Annual Report 2013

the NVNA FOUNDATION
A Banner Year in Review
ANNUAL REPORT
2013
NVNA
WORKS
PAT ROCH E
H OSPICE
H OM E
A Message from Leadership
NVNA and Hospice experienced a very successful 2013 reflected by a number of
magnificent events:
• The opening of the Pat Roche Hospice Home on Turkey Hill, Hingham – the only
hospice residence from Needham to Cape Cod and the first to serve the South Shore
• For the 8th straight year, received the Home Care Elite Award™ designating NVNA
and Hospice in the top 25% of home care agencies in the nation (8500 agencies
participating) and this year within the Top 500
• Continued high Medicare patient outcome measures, most notably, Patient Satisfaction and reduced hospital re-admission scores
• Award for Innovation in Patient Care from the Home Care Alliance of MA for
Advanced Practice Project in Alzheimer’s Specialty Care
• Steady growth with our private services division, NVNA Works
• Cancer Support Community continues to flourish in both financial support and
program offerings, free of charge to our community members touched by cancer
• Strong financials
Our work remained focused on reducing unnecessary acute care re-hospitalizations of patients through the use of
telemonitoring as a standard of care as well as developing our palliative care program and growing our hospice services.
Developing community partnerships with local long term care and assisted living facilities as well as physician groups is
an ongoing imperative.
Despite a healthcare environment that presents new challenges every single day, NVNA and Hospice continues to be
an important provider of post-acute and advanced illness care on the South Shore. Newly developed organization and
reimbursement models continue to evolve and include homecare as a major player in improving patient outcomes and
decreasing the costs of care. Our involvement with the Visiting Nurses of New England, particularly with education and
advocacy, remains a priority as well.
We no longer simply treat an illness at home and discharge a patient. Our responsibility is much greater, delivering preventative
care and programs to maximize quality of life and enhance wellness. We embrace this new model of care and are confident we
will continue to perform at the top of our class leading our patients to better health.
We provide care in 27 communities south of Boston with talented and dedicated field clinicians who regularly receive
high praise from patients for their expertise and compassionate care. Without the support of a loyal volunteer board of
directors, as well as our marketing team, clinical and quality managers, and development and office staff, achieving our
clinical and business goals would not be possible.
We are pleased to share our year’s accomplishments for 2013 as well as acknowledge the many generous individuals,
businesses and foundations that help make our success a reality. We are deeply thankful to all who support our work
and our mission.
Sincerely,
Meg Doherty, MSN, ANP-BC, MBA, ACHCE
CEO, NVNA and Hospice
Donald Beaudette, Ed.D
President, NVNA and Hospice Board of Directors
TABLE OF
CONTENTS
2013
2
4-5
6-7
8
10
11
12
13
14
15 16
Leadership Message
Executive Boards
Photo Album
2013 Highlights
NVNA Foundation
NVNA and Hospice
Statistics of Note
Patient Satisfaction
NVNA Works
CSC - MSS
Map of Towns | Offices
EXECUTIVE
Committees
Leadership
Committees
2013
Board of Directors
Officers
Donald J. Beaudette, Ed.D, President
Norwell
President
Donald J. Beaudette
Norwell
Bruce Graham, Vice President
Norwell
Robert Dwyer, Treasurer
Norwell
Ilana Quirk, Clerk
Scituate
Kevin Callanan, Alternate Clerk
Scituate
David Barcomb
Norwell
Vice President
Bruce W. Graham
Norwell
Treasurer
Robert F. Dwyer
Norwell
Clerk
Ilana M. Quirk
Scituate
Alternate Clerk
Kevin B. Callanan
Scituate
Susan Carson
Norwell
Kathleen Donahue
Scituate
NVNA and Hospice
Finance Committee
Ed Ford
Hingham
Robert Dwyer, Chair
Norwell
Ellen Hoadley
Cohasset
David Barcomb
Norwell
Paul Miles
Norwell
Christopher Fahey
Hingham
Chris Perkett
Marshfield
Paul Miles
Norwell
Patrick J. McAuliffe
Hanson
Ed Ford
Hingham
Michael Morris
Norwell
Lee Heiler
Plymouth
Sean Ryan
Norwell
NVNA and Hospice Staff
Meg Doherty, CEO
Judi Labossiere, COO
THE NVNA FOUNDATION
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Christy Campea, Finance Director
Professional
Advisory Committee
Ann Allegrini
Norwell
Maureen Banks, RN, MS
Jamaica Plain
Susan Carson, RN
Cohasset
Joanne Dalton, RN, PhD
Duxbury
Meg Doherty, MS, ANP, MBA, AHCE
Norwell
Ellen Hoadley
Cohasset
Ronald Kearns, Esq.
