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Leading for Change: Vermont’s OAA Nutrition Program. Amy Nickerson, MS, RD, CD Senior Planner Vermont Department of Disabilities, Aging & Independent Living 4th State Units on Aging Nutritionists & Administrators Conference August 2006. What were/are SUA expectations?.

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Leading for change vermont s oaa nutrition program

Leading for Change: Vermont’s OAA Nutrition Program

Amy Nickerson, MS, RD, CD

Senior Planner

Vermont Department of Disabilities, Aging & Independent Living

4th State Units on Aging Nutritionists & Administrators ConferenceAugust 2006


What were are sua expectations
What were/are SUA expectations?

Initially (meal program):

  • Menu review/meal site visits & monitoring

  • Respond to AAA request for technical assistance

    Eventually (nutrition program)

  • Build capacity @ AAA level for provision of nutrition services: nutrition screening (including follow up), nutrition ed & nutrition counseling

  • Provide in-service education training to NP providers, AAA & HHA case managers, AAA nutrition program staff

  • Develop NP monitoring protocol & tool for AAA use with providers

  • Area Plan and State Plan on Aging input/feedback


What are sua expectations
What are SUA expectations?

Presently (nutrition & healthy aging)

  • Administer/oversee all things food and nutrition

    • OAA Nutrition Program (planning, implementation, training, monitoring, evaluation)

      • Nutrition Program administration

      • Health promotion/disease prevention

        • Collaboration with VT Department of Health

          • Blueprint for Health

    • Food Stamp Outreach

    • Commodity Supplemental Food Program

    • Senior Farmers’ Market Nutrition Program


What are sua expectations1
What are SUA expectations?

Presently (continued)

  • Provide input/perspective for DAIL policy/procedure/system food and nutrition changes as they relate to health & well-being of older adults

  • Administer AoA Senior Center Earmark grant

  • Provide input/guidance to Governor’s Commission on Healthy Aging

  • Provide input/guidance on food and nutrition policies/regs for: PACE, RCH, Adult Day, Nursing Facilities, Assisted Living

  • Develop statewide nutrition/health messages that are consistent and across the lifespan (SNAP)


What are sua expectations2
What are SUA expectations?

Future (comprehensive linkages of nutrition, physical activity &food security initiatives/services/programs that promote independent living)

  • Continue to administer OAA Nutrition Program

    • Program planning, implementation, monitoring & evaluation

  • Continue with all things food and nutrition for target populations, including access to food and physical activity programs

  • Collaborate with the Health Department to promote older adult health & reduce burden of chronic disease


What are sua expectations3
What are SUA expectations?

Future (continued)

  • Bring EBP into VT’s network of aging service providers

  • Develop capacity for HP/DP initiatives for adults with disabilities

  • Identify ways to support senior centers

  • Build capacity for prevention into Choices for Care (1115 waiver)


Healthy aging initiative in vt unexpected change
Healthy Aging Initiative in VT: Unexpected Change

Vermont’s Evolution of OAA HP/DP initiatives

  • SAIL (multidisciplinary in the trenches providers): 2000 - 2006

  • Governor’s Commission on Healthy Aging (think tank; policy): 2006 - 2010

  • Isolated, disconnected efforts; attempt to rely on VT’s Blueprint for Health to pull it together (VDH/Governor initiative): 2006 - ?


What does amy think she should be doing
What Does Amy Think She Should Be Doing?

  • Continue involvement with any programmatic or system initiative that impacts food, nutrition and health status of older adults (be at the table)

    • Adult Day Sites, Nursing Facilities, Res Care Homes, Assisted Living Facilities

    • PACE – VT

    • Cash & Counseling/Consumer Directed Service

    • Real Choices Systems Change

      • Health & Long Term Care Integration Project


What does amy think she should be doing1
What Does Amy Think She Should Be Doing?

  • OAA Nutrition Program

    • Write the nutrition and HP/DP sections of State Plan on Aging

    • Provide input on Area Plan on Aging process & review the AP’s submitted by AAA’s (nutrition, HP/DP sections)

    • Develop AAA NP monitoring protocol and OAA Policy and Procedures

    • Provide TA to AAA NP staff & consulting RD’s

    • Innovative statewide training for nutrition providers/contractors, case managers

    • Promote statewide nutrition education plan/toolkit

    • Evaluate nutrition/HP/DP programs and services


What does amy think she should be doing2
What Does Amy Think She Should Be Doing?

  • Provide training & TA for HCBS & facility-based LTC consulting RD’s

  • Active involvement Governor’s Commission on Healthy Aging

  • Promote EBP Programs

  • UVM Center for Aging

  • UVM Dietetic Internship/MS program

  • Track program outcomes and tell the story (report data)

  • Convince DAIL management that additional RD staffing is needed


How will amy get there
How Will Amy Get There?

  • Patience

  • Tireless advocacy

  • Communicate with providers & their consultants

  • Network with other SUA nutritionists and GN HCBS members

  • Document unmet need

  • Continue triage skills

  • Keep my ears open

  • Recognize time constraints for involvement with programs/initiatives


Thanks
Thanks!

Amy Nickerson, MS, RD, CD

Senior Planner

Vermont Dept of Disabilities, Aging & Independent Living

103 South Main Street Weeks Building

Waterbury, VT 05671-1601

Phone: 802-241-2930

Fax: 802-241-4224

[email protected]


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