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HomeMy WebLinkAboutAgenda - 06-03-2003 - 9-e-2ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: June 3, 2003 Action Agenda Item No. 9 - e. - oZ Deferred from May 20, 2003 SUBJECT• Nursing Home Community Advisory Committee DEPARTMENT: Board of Commissioners PUBLIC HEARING: (YIN) No ATTACHMENT(S): Under Separate Cover Membership Roster Letter of Recommendation Application/Resume of Person Being Recommended Interest List Applications/Resumes of Persons on the Interest List INFORMATION CONTACT; Clerk's Office, ext. 2130, 2125, 2126, 2129 TELEPHONE NUMBERS: Hillsborough 245-2130 Chapel Hill 968-4501 Durham 688-7331 Mebane 336-227-2031 PURPOSE: To consider making an appointment to the Nursing Home Community Advisory Committee (NHCAC). BACKGROUND: There being 12 positions on the Nursing Home Community Advisory Committee; and, currently, two being vacant, one being an At-Large position; and, advertisement having been done and applications having been received by the Clerk's office; and consideration of the applications received having been made by the Committee, a recommendation has been made by the Committee to appoint Ms. Mary Ann Peter to an At- Large position. FINANCIAL IMPACT: None. RECOMMENDATION(S): Consider appointing Mary Ann Peter to the Nursing Home Community Advisory Committee for an initial. one-year training term to expire June 30, 2004. Board and Commission Members _ And Vacant Positions Nursing Home Community Advisory Committee Meeting Times: 10:00 a.m. Every other 1st Monday starting with Jan. Terms: 2 Contact Person: Kate Barrett, Eldercare Specialist Meeting Place: the Chapel Hill Senior Centel Positions: 12 Length: 3 yeazs Contact Phone: 919-968-2085 Description: All appointments are made by the Board of Commissioners. This committee helps to maintain the intent of the Residents' Bill of Rights, promotes community involvement and provides public education on long-term care issues. The regional ombudsman with Triangle J Council of Governments provides specialized training and support. Ms. Barbara Ording 1 12 Hamilton Chapel Hill NC 27514 Day Phone: 919-966-2312 Evening Phone: 919-969-6669 FAX: E-mail: Sex• Female Race; Caucasian Township: Chapel Hill Resid. Require: At-Large Special Repr: At-Lazge Sex: Female Race: African American Township: Chapel Hill Resid. Require: At-Lazge Special Repr: At-Large First Appointed: 08/20/1997 Current Appointment: 01/16/2002 Expiration: 12/31 /2004 Nttmber of Terms: 2 MS. Shells White Day Phone: 919-680-0432 2 609 Bynum Street Evening Phone: 919-942-6188 Chapel Hill NC 27514 F'~' E-mail: Ms. Betty G. Melanson Day Phone: 919-933-8494 3 7209 Gates Road Evening Phone: 919-732-1946 Hurdle Mills NC 27541 FAX: 919-933-9201 E-mail: melansb@piedmontclinics.com Ms. Alice C. Woodbury 4 750 Weaver Dairy Road #136 Chapel Hill NC 27514 Day Phone: Evening Phone: 919-918-3338 FAX: E-mail: Mr. Mario C. Battigelli 5 1307 Wildwood Drive Chapel Hill NC 27514 Day Phone: 919-942-5756 Evening Phone: FAX: E-mail: MAGIBAT@AOL.COM Sex: Female Race: Caucasian Township: Little River Resid. Require: At-Large Special Repr: At-Large First Appointed: 04/17/2000 Current Appointment: 06/05/2001 Expiration: 06/30/2004 Number of Terms: l First Appointed: 04/03/2001 Current Appointment: 06/27/2002 Expiration: 06/30/2005 Number of Terms: 1 Sex: Female First Appointed: 04/17/2000 Race: Caucasian Current Appointment: 06/05/2001 Township: Chapel Hill Expiration: 06/30/2004 Resid. Require: At-Large Number of Terms: I Special Repr: At-Lazge Sex: Male First Appointed: 04/03/2001 Race: Caucasian Cun