Share |
Organization DBA VNA Care Network & Hospice
Former Names Elizabeth Evarts de Rham Hospice Home at Chilton Street (2009)
Rose Monahan Hospice Home (2007)
VNA Care Hospice (2000)
Hospice Residence on Coes Pond (1997)
VNA Care Network (1995)
Stanley R. Tippett Home (1994)
Hospice of Central Massachusetts (1994)
Chilton House (1991)
Visiting Nurse Association of Central Massachusetts (1986)
Community Nurse Assocation of Grafton (1985)
Visiting Nurse Associates (1980)
VNA of North Shore (1979)
Cape Ann Community Nursing Association (1975)
Intercommunity Visiting Nurse Associates (1963)
Visiting Nurse Association of Worcester (1959)
Westwood Community Health Association (1935)
Leominster Visiting Nursing Association (1919)
Beverly VNA (1915)
Gloucester District Nurses (1914)
Manchester Nursing Service (1910)
Needham VNA (1910)
Spencer Visiting Nurse Association (1908)
Danvers VNA (1908)
District Nurse Association (1906)
Cambridge Visiting Nurse Association (1904)
Canton Nursing Association (1900)
Marblehead/Swampscott VNA (1896)
Worcester Society for District Nursing (1892)
Dedham Society for Emergency Nursing (1891)
Organization received a competitive grant from the Boston Foundation in the past five years No

Summary

--

Mission StatementMORE »

The mission of VNA Care Network & Hospice, a nonprofit organization, is to provide the highest quality of care to the residents of our community while assisting all, within our resources, to remain as safe and healthy as possible in the comfort of their home. The agency’s vision in partnership with the physician, seeks to establish an evidence-based and data-driven, high-quality, low-cost, technology-infused, acute, chronic, and end-of-life home care infrastructure. We seek to create highly satisfied patients, families and health care partners, by easing and perfecting care transitions through the effective utilization of our highly qualified staff.

Mission Statement

The mission of VNA Care Network & Hospice, a nonprofit organization, is to provide the highest quality of care to the residents of our community while assisting all, within our resources, to remain as safe and healthy as possible in the comfort of their home. The agency’s vision in partnership with the physician, seeks to establish an evidence-based and data-driven, high-quality, low-cost, technology-infused, acute, chronic, and end-of-life home care infrastructure. We seek to create highly satisfied patients, families and health care partners, by easing and perfecting care transitions through the effective utilization of our highly qualified staff.

FinancialsMORE »

Fiscal Year Jan 01, 2013 to Dec 31, 2013
Projected Income $49,436,596.00
Projected Expense $48,481,642.00

ProgramsMORE »

  • Clinical Education and Supporting Quality Patient Care and Experiences
  • Enhancing Patient Care Through Technology
  • Home Health Care and Serving Patients in Need
  • Hospice Care and Homelike Residential Hospice Care
  • Wellness Services and Health Promotion

Revenue vs. Expense ($000s)

Expense Breakdown 2012 (%)

Expense Breakdown 2011 (%)

Expense Breakdown 2010 (%)

For more details regarding the organization's financial information, select the financial tab and review available comments.


Overview

Mission Statement

The mission of VNA Care Network & Hospice, a nonprofit organization, is to provide the highest quality of care to the residents of our community while assisting all, within our resources, to remain as safe and healthy as possible in the comfort of their home. The agency’s vision in partnership with the physician, seeks to establish an evidence-based and data-driven, high-quality, low-cost, technology-infused, acute, chronic, and end-of-life home care infrastructure. We seek to create highly satisfied patients, families and health care partners, by easing and perfecting care transitions through the effective utilization of our highly qualified staff.

Background Statement

VNA Care Network & Hospice is a nonprofit, community-based visiting nurse agency serving Eastern and Central Massachusetts from office locations in Danvers, Gloucester, Leominster, Needham, Southborough, and Worcester. In addition, we own and operate three hospice residences, which are the Elizabeth Evarts de Rham Hospice Home in Cambridge, the Rose Monahan Hospice Home in Worcester, and the Stanley R. Tippett Home in Needham. We also have a nonprofit childcare center that has been serving infants and young children for more than 20 years. It is known as The Children’s Garden and is located at our 120 Thomas Street address in Worcester.
 
Some of the oldest visiting nurse agencies in Massachusetts formed our organization. Our history of serving the community dates back more than 120 years to 1891. We are comprised of more than 25 individual visiting nurse agencies, which came together over time in order to strengthen our capacity to provide home health and hospice care for patients and families. Our services allow patients to come home from the hospital sooner, avoid stays in health facilities, manage chronic and difficult health conditions, and complete their end-of-life journey peacefully and pain free. We also have a long-standing commitment to the provision of public health and community wellness services.
 
We serve patients of all ages, including infants, children, adults, and elders. However, more than 54% of our home health patients are age 65 and older, and more than 72% of our hospice patients are age 65 and older. Volunteer boards of directors govern VNA Care Network & Hospice and oversee the operating entities and policies and procedures of the organization. The Joint Commission, the nation’s predominant standards-setting and accrediting body in health care, accredits VNA Care Network & Hospice, and Medicare and Medicaid certify us. VNA Care Network & Hospice works with many hospitals, rehabilitation centers, and skilled nursing facilities. Our agency is a member of Atrius Health, and we also work with many other physician groups. VNA Care Network & Hospice's senior managers have more than 150 combined years of experience in management and home health and hospice care. We employ licensed clinicians and administrative and support staff. In addition, the organization receives important volunteer support in many different capacities from over 125 individuals.

