2013 Annual Report - Visiting Nurse Service of New York
Transcription
2013 Annual Report - Visiting Nurse Service of New York
Visiting Nurse Service of New York 2013 Annual Report L I N T E R S E C T I N G V E S Visiting Nurse Service of New York 107 East 70th Street, New York, NY 10021 1-888-VNS-1-CALL (1-888-867-1225) www.vnsny.org INTERSECTING LIVES A Message from the Board Chair and the President and Chief Executive Officer Throughout its remarkable history, the Visiting Nurse Service of New York has always seized the moment and responded with both vision and purpose John P. Rafferty Board Chair Mary Ann Christopher MSN, RN, FAAN President and CEO on behalf of those in need. When Lillian Wald founded VNSNY in 1893 on the Lower East Side of Manhattan, her very first acts included marshaling a vast array of services, from private relief agencies to the medical establishment itself, so that her fledgling organization could provide patients with everything from ice, sterilized milk, and meals to medications, immunizations and visiting nurse services. She was guided by a steadfast belief that the health and well-being of her patients, their families, and their communities were dependent on the connections that bind us together, and the collaborations we could build. Two years ago, we, like every other healthcare provider, faced an unprecedented challenge. Emerging from a global economic crisis, we collectively needed to re-imagine how to create, deliver and pay for essential healthcare services during a period of unmatched transformation. The future would be marked by a growing elderly population aging in place, living longer than ever before. It would be governed by ongoing and dramatic public policy shifts at the state level, as well as implementation of sweeping national health care reform. The healthcare industry would be asked to contribute more financially than ever, at a time when we were embracing the tenets of the Triple Aim: To ensure access to care to all populations, deliver evidence-based quality care, and reduce costs through coordinated care, increased technology and administrative streamlining. The moment in which we found ourselves demanded vision and purpose, from the organization entrusted with preserving the public health safety net for all. It required the most highly competent, innovative, compassionately delivered health care possible from the largest, most respected not-for-profit homeand community-based healthcare organization in the country. 1 INTERSECTING LIVES “As we transform, we will bind VNSNY more closely than ever to the lives of our patients and members, the fabric of our communities, and the future of our partners and customers.” We are pleased to report that, in 2013, VNSNY responded, with profound results. We strengthened our direct, interpersonal connections with the tens of thousands of New Yorkers for whom we care each and every day. We also improved our capacity as an organization through several restructuring initiatives, and forged broad, innovative collaborations with other healthcare providers, educational institutions, community agencies and the public sector. This year’s Annual Report, “Intersecting Lives,” chronicles these unique and essential partnerships. Our organization’s impact is due to the visionary stewardship of our Board of Directors and the remarkable efforts of more than 16,500 staff, including nurses, physicians, rehabilitation therapists, social workers, home health aides and other frontline team members who deliver care to our patients. Likewise, our dedicated business support staff, exquisite volunteers and generous donors underpin all that we do. The internal and external connections built and advanced by the VNSNY team in 2013 honor the vision of our past, and chart our course toward a very bright future. We are collaborating each day with our partners to improve the quality of patient care, reduce re-hospitalizations, and lower costs. We are developing new models of care with our payor, hospital, physician, housing, faith-based and subacute allies to create a safe passage for patients across the 2 continuum. These approaches—which range from the use of transitional care coaches and telephonic monitoring to the implementation of new evidence-based protocols—are already producing significant results. VNSNY launched a number of new initiatives in 2013, many of which you will see on the pages that follow. Last year, for example, saw the geographic expansion of our highly successful Nurse-Family Partnership into Nassau County, and the continued expansion of VNSNY CHOICE Managed Long Term Care into new markets. Meanwhile, our acquisition of the home health agency established by the Brooklyn Hospital Center has significantly extended VNSNY’s operations in that borough. We partnered with academia extensively as well, working with schools of nursing, medicine, social work and public health in the New York metropolitan area to promote academic progression of our staff and offer interprofessional community-based clinical experiences to students. Concurrently, our University Roundtable allows us to intersect with academic partners on a policy level, creating a unique forum in which educators and healthcare leaders can exchange ideas and advance research collaboratives. In addition, last year’s launch of the Affordable Care Act’s national and state-based Health Exchanges provided an opportunity for VNSNY to