2014 Annual Meeting - Poster Session Skip to Navigation

Poster Session

Thursday, April 3, 2014 | 11:00 a.m - 2:00 p.m. and 5:30 p.m. - 7:30 p.m.

Navigating Through the Affordable Act: Navigators in Iowa
Denise Hotopp

Visiting Nurse Services of Iowa is one of the two VNAA members to receive a Navigator Grant from the Center for Medicare and Medicaid Services (CMS). Navigators educate the public about the health insurance marketplace, provide fair and impartial information and assist consumers in enrolling in Qualified Health Plans (QHPs). The state of Iowa requires that Navigators obtain additional training beyond the CMS online training and complete an exam in order for licensing by the Iowa Insurance Division. The VNS of Iowa Navigator Program serves 38 of Iowa's 99 counties, home to approximately half of the uninsured in Iowa. The geographic area ranges from the most rural poverty-stricken areas of the state to the most densely populated urban areas. VNS of Iowa provides a variety of supportive services to meet the health and social services need of the community since 1908, and the enrollment assistance provided by Navigators embraces the organization's mission.

The Brand New Home Health Nursing: Scope and Standards of Practice
Mary Narayan and Tina Marrelli

Home health nursing is a rapidly developing nursing specialty, affected by health care reform, quality initiatives, technological advances and changing demographics. Despite seismic changes in their environment, home health nurses must maintain professional standards of practice. In addition to their state Nurse Practice Acts, the most authoritative source for professional home health nurse practice is the American Nurse Association's Home Health Nursing: Scope and Standards of Practice (1986, 1992, 1999, and 2007). Nurses, administrators, litigators, policymakers and the public use this document to evaluate the role and practice of home health nurses. This presentation will address the professional, quality and legal implications of the six professional practice standards and the eight professional performance standards, with special attention to use by agencies to enhance the quality of patient care and their commitment to excellence.

Reducing Risk through a Strong Hospice Compliance Program
Lisa Meadows

Have you ever wondered why your agency should add a compliance program to your already heavy workload? At this time, having a compliance program is not a requirement for hospice agencies, but with the increased scrutiny on fraud and abuse, developing a strong compliance program can save time, money and resources in the end. Learn how to set up a compliance program, write policies and procedures and more importantly, educate staff on perception of some day-to-day practices fraudulent behavior.

Employee Wellness, Morale and the Bottom Line
Alana Negroni

Our primary goal in this session is to present a description of a wellness program for the home health agency. Administrators need to recognize that there is a link between employee wellness, morale and the bottom line. First, we present facts and myths about stress. We review physical and psychological reactions to stress and depression. We also explore critical incident stress and its effects. Next, we look at compassion fatigue and burnout, common occurrences in the field. Finally, we provide solutions with ways to combat stress, including information from the Harvard Sleep Study, nutrition and exercise trends and ways that stress effects the workplace.

Implementation Science: Answers for Home Health Care
Merrily Evdokimoff

Identifying new ways of providing care that meet the expectations of patients, other providers, payers and our staff is a way of life today in home health care. However, identifying ways to introduce, spread and maintain these new practices remains the challenge. Implementation science finally sheds light on the complexity and reasons for this challenge. This session utilizes information drawn primarily from the Journal of Implementation Science to address the challenges of implementing evidence-based practice and how to meet these challenges.

Evolving Orthopedic Upper Extremity Rehabilitation Coming to a Home Near You: Are You Equipped?
Dan Miller

This poster presentation will cover the Acute Care Shoulder Program from the Visiting Nurse Association in Omaha, Neb. The emphasis of this program is educating potential referral sources in the rehabilitative capacities of this state of the artpostoperative rehab program. The program features the UE Ranger Assistive Motion Device and its ability to empower their patients to safely influence their acute level recoveries within the home, prior to their outpatient visits. A program covered under most insurance plans is available from the Visiting Nurse Association to ensure achieving both the details invested surgically and optimal outcomes. The Acute Care Shoulder Program primarily targets orthopedic surgeons specializing in shoulder girdle and general upper extremity procedures.