Impact Statement

VNA Care Network & Hospice's most recent accomplishments include:
 
· Continuing to work closely with health care and community partners that share the common goal of seeking innovative approaches to promoting patients’ health. This includes utilizing home-based care to support better population and individual health, to improve health care experiences, and to lower health costs.
 
· Further implementing new technology and evidence-based practice and research in the delivery of home health care services to include 12 interventions, including medication reconciliation and patient risk assessments (e.g., fall, oxygen, depression), among others. Each is geared to supporting patients in maximizing their health and enabling them to achieve optimal health at home, where they most want to be.
 
· Initiating a project called SafeSide, which was designed to reduce the re-hospitalization of patients in our care. Every aspect of our home health care, from documentation to interaction with other health providers to patient support was examined. Staff revamped the 24-hour nursing triage service that gives patients and families someone to talk to whenever they have a problem or concern. New assessment tools and care plans to identify and treat patients at high risk were developed. The list of strategies was a long one and led to a significant reduction in re-hospitalization rates.
 
Today our agency goals are focused on achieving clinical excellence in the delivery of our home health services, hospice care, and community wellness programs as measured by patient outcomes and quality benchmarks, patient and referral source satisfaction, and accreditation that uniquely recognizes our commitment to the highest level of quality and safety. We also continue to engage in continuous quality improvement activities and embrace new technology and medical advances to offer the greatest care and treatment for patients.
 
We seek to increase our leadership role in the delivery of nonprofit visiting nurse services to local patients and families effectively (as measured by patient care outcomes) and efficiently (as measured by the cost of patient care services and overall fiscal management). Continued success in this area will bring opportunities for us to strengthen the organization and maintain our commitment to being a safety-net provider for underserved patients who are in need of home health services. The provision of this care requires significant agency resources due to the need for subsidized care and/or patient care needs that necessitate extensive services and care coordination strategies. These are patients with progressive chronic care needs, premature infants, seriously ill children, and frail elders.

Needs Statement

VNA Care Network & Hospice needs:
 
· Support to enable us to continue to serve as safety-net home health care provider for underserved patients and families who are uninsured or underinsured
· Assistance to support the delivery of caring and compassionate hospice care and residential hospice care that ensures quality of life at the end of life
· Expansion of Clinical Education Department to mentor and support new and experienced home care clinicians during a time of unprecedented growth and demand for patient care at home
· Support to add and increase important technology needs, including telemedicine, low laser light therapy, pediatric blood pressure monitors, and electronic medical record hardware and software requirements
· Funding to support the provision of wellness and preventive health programs serving at-risk community members, including frail elders
 
VNA Care Network & Hospice is grateful for charitable gifts and philanthropic support targeted at these important needs and other agency initiatives.

CEO Statement

Dear Friends,
 
If you spend a day with one of VNA Care Network & Hospice’s clinicians, you’d probably be struck most by the relationships she or he’s developed with their patients. There’s easy conversation about family and the day’s events. Patients share their hopes and fears about their health. In return, they receive the sort of empathy and encouragement that gives comfort and lifts spirits.
 
These relationships are a springboard for much more. Each visit is a chance for clinicians to empower patients to take charge of their health and, together, work towards the best possible outcome.
 
Nationally, re-hospitalization rates are an enormous concern. One study estimated that almost 25% of Medicare patients are re-hospitalized within one month. The cost is staggering — approximately $12 billion annually — and doesn’t account for the toll on patients and families.
 
VNA Care Network & Hospice’s staff took up the challenge through a new initiative called SafeSide. At times it felt like we were reinventing home health care. Every aspect, from documentation to interaction with other health care providers to patient support was examined. The extensive effort has led to reduction in re-hospitalizations.
 
Hospice also continued making a difference in the lives of terminally ill patients and their families. Complementary therapies were expanded to include music therapy, which is available in patients’ homes and our three hospice residences.
 
As we create a new vision for home health care and hospice, we’re mindful that health care providers cannot work in isolation. Patients are best served when their health care providers work together, keep the lines of communication open, and ensure smooth transitions from one setting to another.
 
We have many wonderful people to thank for this time of unprecedented growth, successful collaborations with other health care providers, and innovative approaches to care. Our staff, board members, volunteers, donors, patients and families, and colleagues in the medical field have all played a crucial role as we create a new vision for home health care and hospice that supports our mission to: Provide the highest quality of care to the residents of our community while assisting all, within our resources, to remain as safe and healthy as possible in the comfort of their home
 
Thank you for learning more about VNA Care Network & Hospice.
 
Sincerely,
 
Mary Ann O’Connor, President and CEO
VNA Care Network & Hospice

Board Chair Statement

--

Geographic Area Served

GREATER BOSTON REGION, MA
CENTRAL REGION, MA
METROWEST REGION, MA
NORTHEAST REGION, MA
SOUTHEAST REGION, MA
VNA Care Network & Hospice serves more than 200 communities throughout Eastern and Central Massachusetts from office locations in Danvers, Gloucester, Leominster, Needham, Southborough, and Worcester.