partner with insurers and other A MESSAGE FROM THE BOARD CHAIR AND PRESIDENT AND CEO healthcare organizations to make our care accessible to all those in need. We continue to disseminate global thought leadership in home- and community-based health care through our Center for Home Care Policy and Research, and our team’s presence at professional conferences have fostered new relationships with healthcare organizations around the globe. the lives of our patients and members, the fabric of our communities, and the future of our partners and customers. By combining our unique tradition of safety-net health care delivery with today’s imperative to innovate, we stand ideally positioned to seize new opportunities to strengthen the health care system, and to intersect in ever more powerful ways with the lives of those under our care. Quality initiatives remained at the heart of our innovation, including the launch of our Journey to Magnet. We participated with health care professionals across the continuum to advance practice models which have advanced top decile performance in the care of patients. Thank you for your support of the Visiting Nurse Service of New York. We hope the stories you will see in this Report convey our vision for the future, and the purpose by which we embrace the present. We advanced these and other endeavors in 2013 while continuing to honor our mission by providing $30.3 million in charitable care and community benefit to under and uninsured New Yorkers. We provided a vital safety net to young mothers in the Bronx with our NurseFamily Partnership, supported young fathers in the Bronx and the Rockaways with our Fatherhood programs, and brought behavioral health services to vulnerable individuals through our Health Home partnership in Manhattan and the Bronx. John P. Rafferty Board Chair Mary Ann Christopher MSN, RN, FAAN President and Chief Executive Officer VNSNY has remained true to its mission commitment despite significant changes in the reimbursement and policy landscape. Faced with the pressure of operational losses and transforming the delivery system, we have implemented a major restructuring effort focused on an evidence-based, cross-continuum practice model, an integration of best-inclass patient and caregiver engagement strategies, and a work process and technology redesign aimed at achieving administrative simplicity, efficiency and the elimination of redundancy. We will continue to adopt new models, explore new roles, collaborate with new partners, and embrace change as the norm. VNSNY has always been—and will continue to be— the most exemplary steward of the public health. As we transform, we will bind VNSNY more closely than ever to 3 INTERSECTING LIVES 2013 Highlights VNSNY Opens a New Chinatown Community Center In January, VNSNY opened a new streetfront Community Center at 8 Mott Street in the heart of Chinatown. The Center, which is staffed seven days a week by social workers and VNSNY CHOICE program assistants, offers the community a wide range of health screenings, classes and support groups. Joy of Nursing On May 13, in celebration of Nurses Week, VNSNY held a special “Joy of Nursing” breakfast event at the Grand Hyatt in midtown Manhattan to honor our more than 1,900 nurses and nurse managers. “Thank you for the healing touch you bring to this transformative time in health care,” President and CEO Mary Ann Christopher praised the nurses in her opening remarks. Falls Prevention Community Seminars VNSNY provided education and resources to more than 1,100 caregivers and elderly New Yorkers in 2013, through our popular and expanding Falls Prevention community seminars, which are co-sponsored by elected officials and community leaders. VNSNY Haven Hospice Reopens On February 7, our 25-bed Haven Hospice Specialty Care Unit in Bellevue Hospital Center reopened its doors, after having been closed more than three months for repairs following Superstorm Sandy. 4 Best Companies to Work For in New York State In 2013, VNSNY once again was named to the list of Best Companies to Work For in New York State. 2013 Golf Classic On June 10, The VNSNY 2013 Golf Classic was held at The Apawamis Club in Rye, NY. Despite the rain that day, the inaugural event was a big success, raising over $280,000 for the relocation and operations of the VNSNY Early Steps Family Center in Rockaway Beach, Queens, which was destroyed by Superstorm Sandy. Mary Ann Christopher, Frank J. Branchini, Claire M. Fagin and Joel Grey 2013 Annual Benefit Gala On November 14, VNSNY held its annual benefit gala at the Waldorf-Astoria. The event drew 700 people, our largest attendance ever, and raised nearly $1.2 million to support our Children and Family Services programs, which provide direct care and specialized support services to almost 10,000 children and their families each year. Frank J. Branchini, Chairman and CEO at EmblemHealth and Claire M. Fagin, PhD, RN, FAAN, former dean of the School of Nursing at the University of Pennsylvania and a long-time VNSNY Board Member, were the honorees. Actor and entertainer Joel Grey was Master of Ceremonies. VNSNY Reopens Early Steps Family Center in New Location In mid-July, VNSNY staff moved into our newly constructed Early Steps Family Center, a four-story, 20,000-squarefoot building on Beach 87th Street in Rockaway Beach. The building was leased and renovated with funds from a $3.2 million federal grant awarded to VNSNY