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VNAA - Visiting Nurse Associations of America


Annual Meeting Home Health and Hospice Education Sessions

Attention: If you are not logged in as a member, you may be unable to download the presentations. If you attended the meeting but are a non-member and wish to download the presentations, we would be happy to provide you with limited time access so you may download the presentations. Please contact [email protected] for access.

Breakout Sessions and Poster Sessions

The breakout sessions at the 2012 Annual Meeting covered a wide variety of home health and hospice topics including business growth in a competitive environment, care transition programs, performance improvement and therapy payment reforms. The posters session at the 2012 Annual Meeting spanned a wide variety of home health and hospice topics including patient satisfaction, board engagement, nurse competency and ICD-10 coding prep. Many of the breakout and poster sessions were eligible for continuing nursing education credit hours.

Download the Breakout Presentations

Download the presentations from the Annual Meeting presenters below. They are all PDFs, if you experience difficulty downloading the presentations, we recommend opening the PDF's in Internet Explorer because Firefox does not open PDFs very well. If interested in viewing the meeting photos or videos, click here.

Business Growth in a Competitive Environment Track

1A | Private Pay in Home Health: How VNAs Can Succeed in Private Duty Homecare
Stephen Tweed, CSP, Leading Home Care

2A | 2012 Therapy Payment Reforms: Hope Beyond the Hype
Arnie Cisneros, PT, Home Health Strategic Management

3A | How to Exponentially Grow Your Bereavement Program: Partnering with Interns and Trainees
Chris Taich, MSW, LCSW; Shaguna Wilkes, Pathways Home Health and Hospice

4A | How Building Your Brand Will Drive Your Organization's Growth
Rosemary Breehl, CBS, Breehl Traynor & Zehe; Claire Zangerle, MSN, MBA, RN, VNA of Ohio


Data Driven Performance Improvement Track

1B | The Latest Evolution in Hospice Public Reporting: Quality Measures and QAPI
Roger Herr, PT, MPA, COS-C, OCS HomeCare

2B | Building an Analytic Infrastructure for Clinical Informatics: A Primer for Home Health Care Agencies
Timothy Peng, Ph.D; Roberti J. Rosati, Ph.D; David Russell, Ph.D, Visiting Nurse Service of New York

3B | The Patient Experience: Strategies to Improve Performance (HHCAHPS)
Roger Herr, PT, MPA, COS-C, OCS HomeCare

4B | Improve Quality through a Cost-Value Team Approach - THIS PRESENTATION IS NOT YET AVAILABLE TO DOWNLOAD.
Gale Moore Bucher, RN, MSN, Christiana Care VNA


Organizational Culture Track

1C | Creating a Culture of Safety: The First Imperative for Corporate Governance
Margherita Labson, RN, MSHSA, CPHQ, CCM, CGB, The Joint Commission

2C | Simplifying Access to VNA Services
Ron North; Wayne Whelan; Charles Wurth, VNA Health Group

3C | Proven Strategies to Drive Business Objectives
Lisa Salamone, MPA; Faith Scott, FACHE, Visiting Nurse Association of Northern New Jersey

4C | The Details are in the Data
Marjorie Forgang, RN, MSN, NEA-BC; Michael Sariortis Jr., VNA Health Group


Clinical Care Track

1D | Chemotherapy Error: Turning the Bad into Good
Rhonda Combs, RN, MSN; Brenda Ewan, RN, MSN, CPHRM, Christiana Care VNA

2D | Becoming an Alzheimer's Whisperer: Gentle and Loving Management of Challenging Behaviors - THIS PRESENTATION IS NOT YET AVAILABLE TO DOWNLOAD.
Dr. Verna Benner Carson, PMH/CNS-BC; Katherin Johnson Vanderhorse, BSN, C&V Senior Care Specialists

3D | Effect of Culture on Pain Assessment Management and Outcomes
Mary Narayan, MSN, RN, HHCANS-BC, CTN, COS-C, VNAA Clinical Consultant

4D | Improving the Experience of Short-Stay Patients: A QAPI Approach
Terri Gross, RN, BS, CHPN; Mary Murphy, RN, MS, AOCN, ACHPN, Hospice of Dayton


Strategies for Reducing Readmissions Track

1E | Building and Sustaining a Successful Medical Home: Home Health Partnership
Maureen Clafin, MS, RN; Nancy Roberts, MSN, RN, VNA Care New England

