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CONNECTER
ARCHIVES

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, July 18, with articles due to connecter@vnacarenetwork.org by Friday, July 15.


KEY DATES THIS MONTH
  • Wednesday, July 20 > Summer Safety In-service Woburn 2pm
Upcoming Dates - Mark Your Calendar!
  • Tuesday, August 2 > Summer Safety In-service > Rose Monahan Home 8:00am
  • Wednesday, August 3 > Summer Safety In-service > de Rham Home 1:30pm
  • Thursday, August 4 > Summer Safety In-service > Tippett Home 1:30pm
  • Tuesday, August 23 > Mutual of America On-Site > Woburn office
  • Tuesday, September 20 > Charlestown/de Rham Town Meeting
  • Thursday, September 22 > Danvers/Gloucester Town Meeting
  • Thursday, September 29 > Worcester/Rose Monahan Town Meeting
  • Tuesday, October 4 > Southborough/New Horizons Town Meeting
  • Thursday, October 13 > Needham/Tippett Town Meeting
  • Tuesday, October 18 > Woburn Town Meeting
  • Thursday, October 27 > Quincy/Weymouth Town Meeting
  • Thursday, November 10 > Leominster Town Meeting

IN THIS ISSUE:

July 11, 2016
Volume 5, Issue 28

SERVICE EXCELLENCE
SEStandard
Service Excellence 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.

Here are some behaviors that demonstrate standard #6:
  • Each employee is empowered. For example, when a patient/customer has a problem or needs something special you should break away from your regular duties, address and resolve the issue.
  • You are empowered and accountable for your professional growth, use your internal resources and training to enhance the patient experience.

spotlight

Submitted by Barbara Belony, Patient Services Manager

I received a call today from the son of a patient that Rhonda Wiles, RN Weekend Team admitted this past weekend.
 
Per son "Rhonda was beyond excellent. She makes sure we understood everything. People like her are hard to find. If there is a second God it would be Rhonda."
 
He persisted by saying he had spent hours trying to figure out her medications as well as the neb treatment and was told at the hospital they were too busy to explain everything to him and Rhonda took the time to go over everything thoroughly.I would like to take the time to say thanks to Rhonda for all your work in representing us. Keep up the good work!
 

SE
Service Excellence Champion Group

The Service Excellence Champion group meets monthly to discuss ways to further our organization's commitment to exceptional service excellence.
 
Key Initiatives Being Worked On:
  • Improving patient experience
  • Initiatives to improve patient CAHPS outcomes
  • Town Hall Meetings
  • Streamlining communication methods and tools
  • Huddle strategies
  • Ongoing Service Excellence training
  • Staff professional growth opportunities
Please contact the Champions listed below if you would like to have an initiative or issue reviewed at the next meeting. Thank you!
  • Jennifer Bauman
  • Ann Bohac
  • Debbie Brown
  • Katie Callahan
  • Jen Casper
  • Simone Charpentier
  • Lori DeRosa
  • Wendy Drake
  • Jill Enwright
  • Kelly Frew
  • Dave Hanley
  • Brielle MacDonald
  • Cindy McHenry
  • Cheryl Milas
  • Mary Ann O'Connor
  • Adele Pike
  • Lorraine Potter
  • Dave Rose
  • Geri Spina
  • Charlvic Williams


SCENES
Scenes from the Street

Share your pictures from the office or the field with us by sending them to connecter@vnacarenetwork.org!


ANNOUNCEMENTS AND UPDATES
PatientExperience
Creating an Amazing Patient Experience
By Judy Walsh, Director of Rehabilitation Services,
Paula Schultz, Director of Clinical Services,
Katie Callahan, Associate Director of Clinical Services,
Mary Sheils, Director of Hospice Clinical Services, and
Jeanne Callahan-Lydon, Senior Vice President, Clinical Services, Quality & Risk Management
 
Creating an Amazing Patient Experience is one of the six pillars supporting our vision of Transforming Care to Improve Lives. As part of our Strategic Plan, key areas have been identified by reviewing patient satisfaction survey results.

