Part B: Application Project Narrative 1.

Identify the geographical region in which the RSP will focus its efforts. Explain why this geography has been chosen as the region and what data sources were used to identify it.
The geographical region for the purposes of this Allied Health Regional Skills Partnership (RSP) Planning grant includes the counties of Brunswick, Columbus, Duplin, New Hanover and Pender. This geographic area represents the counties included in the Coastal AHEC (Area Health Education Center) region and with the exception of Duplin County the counties of the Cape Fear Workforce Development Consortium under the Workforce Investment Act (WIA). Economically, the geographic area is comprised of the Wilmington Metropolitan Statistical Area (MSA). Many of the articles regarding the Wilmington Metropolitan Statistical Area show Brunswick and New Hanover counties as the economic area. The United States Department of Commerce Bureau of Economic Analysis Regional Accounts lists the counties of Brunswick, New Hanover and Pender as the Wilmington MSA. The University of North Carolina at Wilmington categorizes Brunswick, New Hanover and Pender counties as part of the Wilmington Metro Area. The University of North Carolina at Wilmington is recognized in southeastern North Carolina as a lead predictor of economic analysis for the region which also includes Duplin and Columbus counties. The BEA lists Columbus and Duplin Counties as nonmetropolitan areas. 2000 Census Data was extracted showing commuting patterns for the counties designated as a part of this regional skills partnership planning grant. The data shows that 6,694 workers left Brunswick County to work in jobs in New Hanover County. A smaller number of workers traveled to Columbus County (571) and Pender County (202). Although workers left Brunswick County for counties other than those listed, the numbers are much smaller. A number of workers leave New Hanover County to commute to Brunswick County. The Census showed that 3,046 workers traveled into Brunswick County from New Hanover County to work; Columbus County had 1,020 individuals going to Brunswick daily to work and Pender 378. The 2000 Census reported that 21,095 Brunswick County residents live and work in Brunswick County. Commuting patterns for Columbus County OUT of Columbus County to: New Hanover 1,096 Brunswick 1,020 Commuting patterns for Duplin County OUT of Duplin County to: INTO Duplin County from: INTO Columbus Brunswick New Hanover Pender County from: 571 433 62

Cape Fear Allied Health RSP Grant Application 1

Pender

605

Pender

868

A total of 6,755 workers left Duplin County to work in other counties. Of that number 9% went to Pender County to work. Of the 5,042 workers commuting to Duplin County according to the 2000 Census, 17% of those workers went to Duplin County from Pender County. The greatest number of New Hanover County workers commuted to jobs in Brunswick County—3,046. The second highest count was Pender County—1,353 and 433 commuted to Columbus County. A total of 15,873 workers traveled into New Hanover County from Pender, Brunswick, and Columbus Counties. Pender represented 51% of the three county totals with Brunswick County a close second at 42% while 7% of the county’s workforce was represented by workers from Columbus County. Commuting patterns for Pender County. 6,765 Pender county residents lived and worked in Pender County. A majority of the labor force or 8,083 individuals commuted into New Hanover County to work. Eight Hundred sixty-eight worked in Duplin County while 378 traveled to jobs in Brunswick County. OUT of Pender County to: New Hanover 8,083 Duplin 868 Brunswick 378 Source: 2000 US Census. INTO Pender County New Hanover Duplin Brunswick from: 1,353 605 202

The Cape Fear WIA Local Area has a total land area of 2,862 square miles. The counties in the Cape Fear Local Area include one of the smallest counties in the state with the other three counties ranked in the top six in terms of land area within North Carolina. Brunswick County has a land area of 855 square miles – ranked #6, Columbus 937 square miles – ranked #3, Pender 871 square miles – ranked #5 and New Hanover 199 square miles – ranked # 99. However, in spite of the large land mass, the persons per square mile for the counties in the Local Area rank in the bottom half in population density. New Hanover County is the exception ranking fourth in the state in population density. Duplin County, which is added to the Cape Fear WIA Local Area for allied healthcare planning purposes, has a total land area of 819 square miles. The total land area for the Cape Fear Regional Skills Partnership planning grant is 3,681 square miles. An article appeared in the local Wilmington newspaper, the STAR NEWS, which cited Brunswick and Pender Counties as among the top 100 fastest growing U.S. counties in population. The STAR NEWS reported that Brunswick County ranked 14th among all U.S. counties for growth from July 1, 2005 to July 1, 2006 according to U.S. Census estimates. Pender County is also ranked among the top 100 fastest-growing counties coming in at number 85. The Census Bureau shows Brunswick County rising to 55th nationally by July 2006 up from 82nd a year earlier.

