Carilion Clinic Home Care FY14 Annual Report

Home Care A HEALING HAND AT HOME

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Home is much more than just a word. It reflects your personality.

It holds your memories. It’s your refuge in trying times. It’s your favorite place to be. So it’s no wonder that when health issues arise, you want to be cared for at home, if possible. At Carilion Clinic Home Care, we embrace that spirit. We bring compassion, technology, and experience where they’re needed most. We bring them to you.

We bring them home.

THE CRUCIAL LINK between

HOSPITAL AND HOME In most cases, people don’t make an instant transition from hospital care to their normal routines. The benefit of extending care to the home goes beyond improving the patient experience. It’s a vital link in the continuum

Our Mission At Carilion Clinic, our mission is to improve the health of the communities we serve.

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of care that our system provides. It helps manage costs, increases quality of care, cuts down on emergency room and hospital visits, and lowers readmissions. It even helps reduce unnecessary testing and medications.

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By the Numbers

$17,041,146 REVENUE

Performance Measures

ADMISSIONS

130,225

VISITS

We are always striving to improve the quality of care we provide to those we’re honored to serve. At the same time, we want to do all we can to keep the costs of health care under control. Our focus is on improving our patient’s clinical outcomes in as many areas as possible.

Some areas in which we have achieved this include the following:

HOW OFTEN BREATHING IMPROVED:

82%

CARILION HOME CARE AVERAGE

65%

NATIONAL AVERAGE

LESS PAIN WHEN MOVING AROUND:

Charity Care

81%

CARILION HOME CARE AVERAGE

68%

NATIONAL AVERAGE

HOW OFTEN TAUGHT ABOUT MEDICATIONS:

100% 93%

$310,910

$31,952

$79,743

$27,754

$151,528

$35,727

Roanoke

Lexington

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Bedford

New River Valley

CARILION HOME CARE AVERAGE

NATIONAL AVERAGE

Percent of patients was reported through HHCAHPS.

Franklin

Tazewell

GOALS and OBJECTIVES Our scorecard provides staff and leaders a forum where they can access and monitor the key performance indicators, goals, targets, and benchmarks defined by the organization for the year.

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WE OFFER

HERE FOR

Our Community

a Wide Variety of Services

LONGEVITY PROGRAM Chronic disease management continues

to be a primary focus of home care service delivery. Our staff attends chronic disease management classes followed by a certification exam to ensure they are well equipped to manage this patient population.

Diabetes, hypertension, COPD, congestive heart failure, and depression are among a list of diagnoses targeted by this effort. Staff utilize an easyto-understand “red flag action plan” to help caregivers know when all is normal, when they need to call the doctor, or when they need to seek emergency care. The overall goal is to educate patients and caregivers so they can recognize when intervention is needed and to seek help before the patient requires a hospital stay.

SERVICES OFFERED INCLUDE: T elehealth – Offers remote monitoring of vital signs and symptoms through a central monitoring center that alerts a nurse to any changes that would warrant a visit or a patient’s physician to be contacted other and baby care – Provides home visits after discharge from the M hospital to help mothers care for themselves and their new baby and teaches them how to create a safe and healthy environment for the baby

SHARING THE HEART The holiday season is a poignant time for

S ynagis – Helps prevent serious respiratory tract diseases in infants caused by RSV (respiratory syncytial virus)

home health patients and their families, and we help make it special through our Sharing the Heart of Christmas at Home program. Our caring physicians and staff adopted more than 250 patients and family members, purchasing gifts to make the holidays a time of joy and gratitude.

artners in Care – Supports patients and families who are dealing P with a life-limiting illness ound care – Provides vascular assessments and interventions to W expedite care Rehabilitation – Physical, occupational, and speech therapy ELITE

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HOME CARE ELITE Each year the HomeCare Elite™ list is compiled by the National Research Corporation and DecisionHealth, recognizing the nation’s top 25 percent of agencies that receive high marks in quality of care, quality improvement and consistency, patient experience, process measure implementation, and financial performance. Carilion Clinic Home Care in Franklin County, New River Valley and Tazewell have all been named to the 2014 HomeCare Elite™ list. In addition, Home Care Elite™ recognizes the Top 100 and Top 500 providers nationwide. Carilion Clinic Home Care in Franklin County and the New River Valley were among the Top 500 and Tazewell was named in the Top 100.

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MIFI Devices Both Carilion Clinic Home Care and Hospice clinicians depend on access to McKesson’s electronic medical record to review important patient information, such as discharge summaries or clinical information related to a recent hospitalization or office visit. To enable our clinicians to utilize this information while on home visits, we continue to use MiFi mobile devices, a wireless connection allowing clinicians to connect to the McKesson server, the Epic server, or the Internet. This access allows field clinicians to view a more complete clinical picture. As we partner with inpatient settings to prevent avoidable hospital admissions, access to current and more complete information is invaluable.

LEADERSHIP TEAM Lisa T. Sprinkel, R.N., B.B.A., M.S.N. Senior Director, Home Care and Hospice

Our Locations Roanoke

1615 Franklin Road Roanoke, VA 24016 540-224-4800

Sarah Browning, R.N., D.N.P. Director, Systems Operations and Support Home Care and Hospice

Elaine Gravely, B.S.

Staff Education

Manager, Revenue Cycle, Home Care and Hospice

A clinical educator was hired to assist with on-boarding of new hires and developing education/competencies for our current home care staff.

Kristie Mason, R.N., B.S.N.

Renee Poff, R.N., M.S.N. Manager, Quality, Home Care and Hospice Manager, Roanoke, Bedford, and Lexington Home Care

Mary Riddle, R.N., B.S.N., MS.Ed. Manager, Franklin Home Care and Hospice

Bedford

35 Medical Court Hardy, VA 24101 540-719-3142

Franklin

390 S. Main St. Rocky Mount, VA 24151 540-489-6383

Lexington

100 Spotswood Drive Lexington, VA 24450 540-464-1577

Clinical Coordinators

Tracy Stewart, R.N., M.S.N.

Carilion Clinic Home Care has 3.6 FTE (full-time equivalent) registered nurses employed as clinical coordinators who work out of Carilion Roanoke Memorial Hospital and Carilion New River Valley Medical Center. When patients select Carilion Clinic Home Care as their provider for home care services, one of the clinical coordinators meets with the patient, family, and/or caregiver to explain our services to ensure a smooth transition to the home.

Virgil Thompson, O.T.R./L., B.S.

701 Randolph St. Radford, VA 24141 540-633-9330

Manager, Rehabilitation Services, Home Care and Hospice

Tazewell

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Manager, New River Valley Home Care and Tazewell Home Care

New River Valley

141 Ben Bolt Ave. Tazewell, VA 24651 276-988-8714

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