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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 non-
metropolitan 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: INTO Columbus County from:

New Hanover 1,096 Brunswick 571
Brunswick 1,020 New Hanover 433
Pender 62

Commuting patterns for Duplin County

OUT of Duplin County to: INTO Duplin County from:

Cape Fear Allied Health RSP Grant Application

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

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: INTO Pender County from:

New Hanover 8,083 New Hanover 1,353
Duplin 868 Duplin 605
Brunswick 378 Brunswick 202
Source: 2000 US Census.

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

July 2007 July 2010
Brunswick 100,107 111,076
Columbus 55,087 55,616
Duplin 53,640 55,863
New Hanover 188,206 201,313
Pender 50,757 55,185
Cape Fear AHPR Total 444,797 479,053
North Carolina 8,968,800 9,485,138

The Information displayed in the table is as of July 11, 2007

following Source: NC State Demographics, County/State Projections
table provides data on the labor force for the Cape Fear Allied Health Planning

Civilian Labor Unemployment

COUNTY Employment Unemployment
Force Rate
June June June June June June June June
2006 2007 2006 2007 2006 2007 2006 2007
Brunswick 45,839 47,902 43,741 45,642 2,098 2,260 4.6% 4.7%
Columbus 24,070 24,168 22,663 22,707 1,407 1,461 5.8% 6.0%
Duplin 24,265 24,018 23,013 2,2824 1,252 1,194 5.2% 5.0%
104,996 109,590 100,910 108,298 4,086 4,292 3.9% 3.9%
Pender 23,085 24,800 22,568 23,508 1,117 1,101 4.7% 4.5%
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

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 Percent Annual Annual

Annual of Total Growth Replaceme
Openings Openings Openings nt
Healthcare Practitioners &
350 5.89% 230 120
Technical Occupations
Healthcare Support
200 3.37% 140 60

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

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
Later, a man joked with his doctor while leaning at a nursing station.

Cape Fear Allied Health RSP Grant Application

"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

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

strategy implementation plan can address the needs of the region’s employers and

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

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

Cape Fear Allied Health RSP Grant Application

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

Business Business Business
Teresa Allen, Recruitment & In- Grace Clemmons, RN Barbara Godwin, RN
service Coordinator Allied Home Health Care Patient Care Coordinator
Interim Health Care 817 South Madison Street, Suite B Lower Cape Fear Hospice
PO Box 1557 Whiteville, NC Whiteville, NC 28472 PO Box 636 Whiteville, NC 28472
Stella Babson, Director of Nursing Eddie Dotson, Administrator Martha Eaton, RN
Autumn Nursing & Rehab Center Shallotte Assisted Living MDS Coordinator
PO Box 2307 PO Box 1559 Ocean Trail Convalescent Center
Shallotte, NC 28459 Shallotte, NC 28459 PO Box 10249 Southport, NC
Sharon Benson, RN Lynda Stanley Michelle Todd, PCC Coordinator
Lead Patient Care Coordinator Laboratory Director Liberty Home Care
Liberty Home Care J.A. Dosher Memorial Hospital PO Box 200
PO Box 200 Supply, NC 28462 924 Howe Street Southport, NC Supply, NC 28462
Jan Bowie, RN Ted Horton, Director of Clinical Shaunna Johnson, LPN
In Home Aide Program Director Services Office Manager
Assisted Care Health & Home WellCare & Nursing Service, Inc. Shallotte Urgent Care
Care Specialists 2715 Ashton, Dr., Suite 200 110-2 Shallotte Crossing Parkway
PO Box 767, Supply, NC 28462 Wilmington, NC Shallotte, NC 28470
Christina Bowling, RN Jennifer Potter, PCC Cindy Rucker, Director of Nursing
Director of Nursing Liberty Nursing Service Brunswick Cove Nursing Center
Ocean Trail Convalescent Center PO Box 200 PO Box 916
PO Box 10249 Southport, NC Supply, NC 28462 Leland, NC 28451
Jannette Brown, RN Colleen Farguharson, RN Randy Litzenberger, Laboratory
Hospice/Home Health Liaison Director of Nursing Manager
Liberty Home Care & Hospice Brunswick Community Hospital Brunswick Community Hospital
PO Box 200 PO Box 139 PO Box 139
Supply, NC 28462 Supply, NC 28462 Supply, NC 28462
Kristi Cannon, Patient Care Mett Ausley, MD Melanie Long, LPN
Coordinator Laboratory Director Administrator
Liberty Home Care Columbus County Hospital Ocean Train Convalescent Center
PO Box 200 500 Jefferson Street PO Box 10249
Supply, NC 28462 Whiteville, NC 28472 Southport, NC 28461
Debra Moser, RN-Case Manager Karen Penya, RN Davis Health Care Center
Assisted Care Health & Home Assistant VP of Nursing 1011 Porters Neck Road
Care Specialists New Hanover Health Network Wilmington, NC 28411
PO Box 767 PO Box 9000 2131 S. 17th Street
Supply, NC 28462 Wilmington, NC 28402
Tammy McPherson Steve Smith New Hanover Regional Medical
Columbus County Community Interim Health Care Center
Health Center 301 Liberty Street PO Box 9000
209 West Virgil St. P. O. Box 2249, Whiteville, NC Wilmington, NC 28402
Whiteville, NC 28472 28472

