Leading for Change in NYS

1
Leading for Change in NYS

• Florence Reed, Nutrition Unit Director
• NYS Office for the Aging
• 518/473-6951
• florence.reed_at_ofa.state.ny.us
• http//www.aging.state.ny.us/

4th State Units on Aging Nutritionists
Administrators ConferenceAugust 2006
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NYS Context

• Large state 19.2 million total population
• Over age 60 3.2 million (17 of total) and 23
  are minority
• Urban and rural state
• 59 area agencies on aging (PSAs) most within
  county government

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NYS Context cont

• SUA is a separate agency in the Executive branch
• State Nutrition Administrator Non RD
• Staff 2 registered dietitians
• Part of Bureau of Field Operations within the
  Division of Local Program Operations

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Job Expectations

• No existing job description
• What I was asked to do redo the program
  standards position program for arrival of
  Boomers deal with decline of Congregate numbers
• What I am doing
• What I should be doing

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Expectations on PSAs

• Manage operation of the Elderly Nutrition Program
  locally Congregate and HDM
• Registered Dietitian
• Provide Nutrition Education and Counseling
• Health Promotion and Disease Prevention You Can
• NSI Assessments
• SNAP NSIP SFMNP LTHHCP
• Outreach, targeting, access and supportive
  services, benefits information, reporting

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Impact on what I do

• Be my own teacher
• Diversity of all types
• Flexibility adaptability
• Multiple political layers
• Need to rely on local offices
• Need to work through a number of other players
• Broker/influence
• Big picture focus

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Whats developing in NYS

• LTC Reform Point of Entry, which is aligned
  with principles in Choices For Independence
• Near term
• Long term

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What are the lessons?

• Congruency of expectations
• Leadership style and more
• Mature program and organization
• Reliable data
• What ifs future-focus
• Relationships
• Positioning
• Recognize the time it takes to change
• Look for the right questions