Visiting Nurse Association Community Healthcare
753 Boston Post Road
Guilford CT 06437
Contact Information
Address 753 Boston Post Road
Guilford, CT 06437-
Telephone (203) 458-4200 x
Fax 203-458-4390
E-mail bkatz@vna-commh.org
Mission
It is the mission of VNA Community Healthcare to promote and preserve the health, safety, dignity and independence of the individual and the family through the provision of quality cost effective, therapeutic, supportive and preventive health care services to persons in their place of residence in the community.
 

Vision Statement

VNA Community Healthcare’s tag line, “Beside You at Every Turn”, summarizes the organization’s vision. When life takes an unexpected turn, VNA Community Healthcare supports patients with the health care and life-at-home services necessary to stay home longer. VNA Community Healthcare staff provides calm and focus to the turmoil that surrounds a family healthcare challenge. As a good neighbor, VNA Community Healthcare helps communities where we live become healthier through our preventive health services, educational programs and support groups. VNA Community Healthcare staff is always available.

 VNA Community Healthcare achieves these goals by caring for, supporting, empowering, educating and advocating for members of the community, patients, clients and family caregivers.

At A Glance
Year of Incorporation 1923
Former Names
Guilford VNA
Branford VNA
VNA Services
Shoreline VNA
Organization's type of tax exempt status Public Supported Charity
Organization received a competitive grant from the community foundation in the past five years Yes
Leadership
CEO/Executive Director Janine Fay BSN, MPH
Board Chair Ms. Robyn Westerkamp
Board Chair Company Affiliation Guilford Savings Bank
Financial Summary
 
Projected Revenue $30,098,000.00
Projected Expenses $29,903,000.00
Statements
Mission
It is the mission of VNA Community Healthcare to promote and preserve the health, safety, dignity and independence of the individual and the family through the provision of quality cost effective, therapeutic, supportive and preventive health care services to persons in their place of residence in the community.
 

Vision Statement

VNA Community Healthcare’s tag line, “Beside You at Every Turn”, summarizes the organization’s vision. When life takes an unexpected turn, VNA Community Healthcare supports patients with the health care and life-at-home services necessary to stay home longer. VNA Community Healthcare staff provides calm and focus to the turmoil that surrounds a family healthcare challenge. As a good neighbor, VNA Community Healthcare helps communities where we live become healthier through our preventive health services, educational programs and support groups. VNA Community Healthcare staff is always available.

 VNA Community Healthcare achieves these goals by caring for, supporting, empowering, educating and advocating for members of the community, patients, clients and family caregivers.

Background VNA Community Healthcare was founded in 1908 as the Branford VNA. Through a 1995 merger with the Guilford VNA, the organization became VNA Community Healthcare. In 2010, VNA Community Healthcare acquired VNA Services, Inc and expanded to cover greater New Haven. VNA Community Healthcare provides medical, psychiatric and maternal child home care nursing, physical, occupational and speech therapy, social work and home health aide services. VNA Community Healthcare offers one of the very few home care pediatric private duty programs. This program provides 24 hour nursing care and allows severely disabled children to live outside of the hospital. VNA Community Healthcare also operates two affiliates: Strong House Adult Day Center and LifeTime Solutions, a private pay homemaker/companion agency. VNA Community Healthcare has expanded well beyond the boundaries of home care to encompass a wide range of wellness, chronic disease and caregiver support programs that help keep people independent at home, functioning at the highest possible level.
Impact

In the last year, VNA Community Healthcare helped return 5,000 patients to independence and improved health by providing medical, psychiatric and maternal child home health services. VNA Community Healthcare helped over 300 people who attended community health and wellness programs to reduce stress, improve their level of physical fitness and prevent illness. The agency also implemented the evidence based program, Living Well, a chronic disease self management, which empowers participants to take control of their life and health.

 A fall risk grant from the CT Collaboration to Prevent Falls enabled VNA Community Healthcare to prevent devastating injuries by educating and screening over 200 older adults who were at risk of falls at 11 community locations. VNA Community Healthcare then provided follow-up balance training and Tai Chi to Prevent Falls programs.

 VNA Community Healthcare's Caregiver support network provided free counseling, a toll free “VNA Helpline”, two support groups, a walking group, caregiver newsletters, seminars and social events to support family caregivers of elderly or disabled family members. During this year the caregiver network grew to 1,000 people. VNA Community Healthcare also helped seventy-five area eldercare professionals improve their skills and expertise through professional education programs on topics ranging from senior entitlement to elements of normal aging.

