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appeal, we offer our sincere thanks. If you have yet to respond, below
are a few frequently asked questions we receive regarding our annual
fundraising appeal and how your support helps to make a difference
in the lives of area residents.
WHAT’S INSIDE
In November, 2010, our board of directors and senior leadership team embarked on a
three year journey to become the highest quality patient care provider in the communities
we serve. We developed a strategic plan with a strong focus on clinical quality, patient
satisfaction, associate retention and education, and exceeding the needs of the
communities we serve. We plan to measure our progress toward becoming the B.E.S.T.,
Joyce Baldrica, literally.
President and CEO
“B” stands for budget and growth – as an industry we need to strive to make
healthcare affordable and provide value to the patients and medical community.
The VNA will define our current and future markets, develop a comprehensive growth plan
and align resources to ensure patient accessibility to health care services.
“S” isreported
the core of what we provide – safe clinical quality care. Our publicly
outcomes on quality will meet and at times exceed the national averages.
Our newly implemented electronic medical record system will provide real-time clinical
information about our patients to ensure we have the most up-to-date information to
make the best clinical decision.
“T” isWeforcareteam – we need highly satisfied associates to provide high quality service.
for those who care for our patients.
This balanced approach (B.E.S.T.) to strengthen our services will guide us as we are faced
with competing priorities. The board of directors and senior leadership team are excited
about our future direction.
Our first major hurdle in our journey is the Medicare cuts to our home health and hospice
reimbursement, effective January 1, 2011. This impact will reduce VNA reimbursement
$100,000 per month. The federal government has been charged with funding Healthcare
Reform and the need to cover the 40,000,000 people who currently do not have insurance.
In order to fund this endeavor, the federal program, Medicare, is being reduced for almost
all providers—including home health and hospice. Support from the VNA & Hospice
Foundation will need to help us meet this challenge, and our leadership will continue to
assess and implement measures to reduce the cost of services in order to continue to
provide care.
The VNA has thrived and survived the past thirty-five years and with your help and
ongoing support will be able to survive and thrive another thirty-five years.
2 www.vnatc.com
Continued from page 1
VNA Today 3
VNA’s Therapy Services
If you have ever received physical, speech, or occupational therapy,
then you clearly understand the benefits that rehabilitation therapy
offers. Therapy services are one of the major types of patient care
provided by the VNA in patients’ homes. In fact, approximately
40% of the patients we see receive physical therapy at some point
during their episode of care. To put this number into perspective,
last year, VNA therapists made more than 22,000 home visits to
patients needing physical, speech, or occupational therapy services.
And while many of our patients are senior citizens, we’ve also
provided therapy services to patients as young as six months of age.
• Flexible hours and In-home rehabilitation therapy can fall into one of three main
minimal travel catagories:
• No-cost health insurance • Physical Therapy: Helps patients regain strength and
mobility, enabling them to manage in their environment safely,
• On-site wellness clinic for gain independence in walking, climbing stairs, or transferring
associates
in and out of a car.
• Company paid CEUs
• Occupational Therapy: Allows patients to retain or regain
To learn how you or someone fine motor skills, enabling them to perform essential daily
you know can join the VNA living activities, such as bathing, dressing, and eating.
team, please visit us online at
www.vnatc.com and click on • Speech & Language Therapy: Treats disorders of speech,
“Careers” at the top right of language, and swallowing, including assisting family members
your screen. in effectively communicating with the patient.
If you believe that you or a loved one may be able to benefit from
in-home therapy please contact the VNA to learn more about how
we may be able to help.
4 www.vnatc.com
Medicare 101
Medicare is a health insurance program for
seniors aged sixty-five or older and for people
with qualifying disabilities. Individuals who paid
Medicare payroll taxes while they worked are
eligible for Medicare coverage.
