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September 28, 2015
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Volume 4, Issue 39
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SERVICE EXCELLENCE
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Service Standard of the Week
SERVICE RECOVERY
We ensure complaints are acknowledged, addressed, and proper action is taken by utilizing LEAP.
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Submitted by Geri Spina, Clinical Services Manager, about nurse Maggie Alexis
I always find it amazing when a patient calls to acknowledge a staff person. How that clinician must have been with that patient that would have him or her take the time and make the effort to call and get through to me.It is not common - but then that truly points to the extraordinariness of our staff. Kudos to Maggie Alexis!! I received a call from Claire Simons yesterday. In her words: "You should have 1,000 staff like Maggie. She is so great and kind and took such good care of me. If I ever need you again - I most certainly want Maggie as my nurse." If we want to ask what ensures Customer Loyalty - this kind of sums it up!
Please share all your notes of praise and recognition with connecter@vnacarenetwork.org
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Scenes from the Street
Working on her Wedding Day!
Hospice RN Sheila Hubbard (formally Leary) got married last Tuesday morning and still made it in to work! Sheila spent the afternoon checking-in on her patients and made sure to pack an extra set of clothes in her care just in case she had to hit the road. Congratulations Sheila!
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| Chris Cadigan, Wellness Nurse, staffed the table at a Falls Prevention Fair at the Westborough YMCA last Wednesday.
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Submitted by Laura Herzig
I want to recognize Michelle Guerra, clinical Manager in Needham, She is always willing to help in all areas, even putting paper in the printer!
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AGENCY ANNOUNCEMENTS AND UPDATES
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Update to VNAB Outlook Email
The IS Department will be performing an upgrade to the VNAB Exchange servers on Wednesday, September 30 starting at 8pm. During this time, you will not be able to access your VNAB email. This includes:
- Outlook (desktop, laptop and Citrix)
- Mail (iPad and iPhone)
- Webmail
We expect the work to be completed by 12am. Please be sure to logout of Outlook prior to Wednesday at 8pm to ensure the update completes on your machine. If you have any questions, please contact the VNAB Help Desk at 617-886-6822 or X6822.
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Welcome to Surabhi Saxena!
The Quality Department would like to welcome Surabhi Saxena as the PCM for Leominster and Michele Mercuri's team in Southborough. She has been a contract staff for many years and has transitioned to her new role this month. Surabhi's earlier education was completed in India with a Bachelors of Home Sciences specializing in Therapeutic Nutrition. She graduated from Boston University's Sargent College of Rehab Sciences in 2006 with Doctorate of Physical Therapy. Since then, Surabhi has worked in all care settings, beginning in acute care and then on to outpatient PT clinics. She has worked with VNA Care Network on and off for many years as a contract therapist and finally decided to come on-board full time in the Quality Department. Seeing patients in multiple care settings, oftentimes transitioning from one to another, Surabhi became committed to ensuring patients had a safe experience. The Quality Department is very happy to have Surabhi on our team and we look forward to working with her.
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Staff Flu Clinics
By Beverly Salate, Wellness Manager
It is once again mandatory for all staff to be immunized against the flu. Flu season begins October 1 and ends in the spring. It is best to be immunized early, before flu season starts, as it takes a few weeks for the vaccine to be fully effective.
This year the agency has purchased the quadrivalent preservative free vaccine. This is the most effective vaccine available. After you receive the injection, just like any immunization, you may feel some discomfort at the site. Wellness is offering the vaccine at no charge to staff at multiple times and sites over the next few months. If for some reason you cannot make one of the clinics, please ask your supervisor/manager for assistance, or contact the Wellness Department. If you receive the vaccine at another, non-VNA location, you must show proof of receiving the vaccine to be in compliance with the VNA's policy. If you are unable to receive the vaccine, it must be documented and sent to the Wellness Department. Valid reasons include: - Religious exemption (you must speak with your human resources representative)
- Medical reasons (you must have a written note from your physician for the 2015/2016 flu season).
