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HomeMy WebLinkAboutAgenda - 06-16-2015-11i 1 ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: June 16, 2015 Action Agenda Item No. 11-i SUBJECT: Nursing Home Community Advisory Committee - Appointment DEPARTMENT: Board of Commissioners PUBLIC HEARING: (Y/N) No ATTACHMENT(S): Under Separate Cover INFORMATION CONTACT: Membership Roster Clerk's Office, 245-2130 Recommendation Application for Person Recommended Interest List Applications of Persons on the Interest List PURPOSE: To consider making an appointment to the Nursing Home Community Advisory Committee. BACKGROUND: The following information is for Board consideration: • Appointment to a one year training term (Position #2) At-Large Nursing Home Administration for Ms. Molly Stein ending 06/16/2016. POSITION NO. NAME SPECIAL REPRESENTATIVE EXPIRATION DATE 2 Ms. Molly Stein At-Large one year training 06/16/2016 term NOTE - If the individuals listed above are appointed, the following vacancies remain: • Position #1--- "At Large" position ------ expiring 01/30/2016. (All positions have statutory requirements and each initial appointment is a one year training term. The committee is currently reviewing for potential recommendation) FINANCIAL IMPACT: None. RECOMMENDATION(S): The Board will consider making an appointment to the Nursing Home Community Advisory Committee. 2 Board and Commission Members And Vacant Positions Nursing Home Community Advisory Committee Meeting Times: 5:30 p.m.Every other 1st Tuesday starting with Jan. Terms: 2 Contact Person: Charlotte Terwilliger,MSW Meeting Place: United Church of CH-1321 ML King Blvd Positions: 12 Length:3 years Contact Phone: 919-558-9401 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. VACANT Day Phone: Sex: First Appointed: 1 Evening Phone: Race: Current Appointment: FAX: Township: Expiration: 01/30/2016 E-mail: Resid/Spec Req: At-Large Number of Terms: Special Repr: At-Large VACANT Day Phone: Sex: First Appointed: 2 Evening Phone: Race: Current Appointment: FAX: Township: Expiration: 03/31/2015 E-mail: Resid/Spec Req: At-Large Number of Terms: Special Repr: At-Large Ms. Teri J. Driscoll Day Phone: 919-245-1127 Sex: Female First Appointed: 09/17/2013 3 Chair Evening Phone: 919-245-1127 Race: Caucasian Current Appointment: 10/07/2014 422 Hampton Pointe FAX: Township: Hillsborough Expiration: 09/30/2017 Hillsborough NC 27278 E-mail: drisco11323 @nc.rncom Resid/Spec Req: At-Large Number of Terms: 1 Special Repr: At-Large Mr. Jerry Schreiber Day Phone: 919 967 2962 Sex: Male First Appointed: 10/07/2014 4 Trainee Evening Phone: 919 967 2962 Race: Caucasian Current Appointment: 10/07/2014 1606 Pathway Dr FAX: Township: Chapel Hill Expiration: 10/07/2015 Carrboro NC 27510 E-mail:jrogerschreiber @gmail.com Resid/Spec Req: At-Large Number Of Terms: Special Repr: At-Large Ms. Sandra Nash Day Phone: 828-668-9628 Sex: Female First Appointed: 02/04/2014 5 Evening Phone: Race: Caucasian Current Appointment: 03/03/2015 600 West Poplar Ave.,Apt.239 FAX: Township: Chapel Hill Expiration: 06/30/2017 Carrboro NC 27510 E-mail: None Resid/Spec Req: At-Large Number of Terms: 2 Special Repr: Nursing Home Administration Thursday,May 21,2015 Page 1 3 Board and Commission Members And Vacant Positions Nursing Home Community Advisory Committee Meeting Times: 5:30 p.m.Every other 1st Tuesday starting with Jan. Terms: 2 Contact Person: Charlotte Terwilliger,MSW Meeting Place: United Church of CH-1321 ML King Blvd Positions: 12 Length:3 years Contact Phone: 919-558-9401 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. Vicki Barringer Day Phone: 919-971-9333 Sex: Female First Appointed: 03/22/2012 6 Evening Phone: 919-971-9333 Race: Caucasian Current Appointment: 03/19/2013 3612 Old Vine Trail FAX: Township: Eno Expiration: 03/31/2016 Hillsborough NC 27278 E-mail: vbarringer @gmail.com Resid/Spec Req: At-Large Number of Terms: 1 Special Repr: At-Large Dr. William Crittenden Day Phone: 9196362016 Sex: Male First Appointed: 03/03/2015 7 Evening Phone: 9196362016 Race: Caucasian Current Appointment: 03/03/2015 4206 BRADFORD RIDGE RD FAX: Township: Bingham Expiration: 03/03/2016 EFLAND NC 272439474 E-mail: bill.seniorcare @gmail.com Resid/Spec Req: At-Large Number of Terms: Special Repr: Nursing Home Administration Mrs. Jerry Ann Gregory Day Phone: 919-644-8172 Sex: Female First Appointed: 12/09/2014 8 Evening Phone: 919-644-8172 Race: Caucasian Current Appointment: 12/09/2014 2224 Lebanon Rd FAX: Township: Cheeks Expiration: 12/09/2015 Efland NC 27243 E-mail: harleyphn @yahoo.com Resid/Spec Req: At-Large Number of Terms: Special Repr: At-Large Ms. Susan Deter Day Phone: 919-682-4124 Sex: Female First Appointed: 04/19/2011 9 Evening Phone: 919-479-0574 Race: Caucasian Current Appointment: 03/22/2012 5512 Quail Hollow Drive FAX: 919-956-7703 Township: Little River Expiration: 06/30/2016 Hillsborough NC 27278 E-mail: susiedeter @yahoo.com Resid/Spec Req: At-Large Number of Terms: 1 Special Repr: At-Large Dr Mary Ann Peter Day Phone: 919-732-6073 Sex: Female First Appointed: 01/24/2012 10 Evening Phone: Race: Caucasian Current Appointment: 06/18/2013 118 W.Tryon St. FAX: Township: Hillsborough Expiration: 06/30/2016 Hillsborough NC 27278 E-mail: maryannpeter @earthlink.net Resid/Spec Req: At-Large Number of Terms: 1 Special Repr: At-Large Thursday,May 21,2015 Page 2 4 Board and Commission Members And Vacant Positions Nursing Home Community Advisory Committee Meeting Times: 5:30 p.m.Every other 1st Tuesday starting with Jan. Terms: 2 Contact Person: Charlotte Terwilliger,MSW Meeting Place: United Church of CH-1321 ML King Blvd Positions: 12 Length:3 years Contact Phone: 919-558-9401 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. Mrs. Marla Hardin Day Phone: 9197326589 Sex: Female First Appointed: 03/03/2015 11 Evening Phone: 9197326589 Race: Caucasian Current Appointment: 03/03/2015 2026 Black Walnut Farm Road FAX: Township: Eno Expiration: 03/03/2016 Hillsborough NC 27278 E-mail: mariaahardin @gmail.com Resid/Spec Req: At-Large Number of Terms: Special Repr: Nursing Home Administration Ms. Vibeke Talley Day Phone: 919-732-3112 Sex: Female First Appointed: 05/20/2014 12 Evening Phone: 919-732-3112 Race: Caucasian Current Appointment: 05/20/2014 134 East Tryon Street FAX: 968-2017 Township: Hillsborough Expiration: 12/31/2016 Hillsborough NC 27278 E-mail: vibandjoe @hotmail.com Resid/Spec Req: At-Large Number of Terms: Special Repr: Nursing Home Administration Thursday,May 21,2015 Page 3 5 Thom Freeman From: Charlotte Terwilliger <cterwilliger @tjcog.org> Sent: Friday, May 15, 2015 11:22 AM E To: Thom Freeman Cc: Teri Driscoll Subject: Appointment Recommendation - Molly Stein 1 Hi Thom, The Nursing Home Community Advisory Committee would like to recommend Ms. Molly Stein for a one year training term. Ms. Stein is currently a student preparing to go to Physician Assistant school at the University of North Carolina at Chapel Hill. She has also served as an Ambassador at Duke Regional Hospital in their emergency room. Ms.Stein has a j passion for health care and making a difference in people's lives. Please let me know if you need any additional information to move this recommendation forward. Best Regards, Charlotte Charlotte Terwilliger, MSW Regional Long Term Care Ombudsman Area Agency on Aging Triangle J Council of Governments 4307 Emperor Blvd., Suite 110, Durham, NC 27703 (o) 919-558-9401/(f) 919-998-8101 cterwilliger((Dticog.org/www.ticog.org E-Mail correspondence to and from this address is subject to the North Carolina Public Records Act and may be disclosed to third parties unless made confidential under applicable law. i t ', 6 Page 1 of 2 Molly Stein Volunteer Application Orange County Advisory Boards and Commissions Name: Ms. Molly Stein Name Called: Home Address: 103 Stephens Street Chapel Hill NC 27516 Phone (Day): 954-254-2865 Phone (Evening): 954-254-2865 Phone (Cell): 954-254-2865 Email: msstein @live.unc.edu Place of Employment: University of North Carolina at Chapel Hill Job Title: Student Year of OC Residence: 2012 Township of Residence: Chapel Hill Zone of Residence: Sex: Female Ethnic Background: Caucasian Community Activities/Organizational Memberships: -Emergency Room Ambassador at Duke Regional Hospital -Historian of Carolina Kickoff in the Campus YMCA -Member of the Carolina Pre-Physician Assistant Association Past Service on Orange County Advisory Boards: N/A Boards/Commissions applied for: Nursing Home Community Advisory Committee Background, education and experience relevant to this board: I am currently a junior at the University of North Carolina at Chapel Hill studying to prepare to go to Physician Assistant school. I have