Needs

In the past year, VNA Community Healthcare has sustained a series of Medicare and Medicaid cuts combined with a shift of patients to lower paying Medicare managed care plans and reductions in grants and town funding. These reductions in income have almost eliminated funds that were previously used for funding uncompensated or subsidized care and community programs.

  1. Financial support for care of uninsured and underinsured - The agency needs $250,000 in funding to close the financial gap between service costs and revenue for unisured and underinsured adults and children, including monies lost to spend down requirements for psychiatric patients. 
  2. Caregiver Support Network financial support – The Caregiver Support Network needs $50,000 of funding to continue all of its current services to caregivers.
  3. Well Right Now is a new program that integrates existing wellness and chronic disease programs to offer a multilevel prevention/disease management program. This ambitious program will require approximately $100,000 in funding to fully develop all program assessment, intervention and outcomes measurement.
Service Categories
Primary Organization Category Health Care / Home Health Care
Areas Served
Ansonia
Bethany
Branford
Cheshire
Derby
East Haven
Guilford
Hamden
Madison
Milford
New Haven
North Branford
North Haven
Orange
Oxford
Seymour
Shelton
Shoreline
Wallingford
West Haven
Woodbridge
Lower Naugatuck Valley
Programs
Description

The clinical home care program provides licensed, Medicare and Medicaid certified, traditional home care services. These services include: visiting nurses, physical, occupational, speech therapy, social work and home health aide services. Specialty programs include: psychiatric nursing, wound care, congestive heart failure disease management, joint replacement education and treatment, pediatric private duty and maternal child health nursing.

 

VNA Community Healthcare’s clinical home care practice is being transformed into a patient coaching/self management model. Clinical staff are being certified in the evidence-based Integrated Chronic Care Model, which was developed at the Baptist Health System in Little Rock Arkansas. This model uses techniques such as motivational interviewing, health literacy modifications, patient long and short term goal setting and an educational tool called “teachback” to help empower patients to take control of their own health.
 
 
Population Served Elderly and/or Disabled / Aging, Elderly, Senior Citizens /
Program is linked to organization’s mission and strategy Yes
Program is frequently assessed based on predetermined program goals Yes
Short Term SuccessHelpOrganizations describe near term achievement(s) or improvement(s) that will result from this program. This may represent immediate outcomes occurring as a result of the end of a session or service. Patients are discharged from a home care episode of care with goals met, and no facility readmissions. Patients have a higher level of function as measured by their scores on the OASIS standardized assessment. Psychiatric patients remain independent in the community without emergency room visits or hospitalizations.
Long Term SuccessHelpOrganizations describe the ultimate change(s) that will result from this program. This may be far into the future and represent an ideal state. Medicare’s home care compare provides a risk adjusted, benchmarked score for home health agencies that shows performance on key elements of the OASIS scoring tool. VNA Community Healthcare has improved scores over time and ranks at or above most state and national benchmarks on clinical outcome measures. The new Medicare HCAPS patient satisfaction survey shows benchmarked patient satisfaction measures on a quarterly basis.  VNA Community Healthcare has consistently ranked above state and national averages on patient satisfaction measures.
Program Success Monitored ByHelpOrganizations describe the tools used to measure or track program impact.

How programs are evaluated:

  1. Focused chart reviews are conducted quarterly on specific aspects of care and service such as adverse events such as falls and process measures such as timely starts of care.
  2. Quality improvement projects are initiated to address issues identified in chart reviews and in outcomes data.
  3. Reports from the clinical quality system, Home Health Gold, are used to track outcome measures such as OASIS before and after scores, rehospitalization rates, length of stay, case mix and utilization.
Description

The Caregiver Support Network was founded in 2003 to help family caregivers of the elderly or chronically ill better cope, reduce stress, maintain their own health and become better caregivers. The program offers caregiver educational seminars, two support groups (Old Saybrook and North Haven) a walking group in North Branford, a quarterly Caregiver’s Corner newsletter, a VNA Helpline (a toll free number staffed by VNA staff that answers questions about home care, entitlements and community services). Caregiver network staff conduct free phone and in-person caregiver consults in which caregivers tell their stories and receive moral support and information about eldercare resources. A program social worker (LCSW) is available for crisis counseling.

