2015 vnaa annual meeting program book

Visiting Nurse Associations of America

HOME-BASED CARE:

AnnualMeeting 2015

N E W O R L E A N S

DRIVING POPULATION HEALTH

2 Visiting Nurse Associations of America

OUR MISSION:

TO SUPPORT, PROMOTE AND

ADVANCE NONPROFIT PROVIDERS OF

COMMUNITY-BASED HEALTHCARE

INCLUDING HOME HEALTH, HOSPICE AND

PALLIATIVE CARE AND HEALTH PROMOTION

SERVICES TO ENSURE QUALITY CARE

WITHIN THEIR COMMUNITIES.

Visiting Nurse Associations of America

33nd Annual Meeting | Apr. 20–22, 2015 3

Table of Contents

Welcome to Annual Meeting! ........................................................................................................... 4

Agenda At-a-Glance ............................................................................................................................ 5

Preconferences ................................................................................................................................... 8

Plenary Sessions ............................................................................................................................... 10

Poster Sessions ................................................................................................................................. 12

Breakout Sessions ............................................................................................................................ 16

Breakout Topic Tracks ..................................................................................................................... 26

National Award Winners ................................................................................................................ 28

Sponsors and Partners .................................................................................................................. 31

Exhibit Hall Information .................................................................................................................. 32

Booth Listing ...................................................................................................................................... 34

Booth Map .......................................................................................................................................... 41

Attendee Information ...................................................................................................................... 42

Upcoming Events in 2015 .............................................................................................................. 43

Acknowledgments ........................................................................................................................... 44

Board of Directors and Staff ......................................................................................................... 45

Notes .................................................................................................................................................... 46


Welcome to Annual Meeting!

Discover How Home-based Care Is Driving Population Health.Welcome to the Visiting Nurse Associations of America’s 33rd Annual Meeting in New Orleans! VNAA is exited to host this gathering of executives, clinical experts and thought leaders from the field of nonprofit home health and hospice.

In 2015, the role of home-based care as a provider, partner and innovator in population health is front and center at the Annual Meeting. From keynote speakers to the exhibit floor to interest group meetings, each facet of the Annual Meeting will have the role of home-based care in the healthcare spectrum at its core.

With four breakout tracks, the educational programming is designed to illustrate how all staff levels and disciplines can provide the best outcomes for patient care in home health and hospice agencies while developing innovative partnerships to advance population health.

If at any point during the Meeting you have a question about the agenda or venue, one of our friendly VNAA staff will be happy to assist you. They can be found at all events and programs throughout the Meeting, as well as at the registration desk outside the Roosevelt Ballroom.

Welcome to The Big Easy!New Orleans is one of the world’s most fascinating cities. Steeped in a history of influences from Europe, the Caribbean, Africa and beyond, its home to a truly unique melting pot of culture, food and music.

You’ll find bowls filled to the rim with gumbo, late nights in dark jazz clubs, strolls through historic neighborhoods, and tantalizing festivals throughout the year. Come down and experience New Orleans, one of America’s most culturally and historically-rich destinations. NewOrleansOnline.com can introduce you to all of the Big Easy’s greatest charms. As the official New Orleans tourism guide, the site is loaded with resources that will help you make the most of your visit.


Agenda At-a-GlanceMonday, April 20

12:00 – 3:45 p.m. ............................................................................................................................................... Preconferences

5:00 – 6:30 p.m. ........................................................................................................................................... Opening Reception Waldorf Astoria Ballroom

Tuesday, April 21

7:00 – 8:00 a.m. ........................................................................................................................................... Attendee Breakfast Waldorf Astoria Ballroom

8:00 – 10:00 a.m. ............................................................................................................................................. Opening Plenary Crescent City Ballroom

Community Partnerships with Nontraditional Providers: Working Together to Drive Population Health

10:00 – 10:45 a.m. ............................................................................................................................................................... Break Sponsored by Intel

10:45 – 11:30 a.m. ................................................................................................................................ Breakout Session One

11:45 – 1:45 p.m. .................................................................................................... Exhibit Hall Lunch and Poster Session Roosevelt Ballroom Sponsored by Philips

Clinical Operations VNA Health Group: Transforming Transitional Care Through Partnership Chamber 1

Hospice Pharmaceutical Costs and Hospice Care: Staying Focused on the Patient, Not the Cost Chamber 2

Innovation and Partnership Managed Long Term Care, New York State’s Solution to Managing the Care of Chronically Ill and Aging Medicaid Recipients Chamber 3

Telehealth 2.0: The Next Phase in Connecting Patients, Physicians and Home Care Providers Through Technology Chamber 1

Population Health and the Impact on Care Redesign and New Payment Models Chamber 2


2:00 – 2:45 p.m. ..................................................................................................................................... Breakout Session Two

3:00 – 4:00 p.m. .................................................................................................................................. Breakout Session Three

4:00 – 4:15 p.m. .................................................................................................................................................................... Break

4:15 – 5:15 p.m. .................................................................................................................................... Breakout Session Four

5:30 – 7:30 p.m. ................................................................................................. Exhibit Hall Reception and Poster Session Roosevelt Ballroom

Wednesday, April 22

7:30 – 8:45 a.m. ........................................................................................................................................... Attendee Breakfast Waldorf Astoria Ballroom

7:00 – 8:00 a.m. .................................................................................................................................................... CEO Breakfast Waldorf Astoria Ballroom

(Invite Only)

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Clinical Operations Operational Challenges and Solutions Chamber 1

Hospice Building a Culture of Philanthropy for Fundraising Success Chamber 2

Innovation and Partnerships The Impact on Satisfaction and Outcomes of Outgoing Calls to Home Health Care Patients Chamber 3

Finance Using “Scorecards” to Manage Revenue Cycle Compliance Chamber 4

Clinical Operations Weaving Health Literate Care into Integrated Care Management: Our Journey Chamber 1

Hospice Hospice Documentation: From Admission to ADR—Proving Decline Chamber 2

Innovation and Partnerships Partnering with the ED: A New Way to Reduce Hospitalizations Chamber 3

Finance Diversifying Revenue Sources for Increased Stability Chamber 4

Clinical Operations Teach Your Clinicians to Document Superbly: Documentation that Avoids Regulatory and Legal Risks Chamber 1

Hospice Creating a Culture of Accountability - The Key to Mind-Blowing Quality and Profits Chamber 2

Innovation and Partnerships Community and Acute Care Partnership - An Innovative Model for Patient Management Chamber 3

Finance Pulling Back the Curtain - Untapped Areas of ACA Opportunity in your Current Care Programs Chamber 4


Agenda At-a-Glance

8:45 – 9:30 a.m. ...................................................................................................................................... Breakout Session Five

9:45 – 10:30 a.m. ..................................................................................................................................... Breakout Session Six

10:45 a.m. – 12:30 p.m. ....................................................................... National Awards Ceremony and Closing Plenary Crescent City Ballroom

Insights for Medicaid Managed Care Partnerships

12:45 a.m. – 1:15 p.m. ................................................................................................................................. Business Meeting Crescent City Ballroom

(Affiliate members only)

1:15 – 2:00 p.m. .................................................................................................... Quality and Policy Joint Council Meeting Crescent City Ballroom

(Affiliate members only)

2:15 – 3:00 p.m. ................................................................................................................................. Interest Group Meetings

Clinical Operations Translating Evidence Based Practices into Tangible Approaches in the Home to Achieve Quality Care Chamber 1

Hospice Preserving Patients’ Legacies through Creative Collaborations Chamber 2

Innovation and Partnerships Advancing Organizational Culture While Capitalizing on Technology Chamber 3

Finance A Deep Dive into the Data Behind Hospital Readmissions: Helping Agencies Reduce Rates Further Chamber 4

Clinical Operations The IMPACT Act of 2014: Preparing for Change Chamber 1

Hospice The Rapid Intervention Clinical Model for Acute Respiratory Symptoms: How One Hospice Promotes a Plan of Care to Identify and Intervene for Hospice Patients at Risk for Hospitalization Chamber 2

Innovation and Partnerships Engaging Strategic Partners in New Models of Care Chamber 3

Finance The VNAA Nonprofit Industry Research Database: Progress Update Chamber 4

Business Development and Financial Leaders Chamber 1

Clinical Leaders Chamber 2

Hospice Roundtable Chamber 3

Database Advisory Board Chamber 4 (Invitation Only)

IT Leaders Crescent City Ballroom

VBP Task Force Salon 2 (PPCSC members encouraged to attend)


PRECONFERENCESKristen Walsh, Health Policy Advisor, Senate Finance Committee | VNAA Annual Meeting 2012


Preconferences

Preconference One

April 20, 12:00 – 3:45 p.m. | Chamber 1

Telehealth 2.0: The Next Phase in Connecting Patients, Physicians and Home Care Providers Through Technology

Lena O’Rourke, O’Rourke Health Policy Strategies (moderator) Liz Palena-Hall, Office of the National Coordinator on Health IT Liz Madigan, Case Western Reserve University Rene Quashie, Epstein, Becker & Green Alan Bugos, Head of Technology and Innovation for Philips Home Monitoring

Telehealth and the use of information technology is rapidly advancing from consumer wellness wearables to virtual visits. With this expansion comes interest from Congress, regulatory bodies and privacy advocates. Panelists will offer perspectives on where health IT is head, the basis and scope of regulation and privacy issues and how home-based care organizations can play a key role in uniting patients and physicians across the country with the touch of a screen.