Cape Fear Allied Health RSP Grant Application 2

Cape Fear Allied Health Planning Region Brunswick Columbus Duplin New Hanover Pender Cape Fear AHPR Total North Carolina

PROJECTED POPULATION July 2007 100,107 55,087 53,640 188,206 50,757 444,797 8,968,800

PROJECTED POPULATION July 2010 111,076 55,616 55,863 201,313 55,185 479,053 9,485,138

Information displayed in the table is as of July 11, 2007 The Source: NC State Demographics, County/State Projections following table provides data on the labor force for the Cape Fear Allied Health Planning Region. COUNTY Civilian Labor Force June June 2006 2007 45,839 47,902 24,070 24,168 24,265 24,018 Employment June 2006 43,741 22,663 23,013 June 2007 45,642 22,707 2,2824 Unemployment June 2006 2,098 1,407 1,252 June 2007 2,260 1,461 1,194 4,292 1,101 Unemployment Rate June June 2006 2007 4.6% 4.7% 5.8% 6.0% 5.2% 5.0% 3.9% 4.7% 3.9% 4.5%

Brunswick Columbus Duplin New 104,996 109,590 100,910 108,298 4,086 Hanover Pender 23,085 24,800 22,568 23,508 1,117 Data Not Seasonally Adjusted Source: Local Area Unemployment Statistics Unit, ESC/LMI Division

It is difficult to determine the number of individuals employed in the Allied Health occupations since there is no standard registration or certification of these individuals that could collect this data. However, data from the Occupation of Employed Civilians 16 years and Over from the 2000 Census for the Cape Fear Allied Health Planning Region show that a total of 5,836 individuals were employed in the Service Occupations and of those 607 were employed in healthcare support occupations including Nursing, psychiatric, and home health aides--386; occupational and physical therapist assistants and aides—4; and other healthcare support occupations—217. The Cape Fear Workforce Development Consortium has identified the following Health and Science Occupations in demand in the Cape Fear Allied Health Planning Region. Various sources were used in making this determination and are listed at the bottom of the chart. In addition, the local JobLink Career Center management teams have been asked to review this list to identify other occupations that they have seen as demand occupations in their particular service area. This would include recommendations from the various committees that help to plan the curriculum which includes employers and the community.

Cape Fear Local Area Approved Occupation Training Areas
Cape Fear Allied Health RSP Grant Application 3

Based upon the Cape Fear Regional Labor Market Projections through 2014, the following occupations are considered in demand. Other occupational training programs not listed may also be considered provided that supporting documentation indicates that the training area is considered in “demand” on a case by case basis. The CFLA must approve the program prior to any issuance of funding to support the participant’s training. Health and Science Occupations Certified Nursing Assistant or LPN Physician’s Assistant* Registered nurse* Pharmacy Technology Home Health Aide Emergency Medical Technicians Surgical Technologist Biological or Chemical Technicians Phlebotomist Medical Sonography Medical Records Cardiovascular Technologists and Technologist/Transcriptionist Technicians Respiratory Therapist Veterinary Technology Surgical Technologist Medical or Clinical Laboratory Technician Social Worker, Medical and Technology Radiology Technician Medical Assisting Dental Assisting or Hygienist Occupational Therapist Asst Medical Secretary Physical Therapist Asst Fitness and Aerobics Instructor Health Services Management Speech Pathology Assistant Revised 2007. Sources: NC ESC Area Occupational Projections 2004-2014, Cape Fear Community College; Brunswick Community College; Southeastern Community College; University of North Carolina-Wilmington; Brunswick County Economic Development; Columbus County Economic Development; NC Career Choices, NCAE, Allied Health Occupational Vacancy Report April 2007 Data provided by the North Carolina Employment Security Commission –North Carolina Occupational Trends/Annual Average Job Openings by Occupational Group in 2004 and Projected to 2014 show the need for “Healthcare Practitioners and Technical Occupations and Healthcare Support Occupations.” The following table provides information on the projected growth for these occupational areas. Major Occupational Group Total Annual Openings 350 200 Percent of Total Openings 5.89% 3.37% Annual Growth Openings 230 140 Annual Replaceme nt Openings 120 60

Healthcare Practitioners & Technical Occupations Healthcare Support Occupations

Expressed another way, a total of 8,170 individuals were employed as Healthcare Practitioners and in Technical Occupations in 2004 with projected employment numbers at 10,680. Healthcare Support Occupations are expected to employ as many as 5,970 workers in 2014 up from the 4,570 workers in 2004. Cape Fear Allied Health RSP Grant Application 4

