Page 1

2018 ANNUAL REPORT


“My motivation for working with VNA is very simple. I enjoy helping people remain independent and safe in their home for as long as possible.” —Lisa Farris Visiting Nurses employees celebrating 5-year anniversaries in 2018

“It’s the relationships, the stories — with clients, their families, and the staff. I’ve always felt that I have so much support from management or coworkers. I feel that someone is available to listen, answer, and understand.” —Teresa Wilson Visiting Nurses employees celebrating 10-year anniversaries in 2018

CONTENTS Our Mission, Our Values, Our Vision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Message from the CEO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Home Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Help at Home . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Hospice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Patient Satisfaction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Employee of the Year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Special Events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Staff Education & Specialties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Grants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Fundraising & Financials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Board of Directors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15


“I like being able to be a part of helping patients remain in their home and helping them to achieve their goals to make that happen. I truly believe in VNA’s mission and like working with people who feel the same way.” —Lani Rothwell Lani Rothwell, Visiting Nurses employee of 25 years

“Out in the field, I loved that patient contact. I’ve worked in the hospital before. I loved that too, but when you’re in the patient’s home and you see the pictures on the wall and you’re in their environment, that is so special.” —Julie Fuhrmann Julie Fuhrmann, Visiting Nurses employee of 29 years, retired in April 2018

OUR MISSION

OUR VALUES

OUR VISION

The Mission of the Douglas County Visiting Nurses Association, Inc. is to provide excellent community-based health care and support services throughout the continuum of care.

• To affirm the dignity, worth and quality of human life in all of its phases • To promote creativity and lifelong learning in an atmosphere of cooperation, teamwork and fairness • To be honest and maintain confidentiality in all of our interactions • To be a financially viable, cost-effective not-for-profit organization that meets the needs of clients and staff • To maintain excellence as evidenced by positive, measurable outcomes

To be the home health and hospice provider of choice to our community through continued excellence in healthcare services and business practices.

3


MESSAGE FROM THE CEO 2018 marked Visiting Nurses’ 49th anniversary of service to Lawrence and Douglas County, and what a year it was! In addition to maintaining a stable financial position, we experienced some significant recognition exemplifying our mission to provide excellent community-based care. Both our Home Health and Hospice programs had their regulatory survey that occurs every three years. As a Medicare-certified agency, VNA has surveys conducted by individuals who are contracted through the State of Kansas to validate our compliance with Federal and State rules. The Home Health survey occurred in February with day one during an ice storm. The surveyor and our clinical team were undaunted! The Hospice survey occurred in May. The outcome of both was sunny — deficiency-free surveys! This is a noteworthy accomplishment, especially for the Home Health program, which was surveyed under regulations taking effect just that January. Both sets of regulations include new emergency preparedness guidelines necessitating Visiting Nurses’ community integration for disaster response. Our survey is not just “checking the boxes” on paper, but incorporates visits with our staff to evaluate our care of patients. Another major accomplishment was realized in October when our Home Health program achieved a Medicare (CMS) 4.5 out of 5 star rating. The STAR rating is an aggregate score of numerous quality measures by which CMS, referral sources, and patients/families can compare agencies. Achieving the 4.5 mark, the highest in our service area, was the culmination of months of dedicated attention by our Home Health team. In our ongoing commitment to be a strong partner in our community and the healthcare continuum, Visiting Nurses invested in education to expand staff knowledge. In September and October, we engaged Bert Nash to train all staff in Mental Health First Aid. Lawrence and Douglas County have a multitude of behavioral health initiatives. Further, an increasing number of our referrals have co-occurring behavioral health and/or substance use diagnoses. Staff should be equipped with basic skills to wholly support our patients and families. In conjunction with the aforementioned emergency preparedness planning, one of our managers is now a certified member of the Douglas County Emergency Operations Center team. Visiting Nurses welcomes the opportunity to provide additional support at times of local disaster. We closed the year with lots of planning for our 50th anniversary in 2019. As you review this report, you’ll find stories of success, change, community engagement and lots of support! I hope you enjoy 2018 in review. We are grateful for our role in Lawrence and Douglas County and all we receive to help make it happen. —Cynthia Lewis, CEO

4


Home Health

PHOTO BY MACKENZIE CLARK

“It’s been a blessing all the way around. It really has. The VNA has been the best. There’s not anybody down there I dislike.” —Jerry Barnes, Home Health patient

Visiting Nurses’ Home Health program provides a variety of medical services to help patients maintain independence in the comfort of their own homes. Our Home Health program helps homebound patients recover from injury, illness and surgery.