2E | Compete or Face Extinction: Coming Out on Top as the Hospice Industry Changes -THIS PRESENTATION IS NOT YET AVAILABLE TO DOWNLOAD.
Dave C. Fielding; Barbara Ivanko, LCSW, Hospice of Palm Beach County

3E | Evidence and Education Promote Success: Falls Risk Reduction in Care Delivery
Eileen Bach, PT, M.Ed, DPT, COS-C; Joseph Gallagher, PT, DPT, COS-C; Christine Gunderson, PT, DPT, Visiting Nurse Service of New York

4E | Creative Collaboration: Successful Implementation of a Care Transitions Pilot Program
Mary Jean McKeveny, RN

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BREAKOUT SESSIONS FULL DESCRIPTIONS

Breakout 1 - A: Business Growth in a Competitive Environment

Title: Private Pay in Home Health: How VNAs Can Succeed in Private Duty Homecare

Faculty: Stephen Tweed, CSP, Leading Home Care, Lexington, KY

The fastest growing segment of healthcare in America is non-medical, private pay home care; trained caregivers providing assistance with the activities of daily living to elderly and disabled persons. However, 80% of the net income from private pay earned by certified home health agencies is earned by less than 20% of the agencies. Most VNAs struggle with private pay. In this dynamic, interactive presentation, Stephen Tweed will give you strategies and insights to grow your private pay home care business, make it more profitable, and generate more referrals for your home health and hospice businesses. Based in his industry leading research, and practical experience with dozens of VNAs around the country, Stephen will show you specifically seven things you can do to make your private pay business a huge success.

Contact Hour: 1.25

Breakout 1 - B: Data Driven Performance Improvement/HOSPICE

Title: The Latest Evolution in Hospice Public Reporting: Quality Measures and QAPI

Faculty: Roger Herr, PT, MPA, COS-C, OCS HomeCare, Seattle, WA

This session will identify hospice measures and current benchmarks and explore measurements to be tested for quality reporting. Understanding unique measures for hospice and how they integrate into post-acute care reform is essential for the future of hospice. This session provides insight into the types of Quality Assessment and Performance Improvement (QAPI) measure and activities hospices have been engaged in for the first year after the CMS Conditions on Participation (COP) requirement. Additionally, this session will provide information on Performance Improvement Projects (PIP) topics, QAPI team structure and organization, along with related results, to give insight to how hospice organizations are meeting the intent of the QAPI aspects of the COPs. The program will encourage sharing of information, networking on ideas, results and explore what is next.

This program is not eligible for contact hour.

Breakout 1 - C: Organizational Culture

Title: Creating a Culture of Safety: the First Imperative for Corporate Governance

Faculty: Margherita C. Labson, RN, MSHSA, CPHQ, CCM, CGB, The Joint Commission, Oakbrook Terrace, IL

This program invites participants to candidly review and examine the role of leadership and governance as it has evolved and discover how long held beliefs can mislead governance and hold organizations back from being strategically positioned for success by sustaining and improving reliable performance. Consider the characteristics that separate leaders from managers in disguise and explore the responsibility of governance to create an accountable culture of safety in which all employees can survive. The program is organized to provide leaders with both strategy insights into how culture either embraces or marginalizes the mission.

Contact Hour: 1.25

Breakout 1 - D: Clinical Care

Title: Chemotherapy Error: Turning the Bad into Good

Faculty: Rhonda Combs, RN, MSN, Christiana Care VNA, New Castle, DE
Brenda Ewan, RN, MSN, CPHRM, Christiana Care VNA, New Castle, DE

In 2010, a home care agency mistakenly infused 46 hours of chemotherapy in less than four hours. Within seven months, the agency had created a multi-agency task force which had implemented statewide process changes to improve patient safety. Follow this agency's journey from error to goal achievement. Learn how the identification of common causes of provider error and a "Culture of Safety" led to task force formation. During this program, participants will learn how multiple agencies cooperated and how barriers to change were overcome. In addition, you will be able to consider strategies to implement change in your own agency.

Contact Hour: 1.25

Breakout 1 -E: Strategies for Reducing Readmissions

Title: Building and Sustaining a Successful Medical Home: Home Health Partnership

Faculty: Maureen Clafin, MS, RN, VNA Care New England, Providence, RI
Nancy Roberts, MSN, RN, VNA Care New England, Providence, RI

Are you puzzled by what a Patient-Centered Medical Home (PCMH) is and what it is not? Do you have questions about how and why home health should be an element of a quality PCMH program? Have you wondered what programs your agency should have in place to attract PCMH's? Are you interested in demonstrating how home health can help to achieve reduced ER visits and hospitalizations? Learn the answers to these questions and more and the steps that VNA Care New England and University Medical Foundation Governor Street Primary Care Practice took to forge a successful and outcomes driven partnership.

