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Visiting Nurse Association Health Group


p u or G h t l a e H n o i t a i c o s s A e s r u N g n i t i s i V


What would you do? What if... your spouse had a stroke and came home for continued rehabilitation? …your mother needed physical therapy at home after hip surgery? …your aging father needed help with showering and other daily activities? …your child was having difficulty speaking? In each of these cases, the Visiting Nurse Association Health Group (VNA Health Group) can help with our expert, compassionate care delivered in patients’ homes and at locations within the community. Every day, we care for nearly 5,000 people of all ages and walks of life throughout New Jersey, making nearly 1 million patient visits per year.


VNA Health Group Is Here to Help

Monmouth County Organization for Social Service (MCOSS) begins providing nursing services to cancer patients.

No matter what you or your loved ones may need, VNA Health Group is here for you with a full range of care—from prenatal visits and home care, to hospice at the end of life. We are known as one of the nation’s largest independent non-profit home- and community-based care providers.

The agency launches New Jersey’s first in-home hospice.

Unlike other home health organizations around the country, we are also a significant safety-net provider, offering a wide array of health programs for vulnerable, at-risk populations including children, people with disabilities, and seniors.

H

ome- and community-based services are cost-efficient

MCOSS becomes Visiting Nurse Association of Central Jersey (VNACJ).

VNACJ introduces telehealth to reduce cardiac patient re-hospitalization.

and effective at keeping people healthy, reducing the

cost of hospital stays, and alleviating caregivers’ stress. As our population ages and economic pressures increase to provide effective health care at less cost, it is clear that our nation needs more of the kind of services provided by VNA Health Group. Yet these same programs are threatened

Expanding through acquisition and joint ventures, the organization creates a unified brand under the name VNA Health Group, certified to serve throughout the state with private duty nursing, hospice, and community-based care.

by reductions and changes in government funding and insurance reimbursement.

VNA Health Group cares for nearly 5,000 patients each day and 120,000 patients annually.


Marie and VNA Health Group Marie just turned 100 years old. She lives at home, where she wants to be, with help that makes this possible. Marie has a live-in companion and regular visits from a VNA Health Group nurse who monitors Marie’s ongoing health By 2030, the elderly population in America will increase by 80 percent: from 40 million today to 72 million.

issues, including diabetes and a catheter.

E

very day in the United States, about 10,000 people turn 65 years old. On average, they will live another 20 years,

a time when they will need more health services. Studies

If we are going to be ready for the challenge, we need to find creative ways now to help older adults like Marie stay healthy, active, and independent as long as possible.

show those over 65 spend three to five times more on health care than those who are younger. These numbers are staggering, particularly considering that, by 2030, the U.S. elderly population will increase by

“I feel confident because of VNA Health Group. My mother’s nurse, Susan, keeps an eye on her medical needs.

80 percent: from 40 million to 72 million. According to an

If there’s an emergency on a weekend, I know someone

AARP research study, the majority of older adults want to

will come. The VNA Health Group’s staff give me peace of

continue living in their homes and remain independent as

mind and have allowed my mother to keep her dignity.”

long as possible.

—Christine (Marie’s daughter)


Children and Family Health Institute

Connected Health Institute

Advanced Illness Care Institute


Marie and VNA Health Group Marie just turned 100 years old. She lives at home, where she wants to be, with help that makes this possible. Marie has a live-in companion and regular visits from a VNA Health Group nurse who monitors Marie’s ongoing health By 2030, the elderly population in America will increase by 80 percent: from 40 million today to 72 million.

issues, including diabetes and a catheter.

E

very day in the United States, about 10,000 people turn 65 years old. On average, they will live another 20 years,

a time when they will need more health services. Studies

If we are going to be ready for the challenge, we need to find creative ways now to help older adults like Marie stay healthy, active, and independent as long as possible.

show those over 65 spend three to five times more on health care than those who are younger. These numbers are staggering, particularly considering that, by 2030, the U.S. elderly population will increase by

“I feel confident because of VNA Health Group. My mother’s nurse, Susan, keeps an eye on her medical needs.

80 percent: from 40 million to 72 million. According to an

If there’s an emergency on a weekend, I know someone

AARP research study, the majority of older adults want to

will come. The VNA Health Group’s staff give me peace of

continue living in their homes and remain independent as

mind and have allowed my mother to keep her dignity.”

long as possible.

