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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

amy.nickerson@dail.state.vt.us