Phil DuBois is an award-winning long-term care administrator, and his years of experience in the field illustrate his credentials. But it was a tragic night in 2007 that gave him the firsthand experience of being an LTC patient that makes him the emphatic leader that he is today.
Professionally, Phil DuBois had a noteworthy first few months of 2007. Market Square Health Care Center, the long-term care (LTC) facility where he served as administrator in South Paris, Maine, received multiple awards for its dedication to excellence and quality care. By March, the American Health Care Association had chosen DuBois as a Future Leader in the field, one of its highest honors.
However, as DuBois鈥� professional life continued its upward climb, a tragic car accident in April of that year left him a patient in his own facility. He remained there for two and a half months, observing the same staff and daily operations he once oversaw.
DuBois鈥� time on the other side of the clipboard 鈥� as resident, not administrator 鈥� gave him rare and valuable insight into the LTC field. His experiences have armed him with the knowledge and the compassion that, as he transitions to program manager of Saint Joseph鈥檚 online LTC administration program, will lead the College into this increasingly patient-centered field.
In April 2007, DuBois and his wife, Tammy, traveled to North Carolina to introduce their newly adopted son, 13-year-old Jamie, to family. During their visit, while riding in their uncle鈥檚 minivan after eating dinner out, DuBois, Tammy, Jamie and four of their relatives were involved in a head-on car collision. According to the accident report, a 26-year-old female with a revoked license, driving an uninsured, unregistered car at 60 miles per hour in a 45-mph zone, crossed the centerline and struck their minivan.
Tammy did not survive the crash, nor did DuBois鈥� uncle Reverend Wendell DuBois and cousin Virgene Hughes. DuBois, Jamie and two of his aunts suffered serious injuries. DuBois鈥� injury list included a dislocated and pulverized left hip, a cracked pelvis, broken ribs, a broken elbow, a torn rotator cuff and a concussion. He underwent four surgeries and was diagnosed with anemia, pneumonia and post-traumatic stress disorder. After two weeks in a North Carolina hospital, he was transferred by air ambulance to Market Square Health Care Center in Maine 鈥� the LTC facility where he was administrator.
A pastor鈥檚 son, DuBois became interested in LTC at a young age. 鈥淚 always enjoyed working with the elderly. My dad was a minister, and he very much believed in visitation to the elderly. He鈥檇 often take me with him.鈥� After earning two bachelor degrees in theology-related fields, DuBois earned his master鈥檚 in health care administration in 2002 from California College for Health Sciences. By December of the same year, he had become administrator at Market Square. Though lauded for his accomplishments in LTC before his accident, DuBois believes the months spent as a patient made him a better administrator.
鈥淚t gave me perspective,鈥� says DuBois. 鈥淚 remember thinking, 鈥楾his is how it feels. Now I get it.鈥欌��
As a resident he realized the importance of word choice. Much of what he learned had to do with industry slang.
鈥淚 once heard a nurse who was standing outside the door to my room shout to another staff member, 鈥楴o, I can鈥檛 help you. I have three more to do before lunch.鈥� I鈥檇 heard that type of language all the time as administrator, but now it was in reference to me. I was that thing that needed to get 鈥榙one鈥� before lunch. You do laundry, you do dishes. You don鈥檛 do people. It was dehumanizing.鈥�
Beyond terminology, DuBois found some of Market Square鈥檚 rules, which were regulated by federal laws, to be unnecessary and potentially counterproductive to recovery. One such rule required residents, if they had left the facility鈥檚 grounds, to return by midnight.
DuBois was still a resident on the Fourth of July in 2007, but he hoped to see fireworks and a concert in New Hampshire that night. Yet, since it was impossible for him to make it back to Market Square before curfew, he met a roadblock.
鈥淚鈥檓 an adult. It didn鈥檛 present any health risks. But because of this arbitrary rule, I couldn鈥檛 go. Well 鈥� we bent the rules quite severely, and I did go. Getting out and spending time with my friend raised my spirits.鈥�
DuBois鈥� insight into the resident side of LTC will prove especially crucial in the coming years. As baby boomers gradually enter long-term care centers, the field will become increasingly focused on the individual, not the facility.
鈥淏aby boomers are a very consumer-driven group,鈥� says DuBois. 鈥淏efore baby boomers, long-term care facilities said, 鈥榓dopt our institutional mindset.鈥� There鈥檚 a new trend 鈥� a culture change that鈥檚 been going on for years 鈥� to become resident-centered, resident-driven. That鈥檚 challenged everything we thought we knew about long-term care.鈥�
Fortunately, DuBois is well-prepared to help Saint Joseph鈥檚 meet this movement. A faculty聽 member at the College since December 2011, DuBois is on track to become program manager of LTC administration this July, a position currently held by John Pratt.
Pratt, who joined Saint Joseph鈥檚 in 1989, literally wrote the book on long-term care. He authored the first edition of聽Long-Term Care: Managing Across the Continuum聽in 1999. Today, 50 colleges including Saint Joseph鈥檚 use it in their long-term care courses.
Although DuBois says he has 鈥渉uge shoes to fill鈥� as Pratt鈥檚 soon-to-be successor, Pratt personally sought out DuBois for the job. Before DuBois had any affiliation with Saint Joseph鈥檚, he, Pratt and three others resurrected the Maine chapter of the American College of Health Care Administrators (ACHCA). DuBois became the first chapter president and impressed Pratt so much he recruited DuBois for Saint Joseph鈥檚.
Like DuBois, Pratt also spent time in intensive rehabilitation due to a serious car accident after his freshman year of college. He believes his experiences had the same effect on him as DuBois鈥� did: It made him a better administrator.
鈥淧hil understands the importance of the little things,鈥� says Pratt. 鈥淟ike showering. If you鈥檙e used to showering daily, and then you can only shower weekly, it鈥檚 a big change. He knows what that means to people.鈥�
As residents continue to take more control over the care they receive, DuBois is ready to do more than just understand their needs; he鈥檚 ready to teach others how to understand too.
鈥淭oo often, as caregivers, our day is focused on our own routine, our own tasks,鈥� says DuBois. 鈥淚t鈥檚 our job to see the world from the resident鈥檚 eyes. It takes energy, it takes work, it鈥檚 an imperfect art, but that鈥檚 why we do it. It鈥檚 not about you, it鈥檚 about them. Put your shoe on the other foot and see how it feels.
鈥淲e need to teach the critical, analytical skills,鈥� DuBois says, 鈥渢hat will help students evaluate change. Long-term care鈥檚 changing quickly and sometimes unpredictably.鈥�
by Alanna Conn