Contact Hour: 1.25

BREAKOUT SESSION TWO

Breakout 2 - A: Business Growth in a Competitive Environment

2012 Therapy Payment Reforms: Hope Beyond the Hype

Faculty: Arnie Cisneros, PT, Home Health Strategic Management, Lansing, MI

Just as home health therapy providers successfully completed the integration of last year's therapy changes, the 2012 PPS Final Rule introduces new challenges in the future. The establishment of Therapy Payment Regression into the PPS fee schedule changes the game on how Providers are paid for rehabilitation care delivery. In addition, CMS proposals outline further sweeping changes in how therapy will be covered in the future under the PPS model; including the elimination of direct therapy visit reimbursement. Understand the forces behind the changes, and learn how to manage therapy care to address the current and future therapy reforms in this progressive presentation.

Contact Hour: 1.25

Breakout 2 - B: Data Driven Performance Improvement

Title: Building an Analytic Infrastructure for Clinical Informatics: A Primer for Home Health Care Agencies

Faculty: Timothy Peng, Ph.D, Visiting Nurse Service of New York, New York, NY
Roberti J. Rosati, Ph.D, Visiting Nurse Service of New York, New York, NY
David Russell, Ph.D, Visiting Nurse Service of New York, New York, NY

A growing number of home health care agencies have incorporated systems for gathering and maintaining electronic patient information, including Electronic Health Records (EHR) and OASIS assessments. However, fewer organizations have developed methods and strategies for processing, reporting, and analyzing these sources of data, despite recent evidence that shows such applications have the potential to address challenging issues and improve the quality of home health care services. In this workshop, staff from the VNSNY Center for Home Care Policy & Research will describe a generalized process for building analytic capabilities and integrating clinical informatics into the operations of home health agencies.

Contact Hour: 1.25

Breakout 2 - C: Organizational Culture

Title: Simplifying Access to VNA Services

Faculty: Ron North, VNA Health Group, Hainsport, NJ
Wayne Whelan, VNA Health Group, Hainsport, NJ
Charles Wurth, VNA Health Group, Hainsport, NJ

Discover how one organization successfully dealt with the challenges of antiquated workflow and processes during a time of rapid growth by designing and implementing a new customer-centric "Access Center" aimed at improving customer focus and access throughout the statewide organization. This presentation will take you through their process to define their challenges including outdated technology, operational needs taking priority over customer needs, and mis-matched staff qualifications and their transition to a state-of-the-art, agency-wide multi-channel "Access Center". The results - significant improvement in customer access and experience, appropriate staff accurately matched to business need, and increased efficiencies through redesigned workflows.

Contact Hour: 1.25

Breakout 2 - D: Clinical Care/ HOSPICE

Title: Becoming an Alzheimer's Whisperer: Gentle and Loving Management of Challenging Behaviors

Faculty: Dr. Verna Benner Carson, PMH/CNS-BC, C&V Senior Care Specialists, Fallston, MD
Katherin Johnson Vanderhorse, BSN, C&V Senior Care Specialists, Williamsville, NY

Becoming an Alzheimer's Whisperer means that we learn to calm the fears of the person caught up in this terrible disease, that we courageously enter that person's world and heal their broken spirits. Some people are naturally gifted in doing this. The rest of us can learn. The technique for becoming a Whisperer is derived from the Theory of Retrogenesis - which is easy to understand and apply. The understanding and application of this theory does not require that caregivers memorize a list of responses but rather provides a way of thinking about the meaning and appropriate responses to challenging behaviors. Come learn how you too can become an Alzheimer's Whisperer.

Contact Hour: 1.25

Breakout 2 - E: Strategies for Reducing Readmissions/HOSPICE

Title: Compete or Face Extinction: Coming Out on Top as the Hospice Industry Changes

Faculty: Dave C. Fielding, Hospice of Palm Beach County, West Palm Beach, FL
Barbara Ivanko, LCSW, Hospice of Palm Beach County, West Palm Beach, FL

The hospice industry is in a state of tremendous transition. Not every hospice that has thrived in the past will continue to do so in the future, unless they are willing to re-evaluate and change their approach to doing business. This session focuses on some "old school" ways of hospice thinking that will hurt your hospice moving forward, and identifies strategies for sales, service, quality and culture that will ensure that your hospice does not go the way of the once great, but now extinct, dinosaur. Learn how your agency can survive and come out on top.