Organization Categories

  1. Health Care - Home Health Care
  2. -
  3. -

Independent research has been conducted on this organization's theory of change or on the effectiveness of this organization's program(s)

Under Development

Programs

Clinical Education and Supporting Quality Patient Care and Experiences

The growing need for home health care services, and therefore highly qualified visiting nurses and rehabilitation therapists, is being driven by advances in technology and medicine, efforts to avoid re-hospitalizations, a growing elderly population that wants to age in place and elements of health care reform, including new models of care. At VNA Care Network & Hospice, our goal is to be the home health care provider that makes use of a comprehensive clinical education team that mentors and supports new and experienced home care clinicians with delivering quality health care in the home environment, with its unique rigors and demands – today and into the future.
Budget  $867,538.00
Category  Health Care, General/Other Home Health Care
Population Served Aging, Elderly, Senior Citizens Adults Children and Youth (0 - 19 years)
Program Short-Term Success  This program will expand the agency’s Clinical Education Department to include a team of clinical educators, a home care nurse and rehabilitation therapist preceptor/coach preparation program, and an accelerated and decentralized home care nurse and rehabilitation therapist training program to add to the pool of home care nurses and rehabilitation therapists capable of meeting the increasing demand for high quality home health care services. The project will significantly extend the agency’s ability to support nurses and rehabilitation therapists new to home care with being competent and confident home health care clinicians. The project will make use of best practices and evidence-based programming while being implemented in a manner that is cost-effective and sustainable.
Program Long-Term Success  By establishing a robust Clinical Education Program that supports nursing staff, rehabilitation therapists, and other home care clinicians, VNA Care Network & Hospice will be able to meet the increased demand for home health care services that recognizes the quality and expertise needed to ensure excellent patient outcomes effectively and efficiently.
Program Success Monitored By  This program will orient and prepare health care professionals in a formal way to ensure success for themselves, our agency, and the industry. Home care is rigorous and the acuity and complexity of patients being cared for at home is considerable and only increasing. The program will be monitored through the use of competency examinations, supervision and support visits, patient outcomes, interim and annual reviews, and informal and formal surveys that seek feedback from staff and patients. As an organization, we practice continual quality improvement to not only provide excellence in home care, but to maximize staff retention and ensure highly satisfied employees.
Examples of Program Success  This program has the potential to increase our capacity to orient and support nurses new to home care to become confident and competent home health care nurses. It also will expand our overall clinical orientation program to meet the increasing demand for patient care services, including rehabilitation therapy. It will provide us with the opportunity to increase staffing within our clinical education department to support learning/training and knowledge necessary to the success of our professional staff in providing excellence in the delivery of home health care and hospice services. In a pilot project, we were able to provide new home care nurses who were struggling with the electronic medical record needed time with a home care nurse educator that helped increased their confidence with documentation, which is critical to patient care and patient care reimbursement.

Enhancing Patient Care Through Technology

The use of technology in the home environment is improving patient outcomes, increasing self-management of chronic health conditions, increasing patient safety, and reducing unplanned hospitalizations and rehospitalizations. It also supports effective use of staff time and resources.  
 
Examples of this technology and equipment include:
  • Telemonitoring devices that allow patients to take critical vital signs, such as weight, pulse oximetry, and blood pressure, that is remotely monitored by the telehealth nursing team and interfaced with the electronic medical record 
  • Low light laser devices, which are used by physical therapists in the home environment. It is a safe, portable technology that increases circulation, promotes accelerated healing, reduces acute and chronic pain, reduces inflammation and swelling, and increases mobility and function
  • Infant blood pressure monitors that are highly mobile, and accurate for newborns and infants with severe cardiac defects, kidney problems, or a condition known as persistent pulmonary hypertension of the newborn
  • Electronic medical record, including laptops and software/licensing, which is critical to patient care and patient safety, while increasing and improving our capacity for referrals, admissions, scheduling, care planning and physician interface, data collection and quality improvement, and financial management
  • Video conferencing for patient care consults and clinical education activities
Budget  $1,385,000.00
Category  Health Care, General/Other Home Health Care
Population Served Aging, Elderly, Senior Citizens Adults Children and Youth (0 - 19 years)
Program Short-Term Success  The successful integration of technology in the provision of home health care services is measured by patient outcomes that demonstrate improvements in health conditions, increased ability and knowledge for successful self-management, and/or greater independence and mobility with improved quality of life.
Program Long-Term Success  By investing in state-of-the-art equipment and proven technologies, VNA Care Network & Hospice will significantly impact patient care outcomes, patient care experiences and reduce patient care costs while positioning the agency to be an integral organization supporting an improved health care delivery system.
Program Success Monitored By  VNA Care Network & Hospice is able to monitor the successful use of technology in the home environment through the collection of patient data that is analyzed by quality improvement staff and reported in the Centers for Medicare and Medicaid Home Health Compare database that benchmarks patient care to state and national standards. In addition, we make use of other tools such as “clinical care report cards” to monitor patient care, identify areas needing improvement, and staff training and education needs.
Examples of Program Success  The use of technology in home health care is improving patient care. Data from our telehealth remote monitoring program demonstrates that patients who participate in the program have a 14% re-hospitalization rate as compared to a 21% re-hospitalization rate for patients who do not receive telehealth monitoring. Cardiologists have noted to our maternal child health nursing team how much they appreciate that we are able to closely monitor young patients on critical blood pressure medication using specialized vital sign monitoring devices. With low-level laser therapy, our data demonstrates that we can support accelerated healing and reduced pain. In the words of one patient with a care plan that utilized this intervention to address a severe muscle tear after a serious fall in her home, "After the second week, I could feel the difference. I could lift my arm and rotate it…I was so happy to get the use of my hand back."

