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201 ANNUAL REPORT

Bringing the Care Home


Bringing the care home The work that we do is instrumental to keeping our patients and our communities healthy. To that end we strive to do our very best each and every day. One of the most effective ways we have of improving health and decreasing rehospitalization is through building a trusting relationship with our patients . . . wherever they call home. It only takes a single nurse, therapist, or aide to make a difference and put our patients on the path to recovery. The very definition of recovery reminds us that it doesn’t always mean a cure but rather finding a new balance, or a renewed sense of well being. It is through our experience, our knowledge, our empathy and support that we help our patients to recover. This is truly what it means to bring the care home in a meaningful and impactful manner.

Alyce Brophy, President/CEO

Our greatest strength is truly our staff and their tireless commitment to the patients care and wellbeing. We thank them for allowing each patient to find their own path on the road to recovery and being there to help them along the journey.

Board of Trustees Thank you to the Board of Trustees who provide direction, support and strategy, making us successful today and prepared for tomorrow.

Top Row: (Left to Right) Dr. Elizabeth Balint, Carol Patterson, CVNA Board Chair 2nd Row: Lisa Desnoyers, Secretary, Therese Steinhardt, Irwin Vogel, Martin Jacob 1st Row: Larry Fox, Barbara Lucas, Chair CHC, Mike Jablonsky, Treasurer, Keya Denner, Esq., Len Laich, Chair, CVNS

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Senator Kip Bateman

Rick Fontana, Vice Chair

Rev Todd Buurstra


2018 Financial Highlights CVNA diversified its funding streams and modified its payor mix in order to better meet the needs of its communities. Though Home Health remains our core business we remain steadfast in our support of our specialty and community programs and will continue to utilize all of our available resources to support them to provide the very highest quality of care. We truly believe in our mission of improving the health of our communities and its residents.

REVENUE BY PROGRAM 14% Hospice

4%

Community

82%

Home Health

EXPENSES 3%

10% Purchased Services

Supplies

2%

4%

Other

Transportation

66%

15% Benefits

Salaries

BUSINESS MIX 7% MGD CARE

12% MGD MCR

2%

MCD

2%

Other

77%

MCR

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2018 Clinical Highlights

PATIENTS BY GENDER

Our patient’s risk indicators illustrate that we serve a very fragile, high risk population. The senior population is the fastest growing segment in the country and here at the VNA 55% of our patients are between the ages of 81-100 with the average being 87. Some of the programs we’ve implemented to augment their care and help enhance their lives and health include:

• • • • • • •

Fall Risk Reduction Chronic Care Support Telehealth monitoring Video Education Emergency Preparedness Rehospitalization prevention Interdisciplinary care management

PATIENTS BY AGE

1%

Under 20

7%

64%

41-60

37%

61-80

54% 1%

36%

81-100 Over 100

Average Age: 87

PATIENT RISK INDICATOR’S 55.7%

49.3%

VISITS BY DISCIPLINE 12%

42%

45%

38.8%

26%

HHA

45% 31%

2% MSW/RD

36% REHAB

Risk of Falls

50% Nursing

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CVNA

Frailty State

Risk for Hosp

Multiple Hosp

*CVNA serves a high risk population


Community VNA TOP COMPLEX HEALTH CONDITIONS

PATIENTS BY COUNTY 44% Somerset

Cardiac Care

17% Middlesex 39% Warren County

Respiratory Care Diabetic Care Chronic Kidney Disease Care Surgical Aftercare

CVNA has provided services to our local neighborhoods for over 70 years. Our mission is to improve the health of our communities through providing and coordinating quality home care, hospice and community services and promoting health education, wellness and prevention. Our caring, knowledgeable staffs assist patients and their families navigate the complexities of recovery based on their individual needs and wishes.

AGENCY SERVICES PROVIDED • • • • • • • • • • • •

Skilled Nursing Physical Therapy Occupational Therapy Speech Therapy Nutritional Counseling Medical Social Services Home Health Aide Hospice Chaplain Volunteers Chronic Care Support Child Health Conferences • Community Services

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Community Home Care

Community Care Hospice

Working to keep our communities healthy, we provide child health clinics in conjunction with our local Departments of Health, as well as immunization clinics, school immunization audits, health fairs, health screenings and health education.

Children Wellness Screenings Childhood Immunizations

211 404

Patients receiving post discharge chronic care support visits

253 Home Health Aide Grant Program

3,034 hours

Health Department Support

1,296 hours 6

11% Volunteer

35% HHA

38% Nursing

8%

8%

Chaplain

MSW

Hospice Days of Service

5,770 Community Care Hospice provides end of life care and support to individuals and families in their homes, assisted living facilities and skilled nursing facilities. The members of our Hospice team have specialized knowledge and experience in pain and symptom management, nutrition and hydration, and emotional and spiritual needs. They help to ease the sense of fear, uncertainty and loss that so many experience, and replace it with a sense of knowledge, calm, security and comfort.


