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 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 15, 2016
Volume 5, Issue 33

SERVICE EXCELLENCE
SEStandard
Service Excellence Standard of the Week
Service Standard #1: Customer Loyalty

We ensure that our customers are the priority focus at all times by anticipating their needs and delivering exceptional service.

Here are some behaviors that demonstrate standard #1:
  • Create a professional environment by providing support and the tools needed to achieve our vision and mission.
  • Deliver evidenced-based, comprehensive care to all patients and referral sources.
  • Learn something unique about each patient/customer and personalize your service to create customer loyalty and delight.

spotlight

Submitted by Jennifer Colon and Marjorie Bennett, Liaisons

Marjorie and I want to take a minute to tell you have much we appreciate working with Lori DeRosa, she is willing to work with us collaboratively in order to find a way for us to take often difficult and very complex medical cases. Also I would also like to thank Ellen the case coordinator in the office there who always follows up her and Lori have great communication and Ellen knows the patients very well. We love the Danvers office!

Submitted by Amy Daley, Residence Hospice Manager

The Rose Monahan Hospice Home staff would like to express their gratitude to Dave Hanley, Computer Operations Manager, for spending a good part of his weekend at Rose Monahan to assure we had the ability to care for our patients as a result of a systems failure which affected our phones, internet and McKesson. Thank you Dave for your diligence and expertise. You provided service with a smile!

Submitted by Sarah Paez at Atrius Health

I wanted to let you know that my RNs are thrilled to have Mae Powers to call for all of our VNA Care patients. It really makes it SO much easier to have one number/person to work with.

Submitted by Kaitlin Federico, Telemonitoring Department

Patient D.N. has been discharged and she said she cannot thank us enough. We have helped her more than her own doctors she said. She loved how we were there to listen and were right on top of issues advocating for her health. Just thought I would share. She said thank you to all of us!

Submitted by Ruth Sunshine Wagner, PT

I wanted to share some feedback given to me today while doing a physical therapy discharge visit. The patient made the following statements:

"My care from beginning to end has been excellent. Everyone from the VNA has been wonderful, but Wendy Minnich (physical therapy assistant) has been absolutely phenomenal. She always showed up right on time and never seemed to rush through the visit. She was compassionate but managed to motivate me to work harder than I thought I could. I can't say enough positive things about Wendy. If I ever have my other knee replaced, I will ask for VNA Care and for Wendy in particular!"

Submitted by Sheldon Staats, Business Operations Supervisor

A patient's son called today after Nicole Glasberg, RN had admitted his mother. The son had previously called to advocate for his parents. He reports that, "Nicole was fantastic and had both my parents wearing their pendants." The parents, who are struggling with remaining independent, have previously been resistant to care. The son is very pleased with the Nicole's professionalism and his mother's compliance at the start of care.

Correction to KUDOS from last week submitted by Michelle Donlin, Registered Nurse:
 
Michelle submitted a KUDOS to Kerry O'Connor, NP and we wanted to be sure we addressed her full name as Kerry O'Connor, NP with Hospice and Palliative Care.
 
I wanted to send a note to let you know how fantastic she is.  About 1 1/2 years ago I contacted her because there was a man on service who needed so much more than the skilled nursing service. We discussed his case and that case was actually written up in something praising the perfect transition to services he needed. Since then I tend to call on Kerry for advice with numerous patients. She has taught me what to look for and things to think about if a patient may need Palliative verses Hospice. I had the pleasure of meeting her a month or so ago at Mr. L's home. I stayed for the visit so I could watch and listen to how she did what she does.  She has helped me give better care to my patients, helped me with how to say something to a family. I have needed her guidance in a pinch and she has always been there for me.  The patients of course respect her and gain so much from her but I have learned much more.


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!


The Rose Monahan Hospice Home staff would like to congratulate Erica Grady, RN nurse manager and her husband Josh on the birth of their son Carter James who was born on 8/5/16 at 11:34PM - 5 lbs, 11 oz and looks just like his mother!