This program is not eligible for contact hour.

BREAKOUT SESSION THREE

Breakout 3 - A: Business Growth in a Competitive Environment/HOSPICE

Title: How to Exponentially Grow Your Bereavement Program: Partnering with Interns and Trainees

Faculty: Chris Taich, MSW, LCSW, Pathways Home Health and Hospice, Sunnyvale, CA
Shaguna Wilkes, Pathways Home Health and Hospice, Sunnyvale, CA

In a time when hospices are looking to do more with less, utilize the natural linkage between your Volunteer and Bereavement programs to expand services to grieving families, increase your visibility in your community, and create a robust and sustainable bereavement intern program. In this session, faculty will provide practical and low-cost tools to extend bereavement services from the traditional model of phone calls and mailings to include: Inter Disciplinary Groups support, group facilitation and individual counseling through the creative use of interns and trainees. This session will provide inside knowledge to start an intern bereavement program from the ground up; how to best utilize your existing agency resources and include a question and answer session for participants.

Contact Hour: 1.25

Breakout 3 - B: Data Driven Performance Improvement

Title: The Patient Experience: Strategies to Improve Performance (HHCAHPS)

Faculty: Roger Herr, PT, MPA, COS-C, OCS HomeCare, Seattle, WA

Home Health Consumer Assessment of Healthcare Providers (HHCAHPS) is a new data set and is planned to be part of public reporting as of 2012. This presentation focuses on knowing what to do with HHCAHPS data as the newest home health data set from CMS included in public reporting as of 2012. The spotlight is now on every agency to understand their data and the strategies on how to improve. After completing this program, participants will be able to understand the patient experience, benchmarking, public reporting and performance improvement data. Participants will be able to identify their strengths, areas that need improvement and the strategies they need to employ to increase the quality of both.

This program is not eligible for contact hour.

Breakout 3 - C: Organizational Culture

Title: Proven Strategies to Drive Business Objectives

Faculty: Lisa Salamone, MPA, Visiting Nurse Association of Northern New
Jersey, Morristown, NJ
Faith Scott, FACHE, Visiting Nurse Association of Northern New Jersey, Morristown, NJ

Utilizing the science and methodology of the Predictive Index Tool, faculty will present an in-depth case study which will serve demonstrate the art of driving employee performance in an effort push organizational change, innovation and leadership. During the session, faculty will provide in-depth knowledge and proven strategies on how to leverage employee engagement, change an organization's culture and ultimately, drive business objectives. Participants will learn their own behavioral styles and how best to adapt their style to tangible by products that include increased retention of their workforce, increased productivity, increased profitability, and overall increased patient satisfaction.

Contact Hour: 1.25

Breakout 3 - D: Clinical Care

Title: Effect of Pain Assessment, Management and Outcomes

Faculty: Mary Narayan, MSN, RN, HHCANS-BC, CTN, COS-C, VNAA Clinical Consultant, Washington, DC

Minority patients are at high risk of poor pain outcomes. When patients and nurses do not share the same cultural perspective and the same language, nurses face additional challenges in achieving adequate pain assessment and successful pain management. This session will describe why culture has an impact on patients' pain experience and nurses' management of patients' pain. Participants will learn how to improve pain outcomes for culturally diverse patients through culture-sensitive assessments. Participants will also learn how to adapt care to meet the cultural needs and preferences for these populations at high risk for poor pain outcomes.

Contact Hour: 1.25

Breakout 3 - E: Strategies for Reducing Readmissions

Title: Evidence and Education Promote Success: Falls Risk Reduction in Care Delivery

Faculty: Eileen Bach, PT, M.Ed, DPT, COS-C, Visiting Nurse Service of New York, New York, NY
Joseph Gallagher, PT, DPT, COS-C, Visiting Nurse Service of New York, New York, NY
Christine Gunderson, PT, DPT, Visiting Nurse Service of New York, New York, NY

Gathering current evidence on a key topic, establishing a content expert work group, creating a new care product, enhancing staff knowledge and moving the work forward to implementation is challenging in the home health care setting. This presentation covers the development and implementation of an innovative interdisciplinary care framework that updated staff clinical knowledge and offered a patient centric care plan for community-based homebound elderly adults at risk for falls. Challenges in collecting evidence, creating patient materials, identifying and providing education to clinicians will be discussed and feedback from clinicians and patients will be shared.