This information also identified Nursing Aides, Orderlies and Attendants and Medical Assistants as growth occupations. Nursing Aides, etc. show total growth openings of 370 with a total percentage of 24.03% and Medical Assistants show total growth openings of 270 with a percent change of 54%. Although demand for allied health professionals varies across North Carolina, an analysis by the April 2007 “Allied Health Job Vacancy Tracking Report” from the Cecil G. Sheps Center for Health Services Research indicates that eastern and southeastern counties have the highest vacancy rates relative to population size. Wages for allied health professionals in North Carolina in 2005 were: Mean Hourly Wage--$18.88 and Mean Annual Wage--$39,647. Source: Bureau of Labor Statistics/Occupational Employment Statistics/State Cross-Industry Estimates 1999-2005. Information provided by NAICS Employment and Wages show the average annual wage for employees for the allied health employment sectors in the Cape Fear Area: offices of other health practitioners--$32,869; Outpatient Care Centers--$37,378, Medical and Diagnostic Laboratories--$53,587; Home Health Care Services—17,432; Other Ambulatory Health Care Services--$28,420; Nursing Care Facilities--$22,342; Community Care Facility for the Elderly--$19,308; Other Residential Care Facilities-$20,119; Emergency and Other Relief Services--$19,465. (Numbers were rounded up.) Southeastern North Carolina’s need for allied health professionals will increase fueled in part by the growing aging population. As more and more individuals retire to the counties located in the Cape Fear Allied Health Planning Region the need for healthcare and allied health professionals will increase. Individuals ages 55 and older represent 28% of the population for Brunswick, New Hanover and Pender counties based on data provided by the Star News local newspaper using US Census Data and NC State Data Center information. The total population for the counties was 327,809; total population 55 years of age and older—91,388. The newspaper article inserted below provides an example of the need for physicians and the accompanying need for allied healthcare personnel in Southeastern North Carolina. Article published Aug 18, 2007 in the Star News, local newspaper serving Wilmington, New Hanover, Brunswick and Pender Counties Davis Health Care to help train future doctors in geriatric care Dr. Marsha Fretwell strolled into a room at Davis Health Care Center and crouched down so she would be face to face with a 92-year-old woman. "My name is Fretwell," she told the woman seated in a chair. "That doesn't mean fretting. It means fresh water." "Oh good," said Margaret Batogowski, cupping Fretwell's face with arthritic hands as if greeting a grandchild. Fretwell, a geriatrician who serves most of the patients at Davis, was doing rounds Wednesday. In less than an hour, she saw two patients and stopped to say hello to two others. Later, a man joked with his doctor while leaning at a nursing station. Cape Fear Allied Health RSP Grant Application 5

"You stood me up Monday," he told Fretwell, ribbing her for not seeing him during rounds the other day. Fretwell paused to think. "I was out here," she said. "I didn't see you. I am very sorry." Even with Fretwell, who had a medical resident and nurse practitioner in tow, it's still not enough to serve the center's 300-plus seniors. But Davis Health Care Center hopes to help reduce that trend with a new program for medical residents to be exposed to the field of geriatrics, the specialty of treating the elderly. The program will start later this month, and it is the first nursing home in Southeastern North Carolina to be directly involved with training future doctors in this field. ''The geriatrician will look at the overall resident," said Sue Rawls, Davis administrator. "He won't look at heart or lung or arthritis. The geriatric residents look at the overall care." Additionally, geriatricians, such as Fretwell, will be on site at the Davis campus to serve patients and supervise students. The shortage of doctors who specialize in treating the elderly extends well beyond Davis, Wilmington and even the state. In Wilmington, there are five geriatricians to serve the senior population, Fretwell and other geriatricians estimated. The 2005 U.S. Census American Community Survey estimated the senior population is 12,522. That would be one geriatrician for every 2,504 people aged 65 and older. Brunswick County has a population of 15,830 seniors while Pender has 5,780, census figures show. The number of geriatricians was not available for the region, according to the N. C. Medical Board. In North Carolina, there were 28 geriatricians licensed to practice in the state in 2005, according to the Medical Board. And in 2005, the U.S. Census Bureau estimates there were 985,875 people older than 65 in 2005. That would be one geriatrician for roughly every 35,210 seniors. As a result, the number of geriatricians hasn't kept pace with the growing senior population, health experts said. So Davis Health Care Center decided to team up with the Coastal Area Health Education Center to train future geriatricians because of the shortage, Davis administrators said. "Davis Center is a perfect, fertile teaching ground simply because they have all aspects of adult care services on their campus," said Dr. Mark Darrow, president and chief executive officer for Coastal Area Health Education Center and a geriatrician. Coastal AHEC works with New Hanover Regional Medical Center to educate medical residents. Plus, ''we are one of the very few facilities that has a dementia unit," Rawls said. "As part of their rotation and training, they will be exposed to that too." Darrow and Fretwell hope to develop a fellowship in the future to attract more students. In the meantime, Fretwell cares for the elderly. During rounds, she strolled quickly past a woman in a wheelchair, then turned around suddenly to face her. . "Oh there she is!" Fretwell said, running back to the woman to lean over and give her a hug. "She had her 100th birthday ... weeks ago and then she almost died." Then, just as quickly, Fretwell bid farewell to see other patients. "I love what I do and I think there are a lot of people who enjoy taking care of older people," she said.