Top Ten Surprising Readmission Predictors
Cash Forshee

After analyzing several large home care providers' data to predict readmissions, the Medalogix team discovered more than a handful of surprising and noteworthy readmission predictors. Did you know seasonality and number of medications are readmission predictors? Dan Hogan, Medalogix's founder and CEO, includes more surprising findings in this presentation. This is valuable information that is directly applicable and useful to your patient's health and bottom lines.

VNA-TV: Making an Impact on Clinical Education using Customized Videos
Brenda Ewen, Jason Mallet-Prevost

Meeting the educational needs of field staff can be difficult for any homecare agency. This poster will walk you through one agency's experience with developing a library of customized videos easily used for anytime, anywhere learning. We will provide a demonstration of the benefits of agency specific e-learning modules, including resource conservation, improved staff engagement and increased employee satisfaction. Learn the step-by-step process for script production, filming and editing and discuss needed equipment and related costs.

Developing A Pediatric Diabetes Center of Excellence for Inner City Children
Joann Ahrens, Roger Warn
Diabetes is one of the most common chronic conditions among children and introduces many challenges to parents and families as they manage their child’s diabetes care. This poster session will describe the creation of a Pediatric Diabetes Center of Excellence (Center), which was developed to meet the needs of inner city children struggling with Type 1 and Type 2 diabetes. The Center includes assessment and training of clinicians, access to Certified Diabetes Educators, and the development of a short-term diabetes model of care that provides comprehensive home care services from an inter-professional team to pediatric patients with diabetes. The Pediatric Diabetes Program (Program) emphasizes education and self-management of children with diabetes, and provides support to families who are having difficulty managing their child’s disease. Our poster will: 1) provide a history of the Center and summarizing its goals and objectives, 2) review the operational components of the Program and the challenges involved in caring for this vulnerable population, 3) discuss future plans for the Program and potential applications for other pediatric populations.

Affecting Patient Outcomes through Specialized Rehab Home Health Aide Services
Joseph Gallagher, Christine Gunderson
This program will educate participants on how to design a specialized role for home health aides to assist the rehabilitation plan of care. The take away from this session for the attendees will be the outcomes of a two year grant funded research study that proves the effectiveness of this specialized role on patient outcomes as well as HHA job satisfaction as a member of the home care team.

Cost of Instability: Determining Risks and Strategies
Deborah Center
The primary goal for this session will be to disseminate the findings from a three year home health innovations project intended to strengthen the nursing workforce in home care. As part of a Partners Investing in Nursing, Robert Wood Johnson and Northwest Health Foundation program, The Colorado Center for Nursing Excellence facilitated a collaborative statewide program since 2009 with partners from practice and education in order to identify the costs of staff turnover and implement strategies to improve outcomes. During this session, we intend to share the lessons learned from this evidenced-based program and how the cost of instability evidence is changing hiring practices, on-boarding programs and how schools of nursing are integrating concepts into prelicensure nursing education in Colorado. Participants can expect to examine the evidence for relevancy to their own organization in order to identify strategies to reduce their risk of turnover and reduce the cost which will ultimately improve quality and safety outcomes.

Can Simulation Enhance the Confidence and Competency of Nurses Transitioning to Home Healthcare
Deborah Center
The primary goal of this session will be to expose home health leaders to how the use of simulation in home health care can enhance the confidence level of staff. As part of a three year home health innovations project, we identified the required competencies needed in home health care today and created a three-day simulation event focused on enhancing the knowledge, skills and confidence of nurses transitioning to home care related to 18 high priority competencies. The comparison of baseline and post simulation confidence levels resulted in an average of 40% increase in self-reported confidence. During the session we will review the three simulation modalities used including: high fidelity simulation, use of standardized patients or actors and case scenarios. We will share how we utilized a train-the-trainer model to develop expert home health care nurses to lead the simulation events. And, how we created a collaborative for multiple home care agencies and schools of nursing to use for simulation training. We will review the high risk competencies identified for this teaching strategy and identify how enhancing confidence levels of nurses transitioning to home care can enhance retention and ultimately patient outcomes.

This activity has been approved by the Maryland Nurses Association to award 0.5 contact hours per poster session attended. Maryland Nurses Association is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. 

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