by Head Start after flooding during Superstorm Sandy destroyed our Early Steps Family Center at Rockaway Beach Boulevard. In the weeks that followed, the staff began offering a number of community services at the new center. Starting in 2014, the center will also house VNSNY’s Early Head Start program as well as our new Head Start program, funded by: Administration for Children and Families (ACF), Region II Office of Head Start, Robin Hood, Save the Children, Baby Buggy Inc., Bank Street College, Full Gospel Tabernacle Church, Hammel Community Center, Herbert A. Licht, IKEA and FEMA. VNSNY’s Nurse-Family Partnership Expands to Nassau County Our Nurse-Family Partnership, which provides intensive, at-home nursing assistance to first-time pregnant women and their infants, was awarded a contract by the New York State Department of Health to expand to Nassau County. The $550,000 contract, which took effect October 1, is enabling VNSNY to offer growth and developmental monitoring, parenting education and therapeutic intervention to high-risk women and their babies throughout the county. 5 INTERSECTING LIVES VNSNY’s IT Transformation VNSNY in the News In 2013, more than 135 stories appeared in the local and national media about VNSNY’s ongoing, missioncentered focus. As the wide coverage of VNSNY’s efforts in print, television and Internet media demonstrates, these life-affirming stories are resonating both in New York and across the nation. In 2013, VNSNY embarked on a transformative upgrade of its information technology (IT) infrastructure. Key milestones include the development and dissemination of new, customized care management and business software tools, deployment of new Wi-Fi-equipped computer tablets to our clinical and business staff, the installation of high-tech “Vblock” hosting technology at VNSNY’s primary data center, our launch of a new actuarial platform that will be used for analytics, risk reporting and product development, and a retooling and streamlining of the organization’s IT Help Desk. VNSNY Hospice and Palliative Care and Partners in Care Both Turn 30 A New Era at VNSNY: Shared Governance In 2013, VNSNY embarked on an important, enterprise-wide journey toward Shared Governance—an innovative organizational model that brings frontline staff together with managers to share in the decision-making and improvement process across our organization. Through a network of seven councils, the majority of whose members are cross-discipline frontline VNSNY staff members, Shared Governance extends control and authority over clinical practices to our clinicians themselves. This approach is helping us to improve patient outcomes, increase patient satisfaction and retain employees, and is also central to VNSNY becoming an American Nurses Credentialing Center Magnet-designated healthcare organization. 6 One of the first hospice programs to be established in New York after the enactment of the Medicare Hospice Benefit in 1982, VNSNY Hospice and Palliative Care has grown from serving just over 100 patients at its inception in 1983 to become the largest hospice and palliative care program in the New York metropolitan area, caring for nearly 1,000 people and their families, every day— the vast majority of them in their own homes. Thirty years ago, VNSNY also launched Partners in Care— helping VNSNY fulfill its mission by allowing us to provide high-quality, private pay home care to more New York City area residents, while also generating additional revenue that serves as a vital source of funding for our charitable care and community service programs. Partners in Care has grown steadily over the past three decades. On any given day, more than 10,000 New Yorkers are being cared for by Partners in Care nurses, rehabilitation therapists, social workers and home health aides. Senator Schumer President and CEO Mary Ann Christopher (at right) and Senior Vice President of Government Affairs Judy Duhl spoke to New York Senator Chuck Schumer on October 29, at an event sponsored by the National Association for Home Care & Hospice in recognition of the extensive work Senator Schumer has done on behalf of VNSNY and other home health agencies. Senator Schumer often credits his home visit with a VNSNY patient in the Bronx as helping to educate him about the importance of home health care and the significance of the work we do. During 2013, city, state and federal officials evaluated and refined disaster preparedness plans, working with healthcare organizations like VNSNY on ways to keep vulnerable New Yorkers out of harm’s way. In partnership with the New York Academy of Medicine, the New York City Department of Health and Mental Hygiene, and the Greater New York Hospital Association, VNSNY is involved in a number of task forces to streamline citywide response efforts. We are strengthening other partnerships formed during the Sandy response as well, including our continuing work with the American Red Cross on the Disaster Distress Response Program and with NYU College of Nursing on increasing access to health care support for older adults living in NYU’s Greenwich Village housing, who became homebound during Sandy. VNSNY’s Employee Flu Program On December 19, the New York State Health Commissioner announced that influenza was prevalent in New York State. Effective from that date forward, the state mandated that all healthcare personnel who had not received a flu shot for the 