 

 The network also provides publications such as Caregiver Tip Cards and the booklet “Avoiding an Eldercare Crisis”. The Buddy Match program matches former caregivers, who have been trained and screened to support current caregivers. The network has a volunteer advisory board and many volunteers help with events, fundraising and office work. Additionally, the network recognizes isolated caregivers with a delivery of roses during caregiver month, social events such as Chicken Soup for the Caregiver’s Soul, an evening of stress management with volunteer massage, reiki and reflexology professionals.
Population Served Families / People/Families of People with Health Conditions /
Program is linked to organization’s mission and strategy Yes
Program is frequently assessed based on predetermined program goals Yes
Short Term SuccessHelpOrganizations describe near term achievement(s) or improvement(s) that will result from this program. This may represent immediate outcomes occurring as a result of the end of a session or service.

Short term success for family caregivers is usually either relief from a crisis situation or the development of a plan and putting resources in place to help their relative.

Long Term SuccessHelpOrganizations describe the ultimate change(s) that will result from this program. This may be far into the future and represent an ideal state.

The ability of the caregiver to provide the best possible care to their sick or disabled relative, using all available resources and benefits while maintaining the health and wellbeing of the caregiver.

Program Success Monitored ByHelpOrganizations describe the tools used to measure or track program impact.

Success is monitored through verbal and written feedback from caregivers, participation in caregiver activities the number of caregivers who use the VNA helpline and who receive caregiver consults.  

Examples of Program SuccessHelpOrganization's site specific examples of changes in clients' behaviors or testimonies of client's changes to demonstrate program success.

1.) Guilford Community Fund 2011 Volunteer of the Year

Caregiver Network volunteer Phyllis Abbatello was chosen as Volunteer of the Year by the Guilford Community Fund. 

 

Phyllis has been a loyal supporter of VNA Community Healthcare’s Caregiver Support Network since 2006. She has fine tuned the art of listening and is always willing to share that gift with caregivers in our Network.   She takes a genuine interest in everyone she meets and they all get her undivided attention. Phyllis has been “matched” with several of our caregivers as a “buddy”.  Buddies are good listeners who understand the challenges of caregiving. Her buddies report that a call from Phyllis is always welcome and helps ease the chaos of a typical day.

  

2.) Caregivers Grateful for Support

 

A 90 year old male caregiver was referred to our Caregiver Network by a local senior center. Bill was in poor health and caring for his 90 year old wife Stella who is hard of hearing, has macular degeneration and dementia. Previously, Bill had fallen and Stella did not hear him calling for help. Although Bill was willing to accept that they needed help to remain at home safely, Stella was not.

 

A caregiver consultation was arranged. John had an opportunity to share his concerns and agreed they should have a personal emergency response system. At the caregiver consult it was also discovered that John and Stella were eligible for prescription drug assistance and they were given the information necessary to get them started.

 

Their son John, who lives in California, began to participate with the Caregiver Network by phone and received information on resources to help his parents. Gradually, Bill and Stella accepted the help of a homemaker and personal care assistant. By having someone to help his wife, Bill was able to focus more on his own health. Having access to the Caregiver Network eased the frustration and helpless feeling of caregiving at a distance for John. 

Description

VNA Community Healthcare has a long history of providing health promotion and disease prevention programs for the community. VNA Community Healthcare has traditionally offered primary prevention level programs such as community blood pressure screenings, cholesterol and diabetes screenings, flu immunizations, stop smoking classes, healthy diet and exercise classes, yoga, massage and other stress management classes.  Many of these programs have been funded by grants and town funding.  

 

In recent years, VNA Community Healthcare has offered secondary prevention level wellness programs for people who already have a chronic illness. Most of these programs are evidence-based and are taught by certified instructors. Examples include: Tai Chi for Arthritis, Parkinson’s exercise, diabetes education classes, chronic disease self management and fall risk screening and Tai Chi and other exercise classes to prevent falls. Class participants pay for some of these programs while others are funded by community donations and grants.

 

VNA Community Healthcare is integrating all of its wellness and chronic disease programs into a three tier system called Well Right Now that starts with a screening instrument that directs participants to the primary prevention screenings and wellness classes, secondary prevention programs for people with chronic illness or a frailty prevention program for older adults who are at risk of nursing home placement. Blood pressure clinics are being converted to nurse wellness counseling clinics where discharged patients and others with chronic illness can receive health coaching and screening. Health promotion clinical staff are learning to apply the same model of integrated chronic care to clients in community programs and to take referrals of discharged patients from home care staff.