Quincy
Stephanie Limbert, MD
Marshfield
Judi Labossiere, RN, MBA, AHCE
Lincoln
Shelley MacDonald, RN, MS
South Hanover
Mary Lou McNiff, RN
Braintree
Michelle Mudgett, MD
Norwell
Richard Seibert, MD
Norwell
Beth Spaulding, MSW
Marshfield
Pam Talbot, SLP
Hanover
Irene Toomey, RN, MBA
Harwich
Bernadette Ward, PT, CDP
Scituate
NVNA Works, Inc.
Board of Directors
CSC-MSS
Board of Directors
Hospice House Building
Committee Members
NVNA Affiliated Directors
Donald J. Beaudette
Norwell
Bruce Graham, President
Norwell
Ralph Gordon
Norwell
Robert F. Dwyer, Treasurer
Norwell
Skip Joseph
Norwell
Gail Mitton, Clerk
Hingham
Don Beaudette
Norwell
Kathleen Donahue
Scituate
John Barry
Hanover
Ann Allegrini
Norwell
Meg Doherty
Norwell
Karen Souza
Hanover
Mary Anne Cariolo
Carver
Anne Greene
Norwell
Maureen Banks
Jamaica Plain
Pat Aslanis
Hingham
Bob Crea
Rockland
Bruce W. Graham
Norwell
Sean T. Ryan
Norwell
Robert F. Dwyer
Norwell
Ilana M. Quirk
Quincy
Ellen M. Hoadley
Norwell
Susan J. Carson
Norwell
Kevin B. Callanan
Scituate
Outside Directors
Peter M. Dillon
Norwell
Ellen Allen
Norwell
John Crompton
Wrentham
PHOTOS
Highlights
2013
1
THE NVNA FOUNDATION
6
2
3
Photo Album
4
1
Representatives Garret Bradley and Rhonda Nyman
pose with long-time board member Bob Dwyer at the
opening of the Hospice House.
2
Blessing of the Chapel service included volunteers, staff,
benefactors, and clergy who offered prayers and inspiration.
3
Festival of Wreaths, a major fundraiser for CSC-MSS,
was a joyful success.
4
Our Veterans’ Recognition Program includes a special
luncheon for our local Veteran’s Agents who assist us with
recognizing veterans in our hospice program in gratitude
for their service to our country.
5
5
Our GOT SUPPORT? Team ran on behalf of CSC-MSS
at the 2013 Falmouth Road Race.
HIGHLIGHTS
Hospice Home
Meg Doherty honored
Top 500 Agencies
Innovation Award
2013
Highlights of the Year
• Our Hospice House opened in September of 2013, after
many years of planning, development, reconstruction and renovation.
•
CEO Meg Doherty was appointed by Governor Deval Patrick
to the Massachusetts Public Health Council.
• For the 8th Year in a Row, NVNA and Hospice named to the HomeCare Elite™
this year once again being chosen within the Top 500 Agencies in the
Nation!!! NVNA and Hospice is the only Massachusetts agency selected for
Home Care Elite every year the award has been given.
Pat Roche Hospice Home on Turkey Hill, Hingham
• The Home Care Alliance of Massachusetts presented the Award
for Innovation in Patient Care to our agency for our Advanced
Practice Project in Alzheimer’s Specialty Care.