2013-2014 flu season must wear a respiratory mask during any face-to-face visit with a patient. Four months earlier, VNSNY had launched its own employee flu vaccination program, making it as easy as possible for staff to become vaccinated. By flu season’s end, 86% of our 16,500 staff had been vaccinated. The Power of Partnerships Natural disasters have a way of revealing both strengths and weaknesses of a safety net, and Superstorm Sandy was no different. Immediately after the storm struck in late October 2012, many vulnerable New Yorkers—particularly the elderly in flooded high-rises—became homebound, with no electricity, running water, food or heat. For them, the Visiting Nurse Service of New York was their lifeline, as more than 5,000 VNSNY nurses, home health aides, social workers and other clinicians trooped floor to floor and door to door to ensure that people were safe in their homes. 7 INTERSECTING LIVES Creating New Intersections of Health This is a time of rapid and sweeping transformation in health care: As the nation’s healthcare system integrates the elements of the Triple Aim —to enhance the patient experience, improve health outcomes, and reduce costs— community-based care providers like the Visiting Nurse Service of New York are taking on a critical role in promoting and protecting America’s health and well-being. In particular, new policies are placing greater emphasis than ever on patient-centered, community-centric care, preventive health, chronic disease management and care coordination—all areas where VNSNY excels. In recognition of these transformative changes, VNSNY has taken the lead in forging strategic collaborations with other organizations, large and small, to create innovative new frameworks for care delivery and care coordination for patients of all ages, from newborn infants to our oldest seniors. These partnerships cover a wide array of entities, including acute-care medical centers, community-based organizations, insurers, government agencies at all levels, academic institutions, and other home care agencies. All of these relationships are creating new intersections of healthcare—linking together VNSNY, our network of partnering organizations, and the health of individuals, families and neighborhoods across New York. One key focus of these partnerships is to improve the transition from hospital to home. For example, we collaborated with White Plains Hospital to establish the role of Transitional Care Coaches, who help high-risk patients to manage their care after returning home. We have also partnered with Mount Sinai Medical Center on programs that are reducing post-surgical sternal wound infection rates and enabling cardiology patients to leave the hospital sooner through home monitoring of anticoagulant therapy. Other VNSNY collaborations with area medical centers are helping to stabilize emergency room patients so they can be discharged home, providing targeted home care in the first days after returning home, and replacing inpatient rehabilitation with intensive home rehab for orthopedic surgery patients. Additional VNSNY partnerships are aimed at helping patients manage chronic conditions, such as our collaboration with the MagnaCare Health Network, in which VNSNY clinicians provide care counseling to middle-aged clients with hypertension, diabetes and elevated blood cholesterol. 8 Similarly, our “Co-Care 90” model aims to improve the quality and coordination of care during the 90-day period following a hospitalization for congestive heart failure. In this program, VNSNY nurses trained in Population Care Coordination work closely with patients, caregivers, provider teams and community-based organizations to provide targeted interventions aimed at improving patients’ quality of life and reducing risk of re-hospitalization. We are also improving end-of-life care, through initiatives like our Hospice Physician Fellowship Training Program—an educational program supported by seven funders that each year provides a holistic home hospice care experience to 30 physicians from New York-area medical centers. promote the health of individuals and families in the community through Some of our most innovative collaborations are designed to programs that intersect with the lives of residents at critical points. In our Mobile Crisis Team initiative, we partnered with the New York City Department of Health and Mental Hygiene to provide prompt treatment for individuals suffering from acute psychiatric or behavioral problems. Two VNSNY post-Superstorm Sandy outreach programs, funded by the Red Cross and FEMA respectively, provided targeted care for those most affected by the storm. We are also partnering with faith-based organizations in Staten Island to promote healthier nutrition, joining local officials to implement falls prevention education and flu vaccination programs, and collaborating with community-based organizations to establish a Health Home program for vulnerable residents with chronic behavioral health needs. Finally, we are partnering with universities, colleges and other educational organizations to advance the education and training of VNSNY’s clinical and administrative staff and develop new quality initiatives. A number of our nursing school collaborators are offering tailored bachelors and masters degree courses to cohorts of VNSNY nurses, for example. We also teamed with the NYU College of Nursing to develop a program in which VNSNY managers meet regularly to share their experience and insights with each other. Thanks to these partnerships, VNSNY is intersecting with an ever-growing number of individuals and families in New York City and beyond, helping them connect with care providers, access community resources, and proactively manage their health. 