394 staff have received their vaccine so far. Let's keep moving towards our goal of 100%.
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Office
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Date
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Time
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Location
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Charlestown
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10/19/2015
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8am to 4pm
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Conference Room #2
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Charlestown
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10/13/2015
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9a - 5p
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Conference Room #2
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Charlestown
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11/3/2015
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8a - 10p
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Conference Room #2
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Danvers
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10/14/2015
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7:30am to 10:30am
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Boardroom
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Leominster
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10/14/2015
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8am to 11am
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Needham
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10/14/2015
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9am to 3pm
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Wellness Area
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Needham
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10/21/2015
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9am to 3pm
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Wellness Area
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Needham
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11/4/2015
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9am to 3pm
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Wellness Area
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Needham
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11/18/2015
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9am to 3pm
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Wellness Area
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Needham
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12/2/2015
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9am to 3pm
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Wellness Area
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Needham
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12/9/2015
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9am to 3pm
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Wellness Area
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New Horizons/Advantage
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10/1/2015
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8am to 10am
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Wellness Office
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New Horizons/Advantage
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10/14/2015
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8am to 10am
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Wellness Office
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Quincy
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10/8/2015
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9a - 1p
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Conference Room
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Quincy
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10/22/2015
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8a - 10p
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Conference Room
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Rose Monahan
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10/13/2015
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10am to 1pm
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upstairs boardroom
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Southborough
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10/6/2015
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9am to 3pm
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Boardroom
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Weymouth
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10/20/2015
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8a - 3p
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Conference Room
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Worcester
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9/29/2015
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8am to 12pm
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rear auditorium
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Worcester
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9/30/2015
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12pm to 4pm
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rear auditorium
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Worcester
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10/7/2015
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9am to 3pm
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rear auditorium
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Come to our Innovation Center Open House on October 6
The Atrius Health Innovation Center team is moving from Riverside to Needham 2 in late October, so we're taking this opportunity to hold an Open House at Riverside on Tuesday, October 6th, from 4:00pm to 6:00pm. We invite all Atrius Health staff to stop by to meet the Innovation Center team. We hope you check out our colorful "Obeya" (our workroom), learn about our processes, and hear more about where we're headed on our first project to make a difference for our patients and our hard-working providers and staff!
We hope to see you then!
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Mutual of America Rep in Weymouth
Michael Maguire, the Mutual of America retirement plan representative, will be in the Weymouth office on Monday, October 19 from 8:00AM-12:00PM. Please call him at 508-366-2418 to schedule an appointment.
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CLINICAL SERVICES
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Clinical Services Announcements and Updates
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What's New for McKesson Home Care after the Update
By Kathy Schuft, Clinical Application Specialist
OASIS Forms that Support ICD-10: The McKesson update that was loaded the night of September 28th brought in the new Oasis ICD-10 forms to be used October 1st or after. When you start a visit in October the correct Oasis form will automatically pull into the visit. The only change in the Oasis is the number of the question for all questions requiring an ICD code. Otherwise the process of documenting an Oasis remains the same.
Tip text will be updated to reflect ICD-10.
As a side note the screen with instructions for adding a medical diagnosis and severity code are now two screens.
When adding an Oasis form in Clinical Forms PLEASE choose the correct Oasis. If the M0090 date is prior to October 1st choose the old Oasis for ICD-9 form. If the M0090 date is October 1st or after choose the Oasis for ICD-10 form. Choosing the incorrect form will result in having to re-document the entire Oasis. It is necessary to keep both forms active through November until all necessary documentation is completed so please be careful.
Medications: When adding or changing a medication the frequency field will now be required. If you leave frequency blank you will receive an error message stating that you must fill out the frequency before you can exit the medication screen. As most clinicians add the frequency as normal practice you probably won't notice the change. Please remember that if you are unable to find the correct frequency you can always select OTHER SEE ORDER NOTE as the frequency (found at the bottom of the list) and add the frequency to the Order Note text:
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OSHA for VNACN Clinicians and All Hospice Employees
Adele Pike, Director of Clinical Education
Effective Wednesday October 7, there will be a new OSHA module for VNACN clinicians and all Hospice employees to complete as their annual OSHA competency. This module has a very different look and feel to the previous module, is more interactive, and contains pop ups of videos to teach/review certain content. It is the same module that clinicians at VNAB are taking. The good news is that this new OSHA module contains content on abuse and neglect and on infection control, so clinicians have to two less modules to complete! The new OSHA module (and associated quiz) takes about 1 hour to complete.
