As the new President and CEO of VNA South Central, CT, I am excited about the upcoming year and our vision to be recognized as a leader in the regions healthcare industry and an essential resource for exceptional healthcare at home.
Last year alone we made 105,367 home visits and had admissions of 3,488 patients.
Our Board takes seriously its fiduciary responsibility and helps set the policies that enable the VNA South Central to deliver the best care to every patient every day!
The Subsidized Care Program serves individuals of all ages with many different diagnoses and conditions. It is widely recognized that patients recover extremely well in a setting where they are most comfortable - at home.
Some, but not all, of the services available through the Cardiac Care Program are as follows:
· Pulmonary activity tolerance exercises
· O2 saturation monitoring
· In home respiratory therapy instructions
· In home PT/INR testing by the ITC Protime Microcoagulation System
· Monitoring and evaluation of care plan, deviations and outcomes to ensure that goals are established by the patient’s team.
We have established three very targeted sets of measurements for this project:
1: We track and record the percentages of patients who complete follow up MD visits.
2: We track the percentage of patients eligible for home care who are re-admitted to the hospital within 30 days.
3: We track the percentage of patients NOT eligible for home care who are re-admitted to the hospital within 30 days.
We plan to use the information systems at both YNHH and VNASCC to track this data. In particular, we have the ability to track both sets of re-admissions and sort the data by diagnosis code, DRG, payor and innumerable other variables. The data will be reviewed for bi-weekly meetings between the entities. We will also prepare a bi-annual report to accurately track the trends.
We are interested in publishing the results as we feel this project is so leading edge that it is important to share it with colleagues and legislators.
With a commitment to high-quality care and a smooth transition for patients from “traditional” home care services to hospice home care, the collaboration has formally been operating for over 10 years. The clinical staff members from both agencies collaborate on issues such as pain management, disease progression and new treatments. They also confer about individual patients when they are being transferred from one program to the other. In an effort to promote continuity for patients and family members, The CT Hospice, by contractual arrangement, utilizes VNA/SCC clinical staff, particularly therapists and home health aides, for service provision.
The Home IV Therapy Program, a specialized component of the agency’s Care of the Ill Program, has been providing high-tech skilled nursing services and teaching select self-care skills to patients and families since 1984. The program’s goal is to provide competent, competitive and cost-effective management of intermittent IV fluid, nutrition and medication administration such as chemotherapy and antibiotics to patients who can be cared for safely in the home. The IV nurses are specially trained nurse who provide specialized care to patients and their families. The program is managed by a nurse who is certified in IV nursing by The Intravenous Nursing Society. The IV team works in collaboration with care of the ill nurses to met all of the patient’s needs.
As part of its rehabilitation program, VNA/SCC provides intermittent physical, speech and occupational therapy services. A Rehabilitation Nursing Program was created to expand the scope of services available to community residents. It is designed to facilitate the achievement and maintenance of optimal functioning and to prevent complications for persons with physical disabilities or functional problems. The rehabilitation services nurses are responsible for coordinating a multi-disciplinary plan of care and providing specialized nursing care.
Lisa L. Dupuis just started her role as the President/CEO, Administrator of the Visiting Nurse Association of South Central Connecticut (VNA South Central) in June 2016. She serves on the Future of Healthcare at Home Committee of the Connecticut Association of Healthcare at Home. On behalf of the VNA South Central, Ms. Dupuis is a member of the New Haven and Valley Chambers of Commerce.
Ms. Dupuis most recently was the President/CEO of Constellation Health Services based in Norwalk, CT and has over twenty-seven years in various managerial and administrative roles in health care delivery with a majority of that time in home health care services. She is an Occupational Therapist by profession and has her Masters in Business Administration.
Indirect Public Support HelpIndirect public support represents revenue received through solicitation campaigns. This includes funding United Way and other federated fundraising organizations, but does not include donor designated contributions.
Earned Revenue HelpEarned revenue represents income generated in direct exchange for a product or service.Earned income includes income from government contracts.
Difference between current projected income and projected expenses: Winter weather conditions - harsher than normal, travel conditions prevented normal visiting to see patients, patients unable to see MDs and have procedures. Federal sequestration reduced medicare revenue by 2%. Medicaid chronic underfunding, medical supply costs higher than normal, patients needing more intensive care.
How will the money be raised?: All expenditures were reduced or delayed including capital expenditures for computer hardware and software. Cash flow has improved.
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