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HomeMy WebLinkAboutAgenda - 11-17-2015-11b - Nursing Home Community Advisory Committee – Appointments 1 ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: November 17, 2015 Action Agenda Item No. 11-b SUBJECT: Nursing Home Community Advisory Committee —Appointments DEPARTMENT: Board of Commissioners PUBLIC HEARING: (Y/N) No ATTACHMENT(S): Under Separate Cover INFORMATION CONTACT: Membership Roster Clerk's Office, 919-245-2130 Recommendation Floyd Recommendation Gregory Attendance Record for Recommendation Applications for Persons Recommended Interest List Application of Person on the Interest list PURPOSE: To consider making appointments to the Nursing Home Community Advisory Committee. BACKGROUND: The following information is for Board consideration: • Appointment to a one year training term (Position #10) At-Large position for Glenda Floyd expiring 11/17/2016. • Appointment to a partial term (Position #12) At-Large position for Jerry Ann Gregory expiring 03/31/2017. POSITION NO. NAME SPECIAL REPRESENTATIVE EXPIRATION DATE 10 Glenda Floyd At-Large One Year Training 11/17/2016 Term 12 Jerry Ann Gregory At-Large 03/31/2017 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 Nursing Home Community Advisory Committee. 2 Board and Commission Members And Vacant Positions Nursing Home Community Advisory Committee Meeting Times: 5:30 pm 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. Martha$011 Day Phone: 919-968-4674 Sex: Female First Appointed: 10/06/2015 1 Evening Phone: 919-968-4674 Race: Caucasian Current Appointment: 10/06/2015 100 Macrae Court FAX: Township: Chapel Hill Expiration: 10/06/2016 Chapel Hill NC 27516 E-mail: mbell%8 @yahoo.com Resid/Spec Req: At-Large Number of Terms: Special Repr: At-Large Ms. Molly StO1n Day Phone: 954-254-2865 Sex: Female First Appointed: 06/16/2015 2 Evening Phone: 954-254-2865 Race: Caucasian Current Appointment: 06/16/2015 103 Stephens Street FAX: Township: Chapel Hill Expiration: 06/16/2016 Chapel Hill NC 27516 E-mail: msstein @live.unc.edu 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 Chan' 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: driscol1323 @nc.mcom Resid/Spec Req: At-Large Number of Terms: 1 Special Repr: At-Large Mr. Jerry SchrOibOr Day Phone: 919 967 2962 Sex: Male First Appointed: 10/07/2014 4 Trainee Evening Phone: 919 967 2962 Race: Caucasian Current Appointment: 10/06/2015 1606 Pathway Dr FAX: Township: Chapel Hill Expiration: 06/30/2017 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 Tuesday,November 03,2015 Page 1 3 Board and Commission Members And Vacant Positions Nursing Home Community Advisory Committee Meeting Times: 5:30 pm 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: 919-636-2016 Sex: Male First Appointed: 03/03/2015 7 Evening Phone: 919-636-2016 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 MI's. 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 VACANT Day Phone: Sex: First Appointed: 10 Evening Phone: Race: Current Appointment: FAX: Township: Expiration: 06/30/2016 E-mail: Resid/Spec Req: At-Large Number of Terms: Special Repr: At-Large Tuesday,November 03,2015 Page 2 4 Board and Commission Members And Vacant Positions Nursing Home Community Advisory Committee Meeting Times: 5:30 pm 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. MI's. 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. Vlbeke 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 Tuesday,November 03,2015 Page 3 5 Thom Freeman From: Charlotte Terwilliger <cterwilliger @tjcog.org> Sent: Friday, October 30, 2015 10:28 AM To: Thom Freeman Subject: NH CAC resignation and recommendation Hi Thom, Mary Ann Peter resigned from the nursing home community advisory committee. After speaking with the chair we would like to recommend Glenda Floyd to this position. I believe you already have her application. Ms Floyd has served as a volunteer in several settings including nursing homes and hospice and her experience will be invaluable to the work of this committee. Please let me know if you need anything else from me to move this recommendation forward. 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 @ticog.org/www.tocog.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 6 Thom Freeman From: Charlotte Terwilliger <cterwilliger @tjcog.org> Sent: Wednesday, November 04, 2015 8:51 AM To: Thom Freeman Subject: NH CAC -Jerry Ann Gregory Reappointment Dear Thom, The Nursing Home Community Advisory Committee would like to recommend Jerry Ann Gregory for a first full term. Her current one year appointment will expire on 12/9/2015. During the past year Ms. Gregory attended 5 out of 6 business meetings and has actively participated in all of her assigned quarterly facility visitations. Her strong interest in serving elders and her advocacy skills have been invaluable to the work of this committee. Please let me know if you need anything else from me to move this recommendation forward. Thank you. 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 @ticog.org/www.tocog.