22,658

Home Health visits in 2018

1,088

Home Health patients served in 2018

5


Help at Home

“Nothing but respect. Respect because of their consideration for the human, for the person. That’s what VNA is. They do it remarkably well. To have been a part of it and on the Board and then to get the benefit of their services, I’m just really enjoying having the benefit of all this.” —Mary Gauthier, Help at Home patient

Visiting Nurses’ Help at Home program provides assistance with everyday activities to help people live safely and independently in the comfort of their own homes. The Help at Home program’s trained caregivers specialize in personal care assistance, companion care, and homemaker services.

21,982

hours of Help at Home care provided in 2018

235

6

Help at Home patients served in 2018


Hospice

“We want to be respectful of the Veteran and really honor their wishes regarding the pinning ceremony. It can be very emotional for families whose loved one has been non-responsive before the ceremony, but will sometimes have a change in breathing or smile slightly when they hear their military creed being read.” —Brittany, Hospice Social Worker Visiting Nurses joined the We Honor Veterans program in 2018 as a way to thank U.S. Veteran patients for their service. In the presence of their families and Visiting Nurses staff, a very meaningful bedside pinning ceremony pays tribute to the sacrifice and dedication that the patient has paid to his or her country.

VNA’s Hospice program improves patients’ quality of life through dignity and compassion, helping patients at the end of their lives to achieve physical and emotional comfort.

9,114

Hospice visits in 2018

335

Hospice patients served in 2018

7


PATIENT SATISFACTION The skilled and certified staff at VNA strives to exceed the expectations of patients and their families/caregivers. VNA evaluates this through standardized surveys for VNA’s Home Health and Hospice programs, and an agency-specific survey for VNA’s Help at Home program. Providing excellent care to patients is the number one priority as VNA continues to serve the community.

Home Health (medical) Visiting Nurses exceeds the state and national benchmarks for the following: Improved Ambulation Improved Pain

VNA

National Average

Kansas Average

VNA

National Average

Kansas Average

Patients who would recommend for Home Health Services Improved Breathing

VNA

National Average

VNA scored better than

Kansas Average

VNA

National Average

Kansas Average

of the other Home Health agencies serving Douglas County 100% when looking at rehospitalization rates.

Hospice (medical) VNA scored better than in the following areas:

100%

of the other Hospice agencies serving Douglas County

• Communication with Family • Help for Pain & Symptom Management • Emotional and Spiritual Support • Getting Timely Help

Help at Home (personal care and assistance)

100%

8

of clients polled...

• feel Help at Home services help them maintain overall health. • would recommend VNA’s Help at Home Services. • said the care VNA Help at Home provided met their expectations.


MARCEIL LAUPPE AWARD The Marceil Lauppe Employee of the Year Award is presented annually to an employee who exemplifies the mission and values of Visiting Nurses. Dawn Jackson is the 2018 Marceil Lauppe Employee of the Year award recipient. Dawn has been an Occupational Therapist with Visiting Nurses for several years, and the compassion and kindness that she embodies is felt by not only her patients, but her coworkers as well. Here are some comments about her from her coworkers: “Dawn is unfailingly kind. She is attentive to our patients and to her coworkers. Dawn provides high quality, holistic occupational therapy services. Clinical Managers count on her to pick up patients when the other OTs are sick or on vacation. Dawn personifies the values and mission of VNA.”

Dawn Jackson, pictured at right, with Debbie Ahlert-Caffey, Director of Clinical Services

“Dawn is the most humble, professional, exceptional employee. She consistently goes above and beyond for all her patients and coworkers.” “Dawn is a dedicated employee that goes above and beyond for her patients and team members! There are many times she makes phone calls and reaches out to the community for resources for her patients after hours. Even after she has discharged patients, there have been times when she has continued to provide resources and referrals patients and their families need to continue to be successful in the community. Her patience and soft spirit earns her patients’ trust and respect. I was able to watch her work with a patient and she met them where they were, was nonjudgmental, and was so kind in how she gave her suggestions. At work, she seeks to collaborate with her team members. Dawn has a bright smile and often starts her conversations off with “How are you doing?” Even with the occasional frustrations with work, I have never heard her say an unkind word about anyone. She strives to do her job to the best, adjust to all the new requirements that come into Home Health, and move through her day with grace and dignity.”

“She consistently goes above and beyond for all her patients and coworkers.”

