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BRINGINGOURMESSAGEHOMEWHATSINANAMEANAMECANREFLECTHISTORY.ITCANDELIVERINFORMATION.ANDANAMECANBEAPROMISE.RecentlywedebutedanewmessageorallothepeopleweserveinVermontandNewHampshire.Wehaveabrightcontemporarynewlook.Weveadoptedanewlogo.AndweverefnedournameromVNAVNHtheVisitingNurseandHospiceAssociationoVermontandNewHampshiretoVNHVisitingNurseandHospiceorVermontandNewHampshire.VNHVISITINGNURSEandHOSPICENEWSfromVISITINGNURSEHOSPICEforVERMONTNEWHAMPSHIREconnectCOMEHOMETOEXCELLENTCAREwww.vnhcare.org888.300.8853WHATSINSIDEPage3VNHUsesTechnologytoSaveTimeandStayConnectedPage4BEYONDTHEDIAGNOSISCaringorOurYoungestPatientsandTheirFamiliesPage7FortheCommunitiesWeServeTheVisitingNurseandHospiceAssociationofVermontandNewHampshireVNAVNHisnowvnhfall2014 Ijustwantedtosaythankyoutoallofyouwhotookgreatcareofmygrandfatherbeforehepassedaway.IespeciallywanttothankJessieandHeidifortheirextratimeandcare.Ijustknowmygrandfatherthoughttheworldofthosetwo.Granddaughterofhospicepatient2COMEHOMETOEXCELLENTCAREThefaceoftheagencyVNHemployeesarefeaturedinthenewadvertisements.Ournewnameasimplechangeisdesignedtosimplifyourmessageinthecomplexworldofhealthcare.Ourrevitalizedcommunicationsgettothecoreofourcommitmenttopeopleinmorethan140communities.AsVNHPresidentandCEOJeanneMcLaughlinexplainsOurstaffmemberswhovisitpeopleathometoprovidecareandinstillhopedontjustworkforVNH.TheyareVNH.Theyareourheartandourhandsandtheyrethebestintheregion.WhobetterthentotakethespotlightinournewongoingcommunicationsinprintontheradioandonlineMessagesfocusonindividualVNHcaregiversunderthebannerIamVNH.McLaughlinsaysEverydayourstaffissolvingproblemsbuildingrelationshipsandearningthetrustofthoseweserveaswehelpthemheal.Wecouldntaskforbetterrepresentativesthanthepeoplewhoexemplifyourvaluesinhundredsofhomeseveryday.ItstheskillanddedicationofourpeoplethathavemadeVNHtheleadingnameinhomehealthandhospicecareformorethan107yearsanditswhyweinviteyoutoComehometoexcellentcare.nconnectWearetheareasforemostteamofhomehealthcareexpertsdeliveringnursingrehabilitationandhospiceserviceswithproveneffectivenessintegrityandcompassion.VNHisdrivenbyafocusonexcellenceandaspiritofinnovationfromimprovingsystemsofcaretoimprovingindividuallives.Ourrelationshipwitheachclientisrootedinrespectforthefamilieswhosehomesweareprivilegedtoenterforthecommunitieswearehonoredtoserveandforalltheliveswetouch.ourpledge ONEOFTHEGREATESTCHALLENGESFORVNHASAHOMEHEALTHAGENCYISFINDINGTIMETOBRINGSTAFFMEMBERSTOGETHER.Ourcaregiversareprovidingcareincommunitiesandpatientshomestheyarenototentogetherinanyoneofcebuilding.Wereprettyuniqueinthatourstacovers4000squaremilesacrosstwostatessaysVNHInormationServicesDirectorJustinBell.Althoughin-personmeetingsareoptimaltheyarenotalwaysthebestuseotime.Wewantedtoconnectremotestawitheachotherandtheirmanagersbymorethanjustthephone.Wewantedace-to-acevideocapabilities.EarlierthisyearVNHimplementedaversionovideoconerencingcalledBlueJeansbluejeans.com.BecauseitiscompletelyCloud-basedBlueJeansenablesupto25VNHemployeestojoininasingleconversationusinglaptopsandmobiledevicesromremotesiteswithnoadditionalhardwareorsotwareneeded.Theresultisinstantlivestainteractionormeetingtraininganddocumentsharing.AnaddedbenefttothisstreamlinedinternalcommunicationsprocessLesstimespenttravelingtoandrommeetingsandmoretimeorvisitingpatientsintheirhomessomeinthemostruralcornersoVermontandNewHampshire.VNHLongTermCareDirectorRitaLaerriereheadsuptheNurse-FamilyPartnershipNFPagrant-undedprogramthatprovideshomehealthcareorlow-incomenewmothersinVermont.TheNFPgrantrequiresweeklyteammeetingsandweeklyone-on-onemeetingswithLaerriereandhernurses.IveusedBlueJeansvideoconerencingtobringmyteammemberstogetherwithouthavingthemcometoanofcesheexplains.WhileitdoesntreplacemeetingtogetherinpersonwevebeenabletomaintaincompliancewiththeNFPmeetingrequirementsandhavemoretimeormeetingwithnewmoms.ISDirectorBellsaysheislookingintomorewaysthatVNHcanuseBlueJeanspossiblyormeetingwiththosepatientswholiveinveryruralareas.MoreandmorepeoplearemanagingdoctorsvisitsthroughemergingTelehealthtechnologieswhichincludevideoconerencingtheinternetandwirelesscommunicationstocreatevirtualace-to-acedoctor-patientconsultations.Technologycontinuestoevolveorhomehealthcareandwearealwayslookingahead.PerhapssoonpeoplewillbeabletoaccesstheirdoctorswithouteverleavinghomesaysBell.nSAVINGTIMEANDSTAYINGCONNECTEDwww.vnhcare.org888.300.88533BlueJeansVideoConferencingtechnologyallowsVNHstafffromseveralremotelocationstomeetwithouthavingtotravel.Technologycontinuestoevolveorhomehealthcareandwearealwayslookingahead.VNHInformationServicesDirectorJustinBell AsthelargestproviderotheMedicaidPediatricPalliativeCarePPCPrograminVermontVNHislookingoutoritsyoungestandsmallestpatients.SincetheprogramsinceptioninDecember201217childrenwithchroniccomplexhealthneedsandtheiramilieshavereceivedcareathomeromVNHsPPCteam.VNHunderthedirectionoHospiceDirectorChuckCrushhasdoneanexceptionaljobinimplementingitsPPCprogramsaysMonicaOgelbycasemanagerorthePPCprogramaVermontDepartmentoHealthprogramBEYONDTHEDIAGNOSISVNHsteamofexpertsprovidespediatricpalliativecaretochildrenandtheirfamiliesconnect4COMEHOMETOEXCELLENTCAREVNHwasthefrstagencytoimplementregularongoingmultidisciplinaryteammeetings.MonicaOgelbyCaseManagerVermontMedicaidPediatricPalliativeCareProgramsreadmoreaboutVNHsPPCprogramatvnhcare.orgpartoChildrenwithSpecialHealthNeedsincollaborationwithVermontMedicaid.Itwasthefrstagencytoimplementregularongoingmultidisciplinaryteammeetingswhichisacriticalelementinmakingthisprogramwork.VNHsPPCteamincludesmedicalsocialworkersaullstaoexpressivetherapistsandchildliespecialists.PediatricRNslikeVNHsLilyBurkeprovideclinicalservicesbutalsoactascarecoordinatorsoramilies.Thatcanmeanhelpingparentsnavigatetheoten-conusingmazeomedicalterminology meetEmmaWallaceAtagethreeEmmaWallacewasdiagnosedwithAicardiSyndromearareconditioncharacterizedbytheabsenceothecorpuscallosumthetissuethatconnectstheletandrighthalvesothebrainepilepsyrecurringseizuresandretinaldeects.Sheisnon-verbalandhasseverephysicalandcognitivedisabilities.EmmaandheramilyreceivecareromVNHsPediatricPalliativeCareprogram.PediatricRNLilyBurkevisitsonceaweekathometocheckEmmasbreathingandmakesuretheamilyiscopingwell.IthasbeenveryhelpultohaveLilycometoourhousetocareorEmmasayshermotherAlison.Lilyisverycaring.Welovehavingher.EmmaandheroldersisterElizabethalsolookorwardtoweeklyvisitsromAndreaHerringtonanexpressivetherapistwhotakesthegirlsorwalksandworksonartprojects.MykidsreallyenjoyitcommentsAlison.Andreafndswaysorthegirlstoplaytogethershesmakingascrapbookwiththem.Visitvnhcare.orgormoreaboutAicardiSyndromeandEmmasstory.whatispediatricpalliativecarePediatricpalliativecareismeanttobealayerofsupportthatsupplementscurativetreatmentforchildrenandtheirfamilieswhoarelivingwithalife-threateningillness.Palliativecarefocusesonprovidingrelieffromsymptomspainandstressandaimstoimprovepatientsqualityoflife.PediatricRNLilyBurkesayssheoftenusesplaytoeaseheryoungpatientsworriesaboutprocedures.Ioncegaveshotstoawholefamilyofstuffedbearsshesays.www.vnhcare.org888.300.885353017537EstimatednumberofchildreneligibleforPPCinVermontNumberofVermontchildrenactivelyreceivingservicesPercentageofVermontchildrenreceivingPPCcarewhoareVNHpatientsthenumbersspecialistsandmedicationsorhelpingtheamilyinteracewithschoolstaaboutthechildscaretooptimizetheirqualityolie.AsthePPCprogramcontinuestogrowCrushhasturnedhisocustoNewHampshirewhichdoesnotcurrentlyhaveastatewidePPCprogram.VNHprovidescareormorethan40communitiesintheGraniteStatethatarehometomanychildreninneedotheseservices.IvestartedtoreceivecallsrompediatriciansinNewHampshirehesays.Wellfndawaytohelpthem.ButNewHampshireneedsaPPCprogram.IvebeensoimpressedwithhowVNHhasstartedtocollaboratewithhealthcareproviderstosupportthedevelopmentorasimilarprograminNewHampshireOgelbysays.IthinkitsremarkablethattheteamhasseenthevalueinwhatwevebeendoinginVermontandwantstosupportitsNHneighborsindoingsomethingsimilar.nAccordingtoVermontMedicaidPPCdataVNHcoversthreecountiesinVermontandthereforehasthelargestterritoryofanyVisitingNurseAgency. ALIFELEGACYWERNERWENISCHOFCORINTHVERMONT1923-2013LIVEDARICHLIFE.Devotedtohisamilyhelovedtogardenandsupporthischurchandcommunity.HeandhiswieEsthermovedtoCorinthin1974ollowinghisretirement.DuringhisdistinguishedcareerheearnedpatentsasachemistworkingorU.S.RubberlaterhetaughtatNewarkCollegeoEngineeringasaproessorochemistry.HeservedinWorldWarII.AndheandEstherraisedtwodaughters.WernerandEstherweremarriedor55yearsbeoreEsthersuccumbedtocancerin1998.DuringmuchothelasttenyearsoEstherslienursesandcaregiversromVNHhelpedmanagehertreatmentandsupportWerner.6COMEHOMETOEXCELLENTCAREconnectAterEsthersdeathWernercontinuedtotendtheirbeautiulgardens.HemaintainedhistieswithVNHbecomingoneoourmostgenerouscontributors.Hisgitsarrivedatthechangeotheseasonsotenaccompaniedbyarefectiononthesolsticeorthebeautyolie.InAugust2013Wernerpassedawayathomeattheageo90surroundedbyamilywiththecareoVNHHospice.HerememberedVNHinhiswillandwhenhisgitarriveditwasaccompaniedbyaphotoothegardentributehecreatedtocelebratethecaregiverswhohadbeensuchapartohisandEstherslives.VNHhastheprivilegeobecominganintimatepartomanywonderullives.WernerWenischslegacyokindnesslivesoninhisgitwhichhelpsVNHprovidecareandcompassiontohundredsootherpeople.nWernerWenischbelowwithafurryfriend.Atleftoneofhisgardensthatcelebrateshiscaregivers.NameGaryMayoTitleChairVNHBoardoTrusteesProfessionalpositionIamtheownerandpresidentoA.B.GileInc.aproperty-casualtyhealthandemploymentinsuranceagencylocatedinHanoverN.H.HowlonghaveyoubeenwithVNHIjoinedtheVNHBoardoTrusteesin2012.WhyIampartofVNHMyparentsbothreceivedhospicecaresomeyearsagosoIknowrst-handabouttheincredibleworkthatourcaregiversdo.Theyarecaringdedicatedpeople.Imalsoimpressedwithourclinicalstasleveloskilltrainingandeducation.Theyveearnedaproventrackrecordorclinicallyexcellentcare.WhatliesaheadforVNHHomehealthcareisonlybecomingmoreimportantaslesstimewillbespentbypatientsinhospitals.WiththisinmindasaleadingproviderohomehealthcareinourregionVNHisbuildingkeypartnershipscratingnewinnovativewaystoprovidecareandimplementingimprovedsystemsocareorthethousandsoamiliesitserves.vnhIamFormoreinformationabouthowyoucanhelpVNHvisitvnhcare.orgorcall888-300-8853. Always92Usually6NA2RELATIONSHIPSROOTEDINRESPECTVNHcaregiversgethighscoresincourtesywww.vnhcare.org888.300.88537WereallyknowhowtotreatpeopleaccordingtoourMedicareandMedicaidpatientsthatrespondedtotheHomeHealthCareConsumerAssessmentoHealthcareProvidersandSystemsHHCAHPSclientsurvey.ThesurveyisrequiredbytheCenterorMedicareServicesCMS.DataRefectsresponsesromJuly12013-June302014.Inthelast2monthsofcarehowoftendidVNHhomehealthproviderstreatyouwithcourtesyandrespectWhenyourelearningtoswimStyrooampoolnoodlesareaunandhandywaytostaysaeandkeepyourheadabovewater.VNHsawadierentkindosaetypotentialinthisfexibleoam.Turnsoutwhensplitlengthwiseandputovertherailingoahospitalbedthenoodleactsasbothacushionandagripontherail.Theyareespeciallyhandyorelderlypatientswhomoreeasilysustaininjurieslikeskintearsandbruising.JusttheotherdayIellasIwasgettingintobedandhitmyheadonthebedrailsaysDickMilleroHanoverN.H.whowastakentothehospitalortreatment.AthomehisVNHcaregiveractedtoreducethechanceourthermishapsbyinstallingabrightbluepoolnoodleovereachohissidebedrailsandaneongreenoneoverthetoprail.Itsasimplesolutionthatwillhelppreventutureinjuryandtripstothehospital.LocalWalmartstoreshavepartneredwithVNHbydonatingThestyrofoamtubesonthebedrailshelpDickMillerofHanoverN.H.resteasy.RailswithoutanycushioncancauseinjuryifapatientfallslikeMr.Millerdid.VNHWellnessClinicsandFootClinicsareheldweeklyintownsthroughoutthearea.Visitvnhcare.orgunderEVENTStondalocationnearyou.3861thenumberopeoplewhovisitedourWellnessClinicsin2013325WellnessClinicsheldin2013930Flushotsadministeredin20131.5millionincharitablecareisprovidedbyVNHannuallyWELLNESSclinicsForthecommunitieswearehonoredtoservemorethan50poolnoodlesorpatientslikeMr.Millertouse.ItsjustonewaythatourcommunitiesaresupportingVNHeortstondnewinventivewaystohelppeoplehealathome.OnbehalothepeopleweservewethankWalmartoritsgenerosity. VNHVISITINGNURSEandHOSPICEforVERMONTandNEWHAMPSHIREPOBox1339WhiteRiverJunctionVermont05001ContactUs888.300.8853nvnhcare.orgnTDD800.735.2964DonateOnlineatvnhcare.orgormailchecktoPOBox976WhiteRiverJunctionVT05001VolunteerVisitvnhcare.orgConnectthroughourwebsitewww.vnhcare.orgCheckoutournewupdatedwebsite-www.vnhcare.org-underAboutUsorourinteractivemapothemorethan140townsinVermontandNewHampshirethatVNHserves.Youcanalsosearchoryourtownbyzipcode.VNHcaresormorethan6000peopleeachyearmakingmorethan150000homevisitsover4000squaremilestopeopleoallagesandatallstagesolie.WereinyourcommunityVNHserviceareaNonProftOrgUSPostagePAIDWhtRivJctVTPermitNo.73