Communication presented itself as a priority for our patients and there are some simple things we can do to enhance the patient experience in this area. You will be hearing more in upcoming staff meetings around Communication Expectations, including calls to schedule visits and key items to ask/mention during each visit.

Communication Expectations for Clinicians, Prior to Visit:

Call with time of visit (2 hour range) and name of clinician by 10am day of visit (may call day prior for early appointments)

Visit scheduling call script:
  • Good morning/afternoon Mr/Mrs/Ms
  • I am ____________ (credential) from VNA Care
  • I am calling to schedule your appointment with me today between _____ and ______
  • Is this a reasonable time?
  • If I am delayed I will call and let you know.
  • If you have any changes, please call_______________
Tips for Responding to Patient Questions/Problems with Proposed Visit Timing:
  • If patient questions the time range:
    • Explain that visit times vary with patient needs & definitive times may lead to disappointment
  • Patient requests visit before time-frame offered
    • "I can reschedule you to another day this week to accommodate your needs"
  • Pt reports MD Appointment that day:
    • Explain that we will reschedule to another day to accommodate the MD visit (therapy can still visit on a day with MD appointment)
Professional appearance is another opportunity for us to inspire confidence in our competence. You'll be hearing more about this as well, but some key components include:
  • Wearing name badge
  • Carrying our company issued bag
  • Maintaining a neat, professional appearance including dress, hair and nails.
Here is something else you can start right away. Saying these two simple things as you leave a patient's home may help to reduce re-hospitalization and increase patient satisfaction:
  • Please call us first if you have any issues
  • Is there anything else I can do for you before I leave?
More to come, and thank you for all that you do each day to ensure an Amazing Patient Experience!


CERTIFIED CLINICAL SERVICES
CWON
Recruiting for CWON in Charlestown
By Judy Sojack, Clinical Services Manager
 
As many of you may know, Debbie Gibson has resigned from VNA Care, effective July 11, 2016. Debbie will be very much missed, as she was an excellent CWON, and patient advocate.
 
VNA Care has begun the process of recruiting a new CWON for the Charlestown office. Joyce Hart, the excellent CWON in our Quincy office, will be helping to cover Wound and Ostomy consults in Charlestown on an interim basis. This is the coverage plan, beginning July 11, 2016:
  • Joyce will provide Wound / Ostomy consults for MN patients on Monday & Thursday.
  • She will provide Wound / Ostomy consults for SW (Quincy )patients on Tuesday & Friday.
  • Joyce will be available for phone consults on Thursday from 2-3:30PM; she can be contacted at cell # 617-694-0812.
Your assistance is needed to support Joyce and our coverage plan. Please do the following:
  • MN nurses, please indicate if your patient is available for visits on Monday &/ or Thursday. SW nurses, please indicate if your patient is available for visits on Tuesday &/ or Friday. Please let your patients know these are the days of the week that Joyce is available to see them.
We will be updating the [SN] Referral Macro to provide greater clarity when we are scheduling consults. Please help us out and fill it in. If you don't, you will be contacted to get the missing information.


CERTIFIED QUALITY AND RISK MANAGEMENT
Eval
When do the Patient's Home Health Orders Start?
By Maria Dunn, Patient Care Program Manager
 
Discipline frequency/duration orders start on the day of the eval (not the next visit).
 
Example:
  • First visit conducted 7/1
  • SOC visit conducted 7/3
  • Orders start: 7/1
  • 60 Certification period: 7/1/16 - 8/29/16
Therapy ONLY ordered:
  • Eval done 7/1
  • Orders start: 7/1
  • 60 Certification period: 7/1/16 - 8/29/16
Therapy ordered with nursing:
  • SN SOC 7/1
  • SN orders start: 7/1
  • 60 Certification period: 7/1/16 - 8/29/16
  • PT eval 7/6/16
  • PT discipline orders start 7/6/16 with frequency to include 7/6/16 PT eval
  • PT order period: 7/6/16-8/29/16
 Questions? Contact your Patient Care Manager.