2. Describe the problems and challenges affecting employers and workers in the allied health sector in the defined region. Describe how the development of a Regional Skills Partnership and the potential development of an allied health sector

Cape Fear Allied Health RSP Grant Application 6

strategy implementation plan can address the needs of the region’s employers and workers.
The allied health sector for employers in the Cape Fear Allied Health Planning Region is affected by problems of retention, adequately trained staff, the availability of qualified staff, and attrition. Workers and potential allied health personnel face issues of salary and benefits particularly at the entry-level, lack of a career ladder for advancement, inability to get training for needed advancement because of the need to work while in training, lack of classroom space/faculty shortage. The development of a Cape Fear Regional Skills Partnership will allow for the development of a coordinated strategy aimed at addressing the allied healthcare needs of the Region. Currently, each employer knows what their individual experience is with obtaining skilled allied healthcare workers, with retention, with attrition, with a competitive payment and compensation package. For the workers, the development of a coordinated strategy will address concerns around payment and benefits, training both prior to and after employment and career advancement. Communication which is key to developing a strategy will be facilitated when all of the partners are at the table and each has a stake in the success of this initiative. The Regional Skills Partnership will provide an opportunity to establish common goals and objectives that will enhance the quality of healthcare in the Region. Without which, each employer and each worker will do what is necessary for individual survival. In the instance of the Davis partnership with AHEC, it satisfies the particular need of a particular healthcare facility. However, a collective effort will provide a strategy for advancing the region as a whole. The Region is interconnected as evidenced by the commuting patterns discussed earlier in this narrative. Economic boundaries are fluid. Without a focus on regional issues and regional solutions, it will be more difficult to find solutions to the challenges. Together, the Regional Skills Partnership can work to solve the needs of the employers and workers and fill the needs for allied healthcare personnel in Southeastern North Carolina. The April 2007 “Allied Health Job Vacancy Tracking Report” from the Cecil G. Sheps Center for Health Services Research suggests that the formation of regional partnerships “create opportunities for better collaboration between health workforce entities and workforce development boards.” The supply and distribution of allied health professionals is a challenge faced throughout the state of North Carolina and especially in southeastern North Carolina. As stated in the April 2007 “Allied Health Job Vacancy Tracking Report” from the Cecil G. Sheps Center for Health Services Research, areas with higher population densities will have higher demands for health care services and generally have a better supply of allied health professionals. According to the report, North Carolina had an average 2.4 allied health vacancies per 10,000 population. Based on job advertisements between September 24, 2006 and November 26, 2006, the Cape Fear RSP region had the second largest demand for allied health professionals in the state.

Cape Fear Allied Health RSP Grant Application 7

During the research time period, this region advertised for 133 allied health vacancies. The largest percentages of ads were for Medical Assistants (23%), Physical Therapists (22%) and Physical Therapist Assistants (18%). The need for Medical Assistants and Physical Therapist Assistants was far greater than the majority of the state’s average of 8% vacancies respectively. EMT vacancies comprised 6%, Imaging vacancies comprised 3%, Medical Technician vacancies comprised 5%, Medical Technologist vacancies comprised 4%, Occupational Therapist vacancies comprised 10%, Occupational Therapy Assistant vacancies comprised 3%, Recreation Therapist vacancies comprised 2%, Respiratory Therapist vacancies comprised 3% and Speech-Language Pathologist vacancies comprised 2% of the allied health advertisements. Currently the ratio of allied health vacancies to the region’s percentage of population ranges from 2% to 17% with Medical Assistants, Physical Therapist Assistants and Recreation Therapists being the top three voids.

3. Identify the current members of the partnership (industry, employers, and others) and describe what role they will play in the success of the planning grant and achievement of the desired outcomes. Attach letters of commitment from the partners that describe their level of involvement in the initiative. Describe other organizations the RSP should include and how they will be identified and recruited.
Current Cape Fear Allied Health RSP Advisory Committee members are Davis Health Care Center and New Hanover Regional Medical Center, both employers of Allied Health workers. Other current members include the Cape Fear Council of Governments, Cape Fear Workforce Development Board, Coastal AHEC, Brunswick Community College, Miller Motte Technical College, Southeastern Community College, and Cape Fear Community College. The potential members of the partnership are identified in the following table. This list includes businesses, members of the allied healthcare industry, training institutions, employers of allied health personnel, and interested citizens. These individuals, currently involved at county level partnerships, will be invited to work on developing regional strategies. Agencies also invited to join the Cape Fear RSP will include Economic Development Boards, Chambers of Commerce, the Cape Fear Area Agency on Aging, the Northside Resource Center, and other businesses, agencies, and individuals identified by the current and potential RSP including members of the print and televised media. Businesses/employers are essential to the planning and the implementation of the Regional Skills Partnership. The Cape Fear Council of Governments and the Coastal AHEC are the initial conveners of the Regional Skills Partnership; however, this Partnership will be business led. This is a working partnership with each member serving on a subcommittee and each individual/organization having a stake in the success of the partnership. The role of the RSP will be to determine the specific allied health needs of the Cape Fear, identify occupational/skill shortages, develop in concert with the community colleges and other training providers required courses/curricula, serve as or locate clinical sites for trainees, market the allied health profession to young adults in local high schools, out-of-school youth, dislocated workers and others, develop apprenticeships with local employers as another method of promoting training, resolve the challenges of salary and benefits, promote career ladders, develop strategies for sustainability and other initiatives developed by the RSP. Cape Fear Allied Health RSP Grant Application 8

