiences, when combined with the valuable expertise of others on the board, would help contribute to improving and protecting the health-related quality of life for those residing in Orange County. I would also like to serve in this capacity so I can understand how to better leverage pharmacists and educate the public on how to utilize their pharmacist for improved outcomes and assistance. Ultimately, the opportunity would allow me to exercise my passion for the profession and maximize the impact that pharmacists can have on the health of those that reside in Orange County. Conflict of Interest: Supplemental Questions: 41 Page 3 of 3 Todd Sega Other Comments: This application was current on: 11/20/2014 8:54:49 PM Date Printed: 12/5/2014 42 Page 1 of 2 Edward Stirman Volunteer Application Orange County Advisory Boards and Commissions Name: Dr. Edward Stirman Name Called: Home Address: 554 E Hatterleigh Ave Hillsborough NC 27278 Phone (Day): 919-241-4912 Phone (Evening): 919-241-4912 Phone (Cell): 423-677-3295 Email: monty.stirman @gmail.com Place of Employment: retired Job Title: retired Year of OC Residence: 2012 Township of Residence: Hillsborough Zone of Residence: Sex: Male Ethnic Background: Caucasian Community Activities/Organizational Memberships: none Past Service on Orange County Advisory Boards: none Boards/Commissions applied for: Board of Health Background, education and experience relevant to this board: family practice physician in practice in TN for 34 years Reasons for wanting to serve on this board: would like to volunteer in area more likely to have some expertise Conflict of Interest: Hillsborough Planning Board Background, education and experience relevant to this board: physician from TN-retired Reasons for wanting to serve on this board: interested in helping Hillsborough improve Conflict of Interest: Supplemental Questions: Other Comments: 43 Page 2 of 2 Edward Stirman This application was current on: 3/13/2014 2:40:34 PM Date Printed: 3/14/2014 44 Page 1 of 2 Diane Uzarski Volunteer Application Orange County Advisory Boards and Commissions Name: Ms. Diane Uzarski Name Called: Home Address: 3017 Pleasant Green Rd Durham NC 27705 Phone (Day): 9196688595 Phone (Evening): 9193097974 Phone (Cell): 9193097974 Email: diane.uzarski @dm.duke.edu Place of Employment: Duke Translational Research Institute Job Title: Project Leader, Associate Director of Biobanking Year of OC Residence: 2005 Township of Residence: Hillsborough Zone of Residence: Sex: Female Ethnic Background: Caucasian Community Activities/Organizational Memberships: American Red Cross - Disaster Team volunteer since 2003 Previous Vice Chair of Board - San Francisco YMCA Past Service on Orange County Advisory Boards: I am interested in serving on the Department of Health Advisory Board. I am a doctoral of nursing practice candidate at Duke University, and have a background in health policy, injury prevention and emergency nursing. Boards/Commissions applied for: Board of Health Background, education and experience relevant to this board: As an RN with 34 years of experience in intensive care and emergency nursing,l have a broad understanding of our health care system from preventive care to treatment issues. I received a master of public health degree from UC Berkeley, and became active in county wide injury prevention strategies by managing a local coalition. I am currently completing my doctoral in nursing practice at Duke University, and have broadened my understanding of health care access and policy issues on a local, state and federal level. Reasons for wanting to serve on this board: I believe that both my recent academic and 34 years of experience in health care have given me a deep understanding of our current health care challenges including health care access issues, health education,and prevention challenges presenting county government today. I have actively and effectively participated in board work, and am a positive contributor. The ability to carefully weigh and analyze issues is a personal strength that I believe may assist me to be an effective advisor to a Board of Health. I believe in Orange County and its ability to make decisions to improve the health and well being of its residents. Conflict of Interest: 45 Page 2 of 2 Diane Uzarski Supplemental Questions: Other Comments: This application was current on: 9/29/2014 10:49:18 AM Date Printed: 9/30/2014 46 Page 1 of 2 Leroy Werley Volunteer Application Orange County Advisory Boards and Commissions Name: Mr. Leroy Werley Name Called: Home Address: 6916 Turkey Farm Rd. Chapel Hill NC 27514 Phone (Day): 919-933-3099 Phone (Evening): 919-933-3099 Phone (Cell): 919-210-6604 Email: Lwerley3 @gmail.com Place of Employment: Retired Job Title: Was Director of Pharmacy at Durham County Publi Year of OC Residence: 1990 Township of Residence: Chapel Hill Zone of Residence: County Sex: Male Ethnic Background: Caucasian Community Activities/Organizational Memberships: NC SHIIP counselor Healthy Carolinians of Orange County IFC NC Food Bank Carrboro Arts Center volunteer OLLI classes Chapel Hill Carrboro School volunteer with ESL class Chapel in the Pines Hand Bell choir Medical Reserve Corps volunteer Past Service on Orange County Advisory Boards: Orange County Board of Health 2000-2004 Boards/Commissions applied for: Board of Health Background, education and experience relevant to this board: Graduated from UNC School of Pharmacy 1974, worked in community pharmacy for18 years, was Director of Pharmacy at Durham County Department of Public Health forever 21 years. Having served on the Board of Health ten years ago I understand the role required. Reasons for wanting to serve on this board: I have spent my adult life serving the community. Now that I have retired I want to continue with that goal. Using my pharmaceutical knowledge, my communication skills and my volunteering heart I bring them to the table of the Board. Conflict of Interest: 47 Page 2 of 2 Leroy Werley Supplemental Questions: Other Comments: Orig. app. 11/19/99 for Board of Health, Pharmacist Position. WORK EXP: Director of Pharmacy, Durham County Health Department, 7+ yrs; Was a member of the leadership team, work with community outreach programs, supervisor and team leader, safety officer for the health dept., member of numerous groups and committees, and help coordinate health dept. and jail pharmaceutical services. VOLUNTEER EXP: Taught Sunday School and Vacation Bible School; Helped coach youth soccer and other teams. Volunteered sign language for hearing impaired; Worked with Boy & Girl Scout troops; Taught summer 4-H classes; Guest speaker in public schools promoting pharmacy; Volunteered hundreds of hours as a clown/magician at nursing homes, day cares hospitals, clinics, neighborhood health fairs, & other health dept. functions; Shelters and thrift shops; Community outreach programs. EDUCATIONAL EXP: My unique talents in blending my varied experiences has helped me to teach youth, work with the elderly, train pharmacists and technicians, and be a prreceptor to several pharmacy students. I continue to educate myself in pharmaceutical areas by attending many more C.E.'s than is required. COMMENTS: I think that I am in the unique position of understanding public health because of my work exp. and my volunteer experience and the fact that we have a vital and functioning pharmacy outreach here at the Durham County Health Dept. Updated Application 10/31/2014. This application was current on: 10/31/2014 Date Printed: 10/31/2014 48 Page 1 of 2 Delbert Williams Volunteer Application Orange County Advisory Boards and Commissions Name: Dr. Delbert Williams Name Called: Home Address: 7110 Pine Hill Road Durham NC 27707 Phone (Day): 9194936310 Phone (Evening): 9194936310 Phone (Cell): 9198013552 Email: delwilliams @nc.rr.com Place of Employment: NC DHHS/Division of Public Health (Retired) Job Title: Head, Communicable Disease Surveillance Unit Year of OC Residence: 1990 Township of Residence: Chapel Hill Zone of Residence: Sex: Male Ethnic Background: Caucasian Community Activities/Organizational Memberships: None Past Service on Orange County Advisory Boards: None Boards/Commissions applied for: Board of Health Background, education and experience relevant to this board: I served for over 20 years in the NC Division of Public Health Communicable Disease Branch as the chief of the statewide communicable disease surveillance unit. My academic background is a combination of microbiology, biochemistry and botany with a concentration on organism interactions. My tenure in DPH introduced me to health outcomes and mechanisms to measure those outcomes. My training in the biological sciences as well as the activities related to health policy development has given me a unique view of how policy development and impact must be balanced to improve the public health for residents. Reasons for wanting to serve on this board: While I was employed I realized the impact the local Boards of Health had on how our