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Below is this week's issue of the Connecter newsletter, which is required reading for all employees. The next edition will be published on Monday, February 23, with articles due to connecter@vnacarenetwork.org by Friday, February 20.
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IN THIS ISSUE:
Connecter Question of the Week

Congratulations to last week's raffle winner:
  • Question: Yes or No: the newly distributed Communication Guide states that texting patient information is acceptable as long as you are only sending the message to your manager?
  • Answer: NO. Texting of any kind of patient information is unacceptable...no matter who the recipient is.
  • Winner: Debra Brown - Physical Therapist, Gloucester Office
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This Week's Connecter Question:
What does L.E.A.P., the complaint resolution strategy and our 5th VNA Service Standard, stand for?

All answers/submissions should be sent to connecter@vnacarenetwork.org. The lucky winner will be announced in next week's Connecter. Good luck!!!
February 17, 2015
Volume 4, Issue 7
CEOCEO CORNER

Special Thanks From the Board of Directors and Leadership

 

The last few weeks have been anything but easy as Mother Nature gleefully dumped over six feet of snow on us. Digging out, commuting to the office, traveling to patients, and then digging out again have taken a toll on everyone throughout the organization. Please know that we appreciate all of your efforts every day; whether we're enjoying the bright sunshine of June or dealing with the snowy days of February.

 

In an effort to demonstrate our appreciation, and understanding of the toll our recent weather has taken on you and your cars, we have put together a Winter Survival Kit that staff can pick up at each of the office locations beginning next week. The kit includes snow rakes (that we'll hopefully never have to use again this winter), ice salt (for those tricky to maneuver driveways), and windshield washer fluid (well, because we all go through gallons of it in the winter).

 

These Kits have been made possible through the generosity of one of our Cambridge Donors, our Board of Directors, and the Senior Leadership team.

 

Only 56 days until the Red Sox home opener and only approximately 31 days till spring...we've almost made it!!!!

 

Once again thank you all. We have certainly done our part this winter to make our community a safe and highly responsive place to live and to receive home health and hospice care. 

 

Thank you,

Mary Ann 

 


 
SERVICE EXCELLENCE
Standard
SERVICE STANDARD OF THE WEEK

Service Standard #6: Employee Empowerment

We are all a part of the customer experience. We are empowered to use resources and training to enhance our customer's experience as well as our own professional goals and growth.

Service Excellence: the purpose of our job vs. the function of our job

By Lorraine Potter, Director of Facilities

 

Our purpose could get quickly pushed aside when we get overwhelmed with our day to day function.

 

The Facilities Department has many tasks to accomplish before day's end, but our Team tries to keep our purpose in mind. That purpose is to keep our customers safe, the facilities clean and secure and equipment up and working. For example, Shane Watson the Maintenance Tech at Rose Monahan Hospice House went in the day of the Blizzard and cleared the snow from the walkway so staff and family members of patients could come and go as needed.

 

That is a great balance of purpose and function! 







AGENCY ANNOUNCEMENTS AND UPDATES

Answering

New Answering Service Vendor

 

Effective Tuesday February 17, 2015, the entire Enterprise will utilize a new answering service. This allows us to have one vendor for this important service.

 

The company is called Business and Professional Exchange, Inc., and is new to both the VNACN and VNAB. Hospice has used them for several years with good success. They have experience in working with health care organizations. During major storms, particularly during the blizzard of 2013, they were one of the few answering service companies that did not lose power.

 

A committee representing key departments across the enterprise has been meeting to work out the details to make the transition. We expect the changeover will be seamless to everyone.

 

Please let your manager know if you have any questions.


 






Keurig

Deficiency Free DPH Survey = Keurig Coffee Makers!

By Jeanne Callahan-Lydon, Senior Vice President of Clinical Services, Quality, and Risk Management

 

Another BIG thank you to the VNAB staff for a deficiency free DPH survey!