The module will be up on the Ed Portal Dashboard on October 7...so VNACN clinician, clinical managers, and/or Hospice employees with an anniversary date of Oct 7th or after will take this module...and anyone who has not yet completed their OSHA competency will take this new module as well! The Module will appear on the page the opens after you log into the Ed Portal. There is an associated quiz and you have three chances to achieve a score of 80 or higher.
VNACN office-based employees will continue with the OSHA module they have taken in past years.
JUST REMEMBER THAT THE ED PORTAL HAS BEEN UPGRADED SO IT IS IN FACT A NEW WEBSITE. THE FIRST TIME YOU ACCESS IT YOU NEED TO CLICK ON THE LINE THAT SAYS ACCESSING FOR THE FIRST TIME AND SET UP YOUR OWN PASSWORD.
BE SAFE!!!
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OT Referrals
By Anne Muskopf, OT and Judy Walsh, Director of Rehabilitation Services
Occupational Therapists do Much More than basic ADL training.There are many times when an OT referral may be appropriate for your patient.
Consider the following scenarios:
- Your patient is "noncompliant" with or having difficulty managing their medications
- o Could a mild visual or cognitive deficit be part of the cause? An OT eval might help to tease this out and put the right interventions in place for success.
- o Are they squinting at the bottles saying, "I can't tell which one this is"...? Or are they having trouble sequencing or understanding the purpose of the medication?
- Your patient has had a recent COPD exacerbation
- o Often times they need activity pacing, energy conservation, education on proper use of O2 with ADLs and tubing management, among other interventions
- Your patient is not drinking enough water because they cannot open the bottle of water or retrieve it from the refrigerator
- Your patient sleeps in a recliner because s/he cannot get in/out of bed and is at risk of developing pressure sores
- Your patient scores a fall risk on the MAHC 10 for impaired vision, impaired cognition, environmental considerations, or difficulty with ADLs
- Your patient is wearing the same clothes every time you see them, often in a housecoat or robe
- You clearly identify hygiene issues and may have referred in a HHA which was not previously needed
- Your patient does not wear socks even on the coldest day, and has "increased abdominal girth"
- Your patient's family is wondering how much supervision they need to be safe at home
- Your patient's PHQ-9 score indicates depression, especially if decreased participation in hobbies and other activities
- Your patient is not wearing their ordered compression stockings because they cannot get them on
- You have difficulty making visits simply because you r patient can't operate their phone and/or door buzzer system
When in doubt, feel free to consult with your area OT or your Rehab Services Manager about a referral, and please always indicate the reason for your referral so that we address the most important concerns first. Thank you!
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Annual TB Testing
VNAB employees who have patient contact are required to be screened for TB annually. The schedule for this year's Mantoux testing is below.
You must attend one of these sessions and have the test read within 48-72 hours of the planting or you will be out of compliance with state and federal regulations. Consequently, you will not be eligible to work in the field. Please select a time and plan to attend that session. Also, be sure to schedule the time you will need to have the test read (48-72 hours after screening date). It must be read by a VNAB Nurse Manageror Wellness Nurse.
If you have had a previous test in 2015, you are still required to have another one planted in September in order for us to keep all employees on the same cycle. If you tested positive in the past, you will receive an email with a questionnaire to complete and return to Human Resources before September 30, 2015.This too is a job requirement.
Facilities staff will be present at the screenings to calibrate your blood pressure cuffs, pulse oximeters, FOB's, and check/update cell phones and beepers. Please bring your BP cuff, pulse oximeter, FOB , and cell phone to the screening.