Home Health Care and Serving Patients in Need

As a nonprofit visiting nurse agency, VNA Care Network & Hospice provides critically needed home health care services to patients of all ages with illnesses and injuries, chronic and complex health conditions, and disabling and degenerative diseases. Every day, our highly skilled nurses, rehabilitation therapists, and other clinicians work together with each patient’s physician to deliver patient care that increases patients’ ability to achieve optimal health and well-being at home. This includes caring for those who are most vulnerable and underserved due to socioeconomic issues, knowledge deficits, and psychosocial matters, among others.
Budget  $48,000,000.00
Category  Health Care, General/Other Home Health Care
Population Served Aging, Elderly, Senior Citizens Adults Children and Youth (0 - 19 years)
Program Short-Term Success  VNA Care Network & Hospice measures both the quality of patient care that we provide for patients as well as each patient’s experience with our home health services. The indicators that are used to benchmark these measures focus on how well we are able to help patients manage daily activities, manage pain and treat symptoms, improve health and self-management of health conditions, prevent harm, and reduce unplanned hospitalizations and re-hospitalizations. The important elements of achieving quality patient care outcomes are not only the result of the direct nursing and rehabilitation services provided, but also the teaching, support, and care coordination that is integrated into each visit and home health care episode. Patient care experience measures focus on overall patient satisfaction, communication, and specific care issues.
Program Long-Term Success  VNA Care Network & Hospice will work with health care partners that share the common goal of seeking innovative approaches to promoting patients’ health and well-being and recognize that there are opportunities to improve health outside of the hospital and the physician office. As health care has become more costly, and more complex care is rendered in the home, we will continue to develop and deliver needed nonprofit visiting nurse services to patients and families effectively (as measured by patient outcomes and the use of evidence-based practices) and efficiently (as measured by costs/management) while supporting quality-of-life measures. The agency also is committed to being a safety-net provider and ensuring access to charity care within our resources for patients in need.
Program Success Monitored By  VNA Care Network & Hospice is certified by Medicare and Medicaid and accredited by The Joint Commission. As such, VNA Care Network & Hospice is held to the highest standards of home health care and hospice practice. In addition, our electronic medical record system allows us to track and monitor all aspects of our home health care program and conduct continuous quality improvement activities. Further, certification reviews include surveys of our policies and procedures, medical records, and personnel records and evaluation studies that involve observational visits with patients and families. VNA Care Network & Hospice routinely conducts patient/family satisfaction surveys to measure the effectiveness of our services.
Examples of Program Success 
VNA Care Network & Hospice is certified by Medicare and Medicaid and accredited by The Joint Commission. As such, we are held to the highest standards of home health care practice. We consistently meet and/or exceed patient outcome data as demonstrated by data tracked by the Centers for Medicare and Medicaid, which is publicly available on the home health compare website.
 
“Your nurse was such an easy fit for us…he takes the time with Eddie (not his real name) to not only check him over thoroughly, but also counsel him on things he should do or watch for and he does this in such a gentle nurturing way, almost like a big brother. He stops in with just a gentle tap on the door and it is like a dear family member has just come for another visit.”
 
"After my surgery, the nurse came to see me to teach me how to take care of my wound. They (his nurses) also arranged for all the supplies and my visits to the wound center. It was very helpful and they did a wonderful job.”

Hospice Care and Homelike Residential Hospice Care

VNA Care Network & Hospice provides hospice care in many settings, but primarily in the home environment and at one of three homelike residential hospices – the Elizabeth Evarts de Rham Home in Cambridge, the Rose Monahan Hospice Home in Worcester, and the Stanley R. Tippett Home in Needham. Patient care focuses on comfort and management of symptoms and pain, while living in the most dignified way possible during the time that remains. For family members and loved ones, care and comfort is our goal. In our hospice program, we often hear the words, “we wish we found you sooner.”
Budget  $15,000,000.00
Category  Health Care, General/Other Hospice Care
Population Served Aging, Elderly, Senior Citizens Adults Children and Youth (0 - 19 years)
Program Short-Term Success  The goal of our hospice program is to provide excellence in palliative and hospice care that is compassionate and caring and meets the unique needs of each patient and family member and/or loved one. We consider patients’ wants and needs as the end of life nears, including that their wishes and values are respected; that their symptoms are well controlled; that their dignity is maintained; and that they can spend as much meaningful time as possible with those they most love. It is patient and family centered, and each patient has a care plan that meets his or her individual needs and goals. It often emphasizes pain control and managing/treating symptoms to improve quality of life for the time that remains. We also seek to provide this care in a cost-effective manner that increases access to hospice care for those most in need.
Program Long-Term Success  VNA Care Network & Hospice seeks to ensure that all patients with an end-stage disease or terminal illness have access to quality end-of-life care through the provision of palliative and hospice care, while family members and loved ones receive support that eases their pain and concerns. Family members also will receive bereavement services that allow them to adjust to their loss over time. Our caring, expert staff and trained, dedicated hospice volunteers will aid thousands of people along their end-of-life journey while ensuring quality of life at the end of life.
Program Success Monitored By  VNA Care Network & Hospice is certified by Medicare and Medicaid and accredited by The Joint Commission. As such, VNA Care Network & Hospice is held to the highest standards of home health care and hospice practice. Our hospice program is licensed by the Commonweatlh of Massachusetts/Department of Public Health. Further, certification reviews include surveys of our policies and procedures, medical records, and personnel records and evaluation studies that involve observational visits with patients and families. VNA Care Network & Hospice routinely conducts patient/family satisfaction surveys to measure the effectiveness of our services.
Examples of Program Success 
VNA Care Network & Hospice’s hospice program is licensed by the State of Massachusetts and certified by Medicare and Medicaid. As such, we are held to the highest standards of hospice practice. In addition, patient and family satisfaction at our hospice residences and in our overall hospice program is excellent. This includes achieving an “overall quality of care” score that exceeds 95%.
 
