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ORANGE COUNTY <br />ADVISORY BOARD ON AGING <br /> <br />Minutes <br />September 9, 2014 <br /> <br />PRESENT: Heather Altman, Peggy Cohn, Teri Driscoll, Donna Prather, Jack Vogt, Dick White <br />EXCUSED: Virginia Brown, Alex Castro, Ed Flowers, Dan Hatley, Lorenzo Mejia, Jeane Suddarth <br />STAFF: Mary Fraser, Kathie Kearns, Anna Rose Miller, Cherie Rosemond, Charlotte Terwilliger, Janice <br />Tyler <br /> <br />The meeting was called to order at the Central Orange Senior Center by Chair Heather Altman. <br />Following introductions the minutes of the August 12 meeting were approved as distributed. <br /> <br />Mary Fraser introduced the special report on Long Term Care (LTC), an initiative of the Master Aging <br />Plan (MAP), and its findings being shared with both the Aging Advisory Board and representatives of the <br />Adult Care Home and Nursing Home Community Advisory Committees. Ms. Fraser summarized the <br />activity of the LTC Collaborative during its first year, culminating in the recognition of three care <br />organizations with Long Term Care Quality Service Awards at the September 16 Board of County <br />Commissioners meeting. She stated that the Collaborative is focusing on promotion of ‘person-centered <br />care’ during year two. The first activity was an in-house interview of the administrative staff at each <br />Orange County facility conducted by UNC MPH Student Intern Anna Rose Miller. MAP Housing <br />Consultant Cherie Rosemond was asked to analyze the survey findings. <br /> <br />Ms. Rosemond made the following observations from her review of the surveys on person-centered <br />care in Orange County facilities: <br />• Direct care worker turnover rate in NC is 80% <br />• Management and staff will have to convert from task-based care to individually-designed <br />schedules <br />• Person-centered care would require a major change in morning routines for the staff <br />• Facilities would have to be accepting of personal home décor for each resident <br />• Care aids would need to be included in care planning meetings <br />• Dining schedule would have to be adaptable to personal preferences <br />Successful implementation of person-centered care would require: <br />• Staff feeling the support of management <br />• Clear communication between staff and management <br />• Training not valued as very important <br />• Rewards for staff buy-in would not necessarily be monetary <br />• Facilities would need to implement a neighborhood or family model <br />Barriers to successful implementation would include: <br />• Staff turnover <br />• Offering competing activities <br />• Staff shortages <br />• Complexity of change <br />• Corporate expectations <br />