Preconference Two

April 20, 12:00 – 3:45 p.m. | Chamber 2

Population Health and the Impact on Care Redesign and New Payment Models

Jim Pyles, Powers Pyles Sutter & Verville Rose Madden-Baer, Visiting Nurse Service of New York (VNSNY) Erin Denholm, Centura Health in Colorado Katherine Browne, Center for Health Care Quality George Washington University

The new models of health care are based on population health and new delivery systems that integrate the clinical needs of the patient and family across the many sites of care. The models utilize multiple new opportunities to deliver care through the use of federal programs such as Bundling payment for Care Improvement (BPCI), Accountable Care Organizations (ACOs, through both state and federal initiatives as well as through demonstration projects. These programs share an important goal, to lower the cost of care while improving quality and achieving better health.

These presenters will describe how they incorporated new strategies and arrangements through the use of care coordination platforms, risk stratification, data analysis and predictive analysis with programs targeted at reducing hospitalization and emergency department use.


PLENARY SESSIONSBlair Childs, Premier, Inc. | VNAA Annual Meeting 2014


Plenary Sessions

Opening Plenary

April 21, 8:00 – 10:00 a.m.| Crescent City Ballroom

Community Partnerships with Nontraditional Providers: Working Together to Drive Population Health

Mike Blatt, M.D., MBA, Intel Corporation Ceci Connolly, PriceWaterhouseCoopers Nancy J. Gagliano, M.D., CVS Caremark; MinuteClinic

Population-based management is the future of health care and will rely heavily on services delivered outside the traditional hospital or physician office setting. Home-based care will become increasingly important as the baby-boom population ages and payers focus on less expensive sites of care and preventive services. To stay ahead of the curve, health care providers across the continuum must engage in new partnerships with both traditional and nontraditional providers. Home-based care providers, especially, must explore new business models to implement successful population health management strategies. Success starts with awareness of consumer needs and preferred services, identification and implementation of supportive technologies and engagement with other community partners who may be new entrants to care delivery in your community. This panel presents leading experts from technology, consumer and retail industry segments who will highlight the opportunities in innovative models to engage patients, offer convenience and expand access.

These presenters will describe how they incorporated new strategies and arrangements

through the use of care coordination platforms, risk stratification, data analysis and predictive analysis with programs targeted at reducing hospitalization and emergency department use.

Closing Plenary

April 22, 10:45 a.m. – 12:30 p.m. | Crescent City Ballroom

Insights for Medicaid Managed Care Partnerships

Michael Monson, Centene Corporation Jeff Myers, Medicaid Health Plans of America Chad Westover, University of Utah Health Care Gary Jacobs, PricewaterhouseCoopers (Moderator)

The movement of states toward managed care for all beneficiaries is changing the scope of managed care services. Medicaid managed care organizations will need new comprehensive strategic partnerships to include long term community supports and services (LTCSS) such as home health services. Home health opportunities in this market segment will grow significantly as more states expand Medicaid covered-populations and move toward managed care models. This panel presents leading Medicaid payer experts and experienced home health industry leaders to highlight the opportunities and challenges for both Medicaid managed care organizations and home health care providers. Panelists will examine market factors driving this growth opportunity, present elements of successful partnerships between managed care organizations and home health providers and offer advice to home health providers who seek to demonstrate their value to potential Medicaid partners.


POSTER SESSIONPoster Session | VNAA Annual Meeting 2012


Poster Session

Posters will be available for viewing for on Tuesday, April 21. To meet the poster authors, ask questions and learn more about the programs that interest you, attend the Poster Session on Tuesday, April 21, from 11:45 a.m. - 1:00 p.m and 5:30 p.m. - 7:30 p.m. All posters are eligible for continuing nursing education credit hours.

The poster session covers a wide variety of topics including alternative therapies, wound care, celiac disease, hospitalization in pediatric patients, and evidence-based practice in hospice and palliative care.

Knowledge and Best Practices to Achieve Outcomes to Rank in the Top 25 Percent of Home Care Agencies and Earn HomeCare Elite Status

Marge Superior, RN, MSN, VNA Health Group Wendy Ebner, RN, MSN, CRRN, VNA Health Group

Our goal of this learning session is to share our best practices that enabled us to improve patient outcomes and patient satisfaction scores, contributing to consistent achievement of HomeCare Elite status. HomeCare Elite is the annual compilation of the top 25 percent of agencies in the nation. Cape VNA and Robert Wood Johnson Home Care are joint ventures of VNA Health Group. Both Agencies have achieved HomeCare Elite status for several years and most recently in 2014. In addition, Cape VNA was named in the top 100 agencies for 2013. There are three main objectives for this session. First, we will review the outcomes that contribute to obtaining Elite status, enabling the learner to name those outcomes. Second, we will share our

best practices and processes used to improve outcomes and patient satisfaction. Third, the learner will be able to evaluate results to achieve sustainability through a review of lessons learned in our agencies. At the completion of the session participants will understand what strategies and processes are essential to engage employees to embrace improving patient outcomes and to create an outstanding patient experience.

The current environment for reimbursement is one of the most tumultuous for home health care providers. Achieving HomeCare Elite Status is becoming increasingly essential for the viability of home care organizations across the country. With the implementation of value based reimbursement guidelines, under the Affordable Care Act, quality outcomes are an essential component of home care agencies. Reimbursement will be dependent on the achievement of superior patient outcomes and high levels of patient satisfaction. Strong alliances with hospitals, insurers, physician groups, and other levels of care are indispensible in this environment. Home care agencies with the best outcomes will be positioned for growth and viability. This program will define a home health agency’s success in repeatedly achieving Home Care Elite Status. Outcomes that contribute to this status, patient satisfaction, evidenced based practice strategies that help improve outcomes, and program evaluation will be explored. Home Care Agencies with excellent patient outcomes and superior patient satisfaction will be positioned to survive and thrive in this ever changing environment.


Innovative Home Care Diabetic Foot Management

Candice Curtin, RN, BSN, WCC, DWC, OMS, Candice Curtin Consulting

Diabetes affects approximately 26 million people in the U.S. Of those, up to 32 percent will develop a diabetic foot ulcer (DFU). With a closure rate of only 31percent at 20 weeks, treating these wounds can often lead to lengthy home health episodes, re-hospitalizations, and extensive costs with poor outcomes. A thorough literature review showed the Total Contact Cast (TCC) as the “gold standard of care” but it had numerous contraindications, while not practical in most settings. Literature reported that a TCC modification, the instant Total Contact Cast (iTCC), could be used in any setting and it eliminated the TCC contraindications but had drawbacks such as periwound maceration. After evaluating many dressing types with the iTCC, we developed a best practice protocol which was then applied to complex DFU patients. Home health nurses applied the iTCC and polymeric membrane dressing (PMD) 2-3 times a week, depending on exudate amounts. The outcomes validated our practice. All 3 wounds closed in an average of 6.8 weeks. This approach to DFU healing significantly reduced costs, improved patient outcomes, eliminated re-hospitalizations, and the results were used to gain new referral sources. The iTCC/PMD approach is the new DFU gold standard of care for our agency.

Our goal in this session is to present that using a simple, practical off-loading approach (instant Total Contact Cast plus Polymeric Membrane Dressings) to manage diabetic foot ulcers will not only decrease episode costs and re-hospitalization rates, but it will increase healing rates, improve patient and physician satisfaction, and assist in attaining new referrals in home care. Participants will learn the following objectives from attending this session:

1. Discuss what other standards of care are being used and why those methods are not working.

2. Demonstrate how our approach is done with step by step instructions for the instant Total Contact Cast with Polymeric Membrane Dressings.