“Dawn was one of VNA’s great hires back in September 2015 and she definitely embodies our values, mission and vision. What Dawn lacks in longevity to VNA, she more than makes up for in commitment to her patients and other team members. She floats back and forth between both teams which means she goes wherever she is needed. She is also one of the most comprehensive clinicians we have in the field today.” Congratulations, Dawn, for being selected as the 2018 Marceil Lauppe Employee of the Year Award recipient. Thank you for your dedication to Visiting Nurses and our patients!

9


SPECIAL EVENTS Health Fairs Every year, Visiting Nurses participates in various health fairs in the community. These events provide opportunities for the community to engage with staff from Visiting Nurses, ask questions and receive information about VNA’s services.

Health/Flu Shot Clinics Visiting Nurses promotes good health and prevention practices by providing numerous health care screenings for community members. Blood pressure and flu shot clinics are offered as well in an effort to improve community health.

Pet Therapy As volunteers through Visiting Nurses, Katy Maxon and her furry friends, Foxy and Ralphie, make a big difference in the lives of Hospice patients and residents of local senior living facilities. Katy and her dogs bring smiles to the residents of Pioneer Ridge and Neuvant House every other Sunday. They also visit individual Hospice patients when they are able. Foxy and Katy started volunteering with Visiting Nurses in September 2017 to give back to the community. Ralphie only recently joined in on the altruism in May 2018.

Caring Cuisine Thanks to Merchants Pub and Plate and their Caring Cuisine program, some of Visiting Nurses’ Hospice patients are able to enjoy a meal with their family without having to do any of the work. The delicious meals are cooked and donated by Merchants and delivered to the family by a Visiting Nurses volunteer.

Grief Support Visiting Nurses’ Hospice program provides a variety of grief support classes and presentations to all ages to educate survivors and help them find ways to cope with their grief. One example is the presentation made to Eudora High School students to help them understand that they are never alone in their grief, and there are always people to listen and provide support.

10


Campaign #GivingTuesday is a global day of giving fueled by the power of social media. Celebrated on the Tuesday following Thanksgiving, #GivingTuesday encourages individuals to donate to non-profit organizations in an effort to kick off end-of-year giving. In 2018, 15 local non-profits teamed up with eXplore Lawrence and the Douglas County Community Foundation to kick off #UnmistakablyGiving, a local movement where donations were divided equally among participating non-profit organizations.

Cans for Community Donation Cans for the Community is a non-profit organization that provides financial support to other non-profit organizations by recycling aluminum beverage containers. In 2018, $1,000 was donated to Visiting Nurses, helping Cans for the Community to reach a milestone $200,000 in donations since their first donation in May of 2005 which was given to VNA!

Exercise Clinics Physical and Occupational Therapists from VNA’s Home Health program lead exercise clinics throughout the year to encourage exercise and good health. The chair and standing exercise classes are enjoyed by many residents of independent living and skilled nursing facilities where VNA cares for patients.

We Honor Veterans In order to thank Veterans for their service to our country, Visiting Nurses joined the We Honor Veterans program in 2018. Veterans who are Hospice patients are paired with Veteran volunteers. With help from a Hospice Social Worker, a bedside pinning ceremony pays tribute to the sacrifice and dedication these patients have paid to their country. Each ceremony includes a reading of the armed service prayer and motto that is specific to the branch which they served. This very meaningful ceremony is just one more way for Visiting Nurses staff to honor patients at the end of their lives.

11


STAFF EDUCATION & SPECIALTIES

Mental Health First Aid The entire VNA staff completed Bert Nash’s Mental Health First Aid training in September 2018. This training helped give staff members the skills necessary to identify and help someone in need, not only when they are working with patients, but in their personal lives as well. Skills Fairs Skills Fairs refreshers help Visiting Nurses staff stay updated on the latest techniques and tools, and continue to provide high quality care to all of VNA’s patients. Certified Dementia Care Several Home Health Aides from VNA’s Help At Home program are certified in dementia care. This specialized certification provides much-needed respite for caregivers, helps keep patients with dementia safe at home, provides peace of mind for the primary caregiver and gives support to help avoid caregiver fatigue. ELNEC The End-of-Life Nursing Education Consortium (ELNEC) is an international project to improve palliative care through education. Julie Andrews, RN, a member of VNA’s Hospice team, received ELNEC training to provide information and resources on end-of-life/palliative care to other VNA staff and local medical professionals. The information she shares can be integrated into clinical practices to ensure that best practices are provided for patients at end-of-life. VitalStim® Therapy VNA’s Speech Therapist is certified to provide VitalStim® Therapy as part of VNA’s Home Health program. This external electrical stimulation therapy can help improve patients’ ability to swallow and achieve long-term results. It works in conjunction with traditional therapy to accelerate strengthening, restore function and help retrain the brain in the action of swallowing. WOCN Wound and ostomy care is a crucial part of preventing readmissions to hospitals. As a member of the Home Health and Hospice teams, Visiting Nurses’ Certified Wound, Ostomy and Continence Nurse, Lori Lee specializes in enterostomal therapy and complicated wounds. This valuable knowledge helps ensure proper pouch fitting with new or difficult ostomies. She also uses this knowledge to educate other staff members during Visiting Nurses’ skills fairs to help improve their ability to care for wounds and ostomies.