ent Appointment: 06/27/2002 Township: Chapel Hill Expiration: 06/30/2005 Resid. Require: At-Large Number of Terms: 1 Special Repr: Nursing Home Administration / V Monday, May 12, 2003 Page 1 Board and Commission Members And Vacant Positions Nursing Home Community Advisory Committee Meeting Tithes: 10:00 a.m. Every other 1st Monday starting with Jan. Tetras: 2 Contact Person: Kate Bartell, Eldercare Specialist Meeting Place: the Chapel Hill Senior Center .Positions: 12 Length: 3 years Contact Phone: 919-968-2085 Description: All appointments are made by the Board of Commissioners. This committee helps to maintain the intent of the Residents' Bill of Rights, promotes community involvement and provides public education on long-term care issues. The regional ombudsman with Triangle J Council of Governments provides specialized training and support. 6 VACANT Ms. Vicki Tilley 7 3906 Kenwood Drive Hillsborough NC 27278 Mr. Jack Vogt Chair g 402 Yorktown Drive Chapel Hill NC 27516 Day Phone: Evening Phone: FAX: E-mail: Day Phone: 252-436-1603 Evening Phone: 919-644-6646 F,4}i; 252-436-1633 E-mail: vstilleyQaol.com Day Phone: 919-966-4189 Evening Phone: 919-929-8646 FAX: 919-962-2706 E-mail: AJVOGT(a3msn.com `/AC~'j' ~ir Day Phone: 9 ~ ary ~ n ne ` ed . Evening Phone: 1 ~ ~ FAX: I 'm E-mail: ~e ~© Ms. Margaret F. Hudson 10 503 Brandywine Rd. Chapel Hill NC 27516 Day Phone: 919-966-3614 Evening Phone: 919-967-6994 FAX: 919-966-7298 E-mail: rhudsonn(~Email.unc.edu Sex: First Appointed: Race: Current Appointment: Township: Expiration: 06/30/2003 Resid. Require: At-Large Number of Terris: Special Repr: Nursing Home Administration Sex: Female First Appointed: 06/05/2001 Race: Caucasian Current Appointment: 06/27/2002 Township: Cedar Grove Expiration: 06/30/2005 Resid. Require: At-Large Number of Terms: 1 Special Repr: At-Large Sex: Male First Appointed: 06/22/1998 Race: Caucasian Current Appointment: 06/27/2002 Township: Chapel Hill Expiration: 06/30/2005 Resid. Require: At-Large Number of Terms: 2 Special Repr: At-Large Sex: First Appointed: Race: Current Appointment: Township: Expiration: p(9~ 30~ :tOOy Resid. Require: At-Large Number of Terms: ~ - y80uf 'rlfdi n 1(19 Special Repr: At-Large r M C~ Sex: Female First Appointed: 01/19/1999 Race: Caucasian Current Appointment: 05/06/2003 Township: Chapel Hill Expiration: 06/30/2006 Resid. Require: At-Large Number of Terms: 2 Special Repr: At-Large c~ Monday, May 12, 2003 Page 2 Board and Commission Members And Vacant Positions Nursing Home Community Advisory Committee Meeting Times: 10:00 a.m. Every other 1st Monday starting with Jan. Terms: 2 Contact Person: Kate Barrett, Eldercare Specialist Meeting Place: the Chapel Hill Senior Center Positions: 12 Length: 3 years Contact Phone: 919-968-2085 Description: All appointments are made by the Board of Commissioners. This committee helps to maintain the intent of the Residents' Bill of Rights, promotes community involvement and provides public education on long-term care issues. The regional ombudsman with Triangle J Council of Governments provides specialized training and support. Ms. Yvonne D. Eaves Day Phone: 919-966-3926 Sex: Female First Appointed: 06/05/2001 Evening Phone: 919-942-5784 Race: African American Current Appointment: 06/27/2002 11 104 North Haven Drive FAX: 919-966-7298 Township: Chapel Hill Expiration: 06/30/2005 Chapel Hill NC 27516 E-mail: Yvonne_Eaves@unc.edu Resid. Require: At-Large Number of Terms: 1 Special Repr: Nursing Home Administration Ms. Bettie L. Flash Day Phone: 919-942-3528 Sex: Female First Appointed: 06/052001 Evening Phone: 919-942-3528 Race: Caucasian Current Appointment: 0627/2002 t2 221 Vance St. FAX: Township: Chapel Hill Expiration: 06/302005 Chapel Hill NC 27516 E-mail: bettielf@bellsouth.com Resid. Require: At-Large Number of Terms: l Special Repr: Nursing Home Administration Monday, May 12, 2003 Page 3 ..v u e, b• `~ + tl ~ ~~~1 l~t~~~! 