Business
Teresa Allen, Recruitment & Inservice Coordinator Interim Health Care PO Box 1557 Whiteville, NC 28472 Stella Babson, Director of Nursing Autumn Nursing & Rehab Center PO Box 2307 Shallotte, NC 28459 Sharon Benson, RN Lead Patient Care Coordinator Liberty Home Care PO Box 200 Supply, NC 28462 Jan Bowie, RN In Home Aide Program Director Assisted Care Health & Home Care Specialists PO Box 767, Supply, NC 28462 Christina Bowling, RN Director of Nursing Ocean Trail Convalescent Center PO Box 10249 Southport, NC 28461 Jannette Brown, RN Hospice/Home Health Liaison Liberty Home Care & Hospice PO Box 200 Supply, NC 28462 Kristi Cannon, Patient Care Coordinator Liberty Home Care PO Box 200 Supply, NC 28462 Debra Moser, RN-Case Manager Assisted Care Health & Home Care Specialists PO Box 767 Supply, NC 28462 Tammy McPherson Columbus County Community Health Center 209 West Virgil St. Whiteville, NC 28472 Connie Shea, RN Senior Director of Hospital Operations J.A Dosher Memorial Hospital 924 Howe Street Southport, NC 28461 Amanda Simmons Allied Home Health Care 143 Holden Beach Rd., Suite 1A Shallotte, NC 28459

Business
Grace Clemmons, RN Allied Home Health Care 817 South Madison Street, Suite B Whiteville, NC 28472 Eddie Dotson, Administrator Shallotte Assisted Living PO Box 1559 Shallotte, NC 28459 Lynda Stanley Laboratory Director J.A. Dosher Memorial Hospital 924 Howe Street Southport, NC 28461 Ted Horton, Director of Clinical Services WellCare & Nursing Service, Inc. 2715 Ashton, Dr., Suite 200 Wilmington, NC Jennifer Potter, PCC Liberty Nursing Service PO Box 200 Supply, NC 28462 Colleen Farguharson, RN Director of Nursing Brunswick Community Hospital PO Box 139 Supply, NC 28462 Mett Ausley, MD Laboratory Director Columbus County Hospital 500 Jefferson Street Whiteville, NC 28472 Karen Penya, RN Assistant VP of Nursing New Hanover Health Network PO Box 9000 2131 S. 17th Street Wilmington, NC 28402 Steve Smith Interim Health Care 301 Liberty Street P. O. Box 2249, Whiteville, NC 28472 Duplin General Hospital PO Box 278 Kenansville, NC 28349

Business
Barbara Godwin, RN Patient Care Coordinator Lower Cape Fear Hospice PO Box 636 Whiteville, NC 28472 Martha Eaton, RN MDS Coordinator Ocean Trail Convalescent Center PO Box 10249 Southport, NC 28461 Michelle Todd, PCC Coordinator Liberty Home Care PO Box 200 Supply, NC 28462 Shaunna Johnson, LPN Office Manager Shallotte Urgent Care 110-2 Shallotte Crossing Parkway Shallotte, NC 28470 Cindy Rucker, Director of Nursing Brunswick Cove Nursing Center PO Box 916 Leland, NC 28451 Randy Litzenberger, Laboratory Manager Brunswick Community Hospital PO Box 139 Supply, NC 28462 Melanie Long, LPN Administrator Ocean Train Convalescent Center PO Box 10249 Southport, NC 28461 Davis Health Care Center 1011 Porters Neck Road Wilmington, NC 28411 New Hanover Regional Medical Center PO Box 9000 Wilmington, NC 28402 Well-Care Home Management 112 Washington St. Whiteville, NC 28472

Lori Todd, Administrator DaVita Inc 4700 Shallotte Ave. Shallotte, NC 28459

Susan Hamilton, RN Director of Nursing Columbus Regional Healthcare System 500 Jefferson Street, Whiteville, NC

Cape Fear Allied Health RSP Grant Application 9

Tammy Stanley, RN Brunswick Community Hospital 5679 Kingtown Rd NW Ash, NC 28420 Deborah Vaughan Patient Care Coordinator Liberty Hospice PO box 200 Supply, NC 28462 Karen Pleva, RN New Hanover Health Network P. O. Box 9000, Wilmington, NC 28402 Paul Gerald, Manager Cape Fear WDB G&G Health Care 805 South Madison Street Whiteville, NC 28472 Carmelita Jacobs Laboratory Manager Brunswick Community Hospital P.O. Box 139 Supply, NC 28462