As a show of our a
ppreciation, Keurig coffee makers are being purchased for the Charlestown and Braintree offices. What better way to show our appreciation than to provide caffeine to keep everyone going!

Your efforts are appreciated, thank you again!

 

 




scene
Scenes from the Street

Don't forget to share your pictures with us by sending them to connecter@vnacarenetwork.org!







 
CLINICAL SERVICES
Clinical Services Announcements and Updates
Preceptors

ATTENTION PHYSICAL THERAPISTS!!!!

PT PRECEPTORS WANTED

 

We are happy to report to the entire organization that we are actively working on recruitment and training of new grad PT's, funded through a grant.

 

The plan is for these new grad PT's to begin employment with us this fall, after they have successfully passed their licensing exam. In order for these PT's to be successful in home care, a strong Preceptor Program needs to be launched.  So, this spring we will begin a thorough Preceptor Training Program, modeled after the new grad Nursing Program.

 

If you have enjoyed Precepting any new hire in the past, enjoyed being a CI for a student, or would like the opportunity to do so, please connect with your Rehab Manager in your office ASAP (by March 6th) so we can begin scheduling the trainings. We hope to offer the trainings in a few different locations and a few different times throughout our organization. The training will consist of 4-5 sessions, totaling 12-16 hours.

 

For any questions or more information contact:

  • Wendy Drake, Rehab Services Manager (508)751-6880
  • Karen Patterson, Rehab Services Manager  (781)670-0567
  • Jennifer Bilodeau, Rehab Clinical Orientation & Education Manager 617-886-6809


 

 

 

 

ASAP

ASAP/Elder Services Wait Lists

 

FYI to all clinicians

Please be aware that due to state budget cuts the ASAPS/Elder Services have had to institute a wait list for some services. Depending on each client's needs and situation they may not be able to get meals on wheels and homemaking services immediately.

 

Please continue to refer to the CRSs so each case can be evaluated. Any questions please don't hesitate to contact your CRS.

 


 

 

 

 

Education
McKesson Users
VisitAlert

Why am I Getting 13/19 Visit Alerts for Patients Admitted in 2015?

By Kathy Schuft, Clinical Application Specialists

 

This article is for Rehab Staff at the VNA of Boston.

 

As we still have some current episodes that started in 2014, we cannot turn off the 13/19 Visit Alerts until the begin date of all episodes is in 2015. The McKesson system does not differentiate between 2014 and 2015 with regards to Alerts.

 

Please handle as follows:

  • If you receive an Alert for the 13/19 visit rule and the current episode begins in 2014 please pay attention as the rule still applies
  • If you receive an Alert for the 13/19 visit rule and the current episode begins in 2015 just ignore it.  It will go away on its own next time you make a reassessment visit or discharge the patient.

February 28th is the last possible date that a current episode could be in 2014. On that date we will turn off the 13/19 Visit Alerts.

 

If you have any questions please call the Clinical Application Support line at 617.886.6730.

 

 




Diabetes
American Diabetes Association Standards of Medical Care in Diabetes
ICM Tip of the Month

High quality care is promoted through the use of the most current evidence-based practices and guidelines. The American Diabetes Association has recently published revisions to their diabetes guidelines. Click here for more information.

 

 

 





FACILITIES
Braintree

Braintree Office Move

By Lorraine Potter, Director of Facilities

 

Although the snow won't quit, we are still scheduled to move the Braintree Office at the end of the month!

 

The move date is set for Friday, February 27th. The new Quincy and Weymouth locations are on track for construction and I'm asking that the office be packed up by noon on the 27th.

 

There is a Move Committee that has met the past couple of Tuesdays and we are now cleaning the office from items that will not be making the move. Packing crates from Tobin and Son's Movers have arrived and can be retrieved from David James along with labels that will ensure they are transported to the correct new location.

 

I'm asking that all clinicians to clean out their assigned draws by Thursday, February 19th, so I can have them removed on the 20th. Please take all personal items home so they will not be mistakenly thrown away.

