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HomeMy WebLinkAboutAgenda - 03-07-2017-11-b - Nursing Home Community Advisory Committee – Appointment 1 ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: March 7, 2017 Action Agenda Item No. 11-b SUBJECT: Nursing Home Community Advisory Committee —Appointment DEPARTMENT: Board of Commissioners ATTACHMENT(S): INFORMATION CONTACT: Member Roster Donna Baker, Clerk to the Board Recommendation 919-245-2130 Application for Person Recommended Attendance Record Nursing Home Community Advisory Committee By-Laws Applicant Interest List Applications for Persons on the Interest List PURPOSE: To consider making an appointment based on the attached recommendation to the Nursing Home Community Advisory Committee. BACKGROUND: The following information is for Board consideration: • Appointment to a second full term (Position #8) "At-Large" position for Jerry Ann Gregory expiring 03/31/2020. NAME SPECIAL REPRESENTATIVE EXPIRATION DATE POSITION NO. 8 Jerry Ann Gregory At-Large 03/31/2020 NOTE - If the individuals listed above are appointed, the following vacancies remain: • *Position #6--- "At-Large" position expiring 03/31/2019. This position has been vacant since 01/05/2017. The committee is currently vetting applicants. * All positions require a one year training period from date of appointment. 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 an appointment to the Nursing Home Community Advisory Committee. 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O g a; a; •. c•-€i O 0 E o o >< = o o < E ,..c:s = ct >, tJJ ct 0 0 5 bf) t c 1.) > cat t a 7, cr) L4 GLI -vry -a — - 5• S • (-41 : •,,,* 1-,' . a, ° • 15 N L.) t4 F•-;• 4"' fl--CI -e. 0 Ta Z 1--- , ' fu) a- Z kr-, a -> ,,=_,-■ .,__, ,.:. z CD (V __, E- 4 ••'; E ,__, 0 '.' ,,-) 1 c_.) • e _ _ .E-; CD Cit CL) <t) cA 4C) 2 2 C-) (2) ■••‘> — — H, 5 TO: ORANGE COUNTY BOARD OF COUNTY COMMISSIONERS FROM: TERI DRISCOLL, CHAIR, NURSING HOME COMMUNITY ADVISORY COMMITTEE RE: REAPPOINTMENT OF JERRY GREGORY DATE: FEB. 10, 2017 I am recommending to you the reappointment of Jerry Gregory to the Nursing Home Community Advisory Committee for another 3 yr. term. Her present term expires on Mar. 31, 2017. She is a very valuable member, attends our meetings on a regular basis and always does the site visits that she is assigned to do. If you require any additional information, please feel free to contact me. Thank you. 6 Page 1 of 2 Jerry Ann Gregory Volunteer Application Orange County Advisory Boards and Commissions Name: 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: County 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. Currently serving on the Nursing Home Community Advisory Board 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 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 7 Page 2 of 2 Jerry Ann Gregory 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 Assestment-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: 5/12/2016 Date Printed: 5/12/2016 CO C E z E o o a s 1-4 A ia) E c O o ( I=10 E r:7) • 0 I • o_ < ( E u. E 0 -c 0 o 0 u) • E D E o • 5 0 C • < C o o cU "c3 r N c) (-4 co) • •• 4 4 4 ;•0 ce L-• 9 APPROVED 11/8/2012 NURSING HOME ADVISORY COMMITTEE POLICIES AND PROCEDURES SECTION I: SCOPE A. Purpose 1. To establish a policy and procedures whereby the Orange County Board of Commissioners will establish the specific policies and procedures governing the Nursing Home Advisory Committee ("Committee"). B. Authority 1. North Carolina General Statute § 131 E-128(b)(1) provides for the establishment of the Nursing Home Advisory Committee. 2. The Orange County Advisory Board Policy serves as the underlying policy document to which the Nursing Home Advisory Committee, in addition to this policy and procedure document, is subject. The Orange County Advisory Board Policy is attached hereto as "Exhibit A". 3. In the event that there is a conflict between the Orange County Advisory Board Policy and this Policies and Procedures document this Policies and Procedures document shall control. C. Charge 1. The charge of Committee shall be to carry out the purpose of the Nursing Home Advisory Committee, provided in N.C. Gen. Stat. §§131E-128, serving all the homes in the County and working with each home in the best interest of the persons residing in each home. SECTION II: GOALS AND DUTIES A. Goals 1. The Committee shall maintain the intent of the Nursing Home Resident's Bill of Rights within the nursing homes, including nursing homes operated by hospitals licensed under Chapter 131 E, Article 5 of the North Carolina General Statutes, in Orange County. 2. The Committee shall promote community involvement and cooperation with nursing homes and an integration of these homes into a system of care for older persons in Orange County. B. Duties 1. The Committee shall apprise itself of the general conditions under which the persons are residing in nursing homes within Orange County, and shall work for the best interests of the persons in those homes. This may include assisting persons who have grievances with the nursing home and facilitating the resolution of grievances at the local level. 