Contact Hour: 1.25

BREAKOUT SESSION FOUR

Breakout 4 - A: Business Growth in a Competitive Environment/HOSPICE

Title: How Building Your Brand Will Drive Your Organization's Growth

Faculty: Rosemary Breehl, CBS, Breehl Traynor & Zehe, Cleveland, OH
Claire Zangerle, MSN, MBA, RN, VNA of Ohio, Cleveland, OH

In today's increasingly competitive home health care environment, it's essential that VNA organizations build, nurture and protect their brands. But building a strong VNA brand that stands out among the competition is not just the creation of a logo, tagline, Website or great ad campaign. Those are simply tactics. In this program, a VNAA member CEO will talk about its journey to build its brand in Northeastern and Central Ohio, the necessary steps to build a VNA brand that stands out from the competition and show examples of some of the VNA of Ohio's brand communication. Participants will understand why differentiation is as important to nonprofits as it is to for-profit organizations, learn why internal brand adoption is so essential and identify the steps to building a powerful VNA brand.

Contact Hour: 1.25

Breakout 4 - B: Data Driven Performance Improvement

Title: Improve Quality through a Cost-Value Team Approach

Faculty: Gale Moore Bucher, RN, MSN, Christiana Care VNA, New Castle, DE

The ability to weather the economic storm will depend on our capacity to deliver superior value to our patients and families. Sharing actionable data with clinicians and other front line staff is essential to transform care delivery. Christiana Care VNA set out to quantify the quality and cost metrics to create a usable overall value measure. The value equation, quality divided by cost, and quality metrics (process measures, outcomes, patient perception of care) were combined with utilization to create a single score. The teams, comprised of direct care staff and supervisors, identified effective strategies and were successful in driving improvement and learn how you can implement these strategies at your own agency.

Contact Hour: 1.25

Breakout 4 - C: Organizational Culture

Title: The Details are in the Data

Faculty: Marjorie Forgang, RN, MSN, NEA-BC, VNA Health Group, Red Bank, NJ

Michael Sariortis Jr., VNA Health Group, Red Bank, NJ

To meet the continued challenges of lower reimbursement, reductions in funding and improved outcomes, VNA Health Group has designed a strategic business process that includes reporting, operational analysis and communication to increase accountability and bottom line performance. Specific details including an executive dashboard and reports on key financial and operational indicators. Through the combination of continued review and analysis, VNA Health Group has seen a 37 percent reduction in the LUPA rate, visits per episode are better aligned with national benchmarks and a more appropriate utilization of services. Join this session for an in-depth understanding of the ongoing process to improve utilization and position your organization for improved outcomes.

Contact Hour: 1.25

Breakout 4 - D: Clinical Care/HOSPICE

Title: Improving the Experience of Short-Stay Patients: A QAPI Approach

Faculty: Terri Gross, RN, BS, CHPN, Hospice of Dayton, Dayton, OH
Mary Murphy, RN, MS, AOCN, ACHPN, Hospice of Dayton, Dayton, OH

Although greater numbers of patients avail themselves of hospice care at end of life, the length of stay for many is less than one week. Short stays in hospice care put patients and caregivers at increased risk for poor outcomes. This session describes a Quality Assessment and Performance Improvement (QAPI) project designed to improve the care of patients whose time in hospice is expected to be short. Participants will learn how to predict short stay patients, develop best practices and monitor outcomes of care. Participants will be also be able to describe current trends in hospice length of stay, identify clinical indicators that predict a short prognosis of seven days or less and will be able to describe quality indicators to monitor patient outcomes.

Contact Hour: 1.25

Breakout 4 - E: Strategies for Reducing Readmissions

Title: Creative Collaboration: Successful Implementation of a Care Transitions Pilot Program
Faculty: Mary Jean McKeveny, RN, MS, Dominican Sisters Family Health Services, Ossining, NY

The roadmap to improving patient safety and reducing hospital readmissions is through an innovative Care Transitions Program. Designing and implementing a Care Transitions Program for patients with heart failure demonstrated exceptional patient outcomes, reduction in 30 day readmissions and improved collaboration with community partners. Innovative partnerships are a critical element required in breaking down the "silos" of health care and aligning improved patient outcomes across the continuum of care. Join one organization as they share their journey and process of implementing our Care Transitions Program for patients with heart failure. Learn about strategies for getting started, promoting partnerships and cross-setting teams, as well as how to access resources and support available to help organizations realize the full potential of a Care Transition Program.

Contact Hour: 1.25




POSTERS SESSION

Poster 1 - Business Growth

Title: Can You Afford NOT to Provide a Psychiatric Home Care Program?