3. Identify the overall outcomes which showed a significant reduction in costs, improved healing times, and the elimination of complications and re-hospitalizations associated with DFUs.

4. Conclude how this approach can be used as a marketing strategy to gain new referrals and new referral sources.

Impact and Role of a Pharmacist in Conjunction with VNA Nurses

Christy Mesick, VNA of Kansas City

Hospital readmission rates for Medicare beneficiaries continues to be a major healthcare concern. Readmission rates for Medicare patients with disease states such as heart failure and COPD are as high as 20 percent within 30 days of discharge. The VNA of KC believes that providing pharmacist conducted medication reconciliation and pharmaceutical care will result in decreased medication related problems and a decrease in 30 day hospital readmission.

Preventing Rehospitalization: Utilizing Paraprofessionals in Frontloading and Health Coaching Efforts to Ensure Stabilization at Home for the Most At Risk Patient Population

Ann Marie Peckam, RN, MS/MBA, VNA of Cape Cod

It takes a home care village to keep the most at-risk patient at home once discharged from the hospital. We studied our hospitalized patients in attempt to identify “trends” with regard to patient diagnosis or condition and discovered that the most at-risk patient seems to be one

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with very little support in his/her home and at the same time the one who requires quite a bit of assistance to reacclimatize to the home environment and/or requires signifi cant assistance and follow-up to jump start their journey toward self-management. Nurse case managers with caseloads of 20 to 25 patients needed help ensuring visits could be frontloaded to the extent necessary to helping the patient feel confi dent and comfortable with self-managing his/her symptoms, medications, nutrition, etc. Additionally, ensuring the patient makes and keeps an appointment with his/her physician within those fi rst few days was critical to preventing the dreaded return trip to the hospital. We felt we could provide education to a group of our paraprofessionals and ‘partner’ them with the nurse/therapist case managers to enhance our ability to frontload and coach the most at-risk patient population and study the eff ect on preventing rehospitalization. We’d like to share our success story with you.

Our primary goal in this session is to present a description of a pilot project we developed at VNA of Cape Cod to raise the bar on our eff orts to ensure quick stabilization of the most at-risk patients discharged from the hospital. Our paraprofessionals received training in the rudimentary elements of health coaching and in partnership with the Nurse/Therapist reinforced the patient activities most likely to prevent rehospitalization: red fl ags, follow-up appointment with physician, procurement of appropriate medications, etc. The specially trained aides were assigned to see the identifi ed patient population 2 to 3 times in week 1 and with a nurse/therapist visiting at least twice in week 1 as well frontloading to ensure almost daily coaching/reassurance is established. The ‘team’ works together to encourage patients to actively participate in the plan of care and all eff orts related to reacclimating to the home environment and making sure it supports them in their eff orts toward self-management and independence.

This continuing nursing education activity was approved by the Maryland Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

How to Claim Your CreditsTo receive credits for attendance of a poster session, the attendee must:

1. Attend the poster session at Annual Meeting.

2. Complete the required amount of time reading the poster (30 minutes). You may earn CEUs for all posters at this year’s Annual Meeting.

3. Complete and submit the evaluation for each poster session attended in the poster booklet to VNAA before you leave the Annual Meeting. Your certifi cate will be emailed to you after the Meeting.

4. The licensee must retain the certifi cate for a period of six (6) years after completing the course.

Poster Session


BREAKOUT SESSIONSArnie Cisneros, Home Health Strategic Management | VNAA Annual Meeting 2011


Breakout Session One

Tuesday, April 21 | 10:45 - 11:30 a.m. Approved for 0.75 credit

Clinical Operations | Chamber 1 VNA Health Group: Transforming Transitional Care Through Partnership

Marie Perillo, RN, BSN, VNA Health Group Kimberly Mora, RN, BSN, VNA Health Group

Transitional Care prevents the adverse outcomes that are prevalent during the movement of a patient from one setting of care to another. VNA Health Group is the lead community based organization (CBO) in a collaborative transitional care partnership between six acute care hospitals, four home health agencies, and four community health partners that seeks to improve care transitions for high risk patient populations. By conducting PDSAs and developing process improvement initiatives we have improved enrollment numbers and decreased all-cause readmission rates. This breakout session shares the value behind establishing partnerships and the critical steps involved in creating a successful transitional care initiative.

Hospice | Chamber 2 Pharmaceutical Costs and Hospice Care: Staying Focused on the Patient, Not the Cost

Danielle Pierotti, RN, PhD, AOCN, CHON, HCI Care Services and VNS of Iowa

Many hospice teams are struggling with new pressures on the costs of medications. Resisting

the pressure to focus on the cost of medications is difficult but critical to maximizing patient quality of life. Keeping clinicians focused on patient needs requires integrated team work and planning. This program will describe a layered approach to improving the use of medications for quality of life in hospice by utilizing a multidisciplinary approach, with a clinical decision tree and formulary, designed to reduce pharmaceutical costs as a side effect.

Innovation and Partnerships | Chamber 3 Managed Long Term Care, New York State’s Solution to Managing the Care of Chronically Ill and Aging Medicaid Recipients

Mary Kate Rolf, FACHE, Home Care of Central New York Andrea Lazarek-LaQuay, MS, RN, Home Care of Central New York

Managed Long Term Care (MLTC) plans are a part of New York State’s commitment to provide community based services and supports to Medicaid-eligible persons in need. This additional choice for seniors has extended and become mandatory enrollment for recipients that require long term care services to enroll into a MLTC. This managed Medicaid program is intended to improve client outcomes and provide incentive to deliver care in a cost-effective manner, through capitation. These Managed Long Term Care programs can serve as models to develop similar programs to cover Medicaid eligible elderly population across the country.

This session will provide and over of the history and development of the program and

Breakout Sessions Sponsored by:


services provided to members and provide an understanding of the program’s operations, including eligibility criteria, overview of the assessment performed and review of care coordination and care planning processes.

Breakout Session Two

Tuesday, April 21 | 2:00 - 2:45 p.m. Approved for 0.75 credit

Clinical Operations | Chamber 1 Teach Your Clinicians to Document Superbly: Documentation That Avoids Regulatory and Legal Risks

Tina M. Marrelli, MSN, MA, RN, FAAN, Marrelli and Associates, Inc. Mary Narayan, MSN, RN, HHCNS-BC, CTN, VNAA

Your clinicians’ documentation can support or jeopardize:

1. Clinical management and outcomes; 2. Payment from Medicare and other payers; 3. Reviews of regulatory compliance; and4. Legal liability defense against claims of

malpractice.

All agencies require their clinicians to document well, but achieve varying amounts of success.

The purpose of this presentation is to arm agency leaders with information and strategies they can bring back to their clinicians to help them “get” and deliver good documentation.

The presenters bring two different perspectives to the documentation challenge. One presenter has developed nationally-acclaimed publications with “best practice” recommendations for supporting documentation standards in home health care. The other presenter is a home health clinical nurse specialist, who has analyzed home health documentation in malpractice cases as an “expert witness.”

Hospice | Chamber 2 Creating a Culture of Accountability: The Key to Mind-Blowing Quality and Profits

Andrew Reed, CPA, Multi-View Incorporated Systems

Accountability or lack of accountability determines whether or not initiatives are accomplished and if standards maintained at an organization. Large or small, the mission is accomplished through people, and given unclear standards/direction, people will often do little or end up with costly, ineffective, low-quality results. Among the problems with most organization’s accountability approach is that they are typically dependent upon a manager’s personal supervisor of work. Why is this a problem? Because human beings’ levels of energy are not consistent, and therefore rise and fall over time. In today’s hospice environment, more and more energy is demanded to comply with increased requirements and complexity. Much of the solution lies in the use of “structures” that are non-dependent upon manager’s levels of energy or physical presence and that perpetually maintain the established standards of the organization over long periods of time. This program addresses the topic of Accountability head on...from the establishment of clear standards to the structures needed to ensure that the ideals and standards of the organization are carried out by every person of an enterprise

Innovation and Partnerships | Chamber 3 Community and Acute Care Partnership: An Innovative Model for Patient Management

Kenneth Schonbachler, MBA, MPT, VNA of Western New York

As the healthcare landscape in the United States reinvents itself around the triple aim model, hospitals, health systems, and post-

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Breakout Sessionsacute care providers often struggle with the optimization of transitioning care from facilities to the community. This presentation details the implementation of an innovative partnership between a health system’s flagship tertiary care hospital and their home health care agency, the VNA of Western New York. This partnership ultimately involved contracted management of the patient management department to the home care agency, a re-design of the patient management model, a larger role for VNA staff in the patient discharge process, and improved relationships with community post-acute providers. Key metrics which were measured and tracked included hospital length of stay, readmission rates, home care referrals, and patient experience data. By all accounts the implementation, while not without barriers and modification, was a resounding success resulting in improvement in all key metrics related to patient and financial outcomes.