2. The Committee shall visit quarterly the nursing home it serves. For each official quarterly visit, a majority of the committee members shall be present. In addition, each committee may visit the nursing home it serves whenever it deems it necessary to carry out its duties. If there are four or more nursing homes in the County, a subcommittee may be assigned to a nursing home to perform the duties of the Committee; a majority of the subcommittee members must be present for any visit. 3. Each member of the Committee shall have the right between 10:00 A.M. and 8:00 P.M. to enter into the facility the Committee serves in order to carry out the members' responsibilities. If subcommittees have been established, this right of 10 APPROVED 11/8/2012 access shall be limited to homes served by those subcommittees to which the member has been appointed. 4. The Committee or subcommittee may communicate through its chair with the Department of Health and Human Services or any other agency in relation to the interest of any patient. The identity of any complainant or resident involved in a complaint shall not be disclosed except as permitted under the Older Americans Act of 1965, as amended, 42 U.S.C. § 3001 et seq. 5. Each home shall cooperate with the committee as it carries out its duties. 6. Before entering into any nursing home, the Committee, subcommittee, or member shall identify itself to the person present at the facility who is in charge of the facility at that time. SECTION III: MEMBERSHIP A. Authority 1. North Carolina General Statute § 131E-128(b)(3) grants the Board of County Commissioners the authority to appointment members of the Committee. B. Composition 1. The Committee shall be composed of the following: a. If the County has one, two, or three nursing homes, the Committee shall have five members; or b. If the County has four or more nursing homes, the Committee shall have one additional member for each nursing home in excess of three, and may have up to five additional members at the discretion of the Board of County Commissioners. i. If the County has four or more Nursing homes, the Committee shall establish a subcommittee of no more than five members and no fewer than three members from the Committee for each Nursing home in the county. ii. Each member must serve on at least one subcommittee. 2. Of the total number of members, a minority (not less than one-third, but as close to one-third as possible) must be chosen from among persons nominated by a majority of the chief administrators of nursing homes in the County and of the governing bodies of the hospitals licensed under Chapter 131E, Article 5 of the North Carolina General Statutes, which operate nursing homes. If the nursing home administrators and governing bodies of the hospitals licensed under Chapter 131E, Article 5 of the North Carolina General Statutes, which operate nursing homes fail to make a nomination within 45 days after written notification has been sent to them by the Board of County Commissioners requesting a nomination, these appointments may be made by the Board of County Commissioners without nominations. 3. Each member must be a resident of Orange County. 4. No person or immediate family member of a person with a financial interest in a home served by the Committee, or employee or governing board member or an immediate family member of an employee or governing board member of a home served by the Committee, or immediate family member of a patient in a home served by the Committee may be a member of the Committee. 5. Members of the Committee shall serve without compensation, but may be reimbursed for actual expenses incurred by them in the performance of their duties. 6. The names of the Committee members and the date of expiration of their terms shall be filed with the Division of Aging at the Department of Health and Human Services. 11 APPROVED 11/8/2012 7. Ex- Officio Members. Any County Commissioner serving on the Committee shall serve as an ex officio member. 8. Officers. The Committee shall elect from its members a chair, to serve an one-year term. C. Terms of Office 1. Each committee member shall serve an initial term of one year. Any person reappointed to a second or subsequent term shall serve a three-year term. 2. Persons who were originally nominees of nursing home chief administrators and the governing bodies of the hospitals licensed under Article 5 of G.S. Chapter 131E, which operate nursing homes, or who were appointed by the board of county commissioners when the nursing home administrators and the governing bodies of the hospitals licensed under Article 5 of G.S. Chapter 131E, which operate nursing homes failed to make nominations, may not be reappointed without the consent of a majority of the nursing home chief administrators and the governing bodies of the hospitals licensed under Article 5 of G.S. Chapter 131E, which operate nursing homes within the county. 