400 A-1 South Elliott Rd. Chapel Hill, NC 27514 Orange County Department on Aging Ms. Nancy Glover, Assistant to the Clerk Board of County Commissioners' Office P.O. Box 8181 Hillsborough, NC 27278 May 5, 2003 Dear Nancy, 5 Tel: 919 968-2070 Fax: 919 968-2093 The OC Nursing Home Advisory Committee would like to recommend that the Commissioners appoint Mary Ann Peter to the open member-at-large position on the Nursing Home Community Advisory Committee, which was vacated by Anne Skelly on 12/31/02. Ms. Peter, who has extensive experience in nursing, has sat in on a committee meeting, and she is very interested in pursuing this volunteer path. As a resident of Hillsborough and a Duke employee, Ms. Peter can bring the committee feedback from the northern part of the County. I hope that this can be added to the May 20~' BOCC meeting so that Ms. Peter can attend our next meeting. Very truly yours, Kate Barrett, LCSW Eldercare Supervisor Cc: Margaret Hudson Jerry Passmore Mary Ann Peter An Equal Opportunity/A,~rmative Action Employer This space for office use only Page 1 of 1 Mary Ann Peter VOLUNTEER APPLICATION ORANGE COUNTY ADVISORY BOARDS AND COMMISSIONS If you are an Orange County resident, at least 18 years old, and willing to volunteer your time and expertise to your community, please complete and submit this form. Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Township of Residence: Zone of Residence: Sex: Ethnic Background: Date of Birth: Ms. Mary Ann Peter 118 W. Tryon Street Hillsborough , NC 27278 919-732-6073 919-732-6073 maryannpeter@earthlilnk.net UNC-CH School of Nursing Adjunct Professor Hillsborough Does not apply Female Caucasian 07/17/2003 Please list (in order of preference) the Boards/Commissions on which you would be willing to serve. 1. Nursing Home Community Advisory. Committee 2.Advisory Board on Aging 3. Work Experience: Director of Nursing-Duke Hospital (1980-1991): Director of Nursing Duke North; Director of Heart and Emergency Nursing, Dir. of Medical Nursing. Faculty -UNC - CH School of Nursing (1991-2001)-Adjunct Professor. Volunteer Experience: Durham Technical Community College Board of Trustees, 15 years to present. American Heart Association - 10 years; Orange County Historical Museum Board of Directors - 1 years; Walkable Hillsborough Coalition - 1 year. Education: BSN, MSN -Duke University; PhD, UNC -Chapel Hill Other Comments: How did you become aware of Orange County volunteer opportunities? Current Orange County Volunteer. By submitting electronic application, applicant agrees to Ethics Guidelines and agrees to attend three-hour orientation. This form was submitted online, on 2/4/03 3:19:20 PM 7 Applicant Interest Listing Nursing Home Community Advisory Committee by Board Name and by Applicant Name Contact Person: Kate Barrett, Eldercare Speciali Contact Phone: 919-968-2085 Ms. Cheryle Atwater 3227 Carriage Trail Hillsborough NC 27278 Day Phone: 919-732-1512 Evening Phone: 919-732-1512 FAX: 919-732-2215 E-mail: atwaterhome@earthlink.net Also Serves On: Human Services Advisory Commission Sex: Female Race: Caucasian Township: Chapel Hitl Date Applied: 04/18/2001 Skills: Healthcare Consultant Skills: Physical Therapist Skills: Workshop Presenter - StateJRegional Ms. Beth Ellen Barba 6421 Sykes Glen Trail Mebane NC 