For internal use only. Please do not distribute.
Weekly Newsletter for Employees of VNA Care

Key Items to Check Out Below


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:

August 1, 2016
Volume 5, Issue 31

SERVICE EXCELLENCE
SEStandard
Service Excellence Standard of the Week
Service Standard #9: Workplace Cleanliness

We maintain a professional, clean, organized work bag and work area, whether in the patient's home or in the workplace.

Here are some behaviors that demonstrate standard #9:
  • Your work environment is a reflection of you. Take personal responsibility for maintaining high levels of cleanliness throughout your work area.
  • Uncompromising levels of cleanliness are expected of everyone.

spotlight


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
Walk
American Heart Walk

The VNA Walking Warriors want to invite you to please Join Our Team Today!
 
The 2016 Boston Heart Walk
Saturday September 10, 2016
Registration : 9:00am Walk Starts 10:30am
DCR's Hatch Shell on the Charles River Esplanade - Boston, MA

VNA Care is making a difference by participating once again in the American Heart Association's Annual Heart Walk. I need your help to make our team a success. Are you ready to build healthier lives by joining our team?

It only takes 3 easy steps!
  1. Click on the link below to visit the team web page.
  2. Click the blue "My Team Page" button.
  3. Click the "Join our Team" button and follow the prompts to register.
Once you've joined the team, we'll need your help to reach our team fundraising goal. Don't worry - fundraising is easier than you think. The American Heart Association provides all the tools you need, including your own personal fundraising page. Plus, I'll be here to support and encourage you along the way. Please don't hesitate to contact me with any Heart Walk questions.

Why Heart Walk? Did you know 1 in 3 Americans have some form of cardiovascular disease and that heart disease kills more women than all forms of cancer combined? We can change these statistics by joining together to walk and fundraise for Heart Walk.

Help grow our team, please feel free to forward this email to anyone you think will want to walk, raise funds and make a difference in our community. All are welcome; it's the more the merrier, when it comes to our Heart Walk team!

Each registered participant is eligible for an Atrius Heart Walk Tee-Shirt. Please contact me no later than August 8, 2016 with size information.

Thank you, in advance, for your participation.

Follow This Link
 to visit our team web page and help with the efforts to support American Heart Association.



Dube
Shauna Dube Joins VNA Care as Director of Transitional Care and Business Development
By Karen Chirsky, VP of Transitional Care and Business Development
 
Shauna Dube has recently assumed the position of Director of Transitional Care & Business Development.
 
With more than 12 years of experience in the health care field, Shauna is well positioned to step into this important leadership role within the Business Development Dept. Shauna earned her Bachelor of Science degree from the University of New Hampshire and then went on to earn her Master of Science in Speech Language Pathology from Southern Connecticut State University. Her previous roles include program manager positions at Genesis Rehabilitation Services and then as a community care director at Excella Home Healthcare.
 
In her new role as Director of Transitional Care & Business Development, Shauna will assist in leading the department in the development & implementation of strategies designed to grow home care, hospice and palliative care programs and services. Providing oversight to the operations and leadership team of the Referral Center, Shauna will have a strong focus on seeking opportunities for ongoing referral process improvement and service excellence. She will be working closely with our New Horizons team and pursuing potential opportunities at other ALF's and other external referral sources.
 
Please join me in welcoming Shauna to VNA Care!



ShoreTel
ShoreTel to Avaya Transition

As we've shared before, the ShoreTel phone system is being replaced with the Avaya phone system, which is what is found in most of our office locations. Among other benefits, this will allow for ease of call transfers between departments and offices.

The Woburn office is tentatively scheduled for this upgrade beginning Friday, August 5, and continuing through the weekend. Everyone with Woburn-based office phone extensions (i.e. those beginning in 28XX) will be keeping their same extension and can be reached in the exact same way as today (i.e. direct dials remain the same as do virtual extensions).

Charlestown is scheduled for this transition at the end of August. Those dates will be shared as soon as they are confirmed.

More information will be shared in the coming days and weeks regarding what to expect and training opportunities for the new system. Staff are encouraged to begin reviewing saved messages they may have on the ShoreTel system and deleting what no longer needs to be saved.

There is a cross-section of staff participating in the transition committee to ensure a seamless switch to Avaya. If you have specific ShoreTel related configurations that you want to make sure carry over to Avaya, please contact Pam Anderson at pam_anderson@vnacare.org, Jen Casper at jennifer_casper@vnacare.org, Kelly Frew at kelly_frew@vnacare.org, or George Richardson at george_richardson@vnacare.org.


CERTIFIED CLINICAL SERVICES
Telemonitoring
Telemonitoring Discharges

A few things to remember about TM and discharges:
  • The Telemonitoring can stay in until the Agency discharge.
  • Please call VNA Care Network discharges to 508-751-6802.
  • Please call VNA of Boston discharges to 617-886-6434
  • DO NOT DISCONNECT EQUIPMENT!!! You may be disconnecting a PERS-Lifeline system or computer. Our installer will disconnect the devices and check that Lifeline is functioning. Just tell the patient not to use and call us. If they use the equipment, we will call them.
Thanks for your help!

CERTIFIED QUALITY AND RISK MANAGEMENT
Shingles
Shingles Vaccine among our Patients 60 years and older
By Susan Stiller, QI Nurse and Infection Control Officer

We now must prepare a report on the percentage of patients 60 and older that have received the Shingles vaccine for CMS. The preliminary report for July 1 to July 15 shows the percentage of patients receiving the vaccine.