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 fund-raise 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!

Follow This Link
 to visit our team web page and help with the efforts to support American Heart Association. Questions? Contact Gina Lis at gina_lis@vnacare.org.


CERTIFIED CLINICAL SERVICES
Experience
Delivering an Amazing Patient Experience
By Judy Walsh, Director of Rehabilitation Services and Paula Schulz, Clinical Director
 
We want to thank our clinicians for the excellent patient care provided each day. As managers and directors, going out with you on joint visits has become a favorite part of our jobs and we are so proud of the care you deliver. Here are some recent observations of Amazing Patient Experiences!!!
 
From Surabhi Saxena, Patient Care Manager:
Joanna Bentley, PT, did an excellent job of interviewing/observing patient about pain status throughout the session where the patient finally acknowledged long standing hx of back pain. Patient had learned to live with it and did not think of it as pain.
 
Kim McLoed, PT, asked the patient if there was anything else she could do for the patient before she left the house at the end of the visit.
 
Jen McCarter, RN, introduced the pain scale in the workbook to the patient and stated-"here is the scale that will help you understand your pain and take care of it".
 
From Judy Sojack, Clinical Services Manager:
Former patient P.C. called Judy to express her thanks to her home care team - Maryanne Thibeault RN, Anna Murphy PT, Kris McGravey PTA, Kathy Sciarratta OT & Diana Visco COTA and Kris Camara SLP. Ms. C. is a 96 y/o lady referred to us for Dysphagia & Sciatica. She has chronic pain issues. She told Judy that when our team started working with her she had a great deal of pain with movement, felt unsteady, and could not enjoy eating due to "the food got stuck or would come back up"; she was very discouraged. Less than 2 months later she is moving much more confidently, with much less pain and "the food is staying down". She said that each of them contributed to her recovery, and she is very grateful. She asked if we could send her a donation envelope, so she can show her appreciation.
 
From Maura Vitello, Patient Care Manager:
On a joint visit with a therapist Dasia LaRusso, PT, Maura witnessed her great assessment of home safety and plan for this 90yr old gentleman. She was expert at medication reconciliation and teaching on high alert medications on this SOC. She documented in the home and compartmentalized her comprehensive skin assessment in with her OASIS walk. She utilized the Patient Education Workbook on the first visit and mentioned the phrase "Please Call us first" unless you may need 911.
 
From Adele Pike, Director of Education:
I did a joint visit with Kelly Healey RN out of Needham to a frail elderly man who did not speak English and who was not born in this country. Kelly's care and sensitivity to his and his family's cultural heritage and beliefs was so much part of her visit-like it came naturally to her. Very special.
 
I did a joint visit with Matt King PTA in Leominster. We visited a patient with advancing dementia. Matt was incredibly organized in the visit all the while following the patient's and the family's lead; given the circumstances this was pretty impressive to watch. He was intensely focused and compassionate. He talked about what the other team members were working on, and reviewed when each would visit next-a really thorough and complete visit that was an example of professionalism and best practice.
 
I did a joint visit with Holly Hughes RN from Charlestown to the home of a patient with heart failure. The patient and family peppered Holly with questions about her personal life. Holly redirected the conversation over and over again back to the patient, with grace and humor and patience---and without disclosing personal information! Her skill and confidence in managing the visit so that the patient felt heard and respected and cared for and about left me in awe.

CERTIFIED QUALITY AND RISK MANAGEMENT
OASIS
Entering an OASIS Assessment Directly Into Encore
By Maria Dunn, Patient Care Program Manager

Occasionally there is a need to enter an OASIS assessment directly into Encore after you've made a clinical visit. This typically occurs if there is a fee source change from a non-OASIS payer to an OASIS payer.

Using the instructions on the link below, you may enter the OASIS assessment directly into Encore using assessment findings from your clinical visit.


Please request coding corrections OR an OASIS review (for a ROC, recert, transfer or discharge OASIS) by emailing BOTH Shamala Rao (shamala_rao@vnacare.org) AND Chris Schultz (chris_schultz@vnacare.org). Your coding and review request will each be completed in one business day.