Finance | Chamber 4 Pulling Back the Curtain: Untapped Areas of ACA Opportunity in your Current Care Programs

Arnie Cisneros, PT, Home Health Strategic Management

The Affordable Care Act outlines the care delivery model of the future: Episodic care programs managed by the ACO in terms of Care Transitions and efficiency, void of silo influences from individual Provider types. How can you begin today to improve your processes for the ACA Care models; it involves the evolution of your current programming to a more focused, efficient delivery model? By rewiring today’s care protocols, Home Health Providers can prepare for the care models of tomorrow while improving clinical and financial results. This presentation will outline specific areas of the Home Health PPS Care Model that offer opportunities to elicit more efficient clinical outcomes while improving the care you currently deliver to your

patients. What are ACOs seeking from Home Health in the episodic model, and how do you currently perform in those areas? Where should you begin to address your processes to create new efficiencies, and what problems will you encounter, and how do you resolve those issues with supervisory and front-line clinical staff? Don’t miss this progressive presentation on ushering your care (and clinicians) into the future of your care delivery.

Breakout Session Three


Clinical Operations | Chamber 1 Weaving Health Literate Care Into Integrated Care Management: Our Journey

Beth Hennessey, RN, BSN, MSN, Sutter Care at Home Jennifer Pearce, MPA, Sutter Care at Home Paula Suter, RN, BSN, MA, Sutter Care at Home

The Integrated Care Model (ICM) was designed to realize the vision of providing care that facilitates true partnerships with patients and families. This presentation will outline steps our organization has taken to deliver person-centered, evidence-based, health literate care that is coordinated across providers, sectors and time. The presentation will highlight how ICM model delivery is in line with the new CMS proposed conditions of participation; in particular how ICM promotes a shared decision-making approach to care that is understood and valued by patients and caregivers. Lessons learned about how best to hardwire these concepts in daily care delivery will be shared.


Hospice | Chamber 2 Hospice Documentation: From Admission to ADR—Proving Decline

Cindi Pursley, RN, CHPN, Colorado VNA Hospice & Palliative Care Danielle Pierotti, RN, PhD, AOCN, CHON, HCI Care Services and VNS of Iowa

In this breakout, the presenters will outline the essence of documentation in hospice. They will cover how to efficiently document drilling down on the key components from admission to discharge with specific emphasis on how to provide specifics on decline. They will offer some practical approaches to incorporating information to the IDT so all team members are up-to-date on the patient/caregiver status. Specific attention will be on the spiritual leader’s team members and ways to keep them involved. Successful strategies for managing ADRs and documentation will be discussed.

Innovation and Partnerships | Chamber 3 Partnering With the ED: A New Way to Reduce Hospitalizations

Jennifer Rittereiser, Christiana Care VNA Patty Resnik, Christiana Care Health System Judy Peterson, RN, BSN, VNA of Chittenden and Grand Isle Counties

Avoidable hospitalizations are expensive and can potentially cause harm to a patient. They absorb a significant amount of resources and do not keep the patient in the environment where they can be most successful, their home. Low risk patients who present at the emergency department (ED) may be unnecessarily hospitalized due to lack of guaranteed, medical follow up in the community within 24 hours of ED discharge. Patients referred from the ED are often not designated as such, no advanced notice of discharge is provided and they are frequently not scheduled differently than other referrals. Two VNAA member agencies have adopted partnerships with local EDs. During this

presentation, participants will learn the steps for building a partnership with local EDs to meet the triple aim of health care reform, understand potential opportunities for working with EDs and identify trends in the ED patients who returned to the hospital and make changes to improve future outcomes

To understand the role home care can play in discharging ED patients to the most appropriate setting.

Finance | Chamber 4 Diversifying Revenue Sources for Increased Stability

Mark Sharp, CPA, BKD, LLP Paul Giles, Dignity Health

This program will provide insight to strategies associated with diversifying an organization’s revenue models. There are many things to consider as you evaluate alternative programs from understanding your demographics to the financial feasibility of a particular revenue diversification. There is one thing for sure: There is no cookie cutter approach to the right revenue diversification strategy. The program will help participants recognize the importance of revenue diversification in home care and hospice, understand the methods for evaluating the opportunities for revenue diversification, and identify the steps needed to plan and implement a diversification into new lines of home care business.

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Breakout SessionsBreakout Session Four


Clinical Operations | Chamber 1 Operational Challenges and Solutions

Rhonda Combs, RN, MSN, BC, Christiana Care VNA Susan Northover, BSN, MS, Visiting Nurse Service of New York Sue Payne, MBA, RN, Advanced Home Care Kathy Peirce, BSN, MS, VNA of Care New England

Intake Redesign: Presentation on the changes healthcare reform has presented to home care services and how we redesigned our intake process to adapt to these changes and better meet our patient’s needs.

Preceptor Redesign: Presentation on Advanced Home Care’s recently revised Preceptor/New Hire Program and its impact on retaining new hires and ensuring successful performance of staff.

Individual Practitioner Accountability: Presentation on Christiana Care Visiting Nurse Associations approach to accountability and performance on a team level with scorecards incorporating goal oriented metrics and baselines and targets.

Avoiding Re-hospitalization: Presentation on the struggle home care agencies share with re-hospitalization. After participating in many studies I have worked closely with our hospital to partner on reducing readmissions using best practices and monitoring tools.

Hospice | Chamber 2 Building a Culture of Philanthropy for Fundraising Success

Lenora A. Ritchie, APR, CFRE, Bob Carter Companies Kerry A. Bartlett, CFRE, MBA, Bob Carter Companies

Panelists: Jamie Summerfelt, PT, Visiting Nurse Association Theresa Santoro, MSN, RN, CHCA, Ridgefield VNA Ann Marie McCrystal, VNA of the Treasure Coast

Philanthropy is defined as the desire to promote the welfare of others, expressed especially by the generous donation of money to good causes. Building a culture of philanthropy for fundraising success requires a shift in thinking from charitable giving to philanthropic development. This does not happen easily or quickly. Rather it takes a comprehensive infrastructure and mind set, co-created by leadership staff and Board members, to support this transformational shift. The goal of this session is to educate participants on the characteristics of a home health care agency with a culture of philanthropy and the potential long term outcomes. In addition to the speakers, a panel of three current VNA leaders will share their real life best practices on how they built this culture and the invaluable benefits to the mission of the organization.

Innovation and Partnerships | Chamber 3 The Impact on Satisfaction and Outcomes of Outgoing Calls to Home Health Care Patients

Robert Rosati, PhD, VNA Health Group Sherl Brand, RN, BSN, VNA Health Group

Since late 2013, VNA Health Group has been working with RelateCare a subsidiary of Rigney Dolphin an Irish-based Contact Center provider. RelateCare’s calling programs were developed to reduce avoidable readmissions, manage transitions of care and help lower healthcare costs. For several years, RelateCare has had a successful partnership with the Cleveland Clinic


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This presentation will share VNA Health Group’s experience working with RelateCare in implementing the program and the impact on patients. During 2014, RelateCare contacted over 5,000 patients on select care deliver teams. Since the calls were not made to all patients, VNA Health Group was able to assess the impact of the calls compared to a comparable group of patients that did not receive calls. Comparisons were made on patient satisfaction (HHCAPS) and outcome measures (emergent care and hospitalization).

The presentation includes three components. First, background on RelateCare will be presented, including information about their model of patient engagement. Second, VNA Health Group will share its experience working with RelateCare and implementing the model in its call center. Third, data will be presented that shows significant improvements in patient satisfaction and patient outcomes.