Regimen
Drug Regimen Review and Medication Management and Role of Rehab
By Surabhi Saxena, PT, DPT, Patient Care Manager
 
Understanding the regulations regarding Drug regimen review (DRR) and medication management

Per Condition of Participation § 484.55 CoP: Comprehensive assessment of patients (c) Standard: DRR. The comprehensive assessment must include a review of all medications the patient is currently using in order to identify any potential adverse effects and drug reactions, including ineffective drug therapy, significant side effects, significant drug interactions, duplicate drug therapy and noncompliance with drug therapy.
 
Required Practice Standards include:
  • At SOC/ROC- complete list of all meds- prescription and OTC drugs need to be entered in EMR.
  • Match the med list +medication bottles in the house with the list included in d/c instructions or referral.
  • Pt./CGR ed re: high risk meds, med purpose, dosage, frequency, how to report problems, side effects, adverse reactions, monitor effectiveness etc.
  • All high risk medications need to be taught at SOC & ROC including purpose, dosage, special precautions, how & when to report problems.
  • Run the drug interaction to assess for any clinically significant issues during the visit.
  • Use the "Teach" button to include the meds taught during the visit.
  • Use the teach back method to assess pt. and or CGR knowledge regarding med management.
  • Contact MD to update about med reconciliation, report any clinically significant issues, ineffective drug therapy etc. in a timely manner.
PER CMS- DRUG REGIMEN REVIEW IS REQUIRED AT EACH VISIT BY ALL DISCIPLINES
 
Medication Management and Role of Rehab
  • Be aware of impact of meds on pt.'s ability to participate in therapy
  • Reinforce pt. med compliance - assess the barriers and intervene as needed (functional vs. cognitive vs. pt. choice)
  • Connect functionality to med management
  • Confirm new or changed meds and communicate with the rest of the team.
Considerations in terms of Medication Impact
  • Assess effectiveness of current med regime: Eg: monitor vitals
  • New Medication- consider side effects, adverse reactions
  • Compliance- willingness, ability to comply or other probable barriers




Considerations in terms of Functionality
  • Cognition
  • Motor control- dexterity
  • Activity tolerance
  • Balance
  • Mobility
  • Safety concerns surrounding access to meds and beverage
  • Vision
  • Knowledge regarding safe handling of medications, safe handling and disposal of sharps if taking injectable medications.





Things to remember
  • WHO did the education and is it documented?
  • WHO was taught- patient and or CGR?
  • Collaborate with other team members all pertinent findings
  • Utilize Teach Back methodology to assess pt./ CGR knowledge
  • Document medication impact on pt.'s functional status & ability to participate in therapy to achieve goals per POC. Assess and intervene as needed to address ineffective med management to promote pt. progress.

 

ADEQUATE MEDICATION MANAGEMENT BY ALL DISCIPLINES IN HOME CARE IS A PATIENT SAFETY ISSUE.





Patient Care Managers and QI Support Contacts

Name
Phone
Position
Covering Office
Marilyn Bowden
774-502-7478
PCM
Danvers & Gloucester
Maria Dunn
508-688-2449
PCM Program Mgr
SS02 S-boro
Elaine Gardner
617-680-1105
PCM
Charlestown
Kyra Mihalick
617-913-6823
PCM
VNAB Therapy
Carol Morris
617-913-3006
PCM Program Mgr
Quincy
Surabhi Saxena
774-463-7336
PCM
Leominster & SS55 S-boro
Maura Vitello
774-502-7475
PCM
Needham
Kim Hughes
617-886-6501, 
ext. 5419
QI Support Coord
All VNAB
Chris Schultz
617-886-6501, 
ext. 6527
QI Support Coord
All VNACN
Shamala Rao
508-756-7176, 
ext. 6876
QI Nurse
All VNACN

CLINICAL APPLICATIONS
Encore
Encore Medispan Update for Encore/Delta Users
By Christine Day, Clinical Application Specialist
 
Attention Encore Users:
On Wednesday, July 20, 2016, a Medispan update will be placed on the server at 2PM.
 