Thank you for your cooperation in meeting this important job requirement. It is designed to protect your health and the health of our patients.
Please call Kimberly Dio in Human Resources at 781.535.5320 if you have any questions about this process.
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Annual TB Testing
VNACN employees who have patient contact are required to be screened for TB annually. TB testing will be available at all flu clinics being held over the next few months. If you are due for your Mantoux screening, please attend one of the clinics listed in the flu clinic schedule.
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HUMAN RESOURCES
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Employee Referral Bonus Expanded!
The referral bonus program has been expanded to include employee referrals for RNs, PTs, OTs and SLPs. If you would like to refer a friend, family member, or colleague, please inform the appropriate Human Resources Representative at your location prior to the applicant coming in for an interview. Please note, when two or more employees refer the same applicant, the referral bonus will be split equally amongst the employees.
Referral bonuses are paid out after the referred employee's three and six month anniversary, as long as they are in a paid status at those intervals.
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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.
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Job Postings - VNA Care Network and VNA Hospice Care
To learn more about career opportunities, contact a human resources representative:
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Employee Advisory Team Suggestions
To suggest an area of focus to the Employee Advisory Team (EAT), please email your suggestion to EATSuggestionbox@vnab.org. Suggestions can include ideas to improve current processes and procedures, remove redundancies, or even to provide feedback on something you think is/is not working. Please feel free to discuss any issues that you would like brought to EAT with the following members of the committee:
- Kim Dio
- Kelly Frew
- Mary Helen Mahoney
- Susan Marlin Procter
- Mary McCarthy
- Ilona O'Connor
- Mary Ann O'Connor
- Mae Powers
- David Rose
- Danny Yan
EAT is also on the lookout for new members. If you're interested in participating, or for more information on what EAT is all about, please reach out to any of the members listed above. Meetings are held monthly in the Charlestown office.
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QUALITY AND RISK MANAGEMENT
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September OASIS Challenge Winners!
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And the Winners Are:
- Anna Murphy PT- Charlestown &
- Deborah Strzetelski PT- Needham
Your gift card is on its way...Congratulations!
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Honorable Mentions for having the correct answer go to: - Debbie Dimaggio
- Tarita Silvey-Joshua
- Cheryl Peabody-Nutting
- Nigma Patel
- Keri Charpentier
- Marybeth Cafarella
- Connie Cornell
- Joan Caplan
- Carrie Bergman
Scenario: Miss August is using a knee scooter for mobility now after fracturing her L ankle and L foot when hiking in the Rocky Mountain National Park. She demonstrates the ability to use the knee scooter safely, using both hands and occasional necessary cueing from the assessing clinician as she negotiates the thresholds between rooms in her home. The assessing clinician decides the scooter is an assistive device.
What is the correct response for M1860 Ambulation/Locomotion?
(M1860) Ambulation/Locomotion: Current ability to walk safely, once in a standing position, or use a wheelchair, once in a seated position, on a variety of surfaces.
A) 0 - Able to independently walk on even and uneven surfaces and negotiate stairs with or without railings (specifically: needs no human assistance or assistive device).
B) 1 - With the use of a one-handed device (for example, cane, single crutch, hemi-walker), able to independently walk on even and uneven surfaces and negotiate stairs with or without railings.
C) 2 - Requires use of a two-handed device (for example, walker or crutches) to walk alone on a level surface and/or requires human supervision or assistance to negotiate stairs or steps or uneven surfaces.
D) 3 - Able to walk only with the supervision or assistance of another person at all times.
Correct response: C
Rationale: Miss August requires a two handed assistive device and intermittent human assistance (verbal cues) on uneven surfaces (the thresholds between the rooms) for safe mobility.
The knee scooter is considered a 2 handed assistive device based on the clinician's clinical judgment. In this scenario, Miss August's additional need for intermittent human assistance for safe ambulation "trumps" the use of a device when scoring M1860 ambulation.
CMS Quarterly Q&A Q.9: If a patient is safely using a knee scooter to facilitate non-weight bearing on one lower extremity, what response would be selected for M1860 - Ambulation?