 

Building FOBs are also being collected from now until February 28. Please turn them in to Lorraine Potter or David James.

 

Thank you for your cooperation and please let me know if you have any questions at 508-751-6826 or lpotter@vnab.org. 

 



 

Patient Services
BPC

Best Practice Committee Monthly Update

By Joan Roth, Manager of Special Initiatives & Best Practice Committee Member

 

The VNAB is committed to the goal of reducing our rehospitalization rate. The agency's goal is to have all patients admitted by nursing to have their 2nd nursing visit within 48 hours of start of care.  We will now be measuring this rate monthly for patients at high risk for hospitalizations.

 

For the month of January 2015, the agency's rate for having the second nursing visit within 48 hours of start of care for high risk patients was 63%. This is lower than our rate for December which was 69%.

 

 

 

We are also promoting two additional interventions that are best practices for keeping patient's from being rehospitalized.

  • The first best practice intervention is that continuity of care with  providers improves patient outcomes. To support this practice we will be reporting on the percentage of patients who received their 2nd nursing visit by the nurse case manager. The rate for the month of January was 54% which is slightly lower than the rate for December which was 55%.
  • The second best practice intervention is that the patient have a physician follow up visit within 7-14 days after a discharge from an acute care hospital. The rate for January was 75% which is the same as the rate in December was which was 75%.

Thanks for your continued efforts to keep patients out of the hospital particularly during the four  weeks after they first come home from the hospital. The next report will be for the month of February.

 

Please remember that a great way to help keep our patient's out of the hospital is to provide telemonitoring for the high risk for rehospitalization patients. We now can provide monitoring for our COPD patients in addition to our Heart Failure patients.

 

Please see your manager with any questions.

 

 

 





 
HUMAN RESOURCES
Anthem

Anthem Data Breach Update

 

We have been in close contact with our representatives from BCBS regarding the recent data breach at Anthem. They have assured us that the impact to Massachusetts enrollees is limited to those who have received care in California, Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia, or Wisconsin within the past 10 years.

 

Anthem is offering free credit monitoring to those who have been affected. More information can be found at www.AnthemFacts.com. Additional information has been provided below from both BCBS of MA and Anthem.

 

From Blue Cross Blue Shield of Massachusetts

Blue Cross Blue Shield of Massachusetts is aware that Anthem, Inc. was the target of a very sophisticated external cyber-attack, currently under FBI investigation. They are diligently working with Anthem and the Blue Cross and Blue Shield Association to gather more information about the scope of this issue and how it might impact their members.

 

The Blue Cross and Blue Shield Association consists of 37 independently operated Blue Cross and Blue Shield member companies. Anthem and Blue Cross Blue Shield of Massachusetts are separate and distinct companies.

 

Blue Cross Blue Shield of Massachusetts regards the protection of their members' privacy and personal information as their top priority. They are making every effort to ensure that all personal information they maintain is secure and safe.

 

In the coming weeks, should the investigation find that any of their members are affected, they will formally notify you and communicate with accounts and members in writing and take appropriate, timely action. Free credit monitoring and identity protection services will be provided if it is determined that any of their members have been affected.

 

This is a complex investigation, and they are committed to keeping you informed. Please see the message below from Anthem, Inc. that contains more information about the breach and ways to find out more information.

 

From Anthem, Inc.

This update is intended for all employees that have been insured by Blue Cross Blue Shield of Massachusetts in the last 10 years. As you may know, last week, Anthem® announced that it was the target of a very sophisticated external cyber-attack and will continue to work closely with federal authorities throughout their investigation. They have reported that member names, member health ID numbers, dates of birth, addresses, telephone numbers, email addresses, and employment information, including income data, were accessed, as well as, some members' Social Security Numbers. Since then, Anthem has been analyzing their data to understand the impact to members and has secured a best-in-class vendor to provide identity protection services to members as quickly as possible.