12


GRANTS Visiting Nurses is a not-for-profit organization that is dedicated to caring for patients, regardless of their ability to pay. Because funds are sometimes not readily available due to this arrangement, VNA relies on grant funding to acquire new specialty equipment that can improve patient care and for other needs that support the organization’s mission. Grant funding not only allows Visiting Nurses to care for more patients, but also helps provide the highest level of care possible to all of the patients VNA serves. Charity Care Grants In 2018, Visiting Nurses received a $65,000 grant from the Ethel and Raymond F. Rice Foundation and a $5,000 grant from the Blue Cross Blue Shield of Kansas Foundation for charity care. These funds allowed Visiting Nurses to provide Home Health and Hospice care to under/uninsured patients who could not afford to pay for the services out-of-pocket. Along with donor support, the support from these generous foundations helped ensure that Visiting Nurses did not have to turn away any patients due to their inability to pay. Physical and Occupational Therapy Equipment Grants In 2018, Visiting Nurses received a $5,151 grant from the Douglas County Community Foundation and a $1,500 grant from the Midco Foundation for Physical Therapy (PT), Occupational Therapy (OT) and Speech Therapy (ST) equipment. The PT equipment, including the U-Step Walker, helps patients safely regain strength and mobility while working with a Physical Therapist to recover from illness, injury or surgery. The OT and ST equipment provides Occupational and Speech Therapists tools to help patients safely regain their ability to do important daily activities.

“We are grateful for our role and all we receive to help make it happen.” —Cynthia Lewis, CEO

13


FUNDRAISING & FINANCIALS 2018 Donations And Fundraising: $556, 529 Douglas County Grant Rice Foundation Grant Memorials Major Gifts Annual Appeal Other Monetary Donations Other in-kind Donations United Way Direct Designations Blue Cross Blue Shield of Kansas Foundation Grant Douglas County Community Foundation Grant Midco Foundation Grant

Total Expenditures: $6,922,370

Total Revenue: $7,343,581

Patient Revenue In-Kind Donations Total Investment Income County Funding Contributions/Fundraising/Grants

1,849

volunteer hours donated in 2018 ($46,114 savings to the organization)

1,000 Hospice

14

Patient Care Expenses Administrative Expenses Operating Expenses Investments Expenses

volunteer hours

849 Office

volunteer hours


BOARD OF DIRECTORS

Judith Calhoun, Ph.D., A.P.R.N., President

Sheryle D’Amico, M.H.A., P.T., President (early 2018)

Sue Iverson, M.S.M., B.S.N., B.S., R.N., Vice President

Jeff Peterson, AAMS, Secretary

Carol Wheeler, R.N., B.S.N., F.A.C.H.E., Treasurer

Scott Shmalberg, Treasurer (early 2018)

Jodi Barr, D.O.

Allen Belot, M.Arch., B.S.J.

Ellen Chindamo

Walter Farrell, M.D.

Lori Heasty, J.D.

Luke Huerter, M.D.

Rosalie McMaster, Ph.D.

Shari Quick, M.D.

Jeff Sigler, R.Ph., Pharm.D.

Travis Sullivan, D.C.

Michael Taylor

Janelle Williamson, N.P.-C., A.C.H.P.N.

Ex Officio: Cynthia Lewis, M.H.S.A., C.P.H.Q.

15


all your home care needs under one roof HOME HEALTH • REHABILITATION • HOSPICE • HELP AT HOME 200 Maine Street, Suite C Lawrence, KS 66044 785-843-3738 • www.kansasvna.org

Profile for Visiting Nurses

Visiting Nurses 2018 Annual Report  

2018 was Visiting Nurses' 49th year of serving Lawrence and Douglas County and providing high quality care to hundreds of patients in the co...

Visiting Nurses 2018 Annual Report  

2018 was Visiting Nurses' 49th year of serving Lawrence and Douglas County and providing high quality care to hundreds of patients in the co...

Advertisement