Answer 9: To determine the accurate response for M1860, the assessing clinician must determine if the knee scooter will be considered an assistive device for the purpose of ambulation. If the assessing clinician determines the knee scooter is an assistive device, then the clinician must determine if the patient is safe without the assistance of another person and assess the number of hands (one-hand or two-hands) the patient requires to safely use the device.
OASIS Guidance Manual, Ch 3. M1860: Select Response 2 (represented by answer C) when the patient requires intermittent human assistance to safely ambulate.
CMS Q&A Cat. 4b, Q151.1. M1850. The clinician may use clinical judgment to determine what an assistive device is. CMS doesn't provide a definitive list of assistive devices.
Adapted from OASIS Answers
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McKesson Coding: ICD-10 Effective October 1, 2015 - Clinician Responsibilities to Assist Coding
By Maria Dunn, Patient Care Program Manager
On Thursday, October 1, 2015 we will be changing to ICD-10. Here are some tips to help you to help the coders!
WHAT CODERS NEED FROM CLINICAL DOCUMENTATION TO PROCESS THE OASIS:
- Specificity required for ICD-10 coding in clinical documentation:
- Laterality
- Left VS Right VS Bilateral (i.e. for OA, CVA, fracture, wound, etc.)
- EXAMPLE: Right knee OA, C-5 disk herniation with RLE sciatica
- Dominant vs Non-Dominant side
- Left VS Right (i.e. for CVAs with hemiplegia, weakness, etc.)
- EXAMPLE: Left CVA with Right Residual Weakness; pt is right side dominant and he eats and writes with his right hand
- Additional Specificity Needed
- Specific location of foot, hand, etc. for wounds, injuries, etc.
- EXAMPLE: wound location: Left Dorsal Foot
ADDITIONAL POINTERS:
- ICD-10 codes will ALWAYS start with a letter (ICD-10 codes will never begin with a number)
- ICD-10 Codes starting with an I = the letter I (ICD-10 codes will never start with the number "1")
- ICD-10 Codes starting with an O = the letter O (ICD-10 codes will never start with the number "zero")
QI, CODING OR OASIS REVIEW QUESTIONS? Contact YOUR Patient Care Manager named below
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Encore Coding: ICD-10 Effective October 1, 2015 - Clinician Responsibilities
By Maria Dunn, Patient Care Program Manager
On Thursday, October 1, 2015 we will be changing to ICD-10. Here are some instructions to assist you:
CODING 9/30 AND PRIOR:
- Choose ONLY ONE ICD-9 code from the coding F1 lookup in Referral-Clinical, Medical Diagnosis Tab for these items:
- Referral-Clinical, Medical Diagnosis Tab (leave code entered by Referral Center UNLESS Encore asks for one. In that case, choose one from F1 lookup.)
- OASIS M1010 (Inpatient Dx)
- OASIS M1016 (Dx requiring Medical or Treatment Regimen Change within Past 14 Days)
- OASIS M1020/22 - leave codes that are placed by Referral Center
- Certified coders will apply appropriate codes per your clinical documentation
- Late on 9/30 the "old" code listing will be removed from the F1 lookup in Referral-Clinical, Medical Diagnosis Tab
CODING 10/1 AND AFTER:
- A new list of ICD-10 codes (and corresponding ICD-9 codes to be used only in cases where the ICD-9 is needed for OASIS prior to 10/1 i.e. for insurance change) will be added to F1 lookup in Referral - Clinical, Medical Diagnosis Tab F1 lookup
- Choose ONLY ONE ICD-10 code from the coding F1 lookup in Referral-Clinical, Medical Diagnosis F1 lookup for:
- Referral-Clinical, Medical Diagnosis Tab (leave code entered by Referral Center UNLESS Encore asks for one. In that case, choose one from F1 lookup)
- OASIS M1011 (Inpatient Dx)
- OASIS M1017 (Dx requiring Medical or Treatment Regimen Change within Past 14 Days)
- OASIS M1021/1023/1025 - leave codes that are placed by Referral Center
- Certified coders will apply appropriate codes per your clinical documentation
WHAT CODERS NEED FROM CLINICAL DOCUMENTATION TO PROCESS THE OASIS:
- Specificity required for ICD-10 coding in Clinical Summary:
- Laterality
- Left VS Right VS Bilateral (i.e. for OA, CVA, fracture, wound, etc.)