Faculty: Dr. Verna Benner Carson, PMH/CNS-BC, C&V Senior Care Specialists, Fallston, MD
Katherin Johnson Vanderhorse, BSN, C&V Senior Care Specialists, Williamsville, NY

The 2009 addition of depression screening tools to the OASIS C represented recognition that undiagnosed and untreated depression costs a home care agency as a result of increased non-adherence to medical protocols and use of emergency services, lack of improvement in functional abilities, and lower Home Care Compare scores. Although depression is the most frequently seen psychiatric diagnosis in home health care it is not the only diagnosis. Comprehensive care demands that home care agencies provide psychiatric nursing to address these largely unmet needs in their Medicare population. A psychiatric home care program is not only cost effective but clinically effective in allowing agencies to provide comprehensive services.

Contact Hour: 0.5

Poster 2 - Business Growth/ HOSPICE

Title: Enhancing Physician Loyalty

Faculty: Cynthia A. Bielecki, RN, MS, CS, VNA of Care New England, Warwick, RI
Andrew Eaves, VNA Health Care, Hartford, CT
Mia Millefogie, MA, HomeHealth Visiting Nurses, Saco, ME
Lynda Carol Smith, MA, Christiana Care VNA, New Castle, DE

As we move toward implementation of the Affordable Care Act, home health agencies will need to engage more actively in shared models of accountability. As an industry, we will be required to strongly articulate and prove the value of home health care to our stakeholders. This work requires us to engage in new market strategies that build on physician loyalty, improved communication and efficiencies. Learn how four system-affiliated home health agencies joined forces in a focused needs assessment, analyzed and aligned key findings and defined best practices to strengthen physician relationships. This session also will preview the launch of several pilot projects built on improving physician and home health agency collaboration in health systems.

Contact Hour: 0.5

Poster 3 - CANCELED

Poster 4 - Management and Professional Practice

Title: Excellence in the Patient's Home through Global Connections: An International Organization for Homecare Nurses

Faculty: Mary Narayan, MSN, RN, HHCANS-BC, CTN, COS-C, VNAA Clinical Consultant, Washington, DC

The International Home Care Nurses Organization (IHCNO) is a developing grass-roots organization, which aims to provide a professional nursing venue for home care nurses around the globe. IHCNO's mission is to develop a vibrant world-wide network of nurses who help patients living in their homes to achieve optimal health and well-being. This poster presentation will highlight the mission and vision of the IHCNO and will provide information about how to be part of this effort.

Contact Hour: 0.5

Poster 5 - Management and Professional Practice

Title: Validating Home Health Nurse Competency Through Simulation

Faculty: Melissa Johnston, MSN, MPA, RN, VNA of Ohio, Cleveland, OH
Phyllis Kronk, MSN, RN-BC, CHPN, VNA of Ohio, Cleveland, OH

Clinical simulation has been shown as an effect teaching method for nursing education. The literature has very little research reported about the use of simulation and home care nursing. The VNA of Ohio developed case scenarios using standardized patients as a way to validate nursing skill competencies of field staff. Each scenario focused on different topics including: physical assessment; infection control and bag technique; medication management; identification of depression; and classification of heart failure by symptoms. Come and hear about their experience, what they learned and what they would do differently.

Contact Hour: 0.5

Poster 6 - Operations/ HOSPICE

Title: Project Management: Key to Organizational Success

Faculty: Jane McLeod, MA, BSN, RN, Pathways Home Health and Hospice, Sunnyvale, CA
Georgia Rock COO, MBA, RHIT, Pathways Home Health and Hospice, Sunnyvale, CA

The leadership in most home health and hospice organizations face multiple, conflicting and/or competing priorities which makes it next to impossible to make rapid, strategic course corrections. It is indeed difficult to keep all the plates spinning while developing new, strategic programs and collaborative partnerships in order to meet the rapidly changing face of this industry. Project management is evidence-based systematic, proactive approach to plan, organize and implement projects in order to efficiently and effectively meet the strategic goals and objectives of an organization. This poster session will give attendees new, easily applied project management tools.

Contact Hour: 0.5

Poster 7 - Operations and Patient Care

Title: Start Preparing Now for ICD-10 Coding

Faculty: Susan Carmichael, MS, RN, CHC QM, COS-C, FAIHQ, SelectData, Anaheim, CA

ICD-10 CM is approaching quickly and, as it is in a new language, it is more robust and requires more detailed documentation in order to generate the proper code at the highest level of specificity. This poster will expose the attendee to the overall differences between ICD-9-CM and ICD-10-CM. Additionally, a detailed sample plan for operational personnel, field personnel as well as coders is included. ICD-10-CM is a beautiful new language that, with proper planning can be transitioned into your organization efficiently. Participants will be able to identify the differences in numbers of codes, the differences between ICD-9-CM and ICD-10-CM and be able to list the documentation requirements and changes necessary for higher level of specificity.