“Our family wants to thank all the staff for your wonderful care of our Mom over the past year. Your patience, knowledge, and caring ways were of immeasurable help to us in guiding us in her care. We couldn’t have done it without all of you.”
 
“Your staff truly treated the whole patient … not just a symptom at a time, not ignoring the questions or needs of caretakers, not ignoring the fact that a diagnosis of cancer, while devastating, does not wipe away the other parts or history of a person.”

Wellness Services and Health Promotion

VNA Care Network & Hospice has a long history of providing community wellness and health promotion programs; many of which provide critical support to older adults and frail seniors.
 
• Regularly-scheduled, nurse-led elder health clinics at community locations
• Immunization and vaccination programs
• Chronic disease management programs
• Health screenings for cholesterol, pre-diabetes and diabetes and osteoporosis, among others
• Health teaching on important topics, such as fall prevention, medication management, nutrition, physical activity, and more
 
These important community-based programs aid participants in managing chronic diseases, identifying subtle health changes before they escalate into serious health conditions, and addressing immediate health concerns. They also provide important risk reduction education, lifestyle intervention opportunities, and connect individuals to needed primary care health services. All screenings and services are provided at no cost to participants, and we collaborate with community partners, including senior centers and elder housing sites, to increase access for participants.
Budget  $470,000.00
Category  Health Care, General/Other Preventive Health
Population Served Aging, Elderly, Senior Citizens Adults
Program Short-Term Success 
We anticipate there will be more than 3,000 clinic and adjunct health screening/education visits that serve more than 2,000 individuals each year. We expect that 80% of participants who attend the health clinics will achieve improved skills to manage health problems. Program indicators include:
 
• 90% of participants will demonstrate increased knowledge of their personal health risk factors
• 80% of participants will have increased knowledge of signs and symptoms of health complications due to disease process or injury and recognize when to contact health provider
• 90% of participants will identify at least one personal healthy lifestyle goal and create a plan to work towards that healthy lifestyle goal
Program Long-Term Success  VNA Care Network & Hospice’s wellness services and health promotion activities will effectively provide health teaching and interventions that reduce health complications and are aligned with best practices associated with preventive health care. The program will increase access to important preventive and primary health care services for vulnerable populations, particularly elders, while helping individuals to learn self-management skills. The program also will leverage collaborations with community resources, including community agencies and the health care system, to increase access to care and social service programs for patients.
Program Success Monitored By  VNA Care Network & Hospice will document program data in individualized and confidential patient records. In addition, we will make use of a participant survey, client testimonials, and staff observations and feedback. This data will allow us to monitor and report on program outcomes and make program changes as indicated and needed.
Examples of Program Success  Data from our wellness and health promotion programs demonstrates that participants are engaged in monitoring their health and routinely track health parameters, which they share with their primary care providers. In our elder health clinic program, outcomes show that 96% elders correctly identify their health risk factors and understand how to minimize those risks, while 93% of elders properly identify symptoms of health complications and recognize when to contact their provider. Client satisfaction surveys are overwhelmingly positive. Anecdotally, program participants share that our community health nurses nurses give good advice, important health information, and provide reassurance and encouragement that help keep them living at home.

CEO/Executive Director/Board Comments

--

Management


CEO/Executive Director Ms. Mary Ann O'Connor
CEO Term Start Jan 2012
CEO Email [email protected]
CEO Experience
Mary Ann O’Connor, RN, BSN, MBA, President and CEO
VNA Care Network & Hospice
 
Mary Ann has more than 35 years of health care management, with 24 years at the senior executive level. Her career spans the acute care, home health, hospice, and private duty sectors of health care as well as home-based disease management programs. She previously served as the regional director of Manhattan for the Visiting Nurse Service of New York, vice president of strategic planning and business development for the Visiting Nurse Services of Connecticut, president and CEO of United Visiting Nurse Association, and executive director/director of nursing of Trumbull Public Health Nursing Service. Mary Ann holds a master’s in business administration from Sacred Heart University in Fairfield, CT, and a bachelor’s of science in nursing from Syracuse University in New York. She has worked to further nonprofit home health care at the national level as a member of the board of directors and government relations committee of the Visiting Nurse Associations of America and at the state level as a member of the board of directors for the Connecticut Association for Home Care. Since joining VNA Care Network & Hospice in January 2012, Mary Ann has focused on innovative approaches to improving patient outcomes and reducing hospital readmission rates through partnerships with physician groups and hospitals as well as program development, including the Sure Steps Fall Prevention Program.
Co-CEO --
Co-CEO Term Start --
Co-CEO Email --
Co-CEO Experience --

Former CEOs and Terms

Name Start End
-- -- --

Senior Staff

Name Title Experience/Biography
Diane Bergeron Executive Director Hospice
Ms. Bergeron has extensive experience in clinical/administrative leadership and management in the health care field. She earned her Bachelor of Science in Nursing at the University of New Hampshire, and her Masters in Management of Science at Lesley University. Strengths include strong organizational leadership and management skills, excellent interpersonal skills, and well-developed networking skills. She began her career in med/surg nursing, hospital admissions management and Oncology Nursing as Director of the Cancer Management Center at Holy Family Hospital and Medical Center in Methuen, MA.
 