3. If the nursing home chief administrators and the governing bodies of the hospitals licensed under Article 5 of G.S. Chapter 131E, which operate nursing homes fail to approve or reject the reappointment within 45 days of being requested by the board of county commissioners, the commissioners may reappoint the member if they so choose. D. Vacancy 1. Any vacancy shall be filled by appointment of a person for an one-year term. 2. Any person replacing a member nominated by the chief administrators and the governing bodies of the hospitals licensed under Article 5 of G.S. Chapter 131E, which operate nursing homes or a person appointed when the chief administrators and the governing bodies of the hospitals licensed under Article 5 of G.S. Chapter 131E, which operate nursing homes failed to make a nomination shall be selected from among persons nominated by the administrators and the governing bodies of the hospitals licensed under Article 5 of G.S. Chapter 131E, which operate nursing homes. 3. If the Board of County Commissioners fail to appoint members to a committee, or fail to fill a vacancy, the appointment may be made or vacancy filled by the Secretary of the North Carolina Department of Health and Human Services or the Secretary's designee no sooner than 45 days after the Board of County Commissioners has been notified of the appointment or vacancy if nomination or approval of the nursing home administrators and the governing bodies of the hospitals licensed under Article 5 of G.S. Chapter 131E, which operate nursing homes is not required. If nominations or approval of the nursing home administrators and the governing bodies of the hospitals licensed under Article 5 of G.S. Chapter 131E, which operate nursing homes is required, the appointment may be made or vacancy filled by the Secretary or the Secretary's designee no sooner than 45 days after the commissioners have received the nomination or approval, or no sooner than 45 days after the 45-day period for action by the nursing home administrators and the governing bodies of the hospitals licensed under Article 5 of G.S. Chapter 131E, which operate nursing homes. SECTION IV. MEETINGS A. Staffing 1. Orange County staff may serve a support function to advisory boards upon the approval of the Orange County Manager. B. Agendas 12 APPROVED 11/8/2012 1. Items for agendas shall be approved by the Committee Chair and staff. C. Meetings 1. The Committee shall meet at 5:30 p.m. the first Monday of every other month at the Seymour Center. D. Reports 1. Any written communication made by a member of Nursing Home Advisory Committee within the course and scope of the member's duties, as specified in G.S. 131E-128, shall be privileged to the extent provided within that subsection. This privilege shall be a defense in a cause of action for libel if the member was acting in good faith and the statements or communications do not amount to intentional wrongdoing. SECTION V. ORIENTATION A. Attendance 1. Each member shall attend an orientation presented by the Department on Aging to familiarize the advisory board members with the operation of County government, the Department on Aging rules, and the operating procedures of the advisory board. 2. Each voting member will be encouraged to complete the orientation within two months of his or her appointment. B. Training. 1. The Division of Aging, Department of Health and Human Services, shall develop training materials, which shall be distributed to each committee member and nursing home. Each committee member must receive training as specified by the Division of Aging prior to exercising any powers as provided in these Policies and Procedures. The Division of Aging, Department of Health and Human Services shall provide the Committee with information, guidelines, training, and consultation to direct the Committee in the performance of its duties. SECTION VI. INSURANCE A. Liability 1. To the extent that the Nursing Home Advisory Committee or any member thereof is covered by liability insurance, the Committee or member shall be deemed to have waived the qualified immunity herein to the extent of indemnification by insurance. SECTION VII. BY-LAWS A. By-Laws 1. Any Bylaws adopted by the Nursing Home Advisory Committee are void and no further bylaws shall be adopted. Procedure shall be governed solely by this policy document and the General Advisory Board Policy Document. 2. Should the Nursing Home Advisory Committee determine modifications to policies and procedures are necessary the Nursing Home Advisory Committee may petition the Board of County Commissioners for such modifications. 3. Should the General Assembly amend sections of the North Carolina General Statutes Chapter 131E, Article VI, Part 2 pertaining to the Nursing Home Advisory Committee such amendments shall be incorporated into these Nursing Home Advisory Committee Policies and Procedures with no additional action of the Board of County Commissioners. 