Medicare Part B, also known as the Medical “Medigap” policies help pay for additional
Insurance Program, covers the following: doctors’ costs not covered by standard Medicare such as
services, outpatient care, some home health copayments, coinsurance, and deductibles. There
services, physical and occupational therapy, and are twelve different Medigap policies, which are
some preventive services. A monthly premium administered by private insurance companies.
is deducted from your social security check, Medigap insurance requires a monthly or
depending on your income. quarterly premium in addition to your Medicare
Part B premium. You don’t need a Medigap
Medicare Part C, also known as the Medicare Policy if you have a Medicare Advantage Plan and
Advantage program, allows patients to choose Medigap policies do not cover health costs for
a health plan offered by a Medicare-approved your spouse.
private insurance company. Most Medicare
Advantage plans offer coverage such as vision, Choosing a Medicare plan and/or supplement
hearing, and dental. Part C may charge additional that is right for you can be confusing. Talk to your
monthly premiums and copayments on top physician to determine what coverage you need.
of monthly premiums. The cost of Medicare You can also contact your local SHINE (Serving
Advantage programs varies by plan. Health Insurance Needs of Elders) representative
for assistance and information. Visit their website
Medicare Part D offers prescription at www.elderaffairs.state.fl.us/shine or call
drug benefits to Medicare recipients and is 1.800.963.5337.
administered by a Medicare-approved private
insurance company. Often, Medicare Advantage The VNA accepts the following Medicare plans:
plans already include drug coverage, so you may traditional Medicare, Medicare railroad benefits,
not need to purchase a Part D plan. A monthly and TRICARE. Additional plans accepted are:
premium is required in addition to paying a AARP Medicare Complete, Advantra Freedom,
copayment for medications. Cost of Medicare Health First Health Plans, Humana, Secure
prescription drug coverage varies by plan. Horizons, United Healthcare, and Universal
Healthcare.
VNA Today 5
Answer Nurse
Living With the Challenges of Low Vision
Screening vision. However, if you experience one of more of these symptoms, contact your
eye doctor for a complete exam.
6 www.vnatc.com
A Big Fan of Telemonitoring
As the first home health agency in
the community offering in-home
telemonitoring in 2007, the VNA is
taking the service to the next level
with new technology that collects
more information, analyzes it better,
and sends a patient’s daily vital signs
to the physician in an instant. Mobile Unit
With three heart attacks within the last twenty-five years, and
problems with retaining fluid around his heart, Walter Comstock,
Schedule
eighty-one, was the ideal candidate to be the VNA’s first “telehealth”
patient four years ago. Monitors kept daily track of his weight, The VNA Mobile Unit provides
pulse, blood pressure, and other key indicators of good health. If his basic healthcare services free of
vital signs were outside the normal range, he got an immediate call charge for Indian River County
or visit from a VNA nurse. residents who are without
health insurance. Our Mobile
The new system has superior features to what we had previously,” Unit’s nurse practitioners can
explained Mary Jane Davis the VNA’s Vice-President of Home
examine patients, diagnose
Health Professional Services. The new equipment also monitors
their illnesses, and prescribe
blood oxygen level and it can monitor the effectiveness of blood
thinning medicine. It is also wireless, making it available to the medications.
growing number of people without “land line” telephones. Sunday 9 a.m. – 3 p.m.
The idea behind in-home telemonitoring is to catch certain kinds Fellsmere Community Center
of health problems before they result in hospitalization. During 56 North Broadway Street, Fellsmere
a six-month period from December 2009 through May 2010, the Monday 8 a.m. – 7 p.m.
VNA tracked forty-five patients who had Congestive Heart Failure, Winn Dixie Shopping Plaza
(CHF), common among older people. Twenty-five had in-home 2950 9th St. S.W., Vero Beach *
telemonitoring and twenty did not. Only twelve percent of patients
on VNA telemonitoring were readmitted to hospitals within thirty Tuesday 8 a.m. – 7 p.m.
days of being discharged while twenty-five percent of those not Riverview Park
monitored were readmitted. U.S. Highway 1 and Harrison St., Sebastian *
Mr. Comstock remembers the telehealth lessons he learned about Wednesday 8 a.m. – 7 p.m.
diet, exercise, and better medical awareness. He still follows the VNA Parking Lot
same self-examination procedures he learned. “I felt like I was 1110 35th Lane, Vero Beach *
being watched when I needed it,” said Mr. Comstock, still a big fan
of telemonitoring. His wife, Barbara, said the system helped her
Thursday 8 a.m. – 7 p.m.
confidence that he was doing well.