9 INTERSECTING LIVES Bundled Payments Initiative Collaborating to provide excellent care for Trudy after her hip replacement. Bundled Payments Initiative The Bundled Payment for Care Improvement Initiative (BPCI), part of one of the healthcare reforms contained in the Affordable Care Act, is transforming how Medicare pays for acute and post-acute care. VNSNY is collaborating with NYU Langone Medical Center to provide “bundled,” patient-centered care for Medicare beneficiaries undergoing certain procedures—joint replacements, cardiac valve operations, and certain spinal operations. This collaboration starts with admission for surgery and extends over an “episode of care” lasting 90 days. VNSNY and NYU Langone are focusing jointly on the Triple Aim goals of creating an enhanced patient experience, improving health outcomes across the patient population, and lowering overall cost. “The program rewards providers who communicate and work closely together during the hospital stay and in particular after the patient has been discharged from the hospital,” 10 explains Dr. Gary Kalkut, Senior Vice President of Network Integration and Associate Chief Clinical Officer at NYU Langone, who oversees the Medical Center’s bundled payment activities. The two organizations have collaborated on a number of elements to help transition patients smoothly from the hospital to home rehabilitation and nursing care—a setting associated with excellent recovery and reduced re-hospitalization rates. These include evaluating and addressing patients’ home care needs, closely monitoring inpatient recovery to avoid delays in discharging patients to their homes, and an accelerated home rehabilitation schedule following discharge. At the same time, robust communications among clinicians at VNSNY and NYU Langone, including shared electronic records and a 24/7 “hotline,” ensure that any problems during recovery are identified and dealt with swiftly and effectively, resulting in seamless integration of care. 11 INTERSECTING LIVES Bundled Payments Initiative Trudy It had been 40 days since Trudy received her new hip, and for the first time in years, she was virtually pain-free. “I’m feeling good,” she announced, sitting in her Greenwich Village apartment as her cat, Nina, looked on. “I saw my surgeon yesterday, and he’s very pleased.” Trudy’s smooth recovery reflects a planning and coordination process that started at the time she was admitted to NYU Langone’s Hospital for Joint Diseases for her hip replacement surgery. When the Clinical Care Coordinator assigned to her by the hospital inquired about her support network, Trudy explained that a friend would be staying with her following the operation. The coordinator then confirmed that Trudy would be receiving post-surgical physical therapy at home, plus home nursing care and occupational therapy, and reviewed what to expect during recovery. 12 “I was impressed by the coordinator’s attentiveness,” said Trudy. Historically, hospitals haven’t focused this closely on post-surgical home care. But Trudy is a participant in Medicare’s Bundled Payment for Care Improvement Initiative, in which NYU Langone is partnering with home care providers like VNSNY to keep surgery patients’ recoveries on track. Given a list of home care agencies to choose from, she selected VNSNY. Trudy was discharged after three days in the hospital, and the next day was visited at home by both her VNSNY nurse and a physical therapist. For the next two weeks, she engaged in an intensive regimen of daily rehabilitation sessions with physical therapist Milissa Mondestin. “In the past, Trudy would have gone straight to an inpatient rehab unit,” explained Milissa. “With this approach, she could recover in the comfort of her own home.” “The first week, Milissa had me walking in the hallway,” recalled Trudy. “By week two, I was outside, first with a rollator, then with a cane.” Over this same period, VNSNY occupational therapist Erica Popp visited regularly to ensure that Trudy could bathe and dress herself safely, and VNSNY nurse Sinath Luy supervised her care coordination, medication management and surgical site healing. Meanwhile, weekly progress reports were sent to NYU Langone. After two weeks, Trudy was ready for outpatient therapy. First, though, she had to deal with severe intestinal distress from her anticoagulant medication—a medication side effect that might have triggered an emergency room visit at another time. The new system immediately kicked in: Milissa and the NYULMC care coordinator alerted the surgeon’s staff, who swiftly approved a switch to aspirin. “It all happened in a day,” said Trudy. “I was told I would receive expedited care—and they were right!” “Our partnership with VNSNY has been key to our success in improving quality, reducing fragmentation and lowering cost for patients. By working closely together to provide more patient services at home after discharge from the hospital, we’ve substantially lowered the percentage of patients who go to skilled nursing facilities or inpatient rehabilitation with excellent patient