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 7 Attendance Record Current - Member Re-appointment Recommendation For BOCC Review Nursing Home Community Advisory Committee- Dec/2014 — Nov/2015 Member Appointed Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Jerry Ann Gregory 12/09/2014 E X X X X X P:Present A:Absent E=Excused Current through-11/30/2015 8 Page 1 of 1 Glenda Floyd Volunteer Application Orange County Advisory Boards and Commissions Name: Ms Glenda Floyd Name Called: Home Address: 103 Culbreth Rd Ghapel Hill NC 27516 Phone (Day): 8122056595 Phone (Evening): 8122056595 Phone (Cell): 8122056595 Email: gkf1121 @gmail.com Place of Employment: retired Job Title: na Year of OC Residence: 2004 Township of Residence: Chapel Hill Zone of Residence: Carboro / Chapel Hill Sex: Female Ethnic Background: Caucasian Community Activities/Organizational Memberships: Volunteer,Ronald McDonald Family Room,UNC Hospital; volunteer,IFC Food Bank;volunteer,Leukemia Society,Cary; member,Antioch Bapt.Church;member Seymour Senior Center Past Service on Orange County Advisory Boards: None Boards/Commissions applied for: Nursing Home Community Advisory Committee Background, education and experience relevant to this board: As someone who has assisted my mother and mother-in-law in applying for and admitance to a nursing home,l have hands on knowledge of possible problem areas encountered. I have a 25 yr background of volunteer work, 18 of which was involved in nursing home/in home hospice. Reasons for wanting to serve on this board: As a retired member of the community, I choose to spend my time volunteering in areas where I may be able to make a profound difference in the in the end of life for many. Conflict of Interest: Supplemental Questions: Other Comments: This application was current on: 6/19/2015 11:31:00 AM Date Printed: 6/22/2015 9 Page 1 of 2 Jerry Ann Gregory Volunteer Application Orange County Advisory Boards and Commissions Name: Mrs. Jerry Ann Gregory Name Called: Home Address: 2224 Lebanon Rd Efland NC 27243 Phone (Day): 919-644-8172 Phone (Evening): 919-644-8172 Phone (Cell): 919-810-4397 Email: harleyphn @yahoo.com Place of Employment: Retired Job Title: Retired Public health Nurse Year of OC Residence: 1973 Township of Residence: Cheeks Zone of Residence: - Sex: Female Ethnic Background: Caucasian Community Activities/Organizational Memberships: Meals on Wheels Hillsborough Fairfield Homemakers Club Exc. Club of Greater Durham Durham Harley Owners Group Board of Directors Public Health Corp Past Service on Orange County Advisory Boards: Past Adult Care Home Community Advisory Committee. Boards/Commissions applied for: Advisory Board on Aging Background, education and experience relevant to this board: Worked as a Public Health Nurse for 33 years providing services to adults most of those years, including senior centers. Reasons for wanting to serve on this board: Feel my experiences in past and presently would be of value. Conflict of Interest: No 10 Page 2 of 2 Jerry Ann Gregory Adult Care Home Community Advisory Committee Background, education and experience relevant to this board: Have served on this committee in the past, experienced in working with all adult populations. Reasons for wanting to serve on this board: Provide service to community and residents of facilities. Conflict of Interest: Supplemental Questions: Work Experience: Public Health Nurse for 31 yrs with Orange County Health-1969-2001; Adult Day Center Health Coordinator for 2 years Nurse Consultant for Are You Your Brother's Keeper progect with Efland Cheeks Voices of Efland and UNC for 1 year 2010 Served as Guardian on behalf of Health Director for clients in Community House in Carrboro and various Rest Homes and Nursing facilities. Volunteer Experience: PTA Thrift shop; ; VA Medical Center in Durham doing data entry for Oncology Research nurses; Habitat for Humanity; Fund raising for Child Abuse Prevention Foundation in Durham; Fund raising for various charities sponsered by my Exchange Club Adult Care Home Community Advisory Committee 5-6 yrs; Volunteer RN for B/P clinic at various Senior sites; Volunteer in Flu clinics offered at Senior sites in CH and Hillsborough; Meals on Wheels Volunteer since retirement in 2001 ; Volunteer in fund raising with Durham Harley Owners Group,Exchsnge Club of Greater Durham and American Cancer Society; Member of Public Health Volunteer Corp,volunteering as needed. Volunteer annually with Project Homelessness in providing immunizations and education. Education: H.S.; BS in Nursing; Adult Health Assessment-UNC; Various workshops on Wellness, disease prevention, couseling,etc. Adult Health assessment course/certification at UNC; Numerous classes re: Dementia, Aging, Chronic disease Other Comments: Have lived, worked and volunteered in Orange County since 1973. During my 32 years of working in Public Health I have worked in the adult community providing services and am very familiar with community and its needs. STAFF COMMENTS: Renewed application 10/09/03 for ACHCAC and Adv. Bd. on Aging. 6/16/03 for ACHCAC; NHCAC; Adv. Bd. on Aging. Originally applied 9/3/99. Applied 1/8/2012 for Orange County Emergency Services Work Group. ADDRESS VERIFICATION: Lebanon Road is Orange County Jurisdiction, Efland Fire Tax, and Cheeks Township. This application was current on: 1/6/2014 Date Printed: 7/25/2014 11 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 Res.Eligibility: Carrboro City Limits Date Applied: 06/02/2015 Skills: Consultant Also Serves On: Ms GLenda FLoyd Day Phone: 812-205-6595 Sex: Female 103 Culbreth Rd Evening Phone: 812-205-6595 Race: Caucasian Ghapel Hill NC 27516 Cell Phone: 812-205-6595 Township: Chapel Hill E-mail: gkfll2l@gmail.com Res.Eligibility: Carboro/Chapel Hill Date Applied: 06/19/2015 Skills: Also Serves On: Tuesday,November 03,2015 Page 1 of 1 12 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 13 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: 14 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