Finance | Chamber 4 Using “Scorecards” to Manage Revenue Cycle Compliance

Aaron Little, CPA, BKD, LLP Patrick Brown, Penn Home Care and Hospice Services

Today’s home health and hospice agencies are challenged by payment reductions, shifting payer mix, substantially increased Medicare and Medicaid regulations, and heightened program integrity activity. Providers must find efficiencies and more effective ways of optimizing revenue cycle performance while also managing regulatory risks. This session will focus on one provider’s initiative to assess compliance risks in its revenue cycle and its implementation of a compliance scorecard system to monitor key compliance risks, measure key compliance metrics, and manage personnel accountability, processes and controls responsible for

compliance. The session will review how the provider assessed its key controls and risk areas, performance metrics for ongoing scorecard reporting purposes, compliance weaknesses, and performance accountability, as well as share tools and strategies employed during the initiative and the results to date.

Breakout Session Five

Wednesday, April 22 | 8:45 - 9:30 a.m. Approved for 0.75 credit

Clinical Operations | Chamber 1 Translating Evidence Based Practices into Tangible Approaches in the Home to Achieve Quality Care

Meg Doherty, MSN, ANP, MBA, Norwell VNA and Hospice Margaret “Peg” Terry, MSN, PhD, VNAA

The presentation will provide updates to the Blueprint for Excellence for Home health Transitions of Care and Hospice and Palliative Care End of Life. The new work in Clinical Conditions, Heart Failure (HF), Chronic Obstructive Pulmonary Disease (COPD) and Hips and Knees will be discuss in detail. The presenters will outline approaches to integrate these practices in home care organizations as well as approaches to measure these approaches.

Hospice | Chamber 2 Preserving Patient’s Legacies through Creative Collaborations

Nicole DePace, MS, APRN, GNP-BC, ACHPN, Norwell VNA and Hospice Judith Labossiere, RN, BSN, MBA, ACHCE, Norwell VNA and Hospice

When faced with life-threatening or end-of-life conditions, life review is a common response. However, this can be a difficult process for some and actually impact the emotional and


Breakout Sessionsspiritual well-being of some patients, both negatively and positively. This workshop will highlight a partnership program that offers patients a positive, creative way to tell their stories, impart wisdom for future generations, and record the legacy that they wish to leave for loved ones. Workshop participants will learn about this unique program and its components, how to access creative resources and begin the process, and steps to implementation within a hospice program. Case studies will be presented to illustrate the process, program goals, and successes.

Innovation and Partnerships | Chamber 3 Advancing Organizational Culture While Capitalizing on Technology

Faith Scott, MPH, FACHE, VNA of Northern New Jersey Lisa Salamone, MPA, VNA of Northern New Jersey Brian Dwyer, HealthWyse, LLC

Strategic thinking has become a business objective that is no longer optional. Planning for operations, with limited resources, in advance of hardship, may appear obvious to many leaders. It has been proven that by shaping a vision for business and outlining business metrics for each division, leadership can move more nimbly and with great accuracy. The result is an organization that is integrated and responds to common goals. During a time when internal and external changes are the norm, it is critical to align the organization with strong partners, talented staff, and an unwavering strategic plan with measurable outcomes.

This presentation will high a business / vendor relationship that involved, against a few odds, developing a strong partnership that led to a reallocation of resources and an alteration in product roadmap with the ultimate outcome of a stronger resource for both. The Organization will ultimately describe its vision, planning methodology and guiding metrics. While the vendor, will outline its decision-making process

to reallocate resources, and redefine its product and strategic roadmaps; no small task.

Finance | Chamber 4 A Deep Dive into the Data Behind Hospital Readmissions: Helping Agencies Reduce Rates Further

Barbara Rosenblum, Strategic Healthcare Programs, LLC Christopher Attaya, MBA, FHFMA, Strategic Healthcare Programs, LLC

The increased hospital penalties for 30-day readmission rates are now in effect as of October 1, 2014, and about three-quarters of all hospitals are impacted. Home health offers hospitals one of the best strategies to reduce admissions, but are we living up to the challenge? CMS provides national data on the rates of rehospitalizations by hospital and plans to start sharing 30 day rehospitalizations rates of HHA’s sometime in FY15. With the impacts to hospitals and a likely HHA pay-for-performance measure, agencies need to continually look at their performance and understand the relationships of patient characteristics and the utilization of services provided to improve their scores. Using data from the Strategic Healthcare Programs (SHP) national database, we will share the data behind hospital readmissions that will analyze these different characteristics and agency profiles. The data provided during this session will help inform the audience characteristics and elements of readmissions that can lead to better performance.


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Wednesday, April 22 | 9:45 - 10:30 a.m. Approved for 0.75 credit

Clinical Operations | Chamber 1 The IMPACT Act of 2014: Strategies for Preparing for Change

Barbara Gage, PhD, MPA, Engelberg Center for Health Care Reform, The Brookings Institute

Dr. Barbara Gage was the lead researcher in the development of the Continuity Assessment Record and Evaluation (CARE) Item Set (CARE Tool), the precursor to the IMPACT Act. She will provide the background and history of this ACT and the far reaching consequences for the post-acute sector including home health agencies. She will provide an overview direction of the incorporation of measures into the data set of the post-acute providers of home health (HH), skilled nursing facilities (SNF), Inpatient rehabilitation facilities (IPR) and long term care hospitals (LTCH). New directions for quality measure development will be discussed. Dr. Gage will also describe ways to prepare for these changes including resources that are available.

Hospice | Chamber 2 The Rapid Intervention Clinical Model for Acute Respiratory Symptoms: How One Hospice Promotes a Plan of Care to Identify and Intervene for Hospice Patients at Risk for Hospitalization

Mary Ann Monaghan, MBA, RN, CPHQ, LHRM, Chapters Health System

Literature and experience has determined that specific psychosocial issues, risk factors and symptoms act as triggers for hospice patients and families to choose the hospital for evaluation and treatment of acute symptoms. One of the most frightening of these symptoms is shortness of breath.

One of the primary goals of the Rapid Intervention Clinical Model is to provide hospice patients with the opportunity to obtain prompt relief for acute respiratory symptoms. The model’s focus on rapid symptom relief accomplishes multiple goals:

• Emotional relief for loved ones and emotional and physical relief for the hospice patient;

• Quick treatment time under the care of the hospice interdisciplinary team;

• Potential reduction in wait time for symptom alleviation; and

• Reduction in emergency room visits for healthcare facilities.

Innovation and Partnerships | Chamber 3 Engaging Strategic Partners in New Models of Care

Patty Upham, RN, BS, FirstHealth of the Carolinas

Using The Institute for Healthcare Improvement’s Triple Aim initiative as the underpinning for project planning, FirstHealth has developed and implemented the Chronic Disease Transitional Care Model with very positive results. The FirstHealth Model was developed, tested and refined and includes a comprehensive cross continuum approach, evidenced based principles of care and a holistic patient centered foundation. FirstHealth created chronic disease pathways of care for heart failure, COPD, diabetes, cardiac surgery and hip and knee replacements. New models of care also require new staff competencies. FirstHealth developed specific on boarding competencies and milestones for the first 12 months of employment and ongoing annual competencies for all clinical staff. Using the Chronic Disease Transitional Care Model, FirstHealth created Care Transition Services, three distinct services that support the move to population health. Home Health is evidenced based, pathway driven care for patients that qualify. Hospitalization


Breakout Sessionsand emergent care results are now signifi cantly below the national benchmark. The Home Health 30 day rehospitalization rate for 2014 is 8.8 percent, and the acute care hospitalization rate is 17 percent. Complex Care Management is pathway driven care for patients who do not qualify for home health but who require ongoing management and support. Complex Care Management is provided for the high risk, high utilizing uninsured and Medicaid population and for the high risk members of FirstHealth’s Medicare Advantage Plan. The FirstHealth Center for Telehealth provides remote monitoring across care settings under a $1,000,000 HRSA Telehomecare Network Grant and includes remote monitoring for Home Health, Complex Care Management, the Community Care Network of North Carolina and the North Carolina PACE Program. Accordingly, this session will focus on how one health care system designed and implemented a comprehensive chronic disease transitional care model, engaged key strategic partners and positioned itself at the forefront of new models of care.

Finance | Chamber 4

The VNAA Nonprofi t Industry Research Database: Progress Update

Jeanette May, MPH, PhD, VNAAChristine Lang, National Research Corporation

During this session, Christine Lang from the National Research Corporation along with VNAA Project Management Specialist Jeanette May, will provide an update on the VNAA’s Nonprofi t Industry Research Database. The faculty will provide an over view of the database and key attributes and the overall goals of the project. Attendees will develop knowledge of the initiative and gain awareness of potential data analyses while receiving and update on the current database size and benchmark report framework and steps for VNAA members to become involved in such an important project.