This is an early report which shows our patients receiving the shingles vaccine less than the national average. We anticipate that we will be higher than the nation as clinicians are educating patients on the benefits of the vaccine. At present, vaccination is the best way to reduce the risk of developing shingles and the long term pain from post-herpetic neuralgia caused by shingles. As both Encore and McKesson have updated where to document herpes zoster vaccine information, the attachments will provide guidance.

Talking points for patient education are as follows.
  • The vaccine is recommended for persons 60 and older regardless of a prior episode of zoster (there is no data to guide the timing although some physicians will say to wait 1 year after a shingles episode before receiving the vaccine). There is no need to ask for a history of prior varicella (chickenpox).
  • As our immune systems age when we get older, the vaccine will work best the earlier received as our bodies will mount a better response.
The vaccine is a live vaccine so people with a weakened immune system should not receive the vaccine.


M2015
M2015 Medication Teaching Update
By Marilyn Bowden, Patient Care Manager

VNA Care is now in the second half of 2016 and we continue try to meet the 2016 goal of scoring in the top 20% of all agencies for M2015 Medication Teaching for All Episodes of Care. The Star Ratings and office percentages below show that all offices are not approaching the 99.3% level of the top 20% of agencies or the 5 Star Rating level. Thank you to those who have improved their medication teaching documentation.

Percent Answered Yes M2015 Medication Teaching Done All Episodes of Care by Office January through June 2016



Star Rating for January through June 2016 M2015 Medication Teaching by Office


Congratulations to the Braintree and Charlestown office staff who show that meeting the Agency goal of being in the top 20% of agencies is achievable on a ongoing basis.

Drill down of Network office scores by team showed that an average of three "No" responses a month on a team with smaller numbers of transfers and discharges lowered the score to 97%. On a team with larger numbers of transfers and discharges an average of nine "No" responses a month lowered the score to 95%.

This emphasizes the importance of each patient episode having the required medication teaching documented. Each visiting clinician, excluding MSWs, PTAs and COTAs, is required to document medication teaching each visit starting with the day of Admission using the interventions listed under the Medication Teach button on the Medication List. At ROC and at Recert, teaching must be begun again unless retention of prior medication teaching is documented. Please review screen shots below for required teaching and documentation.

Required Teaching for Hi Risk Medications (choose #1 or #2 depending on the situation)


Required Teaching for All Medications (choose #1 or #2 depending on the situation)


Required Documentation for Retention of Previous Teaching

(See Arrow above for location in list)

Please help to improve our scores. If you are the last clinician discharging a patient, look mindfully at the response to M2015 before you leave the home and if it is not scored "Yes", stop, assess for knowledge retention, and complete the appropriate teaching and documentation. Contact your PCM when you see the "No" response to M2015 and cannot accomplish the required documentation.



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

FACILITIES
Printer
Printer Toner Support Changes

We would like to inform staff that Page after Page is now the Printer Service Vendor for the agency. This includes picking up empty toners and delivering new cartridges. Please put all empty cartridges at the front desk. If you notice their isn't a replacement cartridge and toner is low please call the number on the label that is located on printer and request a new cartridge. The office assistant in your office can assist you if needed. 
 
Also if there are any issues with your printer beyond a normal paper jam, you can call page after page with the information on the label on your printer and they will come out for a service call.
 
Canon Copier Service
Canon All in One Copiers you call 800-355-1385 then use supply prompt give them the serial number which is located on the tag under the cover to the machine. You can also, use the same phone number for service just use the Service Prompt then the serial number. Again, the office assistant can assist you if needed.
 
Thank you IT and Facilities

HOSPICE & PALLIATIVE CARE
RightCare
The Right Care at the Right Time

Whether a patient is learning to manage a chronic disease, transitioning home from the hospital, or rehabilitating after an injury or surgery, VNA Care allows patients to continue the level of care necessary to help restore health, well-being and independence all from the comfort of home. Home care is about more than just treating patients. It's about providing quality of life. We believe that the best care is always focused on achieving the goals of the patient and family. To meet a patient's health goals, we take the time to create a personalized plan of care that addresses specific needs and goals.

Has your patient ...
  • Been hospitalized or gone to the ER several times in past 6 months?
  • Been making more frequent phone calls to his/her physicians?
  • Started taking medication to lessen physical pain?
  • Started spending most of the day in a chair or bed?
  • Fallen several times over the past 6 months?
  • Started feeling weaker or more tired?
  • Experienced weight loss making clothes noticeably looser?
  • Noticed a shortness of breath, even while resting?
  • Been told by a doctor that life expectancy is limited?
  • Experienced an increase in pain, nausea, breathing distress or other symptoms?
  • Failed to "bounce back" after medical set-backs occur?
  • Needed increasing assistance needed for walking, eating, bathing, dressing and/or going to the toilet?
  • Displayed decreasing alertness - is emotionally withdrawn, sleeping more or having increased difficulty with comprehension?
If you said yes to more than three of the above, the most appropriate level of care for your patient may be hospice.
 
Click here for more information about Hospice, Palliative Care and Care Choices.

Click here for the NHPCO reference tool for determining prognosis.

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.
 
Key Initiatives Being Talked About:
  • iPad to laptop conversion
  • Speech recognition software
  • Strategies to become the Employer of Choice
  • Communication pathways
  • Office/department moves
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.

This week, Eric Bromberg is on call until 7:00 AM Thursday, 8/4. Jose' begins on-call service that same day beginning at 4:30 PM.


August 1, 2016The Connecter
Volume 5, Issue 31
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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.