27302 Skills: Nursing Professor Ms. Mary Ann Peter 118 W. Tryon Street Hillsborough NC 27278 Skills: Professor Skills: Registered Nurse Day Phone: 336-334-5217 Sex: Female Evening Phone: 919-563-4982 Race: Caucasian FA}t; 336-334-3682 Township: Bingham E-mail: beth_barba@uncg.edu Date Applied: 06/07/2002 Also Serves On: Adult Care Home Community Advisory Committee Day Phone: 919-732-6073 Evening Phone: 919-732-6073 FAX: E-mail: maryannpeter@earthlink.net Also Serves On: Also Serves On: Sex: Female Race: Caucasian Township: Hillsborough Date Applied: 01/30/2003 Ms. Dawn C. Pickett Day Phone: 919-929-8965 Sex: Female 107 Jones Street Evening Phone: 919-929-8965 Race; Caucasian Chapel Hill NC 27514 FAX: Township: Chapel Hill E-mail: pickettdawn@hotmail.com Date Applied: 11/25/2002 Skills: Advisory Boazd Experience Also Serves On: Monday, May 12, 2003 Page 1 of 1 This space for office use only 4/18/01 Page 1 of 2 Cheryle Atwater VOLUNTEER APPLICATION ORANGE COUNTY BOARDS AND COMMISSIONS If you are an Orange County resident, at least 18 years old, and willing to volunteer your time and expertise to your community, please complete this application and return to: Orange County Commissioners' Office P.O. Box 8181 Hillsborough, NC 27278 Phone (919) 732-8181; 688-7331; 968-4501; 227-2031 Ext. 2125, 2129 or 2130 -Fax: (919 644-0246) NAME: --------------------------------- Cheryle Atwater HOME ADDRESS: ------------------ 3227 Carriage Trail CITY: ----------------------------------- Hillsborough STATE: -------------------------------- NC ZIP CODE: ---------------------------- 27278 TELEPHONE: (Home) -------------- 732-1512 TELEPHONE: (Work) --------------- 732-1512 TELEPHONE: (FAX) ---------------- 732-2215 EMAIL: --------------------------------- atwaterhome@earthlink.net PLACE OF EMPLOYMENT: ------ H. K. Poole & Associates JOB TITLE: --------------------------- health care consultant TOWNSHIP OF RESIDENCE: ---- l~Chapel Hill (per GIS Interactive Map ncp) ZONE OF RESIDENCE: ------------ Does not apply SEX: ------------------------------------ Female ETHNIC BACKGROUND: --------- Caucasian DATE OF BIRTH: -------------------- 11/14/51 LIST, IN PREFERENCE, THE BOARDS/COMMISSIONS ON WHICH YOU WOULD BE WILLING TO SERVE: 1: ---------------------- Board of Health 2. ---------------------- Human Resource Advisory Board 3. ---------------------- Nursing Home Community Board Please list work, volunteer and educational experience. WORK EXPERIENCE: I have over 20 years home care experience as a clinician, physical therapist, supervisor and agency manager.Presently Iwork as a health care consultant, primarily in home health. My present role includes consultation on strategic planning, clinical and operations issues and agency compliance to regulatory and accreditation standards.Much of my work includes presentations and workshops at both a state and regional level. 9 4/18/01 Page 2 of 2 Cheryle Atwater VOLUNTEER EXPERIENCE: Director of Practice, North Carolina PT Association - 6 years, presently on the Finance Committee and Continued Competence Task Force Chair. Also ,membership in American Physical Therapy Assoication including the Community Health Section.Presently, on the Provider Education Committee of the Association of Home and Hospice Care of NC and past member of the Governmental Affairs Committee. Presently, I am on the review committee of the Accreditation Commission for Home Care.Other past work includes: Wake AHEC advisory committe, and Elon College PT program advisory committee. EDUCATIONAL EXPERIENCE: Bachelor of Science in Physical Therapy - UNC- Chapel Hill, 1974Master