This continuing nursing education activity was approved by the Maryland Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

How to Claim Your CreditsTo receive credits for attendance of a breakout session, the attendee must:

1. Sign in and out of the session on the attendance sheet.

2. Attend the session from start to fi nish.

3. Complete and submit the evaluation at the end of the session and turn into room volunteer.

4. Receive certifi cate from room volunteer onsite.

5. The licensee must retain the certifi cate for a period of six (6) years after completing the course.


Topic TrackSession 1

Tuesday, April 2110:45 - 11:30 a.m.

Session 2Tuesday April 212:00 - 2:45 p.m.



Session 5Wednesday, April 22

8:45 - 9:30 a.m.


9:45 - 10:30 a.m.

Clinical Operations Chamber 1

VNA Health Group: Transforming Transitional Care Through Partnership

Teach Your Clinicians to Document Superbly:

Documentation that Avoids Regulatory and

Legal Risks

Weaving Health Literate Care into Integrated Care Management: Our Journey

Operational Challenges and Solutions

Translating Evidence Based Practices into Tangible

Approaches in the Home to Achieve Quality Care

The IMPACT Act of 2014: Preparing for Change

Hospice Chamber 2

Pharmaceutical Costs and Hospice Care: Staying

Focused on the Patient, Not the Cost

Creating a Culture of Accountability: The Key to Mind-Blowing Quality and

Profits

Hospice Documentation: From Admission to ADR-

Proving Decline

Building a Culture of Philanthropy for Fundraising Success

Preserving Patients’ Legacies through Creative Collaborations

The Rapid Intervention Clinical Model for Acute Respiratory

Symptoms: How One Hospice Promotes a Plan of Care to

Identify and Intervene for Hospice Patients at Risk for Hospitalization

Innovation and Partnerships Chamber 3

Managed Long Term Care, New York State’s Solution to Managing the Care of Chronically Ill and Aging

Medicaid Recipients

Community and Acute Care Partnership: An Innovative Model for Patient Management

Partnering with the ED: A New Way to Reduce

Hospitalizations

The Impact on Satisfaction and Outcomes of Outgoing Calls to

Home Health Care Patients

Advancing Organizational Culture While Capitalizing on Technology

Engaging Strategic Partners in New Models of Care

Finance Chamber 4

Pulling Back the Curtain: Untapped Areas of ACA

Opportunity in your Current Care Programs

Diversifying Revenue Sources for Increased

Stability

Using “Scorecards” to Manage Revenue Cycle Compliance

A Deep Dive into the Data Behind Hospital Readmissions: Helping Agencies Reduce Rates Further

The VNAA Nonprofit Industry Research Database: Progress

Update

Breakout Topic Tracks Sponsored by:


Topic TrackSession 1

Tuesday, April 2110:45 - 11:30 a.m.





8:45 - 9:30 a.m.


9:45 - 10:30 a.m.

Clinical Operations Chamber 1

VNA Health Group: Transforming Transitional Care Through Partnership

Teach Your Clinicians to Document Superbly:

Documentation that Avoids Regulatory and

Legal Risks

Weaving Health Literate Care into Integrated Care Management: Our Journey

Operational Challenges and Solutions

Translating Evidence Based Practices into Tangible

Approaches in the Home to Achieve Quality Care

The IMPACT Act of 2014: Preparing for Change

Hospice Chamber 2

Pharmaceutical Costs and Hospice Care: Staying

Focused on the Patient, Not the Cost

Creating a Culture of Accountability: The Key to Mind-Blowing Quality and

Profits

Hospice Documentation: From Admission to ADR-

Proving Decline

Building a Culture of Philanthropy for Fundraising Success

Preserving Patients’ Legacies through Creative Collaborations

The Rapid Intervention Clinical Model for Acute Respiratory

Symptoms: How One Hospice Promotes a Plan of Care to

Identify and Intervene for Hospice Patients at Risk for Hospitalization

Innovation and Partnerships Chamber 3

Managed Long Term Care, New York State’s Solution to Managing the Care of Chronically Ill and Aging

Medicaid Recipients

Community and Acute Care Partnership: An Innovative Model for Patient Management

Partnering with the ED: A New Way to Reduce

Hospitalizations

The Impact on Satisfaction and Outcomes of Outgoing Calls to

Home Health Care Patients

Advancing Organizational Culture While Capitalizing on Technology

Engaging Strategic Partners in New Models of Care

Finance Chamber 4

Pulling Back the Curtain: Untapped Areas of ACA

Opportunity in your Current Care Programs

Diversifying Revenue Sources for Increased

Stability

Using “Scorecards” to Manage Revenue Cycle Compliance

A Deep Dive into the Data Behind Hospital Readmissions: Helping Agencies Reduce Rates Further

The VNAA Nonprofit Industry Research Database: Progress

Update

Breakout Topic Tracks


2015 NATIONAL AWARDSNational Award Winners | VNAA Annual Meeting 2014


2015 National Award Winners

The VNAA National Awards celebrate the unique qualities and contributions of individual leaders and staff within nonprofit home health care and hospice. This year’s luncheon provides a perfect opportunity for every organization and individual connected to the VNAA mission to come together and recognize the outstanding contributions made by the award winners.

Outstanding Agency Leader Norene Mostkoff | HCI Care Services and VNS of Iowa

Norene Mostkoff is President and CEO of HCI Care Services (formerly Hospice of Central Iowa) and Visiting Nurse Services of Iowa (VNS of Iowa). The two non-profit organizations joined forces in January 2012 to provide compassionate and effective community-based care to thousands of children, families and older Iowans. A champion for others, Norene is making a difference in her organization and community every day.She is a very deserving recipient of the 2015 VNAA Outstanding Agency Leader Award.

Outstanding Clinician Erin O’Rourke, RN | Ridgefield VNA

Erin O’Rourke, is a Case Manager at Ridgefield VNA. She has been a member of the team for six years. Originally from a hospital environment, home care has been extremely rewarding for Erin. And her patients do not know what they would do without her. A dedicated advocate and exceptional caregiver, Erin embodies all of the best characteristics of a visiting nurse. She has earned the 2015 VNAA Clinician of the Year Award.

Outstanding Innovation Leader Adele Pike, RN | VNA Care Network Foundation & Subsidiaries

Adele Pike is Director, Center of Excellence and Education at VNA of Boston, a subsidiary of the VNA Care Network Foundation. Since beginning her career 18 years ago as field nurse, Adele has been on a constant quest to ensure the best care for patients. A creative advocate, Adele is designing opportunities for the next generation of health providers and ensuring exceptional patient care. She is a worthy recipient of the 2015 VNAA Outstanding Innovation Leader Award.


Outstanding Public Policy Advocate Kathy Keough | Atrius Health

Kathy Keough is the Government Relations Director for Atrius Health. Given the overall lack of knowledge about the role of visiting nurses and home care providers, Kathy personally educates congressmen, senators, and various foundations about their importance. An outstanding advocate for physicians, nurses, patients, and families that are affected by today’s home care policies, Kathy merits the 2015 VNAA Public Policy Advocate Award.

Outstanding Quality Team Donna Peters | VNA Care Network Foundation & Subsidiaries

Bringing together members from different organizations is no easy feat. But the Quality Assurance Team from the VNA of Boston and VNA Care Network, led by Donna Peters, proved they were up to the challenge. The VNA Care Network has moved numerous Centers for Medicare and Medicaid Services quality indicators to the top 20 percent. Encouraging communication and learning from each other along the way, VNA of Boston’s Quality Assurance Team exemplifies collaboration at its finest. They have earned the 2015 VNAA Outstanding Quality Team Award.

Outstanding Volunteer Mindy Minerva | VNA Health Group Foundation

Mindy Minerva has served as a trustee at the Visiting Nurse Association Health Group Foundation since 2007. Mindy is committed to the VNA cause and strives to continually find channels to help support their efforts. She worked closely with newly elected Dr. Landers on the 2020 Vision Campaign and was critical in securing a $1 million dollar commitment from a donor. Over the past several years Mindy has kept VNA her top priority, despite any roadblocks or challenges she has encountered. She is a very laudable recipient of the 2015 VNAA Outstanding Volunteer Award.

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Recreated Logo

2015 Sponsors and Partners

VNAA is proud to partner with the following corporations to support the work of mission driven, non-profit home health and hospice agencies. If you’re interested in partnering with VNAA, please speak with Taney Hamill, Vice President of Membership Development, or visit the Corporate Partners page on our website at vnaa.org/cpp.