outcomes.” — Gary Kalkut, MD, MPH, Senior Vice President of Network Integration and Associate Chief Clinical Officer, NYU Langone Medical Center 13 INTERSECTING LIVES Nurse-Family Partnership Collaborating to give Eyana and her son a more promising future. Nurse-Family Partnership When a young woman from a low-income background suddenly finds herself pregnant, often with no family support and nowhere to turn, she and her child can easily become trapped in the cycle of poverty. For the past eight years, VNSNY’s Nurse-Family Partnership (NFP) has been breaking this cycle by stepping in to help these new mothers chart a healthy, stable course for themselves and their babies. Mothers are connected with the NFP program through various organizations, with about one-quarter of them referred by Lincoln Medical Center, a 347-bed hospital in the South Bronx. These inexperienced mothers— nearly half of them teenagers — are paired with a VNSNY nurse who works one-on-one with the mother from early in pregnancy to the child’s second birthday. During this critical period, the nurse serves as a role model, monitoring the mother’s health during pregnancy and promoting mother-child interactions that optimize the child’s cognitive, behavioral and social development. NFP nurses also coach mothers to become self-sufficient by completing high school or their GED, then continuing on to a two- or four-year college or vocational training. 14 Data shows that mothers in NFP have fewer premature births, wait longer to have another baby, and are more likely to be working when they graduate from the program. Their children are more likely to get immunized and have fewer childhood injuries and emergency room visits. Last year, this highly successful program, which has already served over 3,300 families in the Bronx, was awarded a $550,000 contract by New York State to extend its services to 75 high-risk women and their babies in Nassau County. The contract was one of only three awarded in a competitive application process. Meanwhile, our Bronx NFP receives ongoing support from New York City’s Department of Health and Mental Hygiene and several private donors, including Robin Hood, the Tiger Foundation, and the Charles A. Frueauff Foundation. “The Nurse-Family Partnership is an incredibly effective intervention that helps our city’s most vulnerable mothers and children,” said Mike Kirwan, program officer for Robin Hood. “VNSNY is one of the best providers of NFP services, and we’re proud to support their efforts.” 15 INTERSECTING LIVES Nurse-Family Partnership Eyana When Vickie Oliver-Rivera, a nurse in VNSNY’s Nurse-Family Partnership (NFP), saw Eyana Smith and her 4-year-old son, Aizen, recently at a playground in Central Park, her face lit up. “He’s gotten so big!” she exclaimed. She and Eyana embraced, then Vickie turned to Aizen. “Can I have a hug?” she asked. The grinning boy obliged and then, in true toddler fashion, turned his attention to play. The women’s bond runs deep: When Vickie was mentoring Eyana in our NFP, they met weekly for over two years. Since Eyana graduated from the NFP in 2012, they have stayed in touch as the young mother completed community college, became an emergency medical technician and moved from the Bronx to northern New Jersey. Being in the medical profession has been a lifelong dream for Eyana, but that dream appeared lost forever when she 16 became pregnant at age 23 with Aizen. Estranged from her then-boyfriend, with virtually no family support, the high school graduate felt it would be impossible to combine a career with being a good mother—which she was determined to be. “When I first met Vickie, I was alone and afraid,” she recalled. “I had no one to turn to, and no blueprint to follow.” All that changed when Eyana joined NFP. “I explained to Vickie how I wanted to put all my energies into parenting, but she wouldn’t hear of it. She convinced me I could be a good mother and fulfill my career dreams.” “VNSNY is one of the best providers of NFP services, and we’re proud to support their efforts.” — Mike Kirwan, Program Officer, Robin Hood “The partnership we have with VNSNY really helps our patients. Many of our mothers are very young, first-time moms, and the fact that we are able to connect them with the Nurse-Family Partnership is critical. These are some of the most at-risk women in New York City. This program provides them with the support they need to have a successful, healthy pregnancy, and to develop the self-esteem, self-confidence, and life skills that will enable them to take care of their babies and themselves.” — Miriam Carasa, EdD, RN, NE-BC, Chief Operating Officer and Deputy Executive Director of Lincoln Medical Center, Bronx, New York “I told her she had to believe in herself—that she was worth it,” added Vickie. Following the NFP model, she taught Eyana to anticipate her baby’s needs from his cues, and coached her on how to interact with Aizen in ways that spurred healthy development. At the same time, she also encouraged Eyana to develop a career plan. The baby’s father agreed to watch Aizen as needed, and when he was a year old Eyana took on a full course load at Westchester Community College. Today, Eyana is making plans to return to school to become a physician’s assistant—a career move that will let her spend more time with Aizen, who is thriving in pre-kindergarten and has tested in the gifted range. “I want him to go to college,” she said. “One of my motivations for continuing my studies was to be a good role model for him.” While she’s still weighing Aizen’s kindergarten options, Eyana is sure of one thing: “When he graduates from pre-K this spring, Vickie will be there.” 