public health actions could be put into place in NC. I think I have a somewhat unique perspective to bring to the Board to ensure that Orange County continues to be a leader in public health activities that are supported at the local level. I also know the current health director and am fully in support of her leadership and expertise. Conflict of Interest: Supplemental Questions: 49 Page 2 of 2 Delbert Williams Other Comments: This application was current on: 6/25/2014 10:15:57 PM Date Printed: 6/27/2014 50 Page 1 of 1 Dennis Williams Volunteer Application Orange County Advisory Boards and Commissions Name: Dr. Dennis Williams Name Called: Home Address: 209 Lake Manor Road Chapel Hill NC 27516 Phone (Day): 919-962-7122 Phone (Evening): 919-933-5408 Phone (Cell): 919-602-2440 Email: dwilliams @unc.edu Place of Employment: University of North Carolina Job Title: Faculty Year of OC Residence: 1996 Township of Residence: Chapel Hill Zone of Residence: Carrboro City Limits Sex: Male Ethnic Background: Other Community Activities/Organizational Memberships: Active in the University community including volunteer efforts at the IFC homeless shelter clinic, and a volunteer for the Health Dept Emergency Services response. Past Service on Orange County Advisory Boards: Boards/Commissions applied for: Board of Health Background, education and experience relevant to this board: As a pharmacist, I hope to bring knowledge and insights related to pharmacy related services. Reasons for wanting to serve on this board: I am interested in service to my profession and my community. Conflict of Interest: Supplemental Questions: Other Comments: STAFF COMMENTS: Applied 05/16/2012 for Board of Health. ADDRESS VERIFICATION: 269 Lake Manor Road is Chapel Hill Township, Carrboro City Limits. Updated application 11/15/2014. This application was current on: 11/15/2014 Date Printed: 11/17/2014 51 Page 1 of 1 Geraldene Yagnow Volunteer Application Orange County Advisory Boards and Commissions Name: Mrs Geraldene Yagnow Name Called: Home Address: 1113 Saluda Ct Chapel Hill NC 27514 Phone (Day): 585-615-6100 Phone (Evening): 585-615-6100 Phone (Cell): 585-615-6100 Email: geri.yagnow @nc.rr.com Place of Employment: Retired Job Title: Registered Nurse Year of OC Residence: 2015 Township of Residence: Chapel Hill Zone of Residence: Sex: Female Ethnic Background: Caucasian Community Activities/Organizational Memberships: New resident in 2015 Past Service on Orange County Advisory Boards: First application for service in Orange County. Boards/Commissions applied for: Board of Health Background, education and experience relevant to this board: Thank you for your review of my volunteer application. My background relevant to the Board of Health as a registered nurse and certified case manager. I have clinical and case management experience at inpatient and outpatient levels of care. Reasons for wanting to serve on this board: New to community,again, thank you again for your review of my application. I would like to serve on the Board of Health to promote the cause that I care most about- health and well-being. Conflict of Interest: Supplemental Questions: Other Comments: This application was current on: 3/10/2015 9:37:47 AM Date Printed: 3/11/2015 52 Page 1 of 1 Tracey Yap Volunteer Application Orange County Advisory Boards and Commissions Name: Dr. Tracey Yap Name Called: Home Address: 834 Providence Glen Drive Chapel Hill NC 27514 Phone (Day): 502-686-0016 Phone (Evening): 919-240-4793 Phone (Cell): Email: tracey.yap @duke.edu Place of Employment: Duke University School of Nursing Job Title: Assistant Professor Year of OC Residence: 2011 Township of Residence: Chapel Hill Zone of Residence: - Sex: Female Ethnic Background: Caucasian Community Activities/Organizational Memberships: Past Service on Orange County Advisory Boards: Boards/Commissions applied for: Board of Health Background, education and experience relevant to this board: Reasons for wanting to serve on this board: Conflict of Interest: Supplemental Questions: Work Experience: Deputy-Director of Nursing for NIOSH sponsored Education and Research Center, University of Cincinnati Funded research grants related to long-term care Education: RN, PhD Other Comments: STAFF COMMENTS: 09/20/2011 applied for Nursing Home Community Advisory Committee, Advisory Board on Aging, and Board of Health. ADDRESS JURISDICTION: 834 Providence Glen Drive is CH Township. This application was current on: 12/2/2013 3:41:57 PM Date Printed: 12/31/2013