PROFESSIONAL FORMULA

STRATEGIC HEALTHCARE PROGRAMS


EXHIBIT HALL VNAA Exhibit Hall | VNAA Annual Meeting 2013


The Exhibit Program at VNAA’s 33rd Annual Meeting will offer members an opportunity interact with some of the best-known companies serving the home healthcare and hospice industry today, as well as new companies shaping the future. These companies will be highlighting their latest, most innovative products and services designed to help VNAA members provide their patients with quality care and make their agencies more efficient.

Exhibitors and sponsors are some of the most important participants at the VNAA Annual Meeting. Not only does the Exhibit Hall provide all of the latest industry information, products and services, but the support received from these exhibitors and sponsors also helps significantly reduce the cost of attendee registration.

Please make sure you take full advantage of everything the Exhibit Hall has to offer by prospecting for new vendors, catching up with current business partners and watching live demonstrations of the latest products.

Exhibit Hall Schedule

Tuesday, April 21

Exhibit Hall Bingo

Each attendee will receive a Bingo Card in their tote bag at registration. On the Bingo Card will be 25 squares. Each of the squares represents an exhibitor, or group or individual for you to connect with while you are here in New Orleans.

Once you make a connection with the group or individual in each box, ask them for one of their stickers to place in that square. Once the card is complete, place your Bingo Card in the drum at the VNAA Purchase Clinic Program Booth. Winners will be announced during the Exhibit Hall Reception Tuesday evening.

Prizes

2 FitBit Bands

2 $100 American Express Gift Cards

1 iPad Mini

1 Sonos Play 3 Bundle

Note: Only one prize per attendee. VNAA staff, exhibitors and sponsors are not eligible for participation.

Exhibit Hall Schedule

Opening Luncheon

sponsored by

Exhibit Hall Cocktail

12:00 – 2:00 p.m.

Exhibit Hall Cocktail


Booth Listing

Booth 100

Mutual of America

Booth 101

McKesson Medical-Surgical 2015 Partner

McKesson Medical-Surgical offers more products, business management tools, distribution services, clinical support and education to home health agencies than other medical supply distributors. By working together, we can help you reduce costs and save time so you can focus on providing more patient care. Get more and do more with McKesson Medical-Surgical.

mms.mckesson.com

Booth 102

McKesson Connected Care & Analytics

Booth 103

Quality In Real Time

Booth 104

Five Star Consultants LLC

Booth 105

Forcura

Booth 106

Pfizer

Booth 107

Healogram

Booth 108

The Joint Commission 2015 Partner

Joint Commission accreditation has become the industry’s most widely recognized quality distinction, helping home health, hospice and personal care providers distinguish themselves in the markets they serve. Our process and standards have become the “play book” for many to running an efficient, patient-centered organization. For growing organizations accreditation can provide the framework to help ensure more consistent delivery of care.

www.jointcommission.org

Booth 109

CellTrak


Booth 110

UST

Booth 111

Optimal Phone Interpreters

Booth 112

Retractable Technologies

Booth 113

Smith Medical Partners 2015 Partner

Smith Medical Partners is equipped to supply a full range of practices with both broad and limited products. A specialty company of H. D. Smith, we expertly manage the unique supply chain logistics of vaccines and specialty items. Combining national reach with accessible service, Smith Medical Partners is a complete distribution solution.

www.smpspecialty.com

Booth 114

Wolters Kluwer

Booth 115

BKD 2015 Partner

BKD, LLP provides financial statement audit, tax, accounting outsourcing, cost-report preparation, operations consulting, third-party billing, and compliance consulting to approximately 250 home care & hospice clients.

www.bkd.com

Booth 116

Delta Health Technologies 2015 Partner

Delta Health Technologies’ innovative, patient-centric software solution provides end-to-end coverage for all the needs of home health, hospice and private duty providers. From clinical point-of-care to scheduling, billing and regulatory compliance; our software provides accurate and real-time visibility into what it takes to run your business more profitability. | www.deltahealthtech.com

Booth 117

Covidien 2015 Partner

Covidien is a world class manufacturer of medical supplies. The comprehensive portfolio of products offered by Covidien serves the home care needs of patients and providers alike. A specialized, highly trained home care sales force is dedicated to supporting the needs of customers who provide for individuals in the home.

www.covidien.com

Booth Listing


Booth 118

SHP 2015 Partner

Strategic Healthcare Programs (SHP), a leader in healthcare data analytics and benchmarking, provides real-time, actionable performance metrics that drive daily decisions. Using a dynamic dashboard that integrates data from all venues of post-acute care, customers view key performance metrics and alerts that proactively help improve clinical outcomes, protect payment, increase customer satisfaction, and comply with regulations.

www.shpdata.com

Booth 119

DecisionHealth

Booth 120

Woodrow Healthcare Consulting

Booth 121

Ferris Mfg Corp 2015 Partner

Manufactured in the USA by Ferris Mfg. Corp. PolyMem is a unique multifunctional dressing specifically designed to reduce a patient’s total wound pain experience, while actively encouraging healing. All PolyMem dressings effectively cleanse, fill, absorb and moisten wounds throughout the healing continuum, standardizing care and utilizing fewer dressings to healing.

www.polymem.com

Booth 122

Computerized Screening, Inc.

Booth 200

McBee Associates

Booth 201

VNAA Purchase Clinic Program 2015 Partner

VNAA Purchase Clinic Program is an added member benefit offered to VNAA members. The program offers substantial savings through an online contract marketplace utilizing the MedAssets contract portfolio, and includes staff support to translate the value of the portfolio into realized member savings. This technology platform allows for rapid supplier connection and contract access.

www.vnaa.org/purchaseclinic

Booth 202

Vaxserve

Booth 203

Masimo

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Booth 204

Philips Lifeline 2015 Partner

Part of Philips Home Healthcare Solutions, Philips Lifeline is the leading medical alert service, providing seniors and their caregivers the confidence and peace of mind to continue to live independently in their own homes. Philips Lifeline provides 24-hour medical alert services to more than 700,000 subscribers in North America.

www.lifelinesys.com

Booth 205

BlackTree Healthcare Consulting

Booth 206

Leading Home Care... a Tweed Jeffries Company

Booth 207

Time Warner Cable Business Class

Booth 208

Allscripts, Inc.

Booth 209

MedScope America Corp.

Booth 210

PPS Plus Software

Booth 211

Transpirus

Booth 212

Cambridge Security Services

Booth 213

Make People Better

Booth 215

OCS HomeCare by National Research Corporation

Booth 216

Home Health Gold

Booth 217

Exact Recruiting

Booth Listing


Booth 218

Byram Healthcare 2015 Partner

Byram Healthcare is a comprehensive provider of patient supply management and transition of care solutions. Our patient direct supply and clinical support programs enable an agency to maximize clinician’s productivity while supporting your patients medical supply needs both on service and upon discharge.

www.byramhealthcare.com

Booth 219

Avant Healthcare Professionals

Booth 220

CHAP 2015 Partner

CHAP is an independent, nonprofit accrediting body for home and community-based health care organizations. We are people who care on a mission to lead and to serve. We accredit a variety of home and community-based health care organizations that make high-quality care a programmatic and business priority. Through “deeming authority” granted by CMS, we also have the regulatory authority to survey agencies providing home health, hospice and home medical equipment to determine if they meet the Medicare Conditions of Participation and CMS Quality Standards. We know more about home and community-based health care accreditation than anyone in the industry. It’s not part of what we do; it’s all we do. When the business of care gets better, the care of people gets better.

www.chapinc.org

Booth 221

Cardiocom 2015 Partner

Cardiocom®, Experts in TelehealthSM, is a proven leader in Integrated Clinical Telehealth Services. Cardiocom is a world-class developer, manufacturer and clinical telehealth solutions provider. Cardiocom’s innovative home telemonitoring equipment and telehealth services enable health professionals to identify symptomatic patients and intervene early to prevent unnecessary hospitalizations. Cardiocom addresses Heart Failure, COPD, Asthma, Diabetes, Hypertension, Obesity and other complex conditions.

www.cardiocom.com

Booth 300

The Corridor Group

Booth 301

Homecare Homebase

Booth 302

Fazzi Associates

Booth 303

PassportUSA

Booth 304

Home Healthcare Solutions

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Booth 305

Honeywell Life Care Solutions

Booth 306

Innovacyn, Inc. 2015 Partner

Puracyn Plus Wound Irrigation Professional Formula is a next-generation wound cleanser designed to improve the most essential part of the wound treatment process – preparation of the wound bed. Compatible with the natural hypochlorous produced in the body, Puracyn Plus is as safe as it is powerful.

www.innovacyn.com

Booth 307

Suture Health, Inc.