Accomplishments
25% Employee Growth
Certifications received by:
• Two home health aides as Hospice & Palliative Nursing Assistants
• Two nurse practitioners for Council for Affordable Quality Health Care
• One nurse for Home Care Coding Specialist-Diagnosis
In-House Education Program included:
• Alzheimer’s Certification Class by 100% of Field Staff
• Cardiopulmonary Competency completed by 100% of Clinical Staff
• Oasis training
• Wound Care classes
• Integrated Chronic Care Management training in Alzheimer’s, Diabetes, and
Falls Prevention for all clinical staff
Preceptorship student training program and field experience for 60 students from:
•
•
•
•
University of Massachusetts/Boston School of Nursing
Mass General Hospital Institute of Health Professions
Simmons College
Northeastern University School of Physical Therapy
Financial Highlights
Medicare Full Episodes
FY2013
Underfunded and Free Care
FY2012
% change
3,208 3,206 0
$1,765,467 $1,778,169 -1
Breakdown of Payor Source
Medicare
71 %
MGD MCR
10
HMO and Other
18
Medicaid
1
Self Pay
0
FY2013 Patients Served
Certified Homecare
Hospice Program
TOTAL
4,152
316
4,468
THE NVNA FOUNDATION
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FINANCIAL
STATEMENT
1600+ gifts received
2013
NVNA Foundation, Inc. and Subsidiaries
Consolidated Statement of Operations
For the Years ended December 31, 2013 and 2012
2013
2012
Operating Revenue
Patient service revenue$18,985,414 $19,111,367
Provision for bad debts
(167,123)
(62,781)
Net patient service revenue
18,818,291
19,048,586
Other Operating Revenue
136,902
74,016
Total Operating Revenue
$18,955,193
Operating Expenses
Salaries and Benefits
Other Operating Expenses
Depreciation
Interest Expense
$19,122,602
14,502,042
3,754,061
100,270
4,756
14,265,589
4,015,947
84,028
--
18,361,129
18,365,564
594,064
757,038
Other Revenue and Gains
Contributions Investment Income
Recognized Change in Fair Value of Investments
443,606
207,780
2,241,713
424,096
272,406
1,059,620
Total Operating Expenses
Operating Income
Total Other Revenue and Gains
Excess of Revenue over Expenses
Contribution for Capital Acquisition
Increase in Unrestricted Net Assets
2,893,099
1,756,122
3,487,163
3,214,344
$6,701,507
2,513,160
-$2,513,160
Holding Rockland Trust’s donation for the
hospice house are (l to r): Ralph Tedeschi,
Kathleen Callahan of Rockland Trust, Kathy
Tedeschi and Maureen Scioscia, Hospice
Home Manager; second row: Nancy Bailey
of Rockland Trust and Maureen Banks, VP of
Patient Services for NVNA and Hospice;
back row: David Smith of Rockland Trust and
Don Beaudette, NVNA and Hospice Board of
Directors, President
FY2013 NVNA and Hospice Development Highlights
• Raised $1,337,227.19 for patient care
• Over 1600 gifts received
• 2013 NVNA and Hospice Annual Golf Tournament raised $59,157 net
Awarded charitable grants from:
Eastern Bank Charitable Foundation
Rockland Trust Charitable Foundation
South Shore Bank Charitable Foundation
Awarded program grants from:
Title III Federal Grants as administered by South Shore Elder Service
THE NVNA FOUNDATION
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HIGHLIGHTS
Pat Roche Hospice
Home
STATISTICS
Meg DohertyCertified
honoredVisits
Top 500
2013
Statistics of Note
Average Age of Patients: 80.09 (national 74.73) | 63 % Female (national 62 %)
FY2013 % change
Visits (certified)
Admits (certified)
104,645 3,830 FY2012
6%
-1%
99,106
3,876
Top Diagnoses
1.
2.
3.
4.
5.
6.
Orthopedic/Rehab
Surgical After care
Congestive Heart Failure (CHF)
Chronic Obstructive Pulmonary Disease (COPD)
Diabetes
Neuro (e.g. Parkinson’s, Alzheimer’s, Multiple Sclerosis)
FY2013 % change
Hospice Patient Days
Hospice Admits 13,790 313 FY2012
0% 6
13,849
294
Rehospitalization Rates (lower is better)
25.00%
20.00%
15.00%
10.00%
5.00%
0.00%
January
February
March
April
May
June
July
August
September
October
2012
19.20
22.10
17.80
15.10
16.60
18.90
17.80
18.20
18.50
15.65
16.31
18.89
2013
15.39
14.04
10.89
14.17
13.80
12.88
10.37
11.39
12.69
11.16
12.07
11.85
SOURCES: Strategic Healthcare Programs (SHP) real-time data; FEHC Survey Results
The Family Evaluation of Hospice Care (FEHC) is a post-death survey designed to yield actionable
information that reflects the quality of hospice care delivery from the perspective of family caregivers.
November December
Hospice Satisfaction
G1 Overall, how would you rate the care the patient received while under the care of hospice?
