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~~ <br />Comment: Legislation, for a wage pass-through has not passed in previous legislative <br />sessions. <br />Obieetive #88: Develop a career ladder for care providers (Consider the North Carolina <br />Institute of Medicine's Long Term Caze Task Force Report) (Goal IV-A) <br />Comment: DHHS and the Institute on Aging on Aging have partnered to develop the <br />"WIN-A-STEP-UP Program ". It "is aimed at improving the situation of nursing <br />assistants in the long term care industry in NC WINA STEP IIP stands, for Workforce <br />Improvement, for Nursing Assistants.' Supporting Training, Education, and Payment. for <br />Upgrading Performance, " In the recently completed pilot phase, "the primary objective <br />was to conduct a comprehensive assessment of the current situation of nursing assistants, <br />to develop educational and incentive programs to improve job quality and reduce <br />turnover in various sectors of the long term care workforce, including nursing homes, <br />adult care homes, and home health, home care and hospice settings. With the close of a <br />successful pilot program, we have begun the second phase of the WINA STEP UP <br />program, in which we hope to improve job quality and increase the retention of nursing <br />assistants through the implementation of an educational and reward system in nursing <br />home settings. Our second phase only includes nursing homes, but rnany of the lessons <br />learned here may be applied to other long term care settings. " (F.xcerpted.from the UNC <br />Institute on Agingwebsite, wwwa~irrQ.unc.edidresearch/winastepup/about.hhnl) <br />Obiective #89: Apply for grant monies to enable the provision of technical assistance <br />and support for a series of demonstration projects that will test new processes for improved <br />CNA and PCA retention rates (e,g. multi-disciplinary care planning that involves CNAs <br />and PCAs, career ladders, training requirements tied to incentives) (GoaIIV-A) <br />Comment: Lack of staff and resources.. See objective # 86. <br />Objective #90: Reseazch and evaluate the current county guardianship program's ability <br />to meet anticipated future guazdianship case growth (including temporary guardianship) <br />and options for provision of service. (Goal N-A) <br />Comment: No formal research and evaluation have been done, due to lack ofstaff time. <br />Objective #91: Develop and implement a County Commissioner endorsed recognition <br />program for long-term care personnel and family caregivers. (Goal N-A) <br />Comment: Lack of staff and resources. <br />Objective #92: Advocate for a living wage for all Long Term Care personnel, hospital <br />staff, and home health employees. (Goal IV-A) <br />Comment: Lack of staff and resources <br />Objective #93: Provide quarterly training for long term care activity directors in <br />partnership with the L1NC Schools of Education, Recreation, & Occupational Sciences, <br />Regional Ombudsman, and OC Dept. of Social Services. (Goal IV-A) <br />Comment: Lack of staff and resources. Low priority. <br />Objective #94: Expand the "friend-to-friend program" to include L,TC residents. (Goal N-A) <br />Comment: Friend-to-Friend Program coordinator position tivas cut due to FY 2002- <br />2003 budget cuts, The Nursing Home Community Advisory C."ommittee has a friendly <br />visiting program with limited volunteers. <br />20 <br />