of Public Health, Health Policy and Administration- UNC-Chapel Hill, 1991 OTHER COMMENTS: I am a rare native of Orange County and feel I am in-touch with the needs of this community. I welcome the opportunity to serve the citizens of this county and feel my education and experience in health care and health care management have prepared me for this service. How did you become aware of Orange County volunteer opportunities? List all that apply: County Web Site If other, how? By submitting electronic application, applicant agrees to Ethics Guidelines and agrees to attend three-hour orientation.This form was submitted online, on Wed Apr 18 15:41:51 2001 /~ This space for office use only 6/7/02 Pace 1 of 1 Beth Ellen Barba VOLUNTEER APPLICATION ORANGE COUNTY BOARDS AND COMIMISSION5 If you are an Orange County resident, at least 18 years old, and willing to volunteer your time and expertise to your community, please complete this application and return to: Orange County Commissioners' Office P.O. Box 8181 Hillsborough, NC 27278 Phone (919) 245-2125; 688-7331; 227-3031 FX (919) 644-0246 NAME; _-_________________-_________ Beth Ellen Barba HOME ADDRESS: --------------- 6421 Sykes Glen Trail CITY: ---------------------------- Mebane STATE: -------------------------- NC ZIP CODE: --------------------------- 27302 TELEPHONE: (Home) ------------- 919-563-4982 TELEPHONE: (Work) ------------ 336-334-5217 TELEPHONE: (FAX) --------------- 336-334-3628 EMAIL: ---------------------------- bebarba@earthlink.net PLACE OF EMPLOYMENT: ---- UNC at Greensboro School of Nursing, Community Practice Department JOB TITLE: --------______________ Associate Professor TOWNSHIP OF RESIDENCE: --- Bingham ZONE OF RESIDENCE: -------- Does not apply SEX: --------------------------------- Female ETHNIC BACKGROUND: ------ Caucasian DATE OF BIRTH: ------------ 02/26/47 LIST, IN PREFERENCE, THE BOARDS/COMMISSIONS ON WHICH YOU WOULD BE WILLING TO SERVE: 1: ---------------------- Nursing Home Advisory 2. ---------------------- Adult Care Home Community Adv. Please list work, volunteer and educational experience. WORK EXPERIENCE: Teach gerontology in school of nursing past 14 years. Registered nurse in acute care and long term care past 34 yeazs. VOLUNTEER EXPERIENCE: Orange County NC Aging Advisory Board. EDUCATIONAL EXPERIENCE: PhD in Nursing, NYUMA in Nursing, NYUBS in Nursing, Jersey City State College, BA in Health Education, Jersey City State College, Diploma in Nursing, St. Francis Hospital School of Nursing, Jersey City, NJ. OTHER COMMENTS: How did you become awaze of Orange County volunteer opportunities? List all that apply: Current Orange County Volunteer. If other, how? By submitting electronic application, applicant agrees to Ethics Guidelines and agrees to attend three-hour orientation.This form was submitted online, on Fri Jun 7 09:47:32 2002. // FOR OFFrCE USE ONLY 19 62 -~aw n C . P;cke+~+ VOLUNTEER APPLICATION ORANGE COUNTY ADVISORY BOARDS AND COMMISSIONS If you are an Orange County resident, at least 18 years old, and willing to vo expertise to your community, please complete this application and return to D Orange County Commissioners' Office P.O. Box 8181 Hillsborough, NC 27278 Phone (919) 245-2125; 245-2129; 245-2130; 732-8181 Fax: (919) 644-0246 Emaii: npaciga~co.orange.nc. ~FEB i 9 zo02 ~! ., r :;; J1 i NAME: 1.y-Q,ccr/(, ~ , ~,(~~~,~; HOME ADDRESS: /D CITY: ~~~~ ~,(,LU ~ . ~! _ Zip Code:_ -~ PHONE: (Day) (9~9) 9'.t9-~gG S~ (Evening/late) gr9~4~q_~gG s- (Fax) EMAIL: 9.