13 Applicant Interest Listing by Board Name and by Applicant Name Contact Person: Autumn Pittman Nursing Home Community Advisory Committee Contact Phone: 919-558-9401 Peggy Iris Lanier Day Phone: 919-815-2849 Sex: Female 103 Culbreth Road Apt.301 Evening Phone: 919-815-2849 Race: Caucasian Chapel Hill NC 27516 Cell Phone: 919-815-2849 Township: Chapel Hill E-mail: N/A Res.Eligibility: Date Applied: 08/18/2016 Skills: Also Serves On: Karen Macklin Day Phone: 9199680672 Sex: Female 617 Bayberry Dr Evening Phone: 9199680672 Race: Caucasian Chapel Hill NC 27517 Cell Phone: 9192806228 Township: Chapel Hill E-mail: kgzm53 @gmail.com Res.Eligibility: ETJ-Chapel Hill Date Applied: 01/23/2017 Skills: Also Serves On: Jennifer Moore Day Phone: 9193940029 Sex: Female 636 WILLIAM HOOPER CIRCLE Evening Phone: 9193940029 Race: African American Hillsborough NC 27278 Cell Phone: 9193940029 Township: Bingham E-mail: JDMTRM @YAHOO.COM Res.Eligibility: Hillsborough ETJ Date Applied: 01/19/2017 Skills: Also Serves On: Friday,February 24,2017 Page 1 of 1 14 Page 1 of 1 Peggy Iris Lanier Volunteer Application Orange County Advisory Boards and Commissions Name: Peggy Iris Lanier Name Called: Home Address: 103 Culbreth Road Apt. 301 Chapel Hill NC 27516 Phone (Day): 919-815-2849 Phone (Evening): 919-815-2849 Phone (Cell): 919-815-2849 Email: N/A Place of Employment: Retired Job Title: Retired Year of OC Residence: 2007 Township of Residence: Chapel Hill Zone of Residence: Sex: Female Ethnic Background: Caucasian Community Activities/Organizational Memberships: Citizen Police Academy Class for June - July 2016. 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: CNA- But due to sickness in family did not get certified. Worked in medical field - Medical Terminology Class in VA. Insurance coding. Reasons for wanting to serve on this board: I have the time now at age 79 to be active in my community. Trained in nursing home. Daughter is a P/T Resource Manager at Duke. Conflict of Interest: Supplemental Questions: Other Comments: This application was current on: 8/18/2016 11:21:02 AM Date Printed: 8/23/2016 15 Page 1 of 2 Karen Macklin Volunteer Application Orange County Advisory Boards and Commissions Name: Karen Macklin Name Called: Home Address: 617 Bayberry Dr Chapel Hill NC 27517 Phone (Day): 9199680672 Phone (Evening): 9199680672 Phone (Cell): 9192806228 Email: kgzm53 @gmail.corn Place of Employment: Retired Job Title: Retired attorney Year of OC Residence: 1989 Township of Residence: Chapel Hill Zone of Residence: Sex: Female Ethnic Background: Caucasian Community Activities/Organizational Memberships: Nothing formal. I help a neighbor with Spanish/English and I help an elderly friend. I am a member of the Orange County Democratic Party and Neighbors on Call, which is a political action group. 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: I have a medical and legal educational backgroup. I was a physician s assistant and an attorney. I worked for many years on an investigational review board protecting the rights of human subjects. Also, I helped take care of my father, my father in law, and a friends mother over their last years of life. I visited them in assisted living facilities, memory care facilities and nursing homes. Reasons for wanting to serve on this board: My father recently died. I now have time to invest in my community. I believe I am uniquely qualified for this board. I care a lot about how nursing homes operate. Conflict of Interest: Supplemental Questions: Boards/Commissions appointments: Other Comments: 16 Page 2 of 2 Karen Macklin This application was current on: 1/23/2017 10:52:43 AM Date Printed: 1/25/2017 17 Page 1 of 2 JENNIFER MOORE Volunteer Application Orange County Advisory Boards and Commissions Name: JENNIFER MOORE Name Called: Home Address: 636 WILLIAM HOOPER CIRCLE HILLSBOROUGH NC 27278 Phone (Day): 9193940029 Phone (Evening): 9193940029 Phone (Cell): 9193940029 Email: JDMTRM @YAHOO.COM Place of Employment: Orange County Schools Job Title: Paraprofessional Year of OC Residence: 2013 Township of Residence: Bingham Zone of Residence: Sex: Female Ethnic Background: African American Community Activities/Organizational Memberships: Phi Delta Kappa International James Lennix Foundation, CEO Past Service on Orange County Advisory Boards: N/A Boards/Commissions applied for: Affordable Housing Advisory Board Background, education and experience relevant to this board: Associate in General Education BS, Business Admin MBA-General MS, Performance Improvement Reasons for wanting to serve on this board: I d like to enhance the quality of life for Orange County citizens. I believe that it is very important to serve in the community. Conflict of Interest: 18 Page 2 of 2 JENNIFER MOORE Orange County Parks and Recreation Council Background, education and experience relevant to this board: Associate in General Education BS, Business Admin MBA-General MS, Performance Improvement Reasons for wanting to serve on this board: I d like to enhance the quality of life for Orange County citizens. I believe that it is very important to serve in the community. Conflict of Interest: Nursing Home Community Advisory Committee Background, education and experience relevant to this board: Associate in General Education BS, Business Admin MBA-General MS, Performance Improvement Reasons for wanting to serve on this board: I d like to enhance the quality of life for Orange County citizens. I believe that it is very important to serve in the community. Conflict of Interest: Supplemental Questions: Other Comments: This application was current on: 1/19/2017 9:28:25 AM Date Printed: 1/20/2017