Booth 308

Carewatch Inc.

Booth 309

Healthcare Recovery Solutions

Booth 310

Amramp

Booth 311

PlayMaker CRM

Booth 312

TZMO USA Inc.

Booth 313

Healthcare Market Resources

Booth 314

Axxess 2015 Partner

Axxess is a leading provider of software and consulting services to the home health care industry. Axxess’ flagship AgencyCore® Home Health Software is a complete, user-friendly and fully integrated solution that empowers home health agencies by helping them increase revenue, decrease cost, improve compliance and productivity.

www.axxess.com

Booth 315

ProCare HospiceCare

Booth 316

Axxess

Booth 318

Selman-Holman & Associates, LLC

Booth 319

Healthcare Provider Solutions, Inc.

Booth Listing


Booth 320

DeVero, Inc.

Booth 321

HealthWyse 2015 Partner

Since 1998 HealthWyse has delivered EMR software exclusively to home health, hospice and private duty providers. The compliance-driven EMR empowers agencies to improve their financial and clinical performance beginning with HealthWyse Mobile, the industry’s first cross-platform point of care solution to work natively on Android, iPad and Windows devices.

www.healthwyse.com

Booth 400

Accreditation Commission for Health Care

Booth 402

Runzheimer International

Booth 404

AMC Health

Booth 406

The van Halem Group

Booth 410

Select Data 2015 Partner

Select Data provides Coding, OASIS Review, Auditing, and Revenue Management Services to Home Health and Hospice agencies. With over 20 years of experience, Select Data is uniquely qualified to assist your agency in turning operational challenges into revenue generating opportunities.

www.selectdata.com

Booth 412

Accreditation Commission for Health Care

Booth 414

Willis/Smith, Bell & Thompson

Booth 416

Vitaphone e-Health Solutions

Booth 418

Advanced-Telehealth Solutions

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6’ x 30”

Booth Map


Attendee Information

Event Admittance

• Full registrants may attend all events and sessions, except pre-conferences.

• Exhibitors may attend all Exhibit Hall sessions, the Welcome Reception, the Opening and Closing Plenary Sessions and the National Awards Ceremony. Exhibitors must purchase an education pass to attend the educational breakout sessions

• Daily registrants may attend all events and sessions only on the day for which they registered.

• Non-registered speakers may only attend their presentation session.

• The pre-conference programs are open to all but there is an additional fee per pre-conference. The cost of these sessions is not included in the conference registration fee. Please stop by the VNAA registration if you are interested in registering for one of these events.

• Interest Group Meetings and the Joint Council Meeting Forum are open to all VNAA Affiliate Members.

Note: Alcohol is served at several of these functions; please consumer responsibly. The VNAA and its agents are not responsible for injury or mishap due to overindulgence.

Name Badges Your name badge is your admission ticket to all VNAA Annual Meeting sessions and events; please wear it at all times during the conference. Name badges will be strictly monitored for all sessions and admittance will be restricted to attendees with the proper credentials. If you lose your name badge, please inform a VNAA staff member in the registration area.

What to Wear Suggested dress for the Annual Meeting is business casual. Please be aware that the meeting rooms vary in temperature. For your comfort, we recommend

dressing in layers and keeping a sweater or jacket nearby. The average temperature for late April in New Orleans is degrees 78F and rain is to be expected (High 78 degrees F, low 59 degrees).

Photography Release Individuals attending the VNAA Annual Meeting may be photographed by VNAA staff members or others involved with the meeting. These photographs may appear without compensation in VNAA-produced collateral or on the VNAA Website. If you do not want your photograph to appear in any VNAA publication, please notify the VNAA at [email protected] or speak to a staff member at the VNAA Registration Desk.


Upcoming Events in 2015

M I D W E S TLEADERSHIP SUMMIT

C I N C I N N A T IJUNE 17-18

Midwest Leadership Summit

June 17-18, 2015 | Cincinnati, Ohiovnaa.org/leadershipsummits

Public Policy Leadership Conference

Sept. 16-17, 2015 | Washington, D.C.vnaa.org/pplc

PUBLIC POLICYLEADERSHIP CONFERENCE

W A S H I N G T O N , D CSEPT. 16-17

M I A M IAnnualMeeting

A P R I L 6 - 8 , 2 0 1 6

F I N A N C I A LL E A D E R S S U M M I T

B O S T O NNOVEMBER 1

Financial Leaders Summit

Nov. 1, 2015 | Boston, Mass.vnaa.org/leadershipsummits

2016 Annual Meeting

April 6-8, 2016 | Miami, Fla.vnaa.org/vnaa-2016


Acknowledgments

VNAA would like to thank the following member volunteers for their generous donation of time, expertise and effort. Their contributions are vital to the success of the Annual Meeting.

VNAA Annual Meeting Committee

VNAA National Awards Committee

VNAA Annual Meeting Volunteers

Rhonda Combs Christiana Care VNA New Castle, DE Chair

Paul Giles Dignity Health Yorba Linda, CA

Christy Mesik VNA Corporation Kansas City, MO

Ann Painter VNA of Somerset Hills Basking Ridge, NJ

Marie Sperber VNA of Somerset Hills Basking Ridge, NJ

Lucy Saia Home Health and Hospice Care Merrimack, NH

Barbara Szewczyk Christiana Care VNA New Castle, DE

Celeste Twardon Home Nursing Agency and VNA Altoona, PA

Theresa Santoro Ridgefield VNA Ridgefield, CT Chair

Judy Adamcsik VNA of Somerset Hills Basking Ridge, NJ

Johann Becker Wellspan VNA Home Care York, PA

George Bielke VNA of Tulsa Tulsa, OK

Janine Fay VNA Community Healthcare Guilford, CT

Kim Hall Advanced Homecare High Point, NC

Mary Linn Hamilton VNA of Treasure Coast Vero Beach, FL

Carol Kanarek VNA of Treasure Coast Vero Beach, FL

Judith Labossiere Norwell VNA and Hospice Norwell, MA

Anne Major Knute Nelson Home Care and Hospice Alexandria, MN

Kathy Peirce VNA of Care New England Warwick, RI

Colleen Sailer In Home Care VNA Princeton, IL

Jill Schultz Covenant VNA Saginaw, MI

Rita Truex VNA of Somerset Hills Basking Ridge, NJ

Emilie M. Deady, RN, MSN, MGA Washington, DC


Board of Directors

VNAA Board of Directors and Staff

Sarah Bogdan Legislative Affairs Director

Heather Corbin Senior Manager of Education

Hank Daugherty Manager of Marketing and Communications

Leah Dawson Manager of Member Relations

Ashley Durkin Communications Director

Eileen Grande External Affairs Director

C. Taney Hamill VP of Membership and Business Development

Tracey Moorhead President and CEO

Sandy Nguyen Accountant/Controller

Rebecca Schmitt Senior Project Associate and Business Services Manager

Molly Smith VP of Public Policy and Regulatory Affairs

Peg Terry VP of Quality and Innovation

Mary DeVeau, RN, MSM Chair President and CEO Concord Regional VNA Concord, NH

Mark Oshnock Treasurer President and CEO Visiting Nurse Health Systemf Atlanta, GA

Joseph Scopelliti, Jr., MBA Secretary President and CEO VNA Health System Shamokin, PA

Katherine Browne Deputy Director and COO Center for Health Care Quality George Washington University Washington, DC

Esther Emard, RN, MSN, MSLIR Instructor The George Washington University School of Nursing

Gary Jacobs Managing Director Health Industries Advisory PricewaterhouseCoopers LLP

Tracey Moorhead President and CEO VNAA Arlington, VA

Norene Mostkoff President and CEO HCI-VNS Care Services West Des Moines, IA

Faith Scott President and CEO VNA of Northern New Jersey Morristown, NJ

Timothy Veach QA/Compliance Officer Intermountain Homecare Salt Lake City, UT

Staff


Notes

ANNU

AL MEETING 2015

NEW ORLEANS

2015 vnaa annual meeting program book

Healthcare

annual meeting

home health

home based care

palliative care

quality care

breakout sessions

n s driving population

health promotion services