Diane developed an interest in home health care and hospice, serving as Vice President of Merrimack Valley Hospice and then as Executive Director of VNA Hospice Care, Inc. where she has been for the past 13 years. In addition, she has served on numerous health-related boards including most recently on the
  • NHPCO Council of States Steering Committee, 2009-2013
  • MA Statewide Expert Panel on End of Life Care 2009-2011 and Expert Panel EOL Workforce sub-committee, 2009
  • Hospice & Palliative Care Federation of Massachusetts: President (2004-2011); First VP (2003-2004); Clerk (2002-2003); Board of Directors (1998-2011), (2013-present).
Jane Bovaird Assistant Clerk --
Jeanne Callahan-Lydon VP Quality & Risk Management
Jeanne completed her undergraduate degree at Boston College and has been in the home care industry since 1984 in a variety of areas. These areas include clinical service provision, clinical management, program development participation and marketing, strategic planning, point of care purchasing and execution including billing/clinical/scheduling applications, design and implementation of cost efficient work flow processes that maximize efficiencies and achieve desired quality benchmarks for patients and agencies. During this time Jeanne completed her Juris Doctor and was admitted to the Massachusetts Bar Association in 2002.
  • VNABA Affiliation: 2010 - present Chair Performance Improvement Steering Committee, Chair Ethics Committee, Chair CMS QI Improvement Committee, Chair Risk Management Committee, Chair Regulatory Committee, Chair Professional Advisory Committee, Co-chair Emergency Preparedness Committee, Member Best Practice Committee. Oversee program evaluation and execution of Shewhart Deming cycle of improvement for all quality improvement initiatives.
  • Past member Professional Advisory Committee at Mount Auburn Hospital Home Care.
Karen A. Chirsky Director of Business Development
University of Bridgeport, Bridgeport, CT, Bachelor of Science in Nursing
 
As the agency’s Director of Business Development, Karen supervises liaison staff in direct referral source service delivery and promotes the development of relationships with targeted community health and social service organizations, physician groups, managed care case managers, hospitals, rehabilitation hospitals, skilled nursing facilities, assisted living facilities, and others. Karen also monitors the external and internal environment to ensure provision of excellent customer service and assess opportunities for business development. Karen has 30 years of nursing experience in Massachusetts, Connecticut, and Arizona in a variety of settings, including home care, parish nursing, newborn ICU, pediatrics, adult medical/surgical, and orthopedics.
Keren Diamond SVP Clinical Services
Keren completed her BS in Nursing at the University of Pennsylvania and her MBA in Health Care Management at Boston University. After starting her career at Tufts Medical Center as a nurse on the Rehabilitation Unit, Keren moved into Home Health Care working at the Waltham VNA as a visiting nurse, Easter Seal Home Health as Assistant Director, UMassMemorial Home Health as Director, and HealthAlliance Home Health as Executive Director prior to taking her position as Senior Vice President of Operations at VNA of Boston. In her career Keren started both a new Home Health agency and a new Hospice, taught at a number of local universities, served eight years on the Board of the Home care Alliance of Massachusetts, and consulted on the most recent revision of national Home Care Administrator Certification standards. Keren has a strong track record in developing and implementing new programs and in decreasing cost while improving quality of care and operational efficiencies.
Stephanie Jackman-Havey Chief Operating Officer
Fitchburg State College, Fitchburg, MA, Bachelor of Science, Business Administration, Minor in Accounting
 
Stephanie is responsible for the billing and accounting, managed care, and insurance verification departments. This includes managing all aspects of the agency’s accounting and finance, including budgeting, consolidated financial statements, cost reporting, tax filings, year-end audits, and cash needs. Stephanie assists in financial analysis to make informed decisions of streamlining, efficiencies, and cost containment, and she developed internal/external financial and operational policies and audit controls.
David A. Rose Vice President of Human Resources
Boston College, Chestnut Hill, MA, Bachelor of Arts
Anna Maria College, Paxton, MA, Masters of Business Administration & Advance Certification in Business Administration with Concentration in Health Care Administration
Certification: Certified as Senior Professional in Human Resources (SPHR) by the Society for Human Resources Management
 
David is responsible for planning, organizing, developing, and evaluating the agency’s administrative services department, recruitment and retention, benefits and compensation programs, regulatory compliance, employee relations and performance evaluation, safety and wellness, personnel policy development, and the HRIS System. He has over 28 years working in the field of Human Resources with the last 23 years with the VNA Care Network and Hospice.
 