17 INTERSECTING LIVES Rockaway Wellness Partnership Collaborating to make the Rockaways a healthier community. Rockaway Wellness Partnership For people in Far Rockaway, Queens, a gritty oceanfront community known for its high disease rates and lack of healthcare providers, the VNSNY Rockaway Wellness Partnership (RWP) is bringing a new, boots-on-the-ground approach to healthier living. Launched just a few months ago with $1.4 million in Superstorm Sandy Block Grant funding, the program has established a regular presence in selected “hot spots” in the community. The RWP team—which employs two nurses and a social worker as professional health coaches, along with five wellness workers recruited from the area —provides individual and group counseling sessions on healthy eating, active living, substance abuse and management of chronic conditions like diabetes. “We’re implementing an innovative, multifaceted strategy,” says Project Director Karen Bassuk. The VNSNY coaches use presentations at community groups and schools and grass-roots advertising to reach people interested in improving their health and behavioral lifestyle. At the same time, they are linking residents to medical services such as primary care physicians, mental health care and smoking cessation programs. 18 As participants in the Institute for Healthcare Improvement’s (IHI) Triple Aim Improvement Collaborative, VNSNY is also getting guidance from IHI on developing a population health management framework in the Rockaways that will enhance care and outcomes and reduce cost. “The IHI has developed a number of population health management approaches driven by the framework of the Triple Aim,” notes Niñon Lewis, IHI Director. “VNSNY is now applying these approaches to bring together community resources and create a ‘wellness village’ in the Rockaways.” As part of this effort, the team has conducted focus groups to identify community needs and is partnering with numerous medical and social organizations. While health care is a top priority, the team addresses nonhealth-related problems as well, including legal or immigration issues. Drawing on strong support from community organizations and local retailers, including a Thriftway Pharmacy where RWP staffs a table each day, the team is already having an impact. “We weren’t sure how we’d be received,” says Karen, “but people are really seeking us out.” 19 INTERSECTING LIVES Rockaway Wellness Partnership The Rockaways “Everything hinges on everything else,” Karen Bassuk, director of VNSNY’s Rockaway Wellness Partnership (RWP) was saying. “If one step is blocked, it stops people cold.” Juan (not his real name) nodded. He was sitting with Karen and three of her team members inside the Thriftway Pharmacy in Far Rockaway, Queens, where the RWP maintains a table five days a week. “I applied for a permanent job, but they want my Social Security number,” he said. He lacks one, due to his status as an undocumented immigrant. Still, the fact he could read the application at all represents a victory: When Sally Fontalvo, an RWP wellness worker, spotted Juan weeks earlier, staring at a greeting card, she thought he was having difficulty understanding the words. “It turned out he needed eyeglasses and couldn’t afford them,” Sally recalled. His impaired vision was also preventing him from working as a day laborer, and he’d fallen behind on rent. The RWP paid for Juan to visit a local optometrist and get fitted for a pair of glasses, and he’s back working as a result. The team is now assisting Juan with another important step: Securing a green card followed by U.S. citizenship. Since his wife was a citizen when they married 10 years 20 ago, this should simply be a matter of paperwork—but the $7,000 fee a lawyer wanted to charge had posed an impossible hurdle. “Juan didn’t know about the New York Legal Assistance Group, who will do this at no charge,” explained wellness worker Edwin Campos. Juan now has an appointment to meet with the group, and they also agreed to bring their mobile van to the Rockaways each month to help other residents. The RWP’s mission is basic yet far-reaching: Empower residents of the Rockaways peninsula to lead healthier lives, by providing one-on-one and group wellness counseling and connecting them with other local agencies as needed. “We’re helping people attain the next level of health,” noted health coach Marjorie Sautner, RN, herself a Rockaways native. “Many clients want to eat better, for example, so we’re showing them how to shop for healthy food on a budget.” In Juan’s case, the RWP was also able to help his wife finish paying off her own eyeglasses, and is connecting them both with medical care. Several days ago, Juan received a comprehensive examination from Doctors of the World—a free local clinic for individuals without health insurance. It was his first checkup in seven years. “They saw me right away,” he smiled. “I was very satisfied.” “The Visiting Nurse Service of New York and Thriftway make a great team. We now have VNSNY staff from the Rockaway Wellness Partnership in our pharmacy, five days a week, assisting people with health issues and legal issues. VNSNY is offering a lot of valuable