—Christine (Marie’s daughter)


Children and Family Health Institute

Connected Health Institute

Advanced Illness Care Institute


Andrea and VNA Health Group When 19-year-old Andrea found out she was pregnant, the social worker at the clinic asked the single mom-to-be if she would like visits from one of the nurses from VNA Health Group’s Nurse-Family Partnership. “I said, ‘sure! I don’t know anything about babies, and I’d love all the help I can get,’”

570%

Andrea recalls.

Every $1 spent on the NurseFamily Partnership program returns $5.70 in savings— including health care, education, welfare benefits, and crime.

A

n ounce of prevention really is worth a pound of cure.

programs. The opportunity ahead is to determine how

VNA Health Group is a provider of the Nurse-Family

we leverage VNA Health Group’s expertise to serve more

Partnership, a national program that arranges for ongoing

families more efficiently.

home visits from registered nurses to low-income first-time moms. The program offers significant benefits to families and significant cost savings to society. Research shows that the Nurse-Family Partnership saves the state and federal government an average $29,605 per family served. As national discussion centers on reducing health care costs, it is clear that such heath and wellness programs

“My nurse, Miss Rebecca, has come to see me every two weeks since I learned I was pregnant. And she’ll keep coming until my daughter, Thyannie, is 2. Having Miss Rebecca has made all the difference. She’s taught me so

are sound investments. VNA Health Group has long

much. I feel comfortable talking to her.”

championed low-cost, effective children and family health

—Andrea


Children and Family Health Institute

Connected Health Institute

Advanced Illness Care Institute

Q U A L I T Y, EFFECTIVE CARE AT L OW C O S T


,Y T I L A U Q EVITCEFFE A TA ERAC T S O C WO L Andrea and VNA Health Group

When 19-year-old Andrea found out she was pregnant, the social worker

at the clinic asked the single mom-to-be if she would like visits from one of

the nurses from VNA Health Group’s Nurse-Family Partnership. “I said, ‘sure! I don’t know anything about babies, and I’d love all the help I can get,’”

570%

Andrea recalls.

Every $1 spent on the NurseFamily Partnership program returns $5.70 in savings— including health care, education, welfare benefits, and crime.

n ounce of prevention really is worth a pound of cure.

programs. The opportunity ahead is to determine how

VNA Health Group is a provider of the Nurse-Family

we leverage VNA Health Group’s expertise to serve more

Partnership, a national program that arranges for ongoing

families more efficiently.

home visits from registered nurses to low-income first-time moms. The program offers significant benefits to families

and significant cost savings to society. Research shows that the Nurse-Family Partnership saves the state and federal government an average $29,605 per family served.

As national discussion centers on reducing health care

costs, it is clear that such heath and wellness programs

“My nurse, Miss Rebecca, has come to see me every two weeks since I learned I was pregnant. And she’ll keep

coming until my daughter, Thyannie, is 2. Having Miss

Rebecca has made all the difference. She’s taught me so

are sound investments. VNA Health Group has long

much. I feel comfortable talking to her.”

championed low-cost, effective children and family health

—Andrea


Children and Family Health Institute

Connected Health Institute

Advanced Illness Care Institute


Ed and VNA Health Group Ed had a diving accident when he was in his 20s, leaving him paralyzed below his chest. He is now 56 years old and lives with his family. Although he has partial use of his arms, he needs help with tasks such as bathing and moving from his bed to wheelchair.

M In 2011, public programs and families spent $317 billion on long-term care services for those who are chronically ill and disabled.

ore than 12 million Americans rely on long-term

streamline care and put care coordination at patients’

care services, a complicated system involving both

fingertips. New mobile and digital health solutions could

Medicare and Medicaid. Different agencies administer

make a huge difference for all Americans.

different services, which in Ed’s case involves a VNA Health Group nurse, home health aide, personal care attendant, bed and wheelchair equipment providers, and a transportation service. This creates many situations where communication can break down. What is desperately needed is innovative and enhanced care coordination to ensure all parts work together effectively. Technology, in particular, holds promise to

“I’ve been a VNA Health Group patient for almost 20 years. I’ve found their nurses and home health aides to be reliable, caring, and kind. They give me a level of independence: they help me get dressed and into my wheelchair so I’m ready for my day.” —Ed


Children and Family Health Institute

Connected Health Institute

Advanced Illness Care Institute

ONE CALL FOR CARE


ENO LLAC ROF ERAC

Ed and VNA Health Group

Ed had a diving accident when he was in his 20s, leaving him paralyzed below his chest. He is now 56 years old and lives with his family. Although he has partial use of his arms, he needs help with tasks such as bathing and moving from his bed to wheelchair.