Connie Shea, RN Duplin General Hospital Well-Care Home Management

Senior Director of Hospital PO Box 278 112 Washington St.
Operations Kenansville, NC 28349 Whiteville, NC 28472
J.A Dosher Memorial Hospital
924 Howe Street Southport, NC
Amanda Simmons Lori Todd, Administrator Susan Hamilton, RN
Allied Home Health Care DaVita Inc Director of Nursing
143 Holden Beach Rd., Suite 1A 4700 Shallotte Ave. Columbus Regional Healthcare
Shallotte, NC 28459 Shallotte, NC 28459 System
500 Jefferson Street, Whiteville,

Cape Fear Allied Health RSP Grant Application

Tammy Stanley, RN Robert Zukoski, Physician Linda Parnell
Brunswick Community Hospital Private Practice Premier Living
5679 Kingtown Rd NW 904 Howe Street 106 Cameron Street
Ash, NC 28420 Southport, NC 28461 Lake Waccamaw, NC 28450
Deborah Vaughan Sheila Faulk, RN, Delores Wright
Patient Care Coordinator Liberty Home Care Shoreland Health Care
Liberty Hospice 46 McNeill Plaza 200 Flowers-Pridgen Drive
PO box 200 Supply, NC 28462 Whiteville, NC 28472 Whiteville, NC 28472
Karen Pleva, RN Janella Bowie Phyllis Nealy
New Hanover Health Network Liberty Commons Interim Health Care
P. O. Box 9000, Wilmington, NC 1402 Pinckney Street 301 Liberty Street
28402 Whiteville, NC 28472 P. O. Box 2249, Whiteville, NC
Paul Gerald, Manager Kitty Boykin Janet Royal
Cape Fear WDB Phlebotomy Supervisor Laboratory Manager
G&G Health Care Columbus Regional Healthcare Columbus Regional Healthcare
805 South Madison Street System System
Whiteville, NC 28472 500 Jefferson Street 500 Jefferson Street
Whiteville, NC 28472 Whiteville, NC 28472
Carmelita Jacobs Elizabeth Fowler Lu Ann Stockton
Laboratory Manager Blood Bank Supervisor Laboratory Manager
Brunswick Community Hospital Columbus Regional Healthcare Pender Memorial Hospital
P.O. Box 139 System 507 E. Fremont Street
Supply, NC 28462 500 Jefferson Street Burgaw, NC 28425
Whiteville, NC 28472
Education Education Education
Angie McDuffie Jerry Thrift Clarence Smith
Southeastern Community College Cape Fear WDB Dean of Continuing Education
P. O. Box 151, Whiteville, NC Brunswick Community College Cape Fear Community College
28472 PO Box 30 411 North Front Street
Supply, NC 28462 Wilmington, NC 28401

Beverlee Nance Miller-Motte Technical College James Sprunt Community College

Southeastern Community College 5000 Market Street 133 James Sprunt Drive
P. O. Box 151, Whiteville, NC Wilmington, NC 28405 Kenansville, NC 28349
University of North Carolina at Ann Liebermann, RN Diane Batounis, RN
Wilmington Health Occupations Instructor Health Occupations Instructor
601 South College Road North Brunswick High School South Brunswick High School
Wilmington, NC 28403 114 Scorpion Drive Leland, NC 280 Cougar Drive, BSL
28451 Southport, NC 28461