Robert Zukoski, Physician Private Practice 904 Howe Street Southport, NC 28461 Sheila Faulk, RN, Liberty Home Care 46 McNeill Plaza Whiteville, NC 28472 Janella Bowie Liberty Commons 1402 Pinckney Street Whiteville, NC 28472 Kitty Boykin Phlebotomy Supervisor Columbus Regional Healthcare System 500 Jefferson Street Whiteville, NC 28472 Elizabeth Fowler Blood Bank Supervisor Columbus Regional Healthcare System 500 Jefferson Street Whiteville, NC 28472

Linda Parnell Premier Living 106 Cameron Street Lake Waccamaw, NC 28450 Delores Wright Shoreland Health Care 200 Flowers-Pridgen Drive Whiteville, NC 28472 Phyllis Nealy Interim Health Care 301 Liberty Street P. O. Box 2249, Whiteville, NC 28472 Janet Royal Laboratory Manager Columbus Regional Healthcare System 500 Jefferson Street Whiteville, NC 28472 Lu Ann Stockton Laboratory Manager Pender Memorial Hospital 507 E. Fremont Street Burgaw, NC 28425

Education
Angie McDuffie Southeastern Community College P. O. Box 151, Whiteville, NC 28472 Beverlee Nance Southeastern Community College P. O. Box 151, Whiteville, NC 28472 University of North Carolina at Wilmington 601 South College Road Wilmington, NC 28403 Patricia Wright MLT/PBT Program Director Southeastern Community College P.O. Box 151 Whiteville, NC 28472 Tanya Bellamy MLT/PBT Instructor Southeastern Community College P.O. Box 151 Whiteville, NC 28472 Teresa Triplett Southeastern Community College P. O. Box 151, Whiteville, NC 28472

Education
Jerry Thrift Cape Fear WDB Brunswick Community College PO Box 30 Supply, NC 28462 Miller-Motte Technical College 5000 Market Street Wilmington, NC 28405 Ann Liebermann, RN Health Occupations Instructor North Brunswick High School 114 Scorpion Drive Leland, NC 28451 Peggy Blackmon Dean of Allied Health Southeastern Community College P.O. Box 151 Whiteville, NC 28472 Jeanette Mintz, RN Health Occupations Instructor West Brunswick high School 550 Whiteville Road, NW Shallotte, NC 28470

Education
Clarence Smith Dean of Continuing Education Cape Fear Community College 411 North Front Street Wilmington, NC 28401 James Sprunt Community College 133 James Sprunt Drive Kenansville, NC 28349 Diane Batounis, RN Health Occupations Instructor South Brunswick High School 280 Cougar Drive, BSL Southport, NC 28461 Dawn Caines MLT/PBT Instructor Southeastern Community College P.O. Box 151 Whiteville, NC 28472 Kathy Frye, RN Health Occupations Instructor West Brunswick High School 550 Whiteville Road, NW Shallotte, NC 28470

Agencies
Lyn Keating Coastal AHEC

Agencies
Eli Smith, Manager Brunswick County ESC/JobLink

Agencies
Carolyn Hunt Crocker NC Commission on Indian Affairs

Cape Fear Allied Health RSP Grant Application 10

2131 South 17th Street Wilmington, NC 28401 Pender Economic Development Alliance-Healthcare 100 Industrial Drive Burgaw, NC 28425 Coastal Carolinas Health Alliance 5305-D Wrightsville Ave Wilmington, NC 28403 Theresa Smith , RN, Director Columbus County Home Health P.O. Box 810, Whiteville, NC 28472

5300-7 Main Street Shallotte, NC 28470 Rosemary Pittman Pender County ESC/JobLink 105 Courthouse Avenue Burgaw, NC 28425 Walker Biggs, Manager New Hanover County ESC/JobLink 717 Market Street Wilmington, NC 28401 Melissa Memoli, RN Community Home Care and Hospice 112 Premiere Plaza Whiteville, NC 28472 Ed Worley, Director Columbus County Dept of Aging P. O. Box 1187 Whiteville, NC 28472 Janice Deas, LPN PPO Box 10323 Southport, NC 28461

Columbus County Dept of Aging Susan Shipman P. O. Box 1187, Whiteville, NC 28472 Kim Smith, Director Columbus County Health Department P.O. Box 810 Whiteville, NC 28472

PO Box 69 Bolton, NC 28423 Amy Knight , RN Advantage Hospice 427 S. Madison Street Whiteville, NC 28472 Victoria Smith, RN Nursing Director/Lab Director Brunswick County Health Department PO Office Box 9 Bolivia, NC 28422 Randy Williams 1997 MLT Graduate Columbus County Health Department 304 Jefferson Street Whiteville, NC 28472 Lee Curry, In Home Aide Supervisor Department of Social Services PO Box 219 Bolivia, NC 28422 Jane Jones, AAA Administrator Area Agency on Aging/CF COG 1480 Harbour Drive, Wilmington NC 28401