M

ore than 12 million Americans rely on long-term care services, a complicated system involving both

In 2011, public programs and families spent $317 billion on long-term care services for those who are chronically ill and disabled.

Medicare and Medicaid. Different agencies administer

streamline care and put care coordination at patients’

fingertips. New mobile and digital health solutions could make a huge difference for all Americans.

different services, which in Ed’s case involves a VNA Health Group nurse, home health aide, personal care attendant, bed and wheelchair equipment providers, and a

transportation service. This creates many situations where communication can break down.

What is desperately needed is innovative and enhanced care coordination to ensure all parts work together effectively. Technology, in particular, holds promise to

“I’ve been a VNA Health Group patient for almost 20 years. I’ve found their nurses and home health aides to be reliable, caring, and kind. They give me a level of independence: they help me get dressed and into my wheelchair so I’m ready for my day.”

—Ed


Children and Family Health Institute

Connected Health Institute

Advanced Illness Care Institute


Seeing Clearly The Challenges Huge changes in health care are under way. A dramatic increase in the older adult population, a national movement to contain health costs, consumer preference for being cared for at home, and an explosion in mobile and digital health technology present formidable challenges. These present opportunities for VNA Health Group to rethink how to lead the way in providing effective, high-quality, and lower-cost health care in the home and community setting. Unquestionably, home- and community-based care is more relevant than ever and will become the front line. However, we see these services at risk today because of uncertainties such as drastic reductions in government reimbursement and major changes in health care delivery models. While other home and community health organizations are cutting services, VNA Health Group is charting a different path.

< Steven H. Landers, MD, MPH President & CEO, VNA Health Group


Children and Family Health Institute

2020 Vision Campaign Envisioning a Brighter Future for Health Care enhanced care and services for many more patients and

business as usual, we are taking bold steps now

community members. This “human capital” ensures VNA

to reimagine how we can secure our future and improve

Health Group is at the table with key foundations, health

care for all of our state’s residents, including the most frail

care systems, government agencies, and corporations as new

and vulnerable.

clinical and business models are developed in the changing

Our plan focuses on three critical cores of VNA Health Group: • Health of children and their families • Coordination of care enhanced by technology • Care for patients with serious and end-stage illnesses

environment. With these resources we will be able to do more for the community. These world-class institutes will not be physical buildings, but rather programmatic “centers” similar to those at leading academic hospitals, such as St. Jude or the Mayo Clinic. Such centers have been instrumental in developing

Children and Family Health Institute, Connected Health

groundbreaking treatments that become models for other

Institute, and Advanced Illness Care Institute. Each

hospitals to follow. No such innovator currently exists for

institute will be led by a prominent expert thought-leader

home- and community-based care. VNA Health Group will

whose reputation and relationships create synergies, seize

be that leading innovator.

opportunities, and generate new resources, resulting in

Advanced Illness Care Institute

VNA Health Group will launch three thematic institutes:

Connected Health Institute

While big changes in health care nationally threaten


VNA Health Group Must Reimagine Itself Our largest revenue sources, Medicare and Medicaid, are decreasing. Most of our community-based programs

Your commitment will help VNA Health Group develop

operate on public grants, which are specific in scope.

best-practice and evidence-based care, setting new

Looking ahead, this funding model is threatened by the

standards for home- and community-based health care

changing health care landscape, and it severely limits our

that can be replicated around the country.

ability to grow and innovate. To preserve, enhance, and grow rather than cut vital health care programs and provide care for more patients

who will benefit from VNA Health Groupâ&#x20AC;&#x2122;s forward-thinking

in need, we must reimagine our entire organization.

care. Your commitment will help VNA Health Group develop

That requires financial flexibility. This is the reason for

best-practice and evidence-based care, creating a brighter

the 2020 Vision Campaign.

future for many more patients and setting new standards

Philanthropic support will be the catalyst, creating a brighter future for thousands of current and future patients

for home- and community-based health care that can be replicated nationally.

Steven H. Landers, MD, MPH President & CEO, VNA Health Group


CHILDRENâ&#x20AC;&#x2122;S HEALTH Increased need for homeand community-based programs addressing childrenâ&#x20AC;&#x2122;s challenges and health needs such as nutrition and parenting, behavioral disorders, developmental delays, and serious illness.

DWINDLING RESOURCES Home- and communitybased care providers face drastic reductions in government funding and reimbursements.

FRAGMENTED CARE Patients often have an uncoordinated and confusing array of medications, diagnoses, and providers.