Patricia Wright Peggy Blackmon Dawn Caines

MLT/PBT Program Director Dean of Allied Health MLT/PBT Instructor
Southeastern Community College Southeastern Community College Southeastern Community College
P.O. Box 151 Whiteville, NC P.O. Box 151 Whiteville, NC P.O. Box 151 Whiteville, NC
28472 28472 28472
Tanya Bellamy Jeanette Mintz, RN Kathy Frye, RN
MLT/PBT Instructor Health Occupations Instructor Health Occupations Instructor
Southeastern Community College West Brunswick high School West Brunswick High School
P.O. Box 151 Whiteville, NC 550 Whiteville Road, NW 550 Whiteville Road, NW
28472 Shallotte, NC 28470 Shallotte, NC 28470

Teresa Triplett
Southeastern Community College
P. O. Box 151, Whiteville, NC
Agencies Agencies Agencies
Lyn Keating Eli Smith, Manager Carolyn Hunt Crocker
Coastal AHEC Brunswick County ESC/JobLink NC Commission on Indian Affairs

Cape Fear Allied Health RSP Grant Application

2131 South 17th Street 5300-7 Main Street PO Box 69
Wilmington, NC 28401 Shallotte, NC 28470 Bolton, NC 28423
Pender Economic Development Rosemary Pittman Amy Knight , RN
Alliance-Healthcare Pender County ESC/JobLink Advantage Hospice
100 Industrial Drive 105 Courthouse Avenue 427 S. Madison Street
Burgaw, NC 28425 Burgaw, NC 28425 Whiteville, NC 28472
Coastal Carolinas Health Alliance Walker Biggs, Manager Victoria Smith, RN
5305-D Wrightsville Ave New Hanover County ESC/JobLink Nursing Director/Lab Director
Wilmington, NC 28403 717 Market Street Brunswick County Health
Wilmington, NC 28401 Department
PO Office Box 9 Bolivia, NC 28422
Theresa Smith , RN, Director Melissa Memoli, RN Randy Williams
Columbus County Home Health Community Home Care and 1997 MLT Graduate
P.O. Box 810, Whiteville, NC 28472 Hospice Columbus County Health
112 Premiere Plaza Department
Whiteville, NC 28472 304 Jefferson Street
Whiteville, NC 28472
Columbus County Dept of Aging Ed Worley, Director Lee Curry, In Home Aide
Susan Shipman Columbus County Dept of Aging Supervisor
P. O. Box 1187, Whiteville, NC P. O. Box 1187 Department of Social Services
28472 Whiteville, NC 28472 PO Box 219
Bolivia, NC 28422
Kim Smith, Director Janice Deas, LPN Jane Jones, AAA Administrator
Columbus County Health PPO Box 10323 Area Agency on Aging/CF COG
Department Southport, NC 28461 1480 Harbour Drive, Wilmington
P.O. Box 810 Whiteville, NC 28472 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.
Organize Cape Contact and Establish Cape Workforce October--
Fear RSP. recruit key Fear Allied Development November
Objective: stakeholders for Health RSP 2007
Engage key RSP through Planning Group Coastal AHEC
stakeholders in media, email,
Cape Fear letters and other
Allied Health marketing efforts.
Establish Develop Cape Develop Group Consultant November—
governing Fear AHRSP Purpose & December
structure for Charter & Operational RSP Committee 2007
the Cape Fear protocols for Functioning
Allied Health group operation Procedures
RSP & functioning
Define the Beginning with Clear Consultant December
Allied Health the issues understanding 2007—
issues for the identified in this of the allied RSP Committee January
Cape Fear RSP Application, health issues 2008
identify the Cape Fear
additional allied RSP will