Contact Hour: 0.5

Poster 8 - Operations and Patient Care

Title: A Perfect Storm: The VNA Health Group Commitment to the Communities it Serves

Faculty: Marjorie Forgang, RN, MSN, NEA-BC, VNA Health Group, Red Bank, NJ
Kathleen McConnell, RN, MPH, VNA Health Group, Red Bank, NJ

For the past 100 years, VNA Health Group (VNAHG) has been a leader in emergency responsiveness in the community and nationwide from the Tuberculosis epidemic in 1912, to relief efforts during World War II;  9/11, Hurricane Katrina 2005 and, most recently, Hurricane Irene, the largest and most powerful hurricane to hit New Jersey in more than 25 years. This poster will depict the changes that have developed over a century in regard to disaster and emergency preparedness and illustrate VNAHG emergency response processes today. Information will include internal and external emergency planning preparation, special needs assistance, community collaboration including statewide table top disaster exercises, as well as post-emergency responsibilities.

Contact Hour: 0.5

Poster 9 - Operations

Title: Create a New Method of Case Conferencing to Increase Case Weight Mix

Faculty: Marybeth Glasheen-Wray, PT, Christiana Care VNA, New Castle, DE
Rossana Pesce Tocci, RN, Christiana Care VNA, New Castle, DE

Christiana Care VNA has used strategies such as OASIS education, individual case conferences and field visits to improve Case Mix Weight (CMW). A worksheet was developed for case conferences involving interdisciplinary communication among clinicians. The questions for the worksheet focused on reimbursement and quality measures. The case conferences were conducted confidentially in the community. We demonstrated an improvement in clinical assessment to support an increase in CMW from 1.36 to 1.58 for initial CMW at Request for Anticipated Payment (RAP). Early communication among clinicians improved care planning and reimbursement. This program will demonstrate multidisciplinary approach to improve CMW, increase reimbursement, is time efficient, and maintains productivity.

Contact Hour: 0.5

Poster 10 - Operations/ HOSPICE

Title: Using IT to Connect Homecare Physicians and Other Providers

Faculty: Thomas Check, Visiting Nurse Service of New York, New York, NY

Visiting Nurse Service of New York utilizes Health Information Exchange (HIE) to connect with physicians in multiple ways: a Web based portal for physicians to manage their home care patients and to sign and change the Plan of Care, submitting patient data to Regional Health Information Organizations (RHIOs) so the patient will receive better-informed care by physicians and hospitals, and receiving immediate alerts when patients present at an emergency department. This sends alert from VNSNY's Electronic Medical Record (EMR) directly to the physician's EMR. For each type of exchange, the presentation will describe what it is, what data is exchanged when, how this benefits both physicians and VNSNY, and the volume of usage attained to date. This presentation will emphasize what VNAs can do, on their own and in conjunction with their EMR vendors, to take advantage of HIE in their own service areas.

This program is not eligible for contact hour.

Poster 11 - Patient Care

Title: Collaboration with a School of Pharmacy to Reduce Falls

Faculty: Mary Boss Withey, MSN, APRN, CIC, VNA East, Inc., Mansfield Center, CT

Falls reduction and reducing hospitalizations are important quality improvement outcomes in home care. An interdisciplinary approach to falls prevention allows team members to benefit from the expertise of the other discipline. Learn how VNA East, a nonprofit home care agency collaborated with faculty and students from the University of Connecticut School of Pharmacy to perform medication therapy reviews for patients with poly-pharmacy and high fall risk assessment scores. Utilizing an SBAR format, therapy recommendations were developed and communicated to the patient's Primary Care Provider through the Nurse Case Manager.

Contact Hour: 0.5

Poster 12 - Operations and Patient Care

Title: Support for the Super User: A Collaborative Approach to Reducing Emergency Department Misuse

Faculty: Anita Foster, APRN, FNCP, VNA Health Group, Red Bank, NJ

Americans who routinely turn to hospital emergency departments (ED) for inappropriate or non-urgent primary care, sometimes referred to as "super users", are a problem and a challenge for emergency room resources and staff as well as an added cost for hospitals. Learn how one Healthcare Coalition of health providers, consumer groups and government agencies joined together with VNA Health Group to address the needs of these individuals through the use of a Transitional Primary Care Program and a VNA Health Group APN. In only six months after the program's inception, 20 individuals were accepted into the program and assisted in obtaining the resources and support they need, with many more to come.