4. Outline the goals, work plan and outcomes for the period of the planning grant. Include proposed activities, a timeline for each activity, and individuals or organizations responsible for carrying out the activities. The goals, work plan and outcomes for the period of the planning grant should result, at a minimum, in the outcomes described on Page 7 of the guideline section of this document. GOAL
Organize Cape Fear RSP. Objective: Engage key stakeholders in Cape Fear Allied Health initiative Establish governing structure for the Cape Fear Allied Health RSP Define the Allied Health issues for the Cape Fear RSP

WORKPLAN
Contact and recruit key stakeholders for RSP through media, email, letters and other marketing efforts. Develop Cape Fear AHRSP Charter & protocols for group operation & functioning Beginning with the issues identified in this Application, identify additional allied

OUTCOME
Establish Cape Fear Allied Health RSP Planning Group

RESPONSIBILITY
Workforce Development Coastal AHEC

DUE DATE
October-November 2007

Develop Group Purpose & Operational Functioning Procedures Clear understanding of the allied health issues the Cape Fear RSP will

Consultant RSP Committee

November— December 2007

Consultant RSP Committee

December 2007— January 2008

Cape Fear Allied Health RSP Grant Application 11

health issues the RSP wants to pursue.

undertake and develop process and procedures for resolution Each subcommittee to develop a charter and protocols for working on the assigned issue Convener of the Cape Fear RSP & providing support to ensure group stays on track

Establish RSP subcommittees to work on each issue identified

RSP Subcommittee members

Selection of Workforce Intermediary for the Cape Fear Regional Skills Partnership

Subcommittees define the need and present strategies for resolution

Group to select WI from among the business representatives on the RSP or a business volunteer emerges to act as the Workforce Intermediary Subcommittees meet to work on the specific allied health issues identified

RSP Committee

February 2008

Subcommittee s develop deliverables for each allied health issue. Subcommittee s present strategies for the resolution of identified allied health issues Present the Cape Fear Allied Health Implementatio n Plan to the Communities in the 5 county area for input /Present to the Cape Fear WDB for input Submit to the Division of Workforce

Consultant working with the RSP Subcommittees

February— September 2008

Development of Cape Fear RSP Implementatio n Plan

Subcommittee reports are presented & incorporated into the DRAFT implementation plan, reviewed by the RSP, revised as required Review Implementation Plan & input

RSP Subcommittee Chairs Consultant Workforce Development Director Coastal AHEC Consultant RSP Workforce Dev.

September —October 2008

Submit Cape Fear Allied Health RSP

October— November 2008

Cape Fear Allied Health RSP Grant Application 12

Plan to the Division of Workforce Development

Develop Sustainability Plan

Develop longterm viability for the Cape Fear Allied Health Care initiative

Implement Cape Fear Allied Health RSP Plan

comments from the community & the Cape Fear WDB. Submit Plan to RSP for final approval/Submit to the Cape Fear WDB for final approval Review ways/strategies to provide resources for the implementation of the Cape Fear Allied Health plan. Work with employers/busine sses that have a vested interest in training allied health workers Cape Fear WDB makes the RSP a committee of the Cape Fear WDB with members appointed by the Board & confirmed by the Cape Fear Workforce Consortium Develop Action Steps to implement the Cape Fear Allied Health Plan

Development

Coastal AHEC

Develop plan to continue the RSP Committee to oversee the plan implementatio n

Consultant/ Workforce Development/ Coastal AHEC/RSP

November 2007–

The Cape Fear Allied Health RSP becomes a committee of the Board, providing reports to the Board at stated intervals Implement Cape Fear Allied Health Regional Plan

Cape Fear WDB Workforce Director

November 2007-

RSP Committee/ Workforce Development/ Business Community/Trainin g Providers

December 2008--

Although the core partners have developed general goals for the Cape Fear Allied Health Regional Partnership it will depend on the larger group to come to a consensus on the direction the RSP will take. This allows everyone to feel a sense of ownership and perhaps a willingness to make the commitments necessary to ensure the success and ultimate sustainability of the project.