Cape Fear Allied Health RSP Grant Application

health issues the undertake and
RSP wants to develop
pursue. process and
procedures for
resolution RSP
Establish RSP Each members
subcommittees subcommittee
to work on each to develop a
issue identified charter and
protocols for
working on the
assigned issue
Selection of Group to select Convener of RSP Committee February
Workforce WI from among the Cape Fear 2008
Intermediary the business RSP &
for the Cape representatives providing
Fear Regional on the RSP or a support to
Skills business ensure group
Partnership volunteer stays on track
emerges to act as
the Workforce
Subcommittees Subcommittees Subcommittee Consultant February—
define the meet to work on s develop working with the September
need and the specific allied deliverables for RSP 2008
present health issues each allied Subcommittees
strategies for identified health issue.
s present
strategies for
the resolution
of identified
allied health
Development Subcommittee Present the RSP September
of Cape Fear reports are Cape Fear Subcommittee —October
RSP presented & Allied Health Chairs 2008
Implementatio incorporated into Implementatio
n Plan the DRAFT n Plan to the Consultant
implementation Communities
plan, reviewed by in the 5 county Workforce
the RSP, revised area for input Development
as required /Present to the Director
Cape Fear WDB
Coastal AHEC
for input
Submit Cape Review Submit to the Consultant October—
Fear Allied Implementation Division of RSP November
Health RSP Plan & input Workforce Workforce Dev. 2008

Cape Fear Allied Health RSP Grant Application

Plan to the comments from Development Coastal AHEC
Division of the community &
Workforce the Cape Fear
Development WDB. Submit
Plan to RSP for
to the Cape Fear
WDB for final
Develop Review Develop plan Consultant/ November
Sustainability ways/strategies to continue the Workforce 2007–
Plan to provide RSP Committee Development/
resources for the to oversee the Coastal AHEC/RSP
implementation plan
of the Cape Fear implementatio
Allied Health n
plan. Work with
sses that have a
vested interest in
training allied
health workers
Develop long- Cape Fear WDB The Cape Fear Cape Fear WDB November
term viability makes the RSP a Allied Health Workforce Director 2007-
for the Cape committee of the RSP becomes a
Fear Allied Cape Fear WDB committee of
Health Care with members the Board,
initiative appointed by the providing
Board & reports to the
confirmed by the Board at stated
Cape Fear intervals
Implement Develop Action Implement RSP Committee/ December
Cape Fear Steps to Cape Fear Workforce 2008--
Allied Health implement the Allied Health Development/
RSP Plan Cape Fear Allied Regional Plan Business
Health Plan Community/Trainin
g Providers

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

Regional Skills Partnership Planning Grant
Application Budget

Category Costs Other Resources

A. Contracted Services $32,100
B. Travel (Include Learning $7,965
Exchange Expenses)
C. Materials/Supplies $750
D. Space/Utilities $2,925
E. Staff Salaries $0 $6,500
F. Staff Fringe Benefits $0 $2,000
G. Other Expenses $11,260

TOTAL $55,000 $8,500

Attach budget narrative as described in application

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: __________

Cape Fear Allied Health RSP Grant Application

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.


Consultant—VTA Group $12,600
$75/hr X 3hrs X 56 meetings
Administrative Assistant $19,500
$15/hr X 20hrs/week X 65 weeks

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

Cape Fear Allied Health RSP Grant Application

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.


CFCOG Workforce Development Director $2,400
56 Meetings+10 Site Visits X 75 average miles X
$ .485/mile
RSP Administrative Assistant $2,400
56 Meetings+10 Site Visits X 75 average miles X
$ .485/mile
RSP Community Members (Community $2,728
5 Members X 15 Meetings X 75 average miles X
RSP Committee to Out-of-Area Meetings $437
3 Members X 4 Meetings X 75 average miles X

C. Materials/Supplies:
Office supplies for the administrative assistant


Office Supplies @ $50/month x 15 $750

D. Space and Utilities:


Office space @ Cape Fear COG for $2,925
Administrative Assistant. Includes
Estimated @ $195/month for 15

E. Staff Salaries:
In-kind (Cape Fear Council of Governments/Workforce Development


Staff Salary/Workforce Development $6,500

Cape Fear Allied Health RSP Grant Application

2716.08 X 30=81482 X .08= 6518

F. Staff Fringe Benefits:

In kind (Cape Fear Council of Governments/Workforce Development


Staff Fringes/Workforce Development $2,000
81482 X .3057= 24909 X .08 = 1993

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.


Fiscal Agent—Cape Fear Council of Governments $5,000
Teleconferencing $300
Community Meetings—Meeting materials/5 $1,500
meetings—one per county @ $300/meeting
RSP/Subcommittee meeting materials/Project 15 $2,550
RSP meetings/Project 3 Subcommittees with 12
meetings for total of 36 meetings @ $50/meeting
Communications—Fax, telephone, internet, postage $1,910
Expenses associated with the Administrative

Cape Fear Allied Health RSP Grant Application