Hospice Donors Express their Gratitude Donations of $1000 and above Lois Grudinsky and Charles Territo

Donations of $100 to $999 William Abbott Bohler Engineering Cindy Boyea Alyce Brophy Beverly Christensen Jim and Paula Curham Bernie Demskey Lisa Desnoyers Mary Diehl DiFrancesco, Bateman, Kunzman, Davis Lehrer & Flaum Joan Fedor Richard Fortune Ida Flowers Nancy Galbraith Linda Giordano Marie Harwanko Linda and Robert Heras Helen A. Huber A. Kielwasser Ms. Nancy Krug Diane and Lenny Laich Janine Lasinski Jacqueline Librera Jane and Bernie McElroy Lisa Nivison Maureen and Michael Rapp Donald Radko Mary Ritchey Theresa Rudnicki-Jones Peter and Marjorie Schengrund Erwin Schnitzer Phillip and Loretta Schreil

Pat Sherlock Pat Shiffner Brian Silbert Catherine Stewart Margaret Swick Roberta Tehan Susan Thompson Kevin Tolson Rev. Frank Villerius Nicole Villani The Villani Family Irwin Vogel Rebecca Vogel Kathryn Welgoss and Family Mary E Wilson Memorial Union Church

All other Donations Carole J. Adair Maria Alfano and Edward Wood Linda A. Amato Alfred E. Ball Dennis Barbier Diana Baxter Nicole Birliga Mary Bowers The Bugal Family Cathy Buitron Mrs. Dorothy Carlomagno Dr. M. L. Cebula David and Alyce Chuduba Regina Clarke Marvin and Suzanne Cline JoAnn Cohen Fred Cortelyou Fred Costabile Donna Cutts Joan Dobrosky Hope Dolan

Betty and Fred Dudeck David Edwards Bette Esposito Rosary Fedak Ms. Ada Ferraro Floyd and Margaret Frankenfield Elizabeth Fuerst Susan Fuchs Erica Furmato Debra Gentile Mrs. Betty Goldfarb John Goleskie Curtis Graham Jane Greninger Ms. Jean Gretch Mr. and Mrs. John Gyori Anita Haley John Hugg Marjorie Hurte Eleanor Jackowski Tracy Jazkowski Jane Jaskulski Mrs. Ann Kolumban Joan Kukan Sherry Kuhne Kathy and Pat LaRosa Mrs. Margatet Lackner Carole Longo Ms. Alice Manzella Marilyn and Bob Marino Lois Mason Lynn McGuire Paula Melbourn Diane Meredith Josephine Methner Barbara C. Meyer Joan Moritz Ethel Ann Mosher

Audrey Mothner My Tribute Gift Foundation, Inc. Joan Palmieri Chris Parenti Carol Patterson Carmine Pirone Mary Ann and Kenneth Pogorzelski Harold Polhemus Iris Ponte John Prickett Frank Ragazzo Donald Rea Meryl Reif The Rose Family Marion Rozger Alan Rubin Mr. and Mrs. Alvin Sager Cindy Schaller Elaine Schwartzkof Ms. Jone Sernas Mary Jean Shandor Adam Siegel Mr. Joshua Skowronek Therese Steinhardt Mrs. Gladys Sutcamp Robert Sydor Stanley Tchorz Ralph and Christine Trksak Yanira Urrato Cecelia Vertucci Melissa Vernon Jane and Al Vogel Wesley Webb Ewa Wilson Mrs. Maria Yannetta Kathleen and John Yacone

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Mary Gemeroy Each year Community Visiting Nurse Association recognizes an extraordinary individual who has made an outstanding contribution to the association by presenting that person or persons with the Marie G. Gemeroy Award. Marie G. Gemeroy was appointed on September 1, 1949 as the first Director of Somerset Valley Visiting Nurse Association (as it was known then). She graduated from Cornell University New York Hospital School of Nursing and received her B.S. in Public Health Nursing from Teacher’s College, Columbia University. She introduced the following principles of health care: • • •

Promote individual, family and community health Prevent disease by teaching health, hygiene and sanitation Apply principles of public health nursing in the prevention of disease and promotion of health.

Marie served as Director of SVVNA until 1955 and later served on the Board of Directors from 1982 to 1989. In 1990, Community Visiting Nurse Association created its highest award in honor of Marie.G. Gemeroy’s dedication to community health care.

PAST AWARD WINNERS 1990 Mary S. Ruckstuhl

1998 Claudia Houston

2005 Arthur Kastner

2011 Sherry Kuhne

1991 Frank Bongiorno

1999 VNA Staff

2012 Ned Cohn, ESQ

1992 Russell G. Muter

2000 Joanne Martone

2006 Cynthia Lemezis JoAnn Toro-Echague

1993 J. Lenny Laich

2001 Alyce Brophy

1994 Phyllis Bugal David C. Faulkner

2002 Joanne Elik JoAnn Toro Echague Beth Flores

1995 Carol Prickett 1996 Lois Grudinsky 1997 Ronald S. Kulisek, Sr.

2003 Priscilla and Clyde Fisk 2004 Lenny Laich

2007 Eleanor Hunter Stuart Thau 2008 Reverend John Graf Reverend Frank Villerius 2009 Tina Gordan The Schulke Family 2010 Kathleen Bray

2013 Carol Patterson Janice Klein 2014 CVNA Warren County Office 2015 Joseph Hardgrove 2016 Judith Staats 2017 Catherine McLaughlin Patricia Mathews

110 West End Ave, Somerville, NJ 08876 • phone 908.725.9355 • fax 908.253.9672 • www.communityvna.org

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