Gifford Youth Activity Center
4875 43rd Avenue, Vero Beach *
Among other improvements in telemonitoring, the “health status”
questions a user answers are targeted to the patient’s specific
Friday 8 a.m. – 7 p.m.
condition. The monitor is multi-lingual and easier for patients with
VNA Parking Lot
1110 35th Lane, Vero Beach *
vision or motor skill impairment. In addition, the weight scales are
lighter and wireless, reducing the possibility that the patient might Saturday 9 a.m. – 3 p.m.
trip over the wires. CVS Pharmacy
8495 U.S. Highway 1, Wabasso
Sadly as we went to press we learned that Mr. Comstock passed
away. Walter and his wife will continue to be in the VNA’s thoughts * Closed for lunch from noon – 1 p.m.
and memories.
VNA Today 7
Nightingale Provides Exceptional Care
The following is a letter Nightingale received from a patient’s daughter regarding the
exceptional care Nightingale provided her father.
Dear Sally,
I am writing this letter to thank you, although there are no words that can adequately express
our thanks, for your excellent care of my father, during the past 1 ½ years.
I remember when I first met you in March 2009. You were extremely knowledgeable and
professional but more than that, kind and understanding. I knew you and my Dad would click
and that you were the right nurse for the job. As the months went by, our family was more and
more impressed with your thoroughness, your useful suggestions, and your attention to every
detail relating to Dad’s care. Never once did I ask a question for which you did not have the
answer. Also, as Dad’s condition changed, your ability to adjust his care plan accordingly was
amazing.
Not only was your own care outstanding, but your ability to coordinate a small army of home
health aides and companions was incredible. Your success in managing Dad was remarkable,
in fact much better than we could have done! It never ceased to amaze us how well you could
handle our sometimes prickly and fiercely independent father. There is no way on earth he
could have lived independently in Florida without your support, and for that we will always be
extremely grateful. You made it possible for him to live his life on his terms for a very long time.
I must also thank you for keeping me updated and informed on Dad, his health, and his care
for all those months. You returned every phone call promptly, initiated calls when necessary,
and communicated with his doctor’s offices as well. I can’t imagine the amount of behind-the-
scenes time you must have spent on the phone coordinating all his care. It was reassuring that
I could get detailed updates from you, while I was trying to manage his care from Connecticut.
You were my eyes and ears and I trusted that the information you gave me was accurate and
truthful. For this I can never thank you enough.
We would like to express our heartfelt thanks to Jackie, Rick, Carlene and Claudette from
Nightingale as well for their dedication and care. They were part of the team that allowed Dad
to live on his own in Florida for so long. Every one of them treated Dad with respect and helped
him maintain his independence for longer than any of us had thought possible. They gave him
friendship, and companionship again with good humor, tact, and responsibility.
Sally, in this letter I have attempted to put into words that which cannot be put into words.
I hope that you and I might meet again so that I could give you a hug and again give you the
thanks you so richly deserve. I have been so impressed, and so grateful for all you have done
over the last year and a half. Thank you again, from the bottom of my heart, and on behalf of
all my family, for helping us during this daunting situation. God Bless you.
Sincerely,
Jeanne Aldrich
8 www.vnatc.com
Nightingale is Home Care Please Join Us in
Pulse Certified Welcoming…
Nightingale Private Duty David Griffin
Nursing recently received its
Home Care Pulse Certification. Senior Care
Home Care Pulse, a company Consultant
which measures client David brings to
satisfaction, created the certification program to measure the VNA more
key satisfaction aspects of an agency’s in-home care than twelve
delivery. Home Care Pulse believes that certifying agencies years of sales
can both educate and help families to make better care and marketing
decisions for their aging loved ones. experience. In
his new role, he will be responsible for
“We know that sometimes it is difficult to make care
enhancing and developing new and
decisions when you don’t have specific experience with
existing service lines and conducting
an agency. It was our goal to provide families with the
one-on-one consulting with clients and
ability to make an informed decision, have tangible ways
families.“We are excited about David
to measure quality, and help them find a comfort level
joining our team here at Nightingale
when choosing an agency to work with,” commented Aaron
and the VNA,” said Joyce Baldrica,
Marcum, founder of Home Care Pulse.