- EXAMPLE: Right knee OA, C-5 disk herniation with RLE sciatica
- Dominant vs Non-Dominant side
- Left VS Right (i.e. for CVAs with hemiplegia, weakness, etc.)
- EXAMPLE: Left CVA with Right Residual Weakness; pt is right side dominant and he eats and writes with his right hand
- Additional Specificity Needed
- Specific location of foot, hand, etc. for wounds, etc.
- EXAMPLE: wound location: Left Dorsal Foot
- Add the following information to your clinical summary so that QI can use for review/coding:
- Document the following in Current Problem/Reason for Home Care box:
- All of Patient's other current diagnoses that have the potential to impact POT
- PMH
- Current/prior surgical history
- Feel free to copy and paste this information from "Assessment History Form" so that it is included in the Clinical Summary sent to MD
- Add Diagnosis, Condition or Indication for Use for each medication (per P&P 3.1)
ADDITIONAL POINTERS:
- ICD-10 codes will ALWAYS start with a letter (ICD-10 codes will never begin with a number)
- ICD-10 Codes starting with an I = the letter I (ICD-10 codes will never start with the number "1")
- ICD-10 Codes starting with an O = the letter O (ICD-10 codes will never start with the number "zero")
- Please use ONLY codes in F1 Lookup. Although it may be tempting, please do not look up codes on the internet! Use codes in the Referral-Clinical, Medical Diagnosis Tab F1 lookup. Let the Certified Coders code your patient accurately!
- For any OASIS other than SOCs requiring coding and/or OASIS review (i.e. recerts, ROCs)
QUESTIONS?
- Encore related questions:
- Call Kerry Leo in Encore Support at x6828
- QI, Coding or OASIS Review questions:
- Contact your Patient Care Manager named below
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Q3 & Q4 OASIS Education Sessions
The following are the scheduled Q3 AND Q4 OASIS Education schedules. All clinical staff are mandated to attend 1 OASIS Education session per quarter, this includes RN (staff and contract), LPN, clinical managers , PT and PTA's, and clinical coordinators. Quarter 3 reviews Functional OA information and Quarter 4 will review miscellaneous OA education and COPS.
The QA Department has scheduled out many sessions in all offices for the final two quarters of the year to accommodate multiple offerings at multiple sites. Please work out the time that you choose to attend with your individual manager, you may attend at any site.
Staff must attend ONE education session per quarter. Our goal is to maintain our current best practice and strive for the top 20% in our reportable outcomes...remember that we are at 4 Stars for VNACN and 4.5 Stars for VNAB, with a goal of 5, we would like to keep the momentum going!!!
Looking forward to your presence at the OA education, thank you for all your hard work and attention to the care of our patients and the outcomes we obtain from our best practice.