a true passion for helping people in any relation to medicine. I cannot wait to be a physician assistant and look forward to any opportunities with experience in the medical field before I attend graduate school. I have extensive shadowing experience in many different realms of the medical world such as hospitals, nursing homes and private practices. I am an emergency room ambassador at Duke Regional Hospital and have experience interacting with patients. My grandfather is in an assisted living facility in Florida and I am familiar with how nursing home and assisted living facilities work. Therefore, I have experience from an employee s point of view (during nursing assistant clinicals) and from a family member s point of view with my grandfather. Reasons for wanting to serve on this board: With my shadowing and volunteering experience, I am only able to do so much to help. I yearn to be able to make a bigger difference in people s lives. I know that this position will help me do that. Through my shadowing and nursing assistant clinicals, I saw some unjust situations which really broke my heart and were wrong. This is what made me want to get into the field of patient advocacy. I believe it is our responsibility to speak and act for those who cannot, especially those susceptible to abuse and neglect. This is something that I have been wanting to do for a 7 Page 2 of 2 Molly Stein long time, and I hope that I am able to get the opportunity to help make a difference. Conflict of Interest: Supplemental Questions: Other Comments: This application was current on: 3/6/2015 4:29:11 PM Date Printed: 3/11/2015 8 Applicant Interest Listing by Board Name and by Applicant Name Contact Person: Charlotte Terwilliger,MSW Nursing Home Community Advisory Committee Contact Phone: 919-558-9401 MS. Susan Adams Day Phone: 919-357-5541 Sex: Female 211 Hogan Woods Circle Evening Phone: 919-357-5541 Race: Caucasian Chapel Hill NC 27516 Cell Phone: Township: Chapel Hill E-mail: jaseradams@gmail.com Date Applied: 06/02/2015 Skills: Consultant Also Serves On: MS. Martha Bell Day Phone: 919-968-4674 Sex: Female 100 Macrae Court Evening Phone: as above Race: Caucasian Chapel Hill NC 27516 Cell Phone: N/A Township: Chapel Hill E-mail: mbell968@yahoo.com Date Applied: 05/21/2015 Skills: Also Serves On: MS. Molly Stein Day Phone: 954-254-2865 Sex: Female 103 Stephens Street Evening Phone: 954-254-2865 Race: Caucasian Chapel Hill NC 27516 Cell Phone: 954-254-2865 Township: Chapel Hill E-mail: msstein@live.unc.edu Date Applied: 03/06/2015 Skills: Also Serves On: Tuesday,June 02,2015 Page 1 of 1 9 Page 1 of 3 Susan Adams Volunteer Application Orange County Advisory Boards and Commissions Name: Ms. Susan Adams Name Called: Home Address: 211 Hogan Woods Circle Chapel Hill NC 27516 Phone (Day): 919-357-5541 Phone (Evening): 919-357-5541 Phone (Cell): Email: jaseradams @gmail.com Place of Employment: Self-employed Job Title: Consultant Year of OC Residence: 2004 Township of Residence: Chapel Hill Zone of Residence: Carrboro City Limits Sex: Female Ethnic Background: Caucasian Community Activities/Organizational Memberships: IFC - Orange County Homeless Shelter, Galloway Ridge - Volunteer, Care Ministry - Newman Center, Coastal Pines of North Carolina - troop 862 - Adult Volunteer, Treasurer 2007-2012, AARP, GSA - Gerontological Society of America MAC Committee - Mandarin Advisory Council for the Dual Language Program for Chapel Hill Carrboro City School District, Newman center outreach care ministry, MAC-dual language for Mandarin Chinese advisory board for school system, NAHB - National Home Builders Association Orange , Chatham and Durham counties - remodeler s council, National Gerontology Society, AARP, -Received Masters of Gerontology from University of Southern California 2014 Magna Cum Laude - Thesis title " Enviornmential and technological interventions to decrease agitation in dementia patients" -Founded Consulting Business CareGiving Technologies - Safer Independent Living -Received CAPS " Certified Aging in Place Specialist" Certification from Nathional Home Builders Association 2014 -Received Universal Design Certification from National Home Builders Association 2014 -Asked to become board member of SHARP " Senior Health Advisory Resouce Partnership" in Orange County executive director Healther Altman -Working closely