Cape Fear Allied Health RSP Grant Application 13

Regional Skills Partnership Planning Grant
Application Budget
Category A. Contracted Services B. Travel (Include Learning Exchange Expenses) C. Materials/Supplies D. Space/Utilities E. Staff Salaries F. Staff Fringe Benefits G. Other Expenses TOTAL Costs $32,100 $7,965 $750 $2,925 $0 $0 $11,260 $55,000 Other Resources

$6,500 $2,000

$8,500

Attach budget narrative as described in application guidelines.
Organization serving as Fiscal Agent: Cape Fear Council of Governments Fiscal Agent Contact Information: Name: AJ McClure Title: Deputy Director/Finance Director Address: Cape Fear Council of Governments, 1480 Harbour Drive, Wilmington, NC 28401 Phone: (910)-395-4553 FAX: (910) 395-2684 Email: amcclure@capefearcog.org

For Internal Use Only: Approved: __________ Date: ______________

Cape Fear Allied Health RSP Grant Application 14

Cape Fear Allied Health Regional Skills Partnership Budget Narrative A. Contracted Services: The Cape Fear Allied Health RSP will hire a consultant to work as a facilitator with the RSP to develop the RSP and subcommittee charters, to provide ongoing work with the committee and subcommittees as they frame their initiative and develop strategies. This individual will have a strong background in building group consensus and keeping the group focused. The Consultant proposed is Rob Gerlach of the VTA (Vision to Action) Group. The VTA Group is a company specializing in collaborative problem solving and helping leadership groups achieve extraordinary results. Mr. Rob Gerlach, President has served as Chairman of the Greater Wilmington Chamber of Commerce, a member of the Wilmington Industrial Development Board and is co- founder and member of the leadership team, Partners for Economic Inclusion to name a few of his interests. We will contract with a second individual in an administrative capacity to function as the administrative assistant. The Administrative Assistant will be responsible for the functioning of the RSP committee and subcommittees which includes arranging meetings, notifying members of meetings, minutes, and other functions related to committee operations including preparing the implementation plan. This individual will work closely with the consultant, the Cape Fear Allied Health Regional Partnership, the Workforce Development Director and the Cape Fear Workforce Development Board.
ITEM Consultant—VTA Group $75/hr X 3hrs X 56 meetings Administrative Assistant $15/hr X 20hrs/week X 65 weeks PROJECTED COST $12,600 $19,500

B. Travel (Include Learning Exchange Expenses): Travel expenses include mileage for RSP Committee and subcommittee meetings, meetings with allied health professionals and others involved in the allied health profession including but not limited to training facilities and others. Travel expense projections include travel for the Learning Exchange, attendance at the North Carolina Council of Allied Health by the Workforce Director, the Administrative Assistant and a RSP Committee member. The North Carolina Allied health Council meeting every other month provides information from the educational, employer and practitioner perspective. It is projected that the Workforce Director and the
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Administrative Assistant will attend 56 meetings over 15 months for an average of 75 miles. In addition to the 56 meetings the Workforce Director and the Administrative Assistant will conduct 10 site visits. The land area covered by the Cape Fear Allied Health RSP is 3,681 square miles. Representation from and coordination with each county is necessary to insure the effective and success of this initiative.
ITEM CFCOG Workforce Development Director 56 Meetings+10 Site Visits X 75 average miles X $ .485/mile RSP Administrative Assistant 56 Meetings+10 Site Visits X 75 average miles X $ .485/mile RSP Community Members (Community Participants) 5 Members X 15 Meetings X 75 average miles X $.485/mile RSP Committee to Out-of-Area Meetings 3 Members X 4 Meetings X 75 average miles X $.485/mile PROJECTED COST $2,400 $2,400 $2,728

$437

C. Materials/Supplies: Office supplies for the administrative assistant
ITEM Office Supplies @ $50/month x 15 months PROJECTED COST $750

D. Space and Utilities:
ITEM Office space @ Cape Fear COG for Administrative Assistant. Includes office space/housekeeping/water/sewer/el ectricity Estimated @ $195/month for 15 months PROJECTED COST $2,925

E. Staff Salaries: In-kind (Cape Fear Council of Governments/Workforce Development Director)
ITEM Staff Salary/Workforce Development Director PROJECTED COST $6,500

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2716.08 X 30=81482 X .08= 6518

F. Staff Fringe Benefits: In kind (Cape Fear Council of Governments/Workforce Development Director)
ITEM Staff Fringes/Workforce Development Director 81482 X .3057= 24909 X .08 = 1993 PROJECTED COST $2,000

G. Other Expenses: Other expenses includes such items as payment for the fiscal agent, providing teleconferencing connections to the RSP for meetings for those who wish to be involved in a particular meeting but unable to do; providing materials for the community meetings to be held in each county to gather citizen input; meeting materials for the RSP and for subcommittee meetings, and communication expenses for the Administrative Assistant.
ITEM Fiscal Agent—Cape Fear Council of Governments Teleconferencing Community Meetings—Meeting materials/5 meetings—one per county @ $300/meeting RSP/Subcommittee meeting materials/Project 15 RSP meetings/Project 3 Subcommittees with 12 meetings for total of 36 meetings @ $50/meeting Communications—Fax, telephone, internet, postage Expenses associated with the Administrative Assistant PROJECTED COST $5,000 $300 $1,500 $2,550 $1,910

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