PREFERENCE FOR HOME Most older adults want to remain independent and continue living in their own homes.*

NEW TECHNOLOGIES Digital tools can support and connect patients, caregivers, and clinicians.

BEACON OF LEADERSHIP VNA Health Group will develop evidence-based care, innovating and developing models for home- and community-based care that can be replicated nationwide.

STRONG FOUNDATION VNA Health Group has a 100-year track record of delivering compassionate home- and communitybased care.

Connected Health Institute

AGING POPULATION By 2030, there will be over 70 million elderly in the U.S., 80% more than today.

Children and Family Health Institute

Challenges

Opportunities Advanced Illness Care Institute

*According to a recent AARP study.


Children and Family Health Institute

ESTABLISH THREE WORLD-CLASS INSTITUTES These programmatic institutes will result in enhanced access, care, and services for many more patients and communities. Like those found in leading Connected Health academic hospitals, they Institute will provide leadership and innovation for home, hospice, and community care.

Advanced Illness Care Institute

ENHANCED AND EXPANDED CARE Each institute will be led by a prominent expert whose reputation and relationships will create synergies, spark innovation, and generate new resources and funding to grow programs and services. A NATIONAL MODEL Innovation will allow us to better serve the state of New Jersey and will establish a national model for others to follow.


ENDOWMENT FUNDING Endowment funds will provide ongoing and future support for developing new ways to care for people in their homes and communities for generations to come.

Advanced Illness Care Institute

COMMUNITY OUTREACH Enhanced communication and outreach will raise awareness and visibility of the institutes among patients, clinicians, and caregivers throughout New Jersey and beyond.

Connected Health Institute

LEVERAGE TECHNOLOGY Digital tools will be identified, developed, and deployed to support and connect patients, caregivers, staff, and other resources.

Children and Family Health Institute

Why We Need Your Support

INVEST IN HUMAN CAPITAL Nationally known experts will lead VNA Health Group institutes with transformational ideas and relationships that attract business partnerships, government funding, grants, and philanthropy to expand existing and develop new services.


Why Children and Family Health? Since 1921, VNA Health Group has provided home- and community-based safety-net health care for children and families. Today, that tradition continues with a full slate of programs serving infants and children with a variety of diagnoses including autism, cancer, cystic fibrosis, and asthma, as well as at-risk children and their parents. Each year, this work is carried out by trained staff who treat over 50,000 children and their families statewide through a significant array of grant-funded programs such as the Nurse-Family Partnership, Early Intervention, School-Based Nursing, Special Child Health, and Women, Infants, and Children (WIC) supplemental nutrition program. .


Parents grappling with questions about their childrenâ&#x20AC;&#x2122;s

programs with different sources of funding from the state,

development and special needs will be connected to all of

grants, and philanthropy.

VNA Health Groupâ&#x20AC;&#x2122;s relevant services through a centralized team in the Children and Family Health Institute. Currently, it is not easy for parents to find and navigate the patchwork of health and social services available to help their children. While VNA Health Group provides many of these services, they are separate

With the support of the 2020 Vision Campaign, VNA Health Group will strategically unify these services and resources to create a seamless experience for parents

Connected Health Institute

Our Vision

Children and Family Health Institute

Children and Family Health Institute

and clinicians. Additionally, new home and community health services for children and families will be developed and piloted under the expert leadership of this institute. Advanced Illness Care Institute


Why Connected Health? Health care is headed home and outside of hospitals as new digital technologies show tremendous promise in linking patients, caregivers, and clinicians to improve patients’ health and maintain their independence in an affordable way. Already, the “black bag” of VNA Health Group nurses includes a computer tablet with broadband connectivity, point-of-care electronic record, and two-way video conferencing capabilities. With our 1,000-member professional home care staff, there is the potential to do so much more.


Connected Health Institute

Virtual checks between nurse visits. Video consults with

The Connected Health Institute will work with technology

specialists for the homebound. â&#x20AC;&#x153;Smartâ&#x20AC;? home remote

partners to identify, develop, field test, and disseminate

monitoring for elderly patients with dementia. These are

digital health solutions that improve care coordination,

only a few of the advances VNA Health Group foresees

quality of life, and medical outcomes while streamlining

for the Connected Health Institute to support patients and

efficiency and costs. We will do this by combining

caregivers at home and in the community.

technology companiesâ&#x20AC;&#x2122; expertise in app development,

With more than 1,000 employees throughout New

remote monitoring, and other digital capabilities with our

Jersey treating 5,000 patients each day in their homes

more than 100 years of practical experience and deep

and communities, VNA Health Group has the unique

understanding of home care policy and finance.

developing technologies that improve patient care.