Contact Hour: 0.5

Poster 13 - Patient Care

Title: Project Runway: A Model for Improving Outcomes for Patients with Chronic Disease

Faculty: Lisa Dillon-Zwerdling, RN, BSN-BC, VNA Health Group, Red Bank, NJ
Kathleen McGuire, RN, MPA, VNA Health Group, Red Bank, NJ
Susan Nelsen-Tallon, RN, BSN, VNA Health Group, Red Bank, NJ

Using the Hennessey/Sutter model for a new home-based chronic care management program, VNA Health Group clinicians created a chronic care model to meet the needs of its client population with the goal to improve patient's outcomes in relation to medication management, decreased disease exacerbation and rehospitalizations. Under the customized Chronic Care Program model, staff utilized patient-centered SMART goals, evidence-based care plans, disease specific red alert cards and patient specific SMART goal charting, creating a formalized plan of care approach. Looking down the runway, the model displayed stunning results - program participants experienced a 17.6 percent overall re-hospitalization rate as compared to a 22.6 percent state average and 26.9 percent national average.

Contact Hour: 0.5

Poster 14 - Patient Care

Title: Translating Knowledge into Action

Faculty: Amanda Dzwilewski, RN, BSN, VNA Health Group, Red Bank, NJ
Irene Ott, RN, VNA Health Group, Red Bank, NJ
Annika Warner, RN, VNA Health Group, Red Bank, NJ

Reducing avoidable hospital readmissions is an opportunity to improve quality and reduce costs in the health care system. Significant pressure is being exerted on health care systems to reduce unplanned readmissions or avoidable hospital readmissions by imposing financial consequences or "no pay/reduce pay" for these episodes. Participants will learn best practices for reducing preventable readmissions in heart failure patients through the implementation of a performance improvement project aimed to improve quality care and reduce preventable hospital readmissions. Agencies will learn how to incorporate an evidenced-based audit tool into ongoing patient care visits.

Contact Hour: 0.5

Poster 15 - Patient Care

Title: Lower Extremity Wounds: Creating an Expert Wound Care Workforce

Faculty: Mary Beth Soucy, RN, BSN, CWOCN, Dominican Sisters Family Health
Services, Ossining, NY

Standardizing education and determining competency of clinicians across a wide geographical area requires a change in the culture of that agency. Developing and executing educational initiatives in "silos" can create different expectations and distort guidelines and processes that could jeopardize quality. Learn how Dominican Sisters Family Health Services collaborated with educators and wound champions within the agency as well as acute care and out-patient setting professionals to create Best Practice guidelines. Professionals will learn how the standardization of education and determination of competency throughout the organization promotes confidence camaraderie and quality.

Contact Hour: 0.5

Poster 16 - Patient Care/ HOSPICE

Title: Electronic Health Records: The New Meaning and Power of Clinical Documentation

Faculty: Karen S. Martin, RN, MSN, FAAN, Martin Associates, Omaha, NE
Karen Utterback, MSN, RN, McKesson, Springfield, MO

Electronic Health Records (EHR) use is spreading rapidly throughout home health care, hospice, and palliative care settings. Mandates are requiring the use of standards, standards intended to enable multidisciplinary clinicians to share assessment, intervention, and outcome data seamlessly. The Omaha System is a standardized terminology that can be incorporated within EHRs and point-of-care solutions to support practice, information management, and interoperability; improve and streamline documentation; and strengthen patients' experience and quality of care. Clinicians, managers, administrators, and software providers need to work together to maximize the power of EHRs.

Contact Hour: 0.5

Poster 17 - Patient Care

Title: Love and Learn Interdisciplinary Home Visitation: An Innovative Approach to Comprehensive Care for Young Families

Faculty: Patricia Mennenga, RN, BSN, Visiting Nurse Association, Omaha, NE

The goal of this presentation is to provide attendees with an idea of how an interdisciplinary model of home visitation to parents and young children might look. The interdisciplinary approach used in Visiting Nurse Association Family Service's "Love and Learn Teen Parent Project" is an uncommon model of home visitation, which provides a comprehensive array of services to meet the complex needs of parenting teens and young adults. The poster will describe the roles and responsibilities of the public health nurse and parent coach, selected program outcomes and lessons learned from this innovative approach to family home visitation.

Contact Hour: 0.5



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