President and CEO. “His experience and
The Home Care Pulse Certification requires an agency knowledge of private duty care will be
to be reviewed monthly and includes the evaluation of a great addition to our wonderful VNA
client satisfaction in areas such as: timeliness, knowledge, Nightingale program.”
and compassion of caregivers; effective communication;
Prior to joining the VNA, David served
problem resolution; and whether or not services are
as an Account Executive with Gentiva
delivered as promised. Clients are also asked if they
Home Health Services in Port St. Lucie,
would recommend Nightingale Private Duty Nursing to
Florida. In addition, his experience
others and to rate the agency’s overall quality of service.
also includes serving as the Marketing
In all, the Home Care Pulse evaluation includes thirteen
Director for Access Lab in Vero
questions related to client satisfaction.
Beach, Florida, where he recognized
“While this certification is not required in our private and implemented additional facility
duty industry, we chose to adopt the high standards it locations to help meet the demand for
requires because our clients deserve high quality,” said doctors and their patients.
Joyce Baldrica, President & CEO of Nightingale’s parent
“I am excited to be part of an
company, the VNA of the Treasure Coast. “The initiative
organization long recognized by the
demonstrates our commitment and relentless pursuit to
medical and private community for
provide the best experience for our clients.”
its excellent customer service and
“We want to congratulate Nightingale Private Duty compassionate patient care. Nightingale
Nursing for becoming a Home Care Pulse Certified home is truly committed in offering the
care agency and commend their commitment to placing highest level of private duty care. I look
high priority on client and employee satisfaction,” forward to working with such a talented
concluded Marcum. team,” said Griffin.
To find out more about the Home Care Pulse Certification, David earned his Bachelor of Science in
please visit www.npdn.com and click on the Home Care Liberal Arts from Neumann College in
Pulse logo. Aston, Pennsylvania.
VNA Today 9
Let Us Help You VNA’s First “Hustle for Home
Through Trying Health and Hospice” a Success!
Times
The VNA’s “COPES” program offers
practical training and support to
those caring for a sick loved one.
The program is free of charge, and
all are welcome to attend.
Community Church Library If you have any questions or wish to discuss sponsorship
1901 23rd Street, Vero Beach opportunities for the 2011 “Hustle,” please contact Tracey
This group is for parents who are coping
Kendrick, Communications Manager, at 978.5515 or
with the loss of a child
tkendrick@vnatc.com.
10 www.vnatc.com
What Your Donations Accomplish
Thanks to the VNA & Hospice Foundation and board, her daily medications, and additional costs
generous community support, fifty-five-year-old were all covered.
Carolyn Swanton, a Vero Beach resident, received
almost two-and-a-half years of care from VNA According to a close friend, “Carolyn was very
Hospice. grateful to the VNA for services they provided to
her. Since she was in the care of the VNA for so
Carolyn was first diagnosed with Non Hodgkin’s long, she established a close relationship with
Lymphoma in 2001. She began receiving hospice some of her caregivers and looked forward to their
care in July 2007 and was discharged and visits.”
readmitted to hospice several times between then
and December 2009. Carolyn’s condition seemed It was very difficult for Carolyn’s friend to watch
to improve many times as the VNA hospice staff her health gradually decline. “The VNA caregivers
provided supportive care. After gaining stability helped me understand the different stages she
and being discharged, her health would quickly was going through and provided comfort and
decline without VNA support and she would be understanding in a very professional manner.
readmitted into hospice. Sadly in 2009, Carolyn The genuine care and compassion that was given
passed away peacefully in the VNA Hospice House. to Carolyn throughout her journey cannot be
measured and will never be forgotten by her family
Carolyn’s entire experience with the VNA was and friends.”
funded through charitable care. Because of her
age, Carolyn did not qualify for Medicare. She did The VNA Hospice House is the only hospice facility
not have private insurance and could not afford in Indian River County, providing patients the
to pay out-of-pocket expenses for hospice care. highest quality end-of-life care. Last year, more
During the two-and-a half years she was on VNA than 200 patients were cared for in the house. For
Hospice services, Carolyn received care in her more information or to schedule a tour, please call
home, in the hospital, and in the VNA Hospice 772.567.5551.
House. While in the Hospice House, her room and
VNA Today 11
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1110 35th Lane • Vero Beach, FL • 32960
www.vnatc.com
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If you receive multiple mailings, would like
to update your address, or would like to be
removed from our mailing list, please call
772.978.5546 or e-mail mgardner@vnatc.com