 

We are sharing this information with you because Blue Cross Blue Shield of Massachusetts (who, along with Anthem, utilizes the national Blue Card PPO network of providers) has informed us that their members who received care in California, Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia, or Wisconsin within the past 10 years may be impacted. Anthem is also assessing the potential impact to members of Blue MedicareRxSM, a Medicare Part D plan that Blue Cross Blue Shield of Massachusetts offers jointly with Anthem.

 

Whether you currently have an Anthem or Blue Cross Blue Shield of Massachusetts health plan or have been enrolled in such a plan over the past 10 years, we highly recommend you review the information shared in the link below so that you are fully informed about the potential impact and what resources are available to you.

 

Concerned members can visit www.AnthemFacts.com to learn how to enroll in two years of free credit monitoring and identity theft repair services provided by a leading and trusted identity protection vendor. Members do not have to wait to receive a notification letter to access these services starting February 13, 2015. In the coming weeks, Anthem will mail letters to any impacted Blue Cross Blue Shield of Massachusetts members.

 

Additionally, Anthem has created a hotline, 1-877-263-7995, along with the website listed above, that has more information, including Frequently Asked Questions (FAQs) to further explain the cyber-attack and the steps Anthem is taking to address the matter. Among other helpful information, these FAQs identify the brands and plans impacted. We encourage you to review these resources and monitor events as they unfold.

 


 





FSA

TO VNAB/MRI FSA Participants

 

Claims for 2014 must be in to Sue Schroepfer at the Braintree office no later than Friday, February 20 to be included in paycheck of 02/26/15.

 

You have until March 31, 2015 to submit claims for 2014.

 

Questions? Contact Sue Schroepfer at (781) 535-5341 (X5341) or sschroepfer@vnab.org.


 


 

 





JobsNetwork
Job Postings - VNA Care Network and VNA Hospice Care

To learn more about career opportunities, contact a human resources representative:




JobsVNAB
Job Postings - VNA of Boston and VNA Hospice Care
To learn more about career opportunities listed in the links above, contact Debbie Brown, Human Resources Manager at dbrown@vnab.org.



 
QUALITY AND RISK MANAGEMENT
OASIS

OASIS & Coding Education Sessions

 

Calling all Clinical Staff:

In March we will be conducting the first of four required OASIS & Coding Education Sessions to be held this year (March, June, September, and November). Please plan to attend one of the sessions if you are a clinician or clinical manager. You can see we have some more scheduling to do but wanted to give you this as a start, and will update the schedule each week in the Connecter.  We are requesting attendance by not only those in the field who complete OASIS tools/forms, but also the Clinical Managers, LPNs, PTAs, and COTAs, as the OASIS is an assessment influencing the plan of care and the outcomes of our work.

 


 

The focus of Quarter 1 will be OASIS C-1 updates, Risk Identification, Risk Adjustment, and the Heart Failure patient. If you are not able to attend one of these sessions, please speak with your PCM and/or Manager. 

 

 

Office

Name

Office

Cell/Direct

Position

Braintree

Carol Morris

781-535-5380

Patient Care Manager

Charlestown

Elaine Gardner

617-886-6464

Patient Care Manager

Danvers

Marilyn Bowden

888-663-3688 X1271

774-502-7478

Patient Care Manager

Gloucester

Marilyn Bowden

888-663-3688 X1271

774-502-7478

Patient Care Manager

Leominster

Terry Dancewicz

888-663-3688 X1341

774-502-7481

Patient Care Manager

Needham

Maura Vitello

888-663-3688 X4536

774-502-7475

Patient Care Manager

Southborough

Maria Dunn

888-663-3688 X1317

508-688-2449

Patient Care Program Manager

Worcester

Susan McGeary

6824

774-232-1628

Patient Care Manager

n/a

Shamala Rao

6876

n/a

QI Nurse

n/a

Chris Schultz

n/a

617-886-6527

QI Support Coordinator


 

 

 

February 17, 2015
The Connecter
Volume 4, Issue 7