Advanced Illness Care Institute

opportunity to become a nationally recognized leader in

Connected Health Institute

Our Vision


Why Advanced Illness Care? It is a matter of time: patients and families facing late stages of chronic illnesses spend 24 hours a day, seven days a week coping with their loved onesâ&#x20AC;&#x2122; care. They need support and resources as well as alternatives to ease their stress. Couple that with the fact that 20 percent of American deaths now happen in hospital intensive care units, where patients often endure expensive interventions they do not want. As the first Baby Boomers turn 70 years old, now is the time to ensure patients and families can access the care they need for dealing with late-stage illness as well as symptom management of chronic diseases like diabetes and heart failure.


Advanced Illness Care Institute

Our Vision When life expectancy is limited to months, The Advanced

With the dramatic projected rise in the elderly

Illness Care Institute will help patients with a chronic illness

population over the next few decades, we must be ready

in its late stage stay at home comfortably with support

to meet their health care needs.

from family and a hospice and palliative care team. Patients

We will educate clinicians, communities, patients,

and their families will understand what to expect with

and their families on best practices in chronic disease,

their disease, its treatment and its side effects. A goal is for

palliative, and hospice care. We will also provide

patients to be able to control symptoms with medications

complementary therapies such as massage, music, and pet

and complementary therapies to enjoy life to the fullest.

therapy to support patients and their loved ones. Through

Extensive research has shown that palliative care and

the Advanced Illness Care Institute, VNA Health Group will

New Jersey lags behind the rest of the country in the number of patients who receive palliative and hospice care.

bring these services to more people in need.

Advanced Illness Care Institute

hospice alleviate suffering and are cost effective. Despite this,


A Bright Future “I choose to support VNA Health Group because I believe that keeping people happy and healthy in their own homes is critical in the continuum of health care.”

“I

never gave visiting nurse services much thought until I needed them. Then, in 2000, my mother

was diagnosed with cancer, and I panicked: I had absolutely no idea what to do. “That’s when I called VNA Health Group. The nurse who came was wonderful—so competent and caring. I immediately felt better. I then realized that when the nurse comes to help the patient, she also helps the whole family by relieving stress and fear.”

Mindy Minerva

—Mindy Minerva Chairman, VNA Health Group Foundation Board of Trustees


“I believe in supporting the organization so they can improve their services, enlarge the scope of what they do, and provide more leadership to the community and the nation.”

“I

spent 30 years as an engineering executive and retired young. I was looking for a way to fill my time

and contribute to the community and found a fulfilling way to do both with VNA Health Group. My wife, Diane, is also very active as a hospice volunteer. “Since I’ve been on the board, my family has had more than one occasion to use VNA Health Group’s services: my mother-in-law was a hospice patient; my wife had joint replacement surgery; and I recently was hospitalized. I can say that, in each case, they took

Frank & Diane Vigilante

good care of us.” —Frank Vigilante Secretary, VNA Health Group Board of Trustees


Envisioning Success Opportunities for Your Investment Your gift will enable VNA Health Group to recruit topnotch thought-leaders to lead each institute and champion innovation to better serve our patients and communities. This â&#x20AC;&#x153;human capitalâ&#x20AC;? will lead to transformational ideas and build relationships that will attract significant philanthropy, grants, and government funds. Your gift will foster new technologies to streamline care and reach out to ensure more patients, caregivers, and physicians can access our services. Your gift will create endowments to sustain and grow each institute in perpetuity. Your investment in these world-class institutes will dramatically enhance and expand our portfolio of services as the new paradigm in health care unfolds. With your support, VNA Health Group will be ready, ahead of the curve, able to help many more people in ways we can and cannot imagine.


Join Us. Be a Visionary. The time is now. We are inviting youâ&#x20AC;&#x201D;grateful patients, friends, neighbors, corporations, foundations, and like-minded philanthropistsâ&#x20AC;&#x201D;to invest in the 2020 Vision Campaign so that many more patients, caregivers, families, and their health care providers will know where to turn for innovative, affordable health care. Your support of the 2020 Vision Campaign will ensure VNA Health Group is there for you, someone you love, and your community now and for generations to come.


vna

VNA Health Group | 176 Riverside Avenue | Red Bank, NJ 07701 | 800-862-3330 | www.vnahg.org

2020 Vision Campaign: VNA Health Group  

Campaign Case Statement