Population Served Aging, Elderly, Senior Citizens / Elderly and/or Disabled / General/Unspecified
Program is linked to organization’s mission and strategy Yes
Program is frequently assessed based on predetermined program goals Yes
Short Term SuccessHelpOrganizations describe near term achievement(s) or improvement(s) that will result from this program. This may represent immediate outcomes occurring as a result of the end of a session or service. Level of attendance and completion for screening, single session and multisession programs. Clients will master and begin to practice the techniques taught in classes and will demonstrate a commitment to positive behavior change.
Long Term SuccessHelpOrganizations describe the ultimate change(s) that will result from this program. This may be far into the future and represent an ideal state. Long term success will produce avoidance of chronic disease or decreased disease symptoms, reduced complications, fewer hospitalizations and lower health care costs for program participants. Frailty prevention programs will produce longer periods of independence at home and delayed nursing home placement.
Program Success Monitored ByHelpOrganizations describe the tools used to measure or track program impact.

Client self reports of well being and objective measures such as smoking status before and after classes, self reports of falls before and after screening and exercise classes, HgbA1c measures for diabetics before and after classes and rates of hospitalization, preventable complications and emergency room use for chronic disease program participants. 

Examples of Program SuccessHelpOrganization's site specific examples of changes in clients' behaviors or testimonies of client's changes to demonstrate program success.

After being discharged from VNA Community Healthcare, Natalie participated in the Living Well Chronic Disease Self Management program. She completed the six session program and achieved her goal of being able to visit her son in Maine and walk up his front steps. She began attending a VNA Community Healthcare Exercise to Prevent Falls class and has gradually increased her fitness and endurance. She became a volunteer for VNA Community Healthcare’s Affiliate, LifeTime Solutions. Natalie also stayed in touch with her Living Well classmates and hosts lunches for them periodically. Natalie has continued to do well and has gotten back in control of her life.

CEO/Executive Director
Janine Fay BSN, MPH
Term Start July 2011
Email jfay@vna-commh.org
Staff
Number of Full Time Staff 182
Number of Part Time Staff 267
Number of Volunteers 10
Number of Contract Staff 5
Staff Retention Rate 93%
Staff Demographics - Ethnicity
African American/Black 19
Asian American/Pacific Islander 9
Caucasian 405
Hispanic/Latino 14
Native American/American Indian 0
Other 2 Two or more races
Staff Demographics - Gender
Male 43
Female 406
Unspecified 0
Former CEOs and Terms
NameTerm
Susan Faris RN, MPH, CHCE -
Formal Evaluations
CEO Formal Evaluation Yes
CEO/Executive Formal Evaluation Frequency Annually
Senior Management Formal Evaluation Yes
Senior Management Formal Evaluation Frequency Annually
Non Management Formal Evaluation Yes
Non Management Formal Evaluation Frequency Annually
Affiliations
AffiliationYear
Greater New Haven Chamber of Commerce2011
Awards
Award/RecognitionOrganizationYear
Patient Satisfaction - Best Practice Achievement, Award of DistinctionFazzi Associates2009
Pinnacle Award Finalist for Excellence in Patient SatisfactionVisiting Nurse Associations of New England - VNANE2010
Board Chair
Ms. Robyn Westerkamp
Company Affiliation Guilford Savings Bank
Term Nov 2013 to Oct 2015
Email RWesterkamp@gsbyourbank.com
Board of Directors
NameAffiliation
Atty. Katy Armenia Law Office of Katy J. Armenia , LLC
Mr. Richard Corcoran
Mr. John Della Ventura DATTCO, Inc.
Mr. Jeff Dow
Ms. Janine Fay
Atty. James Fischer Fischer & Fischer LLC
Ms. Pamela Gery No. Branford Parks, Recreation & Senior Center
Ms. Pamela Katz Community Volunteer
Dr. Gerard Kerins
Mr. Robert McHugh
Ms. Camille Murphy CPABailey Murphy & Scarano, CPA's
Mr. James Rochford James W. Rochford Associates, LLC
Ms. Kathryn Ross Healthtrax Fitness and Wellness
Board Demographics - Ethnicity
African American/Black 0
Asian American/Pacific Islander 0
Caucasian 14
Hispanic/Latino 0
Native American/American Indian 0
Other 0 0
Board Demographics - Gender
Male 7
Female 7
Board Co-Chair
Dr. Gerard Kerins
Company Affiliation Yale-New Haven Hospital
Term Nov 2013 to Oct 2015
Email gikerins@comcast.net
 
