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SO <br />MAP Severely Disabled /Institutionalized Older Adult Subcommittee <br />February 23, 2006 <br />Revised Categories of Concern: <br />Care Issues: <br />1 End of Life Care (Hospice services) <br />2. Dementia Caz'e (bed availability) <br />3. Affordability (Eligibility and Financial Issues) <br />4. Navigating the LTC System; lmowledge of rights, rules, regulations <br />5. Institutional bias <br />6. Education. & Outreach (Family/Resident involvement in plan of care) <br />7 Caregiver Support (Respite Care, support of family and paid caregivers, education) <br />8. Quality of Life <br />9. Continuity of Care (Hospital to facility, Facility to hospital, facility to facility, witlrin <br />CCRCs) <br />10, OttalityofLife <br />I1.. Person Centered Cm-e <br />12. Activities <br />Workforce Issues: <br />1. Culture change is needed <br />2. Turnover <br />3. Inadequate CNA training, support, pay, benefits <br />4. Inadequate staffing requirements (Nursing Home and Adult Care Home rules) <br />5. Nurse ttairring and support <br />6 Med Techs giving meds in nursing homes beginning summer 2006 <br />7. Orange County Long Texm. Care Facility Roundtable (communication among facilities <br />and community; must review structure) <br />8. UNC Medical Community's Involvement & Support of local facilities (Teaching facility, <br />need for medical directors, student placement....) <br />9. First Responder Training-sensitivity+provision of support to facilities <br />10. Activity Director Training <br />1 L Increase # of Adult Home Specialists who monitor Adult Care Homes? <br />12. Increase # of Community Advisory Committee members-grassroots volunteer <br />Ombudsmen (Nursing Home, Adult Caz'e Home) <br />13. Leadership tr°ainirzg and support, for• adrrzirzistrator•s and nurses <br />14, Cultural Competence (also important at end of life) <br />1 S. Best Practice Models <br />16. More Onzbudsmert <br />17. Affordable transportation, for employees (even on holidays) <br />Housing/Capacity Issues: <br />1. Institutional Bias <br />