QUESTIONS:
  • Please contact Encore Support if you have questions regarding the Encore entry.
  • For questions regarding OASIS or regulatory guidance, please contact a Patient Care Manager (PCM) listed below.


M1850
Functional OASIS Refresher - Part 2: Bed Transfer
By Kyra Mihalick, PT, DPT, COS-C, Patient Care Manager
 
In Quarter 2 OASIS Education, SHP outcome data reports detailing individual outcomes were provided to clinicians. This is part 2 of a 3 part series reviewing publicly reported functional outcomes to help you bring your data up to the top 20%. Look at your individual SHP data and compare to the most recent data for the top 20%. If you need a copy of your SHP data, please ask your PCM.
Improvement in Ambulation: 72.7%
Improvement in Bed Transfer: 69.1%
Improvement in Bathing: 78.0%
 
Bed Transfer:
  • Location of sleeping and sitting surfaces
    • Nearest sitting surface may be a commode or chair beside the bed OR a chair in another room. Therefore, you may need to account for assistance required to ambulate to the nearest sitting surface
  • Sit to stand technique
    • Does the patient "plop" to sit down? Is this really safe?
    • Does the patient use momentum to stand up?
    • Is hand placement related to pt's AD appropriate?
  • Hip/shoulder/spinal precautions
  • Ability to support the majority of body weight through any combination of weight bearing extremities.
    • Patient may be bearing weight through BUE to perform a slide board transfer
  • Is the assistive device properly adjusted?
 PER OASIS GUIDANCE
  • If a patient requires minimal assistance OR an assistive device
    • Response 1
  • If a patient requires minimal assistance AND an assistive device
    • Response 2
  • If a patient can bear weight and pivot but requires >25% assistance (needs mod or max A)
    • Response 2
  • Hoyer to a chair, commode, or another sitting surface
    • Response 3
  • Bedfast: CAN NOT tolerate being out of bed by any means
Remember: Unless the question specifies otherwise, the OASIS assessment is based on the time spent in the home and the 24 hours prior. So at SOC you are scoring the patient based on the ability to perform the task(s) PRIOR to any interventions, cues, or recommendations. You may not know the patient's full ability until you get to know the patient and continue with your plan of care, so at SOC you should score based on the best recommendation for safety. Interventions provided at SOC will be captured at the next OASIS assessment. At DC you know the patient's true ability and can better identify impaired vs. informed decisions.


Docusate
Recall of Liquid Docusate Sodium Solution

The U.S. Food and Drug Administration is alerting health care professionals that PharmaTech LLC, Davie, Florida, is voluntarily recalling all non-expired lots of Diocto Liquid, a docusate sodium solution distributed by Rugby Laboratories, Livonia, Michigan. The agency confirmed the product has been contaminated with Burkholderia cepacia, a bacteria linked to an outbreak in five states. PharmaTech manufactures the oral liquid docusate sodium, which is distributed nationwide by Rugby with a Rugby label in one pint (473 mL) bottles.

Click here for more information.


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, August 17, a Medispan update will be placed on the server at 2pm.
 
Please remember that this file will get 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.
 
If you have any questions, please contact the Clinical Applications/ Encore/ McKesson line at (617) 886-6730.

HUMAN RESOURCES
Bonus
jobs
Job Postings

 

To learn more about career opportunities visit careers.vnacare.org 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

To simply the IT support offering and eliminate the need to know who to call in each office, our organization has switched to using a single number with which to contact IT for all your phone support. From now on and from any VNA Care office, you need only call extension 6822 to reach the IT department. From outside our properties, the new off-hours number doubles as the daytime contact for IT support: (508) 751-6822.
 
By calling these numbers you are virtually assured of reaching an available technician who can then make a determination of the best course of action to solve your problem or meet your request. So remember: Inside, 6822. Outside and after-hours, (508) 751-6822.


August 15, 2016The Connecter
Volume 5, Issue 33
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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.