 
Financials
Fiscal Year Start July 01 2014
Fiscal Year End June 30 2015
Projected Revenue $30,098,000.00
Projected Expenses $29,903,000.00
Spending Policy N/A
Detailed Financials
Prior Three Years Total Revenue and Expense Totals ChartHelpFinancial data for prior years is entered by foundation staff based on the documents submitted by nonprofit organizations.Foundation staff members enter this information to assure consistency in the presentation of financial data across all organizations.
Fiscal Year201320122011
Total Revenue$28,505,556$28,624,699$28,398,317
Total Expenses$28,299,602$28,959,733$28,732,706
Prior Three Years Revenue Sources ChartHelpThe financial analysis involves a comparison of the IRS Form 990 and the audit report (when available) and revenue sources may not sum to total based on reconciliation differences. Revenue from foundations and corporations may include individual contributions when not itemized separately.
Fiscal Year201320122011
Foundation and
Corporation Contributions
$113,575$228,776$60,568
Government Contributions$0$0$0
Federal------
State------
Local------
Unspecified------
Individual Contributions----$266
------
$28,309,343$28,397,916$28,079,774
Investment Income, Net of Losses$37,900($1,993)$257,709
Membership Dues------
Special Events$34,350----
Revenue In-Kind------
Other$10,388----
Prior Three Years Expense Allocations Chart
Fiscal Year201320122011
Program Expense$22,152,883$22,653,587$21,918,587
Administration Expense$6,146,719$6,306,146$6,814,119
Fundraising Expense------
Payments to Affiliates------
Total Revenue/Total Expenses1.010.990.99
Program Expense/Total Expenses78%78%76%
Fundraising Expense/Contributed Revenue0%0%0%
Prior Three Years Assets and Liabilities Chart
Fiscal Year201320122011
Total Assets$6,277,114$5,655,359$6,581,556
Current Assets$4,147,146$3,867,989$3,837,885
Long-Term Liabilities$776,598$788,863$1,520,145
Current Liabilities$2,395,674$2,134,052$1,929,095
Total Net Assets$3,104,842$2,732,444$3,132,316
Prior Three Years Top Three Funding Sources
Fiscal Year201320122011
Top Funding Source & Dollar AmountEchlin Foundation $8,000 -- --
Second Highest Funding Source & Dollar AmountByram Healthcare $6,200 -- --
Third Highest Funding Source & Dollar AmountAT&T $5,000 -- --
Solvency
Short Term Solvency
Fiscal Year201320122011
Current Ratio: Current Assets/Current Liabilities1.731.811.99
Long Term Solvency
Fiscal Year201320122011
Long-Term Liabilities/Total Assets12%14%23%
Capitial Campaign
Currently in a Capital Campaign? No
Capital Campaign Anticipated in Next 5 Years? No
Comments
CEO Comments

Home care companies continue to face significant cuts in Medicare and Medicaid reimbursement.  It is a challenging environment.  However, our organization is strong and healthy, and will continue to be a leader in the home care delivery system.

Foundation Staff Comments

This profile, including the financial summaries prepared and submitted by the organization based on its own independent and/or internal audit processes and regulatory submissions, has been read by the Foundation. Financial information is inputted by Foundation staff directly from the organization’s IRS Form 990, audited financial statements or other financial documents approved by the nonprofit’s board. The Foundation has not audited the organization’s financial statements or tax filings, and makes no representations or warranties thereon. The Community Foundation is continuing to receive information submitted by the organization and may periodically update the organization’s profile to reflect the most current financial and other information available. The organization has completed the fields required by The Community Foundation and updated their profile in the last year. To see if the organization has received a competitive grant from The Community Foundation in the last five years, please go to the General Information Tab of the profile.

Address 753 Boston Post Road
Guilford, CT 06437
Primary Phone 203 458-4200
Contact Email bkatz@vna-commh.org
CEO/Executive Director Janine Fay BSN, MPH
Board Chair Ms. Robyn Westerkamp
Board Chair Company Affiliation Guilford Savings Bank

 

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