%o~d~t-c~Jn ~ f'1.bfima~t;E.. Ccrr-~ T- PLACE OF EMPLOYMENT: !.t ~ awn ~, /a,.. i~ JOB TITLE: ~2°7S/ ~ IN ORDER TO ASSURE COUNTYWIDE REPRESENTATION.PLEASE INDICATE YOUR TOWNSHIP OF RESIDENCE: O gingham .0 Cheeks O Hillsborough O Eno ~Chape! Hill O Little River- O~CedarGrove~ IN ADDITION, PLEASE INDICATE IF YOU LIVE IN ONE OF THE FOLLOWING AREAS: O Joint Planning Area O Extraterritorial Area O Transition Area WE ASK YOUR HELP IN ASSURING DIVERSITY OF MEMBERSHIP BY AGE, GENDER AND RACE, BY ANSWERING THE FOLLOWING DUESTIONS: O Male ~ Female ETHNIC BACKGROUND: O African American Q~ Caucasian O Hispanic O Native American O Other DATE OF BIRTH: //_~-~r5" PLEASE LIST (IN ORDER OF PREFERENCE) THE BOARDS/COMMISSIONS ON WHICH YOU WOULD BE WILLING TO SERVE. 1• 1~u.f~SYIG (a C~ l'. 2. ~ i~• .f~'r~ GFf'(~ 3. ~rv- nM,.54s-i r~~B-~ (.17Ul~dJ~- ~ ~ f M,LrI WORK EXPERIENCE: CD / P ' ~.cr-~' VOLUNTEER /Z FOR OFFItE USE ONLY .. o~ ~vL C . ~i ci[,C~# EDUCATION: ~ f~, ,c.5 tfT~Q. L~i~ ~ o n ~ (lA/ - t!'hdd.c.L ~rfL OTHER COMMENTS: How did you become aware of Orange County volunteer opportunities? (Please check all that apply): O Newspaper O County Web Page ~ Current Orange County Volunteer O Radio O T.V. ~ Other ~l'Q~~l n~`I-tr ~, u( ryv (,<fC~,(. Cp _ ETHICS GUIDELINES FOR COUNTY ADVISORY BOARDS AND COMMISSIONS I agree by my signature below that, if appointed, I pledge to comply with the following ethics guidelines for advisory boards and commissions as adopted by the Orange County Board of Commissioners. Members of advisory boards and commissions shall not discuss, advocate, or vote on any matter in which they have a conflict or potential conflict of interest or an interest which reasonably might appear to be in conflict with the concept of fafiness in dealing with public business. A conflict of interest or a potential conflict occurs if a member has a separate, private, or monetary interest, either direct or indirect, in any issue or transaction under consideration. Any member who violates this provision may be subject to removal from the board or commission. If an advisory board or commission member believes he/she has a conflict or potential conflict of interest on a particular issue, than that member should state this belief to the other members of his/her respective advisory board or commission during the board or commission's public meeting. The member should state the nature of the conflict, detailing that he/she has a separate, private, or monetary interest, either direct or Indirect, in the issue or transaction under consideration. The member should then excuse himself/herself from considering and voting on the matter. In cases where an advisory board or commission member declares a conflict or potential conflict of interest, the member shall excuse himself/herselffrorn the board table/voting area until all discussion, consideration, and voting is completed on the matter In question. Any advisory board or commission member having questions or needing assistance regarding the interpretation of these ethics guidelines or other conflict of interest matters should contact the administrative staff for the respective board or commission. Staff will assist the member with questions and interpretations and may provide a recommendation on whether or not the advisory board or commission member should excuse himself/herself from voting. The member may request that the staff respond in writing. Staff may contact the County Manager for any additional assistance. If appointed, I agree to attend athree-hour orientation which will give an overview of how Orange County Government operates and its relationship to other governmental units. PC ~ ~./ J Date wtnrsu3 : a~cnu; H: ~...uotaa+i.. coC