 
Jane O. Woodbury Vice President of Fund Development
Northeastern University, Boston MA, Masters of Business Administration
Boston University, Boston, MA, MS, Community Health Nursing
University of New Hampshire, Durham, NH, Bachelor of Science in Nursing
Green Mountain College, Poultney, VT, Associates of Arts
 
Most of Jane's nursing career has been in community health nursing, including visiting nursing and home health and hospice care in Massachusetts. This includes more than 25 years of home health and hospice management, including marketing, referral center, contracts, and public relations. In addition, Jane has over 20 years experience with nonprofit fundraising. Jane also has been an Instructor in the Community Health Nursing, RN to BSN Evening Nursing Program at Northeastern University, is a past recipient of a Sigma Theta Tau Research Award, and is a member/former member of the Visiting Nurse Associates of America, Home Care Alliance of Massachusetts, Planned Giving Group of New England, Women in Development, and the Massachusetts Public Health Association.

Awards

Award Awarding Organization Year
Home Care Star Award, Clinician of the Year, Shirley Lucier, MSN, RN, CNL, CWOCN Home Care Alliance of Massachusetts 2013
Home Care Star Award, Manager of the Year, Barbara B. Brooks, MSN, RN Home Care Alliance of Massachusetts 2013

Affiliations

Affiliation Year
-- --
Member of state association of nonprofits? Yes
Name of state association --

External Assessments and Accreditations

External Assessment or Accreditation Year
Joint Commission on Accreditation of Healthcare Organizations (JCAHO) - Home Care Accreditation --

Collaborations

VNA Care Network & Hospice collaborates with physicians and other health care providers, community-based agencies, and health and human service organizations, among other entities. These relationships assist us with meeting patient care needs through the identification of resources and linkage to needed services that support quality patient care and achieving the best patient outcomes possible. Informal feedback from our collaborators continues to be one of mutual respect and support.

CEO/Executive Director/Board Comments

--

Foundation Comments

--

Staff Information

Number of Full Time Staff 294
Number of Part Time Staff 341
Number of Volunteers 125
Number of Contract Staff 53
Staff Retention Rate % 87%

Staff Demographics

Ethnicity African American/Black: 18
Asian American/Pacific Islander: 7
Caucasian: 522
Hispanic/Latino: 17
Native American/American Indian: 0
Other: 0
Other (if specified): 7
Gender Female: 525
Male: 46
Not Specified 0

Plans & Policies

Organization has Fundraising Plan? Yes
Organization has Strategic Plan? Yes
Years Strategic Plan Considers 5
Management Succession Plan Under Development
Business Continuity of Operations Plan Yes
Organization Policies And Procedures Yes
Nondiscrimination Policy Yes
Whistle Blower Policy Yes
Document Destruction Policy Yes
Directors and Officers Insurance Policy Yes
State Charitable Solicitations Permit Yes
State Registration Yes

Risk Management Provisions

Accident and Injury Coverage
Workers Compensation and Employers' Liability
Commercial General Liability
Directors and Officers Policy
Medical Malpractice

Reporting and Evaluations

Management Reports to Board? Yes
CEO Formal Evaluation and Frequency Yes Annually
Senior Management Formal Evaluation and Frequency Yes Annually
Non Management Formal Evaluation and Frequency Yes Annually

Governance


Board Chair Ms. Diane L. LeClair
Board Chair Company Affiliation Greenberg, Rosenblatt, Kull, & Bitsoli P.C
Board Chair Term Apr 2005 - Apr 2014
Board Co-Chair --
Board Co-Chair Company Affiliation --
Board Co-Chair Term -

Board Members

Name Company Affiliations Status
Rita S. Advani Community Volunteer Voting
Janet M. Bovaird VNA Care Network & Hospice NonVoting
John Cogswell Community Member --
James F. Cosgrove Cosgrove & Blatt Voting
Renee L. Harper Liberty Mutual Voting
Stephanie Jackman-Havey VNA Care Network & Hospice Voting
Frederick H. Jamieson Community Member --
Diane L. Leclair Community Member --
Lenore Monahan Community Member --
Michael Morris Community Member --
Mary Ann O'Connor VNA Care Network & Hospice Voting
Catherine Simonian Community Member Voting
Robin R. Spaulding Community Member --
Zayda Vallejo Community Volunteer Voting
Carol VanDeusen Lukas Community Member --

Constituent Board Members

Name Company Affiliations Status
-- -- --

Youth Board Members

Name Company Affiliations Status
-- -- --

Advisory Board Members

Name Company Affiliations Status
-- -- --

Board Demographics

Ethnicity African American/Black: 1
Asian American/Pacific Islander: 0
Caucasian: 11
Hispanic/Latino: 1
Native American/American Indian: 0
Other: 1
Other (if specified): 0
Gender Female: 10
Male: 4
Not Specified 0

Board Information

Board Term Lengths 3
Board Term Limits 3
Board Meeting Attendance % 86%
Written Board Selection Criteria Yes
Written Conflict Of Interest Policy Yes
Percentage of Monetary Contributions 100%
Percentage of In-Kind Contributions --
Constituency Includes Client Representation Yes

Standing Committees

  • Advisory Board / Advisory Council
  • Development / Fund Development / Fund Raising / Grant Writing / Major Gifts
  • Finance
  • Investment
  • Patient Care

CEO/Executive Director/Board Comments

--

Foundation Comments

--

Financials


Revenue vs. Expense ($000s)

Expense Breakdown 2012 (%)

Expense Breakdown 2011 (%)

Expense Breakdown 2010 (%)