Please remember that this file will be picked up by your laptop with its first laptop sync after that time. It takes about 30 minutes to process onto your laptop. Please setup for your usual overnight communication Wednesday evening so that you will pick up the Medispan file overnight, avoiding a potentially lengthy communication in the morning.


FUND DEVELOPMENT
Step
Step Out for Hospice Gains Event Sponsor

White Builders recently signed on as event sponsor for the 19th annual Step Out for Hospice Walk/Run on Sunday, Oct. 2, in Woburn, to benefit VNA Hospice & Palliative Care.
 
Charitable gifts from businesses, individuals and foundations play an important role in supporting patient care, staff education, equipment needs, and more.

 
Pictured, from left, are Marshall White, owner of White Builders, with Woburn Friends of VNA Hospice & Palliative Care Susan Jamieson, Joseph D. McDonough, Jr. and Tracey White, and Meaghan Gangi, development associate for VNA Hospice & Palliative Care.
 
Learn more about the walk/run and register now at www.vnacare.org/stepout.



TFCS
Patients and Families Honor Staff through Thanks for Caring Society

Congratulations to the following staff who were honored in June through a charitable donation to VNA of Boston, VNA Care Network, or VNA Hospice & Palliative Care:

Heather Bliss, LPN
Denise Brehme, RN
Mary Buccieri, RN
Jennifer Croke, RN
Diane Crudden, RN
Regina Cunningham, RN
Alison Dahl, PT
Michelle Diebler, PT
Linda Gately, RN
Moira Gavin, RN
Joy Haye, RN
Dianne Lawlor, RN
Tracy Lovvorn, PT
Lauren Decker McKay, PT
Kimberly McLeod, PT
Pamela Nichols, RN
Leah Paquette, RN
Michele Patterson, RN
Rhonda Peabody, PTA
Katherine Riley, PT
Karen Rookwood
Chaplain Nancy Small
Deborah Tanner, PT
Mary Veysey, PT
Ruth Wagner, PT
Victoria Wilson, RN
Julie Winslow, RN
Carolyn Wirth, RN
 
Offices/Residences
Charlestown Staff
Elizabeth Evarts de Rham Hospice Home Staff
Needham Staff
Rose Monahan Hospice Home Staff
Woburn Staff
Worcester Staff

If a patient or family member needs more information or assistance making a donation, please ask them to contact Karen Webber, development officer, at 888-663-3688, ext. 1365 or Karen_Webber@vnacare.org or Laura Wise, manager of fund development, at 617-886-6460 or Laura_Wise@vnacare.org.


HUMAN RESOURCES
Bonus
jobs
Job Postings - VNACN and VNAH&PC
To learn more about career opportunities, contact a human resources representative:


EAT
Employee Advisory Team Suggestions
 
To suggest an area of focus to the Employee Advisory Team (EAT), please email your suggestion to EATSuggestionbox@vnacare.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:
  • Liz Bourne
  • Ray Brackett
  • Kim Dio
  • Kelly Frew
  • Mary Helen Mahoney
  • Susan Marlin Procter
  • Mary McCarthy
  • Ilona O'Connor
  • Mary Ann O'Connor
  • Mae Powers
  • David Rose
  • Danny Yang
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.

INFORMATION TECHNOLOGY
ITSupport
One Number for After-Hours Technical Support

Please remember direct calls for all off-hours (4:30 PM to 7:00 AM) IT support to (508) 751-6822.

Cathy Langone will be on call until 7:00 AM July 14. Gary Weller will assume the duties at 4:30 PM that afternoon.


July 11, 2016The Connecter
Volume 5, Issue 28
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Confidentiality Notice: The Connecter newsletter is an internal communication intended only for employees of VNA Care and Atrius Health. Information contained within this newsletter includes confidential, proprietary, and privileged content. Unauthorized forwarding, printing, copying, distribution, and/or negligent handling is strictly prohibited and could result in disciplinary action.