90%
80
70
60
50
40
30
20
10
0
Excellent
Very Good
Good
Fair
Poor
NVNA
78%
17%
4%
1%
0%
MA
72
21
4
2
1
SHP
70
22
5
2
1
HHCAHPS Patient Satisfaction
Home Health Compare 2013
Percent of patients that reported YES, they would definitely recommend
the agency to friends and family
National
79%
MA
82%
NVNA
91%
72%
74
76
78
80
82
84
86
88
90
92
THE NVNA FOUNDATION
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GROWTH
NVNA Works
CSC-MSS
2013
NVNA Works
Financial Highlights
NVNA Works FY2013 FY2012
% change
Billable Hours
76,510 66,480 15
Net Revenue
$1,940,768 $ 1,731,948 12
1,599,358 1,428,801 12
$ 341,410 $ 303,147
13
Operating Expenses
Net Income
Created new programs and services to better meet clients’ specific needs, such
as accompanying a loved one to a wedding so that the rest of the family could
enjoy the celebration without worrying about their loved one who may be limited
in participating and want to leave early.
NVNA
WORKS
Two new programs were designed to expand upon these specific needs:
• At Your Aide Program
Provides care when you can’t be there...whether it’s overnight at a loved one’s hospital
bedside or day and night during a short-term rehab stay...our trained and certified aides
can provide the extra companionship and assistance your loved one may need during
difficult times in an unfamiliar setting.
• Transitions Program
Assists clients transitioning from their present home to a new home (e.g. an assisted living
community). Our caregivers meet clients while they are still in their home and spend time
with them there getting ready for the move. Once relocated, the caregiver continues to
visit in the new setting until the clients become comfortable with their new surroundings.
THE NVNA FOUNDATION
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Cancer Support Community - MSS
Growth, Growth, and More Growth in 2013!
•
•
•
•
Participation grew by 150%
Referrals increased from local cancer center social workers
Outreach excpanded through events and community initiatives
Volunteer growth from South Shore Medical Center’s Volunteer Initiative program
Major Fundraising Sources
•
•
•
Festival of Wreaths Falmouth Road Race
Scituate Harbor Yacht Club Golf Tournament
$60,000
26,000 raised by 20 runners
26,000 proceeds gifted to CSC-MSS
Grants Received
•
•
•
Chrystine M. Sullivan Foundation
Colon Cancer Coalition
Salah Foundation
Collaborations with Local Businesses to Raise Awareness
•
•
•
•
•
Wings of Hope Butterfly Event with Derby Street Shoppes of Hingham
Brighton Collectibles special shopping month
Whole Foods of Hingham special shopping month
UNO’s of Hanover percent of food sales day
Hanover Mall gift wrapping
Programs and Professional Development Collaborations
•
•
Led workshops at Friends of Mel’s Art of Living - Life Beyond Cancer Conference
Consultant and resource for South Shore YMCA Moving Forward After Cancer program
New Programs Introduced
•
•
Healthy Steps – 8 week program
Legacy Writing – 3 week workshop
CSC-MSS Monthly Statistics through 2013
All Programs
200
180
160
140
120
100
80
60
40
20
0
January
February
March
April
May
June
July
August
September
October
November December
2013
149
111
159
142
185
176
148
123
178
178
140
129
2012
73
77
112
136
172
118
90
87
102
115
62
68
2011
39
41
65
46
48
72
86
67
76
77
66
73
HIGHLIGHTS
Pat Roche Hospice Home
NVNA FOUNDATION
Meg Doherty honored
Top 500
Geographic coverage
2013
Offices and Towns
NVNA and Hospice
NVNA Works
nvna.org
781.659. 2342
nvnaworks . org
781.871.1040
Hospice Residence
Cancer Support Community
MA - South Shore
nvna.org
781.659. 2342
cancersupportcommunityma . org
781.610.1490
93
Milton
Hull
Hingham
Quincy
Cohasset
228
Hospice Residence
Weymouth
Braintree
Scituate
Norwell
3
Abington
Hanover
Rockland
Holbrook
53
Whitman
Hanson
Marshfield
Pembroke
Duxbury
Serving Boston’s South Shore
NVNA and Hospice
Norwell (main office) Route 3, Exit 14
Plymouth (satellite office) Route 3, Exit 3
NVNA Works
Hanover Route 3, Exit 13, on Route 53
Cancer Support Community
MA - South Shore
Norwell Route 3, Exit 14
Hospice Residence
Hingham Route 3, Exit 14, to Rte 228
Halifax
Kingston
Plympton
Carver
Plymouth
the NVNA FOUNDATION
120 Longwater Drive
Norwell, MA 02061
www.nvna.org
781.659.2342