Fiscal Year Jan 01, 2013 to Dec 31, 2013
Projected Income $49,436,596.00
Projected Expense $48,481,642.00
Form 990s

2012 VNACN 990

2011 VNACN 990

2010 VNACN 990

2009 VNACN 990

Audit Documents

2012 VNACN Audited

2011 VNACN Audited

2010 VNACN Audited

2009 VNACN Audited

IRS Letter of Exemption

IRS Letter of Determination

Prior Three Years Total Revenue and Expense Totals

Fiscal Year 2012 2011 2010
Total Revenue $41,061,919 $35,369,140 $38,900,900
Total Expenses $41,669,637 $37,667,622 $38,088,786

Prior Three Years Revenue Sources

Fiscal Year 2012 2011 2010
Foundation and
Corporation Contributions
-- -- --
Government Contributions $114,674 $251,594 $285,730
    Federal -- -- --
    State -- -- --
    Local -- -- --
    Unspecified $114,674 $251,594 $285,730
Individual Contributions $669,727 $1,038,511 $984,279
Indirect Public Support -- -- --
Earned Revenue $39,774,352 $33,680,606 $37,204,365
Investment Income, Net of Losses $503,166 $398,429 $426,526
Membership Dues -- -- --
Special Events -- -- --
Revenue In-Kind -- -- --
Other -- -- --

Prior Three Years Expense Allocations

Fiscal Year 2012 2011 2010
Program Expense $35,475,062 $31,136,753 $32,636,920
Administration Expense $5,875,733 $6,202,881 $5,116,481
Fundraising Expense $318,842 $327,988 $335,385
Payments to Affiliates -- -- --
Total Revenue/Total Expenses 0.99 0.94 1.02
Program Expense/Total Expenses 85% 83% 86%
Fundraising Expense/Contributed Revenue 41% 25% 26%

Prior Three Years Assets and Liabilities

Fiscal Year 2012 2011 2010
Total Assets $11,043,292 $7,938,243 $10,551,287
Current Assets $7,091,005 $5,850,314 $7,760,533
Long-Term Liabilities $0 $0 $0
Current Liabilities $8,248,807 $4,536,040 $4,709,979
Total Net Assets $2,794,485 $3,402,203 $5,841,308

Prior Three Years Top Three Funding Sources

Fiscal Year 2012 2011 2010
1st (Source and Amount) -- --
-- --
-- --
2nd (Source and Amount) -- --
-- --
-- --
3rd (Source and Amount) -- --
-- --
-- --

Financial Planning

Endowment Value --
Spending Policy Income plus capital appreciation
Percentage(If selected) --
Credit Line Yes
Reserve Fund No
How many months does reserve cover? --

Capital Campaign

Are you currently in a Capital Campaign? No
Capital Campaign Purpose --
Campaign Goal --
Capital Campaign Dates -
Capital Campaign Raised-to-Date Amount --
Capital Campaign Anticipated in Next 5 Years? No

Short Term Solvency

Fiscal Year 2012 2011 2010
Current Ratio: Current Assets/Current Liabilities 0.86 1.29 1.65

Long Term Solvency

Fiscal Year 2012 2011 2010
Long-term Liabilities/Total Assets 0% 0% 0%

CEO/Executive Director/Board Comments

With the focus in health care now on new models of care that include serving more patients in their home setting, the need for resources to provide our home health and hospice services is greater than ever. We also face challenges associated with the need to control health care costs and a difficult reimbursement environment. This includes significant cuts in Medicare, poor reimbursement from Medicaid, and reimbursement from HMO insurances and private insurers and that does not always fully cover the cost of patient care. Beginning in July 2013, there will be increased responsibility for patients with significant medical and behavioral concerns and needs as part of a new initiative to oversee health care for some of the neediest adults in Massachusetts. Other challenges include numerous unfunded regulations (home health and hospice care is highly regulated) and visit based protocols that ignore specifics regarding each patient’s level of acuity and/or response to care and treatment that our home health nurses and therapist provide. Despite these challenges, we continue to implement care management protocols, expand clinical staff supports, and make use of advances in home care technology and equipment. These efforts are supporting our goal of continuing to reduce patient care costs while achieving clinical excellence in the delivery of our home health services, hospice care, and community wellness programs as measured by patient outcomes and quality benchmarks, patient and referral source satisfaction, and accreditation that uniquely recognizes our commitment to the highest level of quality and safety. We are grateful for philanthropic support that truly has high impact in helping with these challenges and opportunities and ensuring needed patient care.

Foundation Comments

Financial summary data in the charts and graphs above are per the organization's IRS Form 990s.  Contributions from foundations and corporations are listed under individuals when the breakout was not available.

Documents


Other Documents

No Other Documents currently available.

Impact

The Impact tab is a section on the Giving Common added in October 2013; as such the majority of nonprofits have not yet had the chance to complete this voluntary section. The purpose of the Impact section is to ask five deceptively simple questions that require reflection and promote communication about what really matters – results. The goal is to encourage strategic thinking about how a nonprofit will achieve its goals. The following Impact questions are being completed by nonprofits slowly, thoughtfully and at the right time for their respective organizations to ensure the most accurate information possible.


1. What is your organization aiming to accomplish?

--

2. What are your strategies for making this happen?

--

3. What are your organization’s capabilities for doing this?

--

4. How will your organization know if you are making progress?

--

5. What have and haven’t you accomplished so far?

--