with Dr. Cheire Rosemond at UNC for Tax incentives for livable homes as part of the Aging in Community Series -Speaker at Caregiver's Conference Durham and Raleigh 2015 -Speaker at Alzheimer Association Fall Conference 2015 -Became Lively partner -Award winning passive senior Monitoring system -Member of HART Health Aging Round Table -Recently accepted position at Carolina Villages for director of Volunteer Services 10 Page 2 of 3 Susan Adams Past Service on Orange County Advisory Boards: Boards/Commissions applied for: Advisory Board on Aging Background, education and experience relevant to this board: I am energized by solving problems and taking on challenges. With over 1 person turning 50 every second due to the dramatic achievements in public health, Orange County is poised to see a 67% increase in persons over 65 and a 43% increase in persons over 85 in the next 10 years. This trend continues through 2030 when persons over 65 will again increase by 42% and over 85 by 70%. Orange county is a leader in serving its senior population and I want to contribute to preparing and meeting these needs throughout the next 20 years. Although I worked as a chemical engineer for 15 years, I recently returned to school to get a BA in Multidisciplinary studies, with an emphasis on social sciences and the Socio-Ecological Model which shows that the health of an individual is based notjust on the person but withing the greater context of his relationships, his community and his society. Because of my interest in the aging process, I am currently completing a Masters in Gerontology from the University of Southern California. Through this program I have been able to receive the training and tools that will aid me in pursuing my goal of improving the disparity in the aging experience between the different economic classes. The research area where I am basing my concentration consists of early depression intervention for the home caregiver. Many home caregivers are thrust into their duties with little to no training and as more residents, especially in the rural areas, are deciding to age in place there will be a need for increased programs to address the adult child or spousal caregiver, many of whom are over 50. 1 am excited to be beginning this new phase of my life as I turn 50, and consider myself to be a life-long learner who believes that we are all part of something larger and there is purpose to all our lives. My belief system influences all I do and I value responsibility and high ethical standards. I believe that the strategic methods of problem solving I utilized as an engineer allows me to find and evaluate alternatives and seek innovative ways to get things done. I believe in community involvement as I was a member of the School Improvement Team (SIT) committee for McDougle Middle School for 2 years, worked as a volunteer at the Chapel Hill Museum for 3 years, and have been a member of the MAC-Mandarin Advisory Council for the dual language program in CHCCS since it began and my daughter has been part of the program for the past 8 years. As my children are growing up and moving on to new goals, I feel that I too must focus my time and energies on the future. I appreciate your time in considering me for this position. Reasons for wanting to serve on this board: Conflict of Interest: Nursing Home Community Advisory Committee Background, education and experience relevant to this board: I am graduating with my Masters of Arts in Gerontology in May 2014 from the University of Southern California. My BS is multi disciplinary in psychology and public health. My concentration of study is in environmental interventions to decrease agitation in persons with dementia. I currently volunteer at Galloway Ridge and care part time for my elderly parents who I relocated to Chatham County in 2008. Reasons for wanting to serve on this board: Conflict of Interest: Supplemental Questions: 11 Page 3 of 3 Susan Adams Other Comments: STAFF COMMENTS: Applied 2/1/2013 for Advisory Board on Aging. Applied 10/4/2013 for Nursing Home CAC. ADDRESS VERIFICATION: 211 Hogan Woods Circle is Chapel Hill Township, Carrboro Jurisdiction, Carrboro City Limits. This application was current on: 6/2/2015 Date Printed: 6/2/2015 12 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 13 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