Quarter 3 Sessions
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Office
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Day/Date
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Time
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Presenter
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Charlestown
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Wednesday, September 30, 2015
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8a-10a
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Elaine Gardner
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Danvers
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Tuesday, September 29, 2015
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8:30am - 10:30am
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Marilyn Bowden
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Leominster
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Wednesday, September 30, 2015
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2 - 4pm
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Elaine Gardner
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Leominster
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Tuesday, October 6, 2015
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8:30am - 10:30am
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Elaine Gardner
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Needham
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Thursday, October 01, 2015
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8:30 - 10:30am
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Maura Vitello
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Southborough
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Thursday, October 01, 2015
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2 - 4pm
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Maria Dunn
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Worcester
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Tuesday, September 29, 2015
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2 - 4pm
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Christine Gill
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Quarter 4 Sessions
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Office
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Day/Date
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Time
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Presenter
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Charlestown
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Wednesday, November 04, 2015
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8 - 10am
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Elaine Gardner
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Charlestown
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Tuesday, November 10, 2015
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2 - 4pm
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Kyra Mihalick
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Charlestown
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Wednesday, November 18, 2015
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2 - 4pm
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Elaine Gardner
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Charlestown
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Sunday, November 8, 2015
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8 - 10am
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Elaine Gardner
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Danvers
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Wednesday, November 04, 2015
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8:30am - 10:30am
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Marilyn Bowden
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Danvers
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Friday, November 06, 2015
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8:30am - 10:30am
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Marilyn Bowden
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Danvers
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Monday, November 09, 2015
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2 - 4pm
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Marilyn Bowden
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Danvers
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Tuesday, November 10, 2015
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8:30am - 10:30am
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Marilyn Bowden
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Leominster
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Thursday, October 29, 2015
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8:30am - 10:30am
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TBA
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Leominster
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Wednesday, November 18, 2015
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2 - 4pm
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TBA
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Needham
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Tuesday, November 03, 2015
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8:30 - 10:30am
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Maura Vitello
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Needham
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Thursday, November 05, 2015
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2 - 4pm
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Maura Vitello
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Needham
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Friday, November 13, 2015
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8:30 - 10:30am
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Maura Vitello
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Needham
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Sunday, November 15, 2015
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8:30 - 10:30am
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Maura Vitello
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Quincy
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Wednesday, November 04, 2015
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8 - 10am
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Carol Morris
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Quincy
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Tuesday, November 10, 2015
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2 - 4pm
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Carol Morris
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Quincy
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Wednesday, November 18, 2015
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8 - 10am
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Kyra Mihalick
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Southborough
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Wednesday, October 28, 2015
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2 - 4pm
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Maria Dunn
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Southborough
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Thursday, November 05, 2015
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8:30-10:30am
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Maria Dunn
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Southborough
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Tuesday, November 17, 2015
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2 - 4pm
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Maria Dunn
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Weymouth
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Tuesday, November 17, 2015
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8:30-10:30
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Maura Vitello
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Worcester
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Sunday, October 25, 2015
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8:30-10:30am
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Christine Gill
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Worcester
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Tuesday, October 27, 2015
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2 - 4pm
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Christine Gill
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Worcester
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Wednesday, November 04, 2015
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2 - 4pm
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Christine Gill
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Worcester
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Thursday, November 19, 2015
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8:30-10:30am
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Christine Gill
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PATIENT CARE MANAGERS
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Name
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Email
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Cell
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Position
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Covering Office
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Bowden, Marilyn
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774-502-7478
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Patient Care Manager
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Danvers and
Gloucester
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Dunn, Maria
|
|
508-688-2449
|
Patient Care Program Manager
|
Leominster and Southborough
| |
Gardner, Elaine
|
|
617-680-1105
|
Patient Care Manager
|
Charlestown
| |
Gill, Christine
|
|
774-502-5725
|
Patient Care Manager
|
Worcester
| |
Mihalick, Kyra
|
|
617-913-6823
|
Patient Care Manager
|
VNAB Therapy
| |
Morris, Carol
|
|
617-913-3006
|
Patient Care Program Manager
|
Quincy
| |
Saxena, Surabhi
|
|
774-463-7336
|
Patient Care Manager
|
Leominster and Southborough
| |
Vitello, Maura
|
|
774-502-7475
|
Patient Care Manager
|
Needham
|
|
QI SUPPORT
| |
Covering Office
|
Name
|
Email
|
Office Phone
|
Position
| |
All VNAB
|
Hughes, Kim
|
|
617-886-6501 x5419
|
QI Support Coordinator
| |
All VNACN
|
Schultz, Chris
|
|
617-886-6501 x6527
|
QI Support Coordinator
| |
All VNACN
|
Rao, Shamala
|
|
508-756-7176 x6876
|
QI Nurse
|
|
|
|
|
|