help to individuals in our community who otherwise wouldn’t know what to do or who to talk to.” —David Martir, Manager of Thriftway Pharmacy, Far Rockaway, NY 21 INTERSECTING LIVES Population Care Coordination Collaborating to ensure that Pamela and her neighbors receive the care they need after Superstorm Sandy. Population Care Coordination Across VNSNY, nurses are adding another set of credentials after their names: PCC, for “Population Care Coordinator.” Through a collaboration with the Duke School of Nursing and NYU College of Nursing that brings Duke’s highly regarded Population Care Coordinator Program directly to our New York offices, nearly 100 of our nurses have completed or are taking the semester-long program to earn PCC certificates. In the process, they have learned to identify emerging trends in patient populations, help patients better manage chronic and complex health issues, and empower interprofessional teams to interact more efficiently and effectively with patients and each other, thus avoiding unnecessary Emergency Department visits and hospital readmissions. Our nurse PCCs are now deployed throughout VNSNY in a variety of roles. They are working with our part22 nering hospitals as transitional care coaches, ensuring that patients move smoothly from acute care to home care, and collaborating with health insurers to manage care of patients with chronic conditions such as congestive heart failure. Drawing on their population health skills, our PCCs are pioneering new models of care delivery—communicating more effectively with other clinicians, linking patients to a wider range of community resources, and using epidemiology, social determinants of health and disease registries to bring a broader framework to health risk assessments and behavioral health screenings. “By enabling nurses and managers to see patients in the context of their families, neighborhoods and communities,” says Rose Madden-Baer, Senior Vice President, Population Health Management, “PCC training gives them a holistic perspective on each patient’s health.” 23 INTERSECTING LIVES Population Care Coordination Pamela “Following Sandy, I was busy taking care of everyone else,” said Pamela Petty John. “I never thought about taking care of myself.” Sitting in the renovated first floor of her home in Coney Island, Brooklyn, it is hard to imagine Pamela’s living room filling with ocean water to shoulder height—but that is exactly what happened on October 29, 2012, when the storm surge from Superstorm Sandy rolled in from the beach, two blocks away. Driven to the second floor, Pamela waited there overnight for the floodwaters to recede. She did not realize then that the storm’s emotional damage would take much longer to dissipate. It took a phone call weeks later from Jackie Wright, a nurse with VNSNY’s Disaster Distress Response Program (DDRP), for her personal healing 24 to begin. The Red Cross-funded program uses a stress assessment test as one of its intake tools. “Jackie asked me a series of questions,” recalled Pamela. “But the way she talks to you, it’s just a conversation. You don’t realize you’re being assessed.” A retired MTA train operator and long-time community activist, Pamela started answering Jackie’s initial questions on behalf of a neighbor. “As we talked, though, it became clear that Pamela was thinking about the storm all the time, and was traumatized,” said Jackie. Jackie referred Pamela to Linda Techell, a VNSNY psychiatric social worker, who took her through the DDRP’s 10-week stress management course. “I began by encouraging her to focus on pleasurable activities, as a way of moving past depression,” said Linda. “Next, we worked on reframing her thinking.” When Linda learned that Pamela was thinking of skipping a pre-paid trip to Europe, she suggested viewing the trip as a rejuvenation. “Linda said, ‘Think of all you would miss,’” said Pamela. “Now, whenever I feel overwhelmed, I remember her voice saying that.” Meanwhile, with Pamela’s regular doctor sidelined by the storm, Jackie connected her with medical care for high blood pressure, respiratory problems and leg pain, all storm-related. Jackie’s work with the DDRP and similar VNSNY programs has given her extensive experience in addressing the health of afflicted populations—experience that was ideal preparation for her current participation in the Population Care Coordinator Program offered by the Duke University School of Nursing. “The analytic skills and other tools that the Duke course is providing are wonderful supplements to what I’m already doing,” Jackie said. As Pamela’s depression and anxiety fell away, she’s become more active in her community than ever. Today, her involvement ranges from promoting local garden plantings to consulting on the construction of sea gates to mitigate future flooding in the neighborhood. “You might wonder, how can talking about your stress help you? But it saved my life,” she said. “Without this program, I’d still be sitting right there on that couch.” “I believe that Duke and VNSNY’s partnership in the Population Care Coordinator Program is creating a new model for patient care. The core concepts of population health help us optimally manage the care of both individuals and populations over time— ensuring that patients get the very best care and are able to function to the top of their ability.” — Mary Champagne, PhD, RN, Laurel Chadwick Distinguished Professor and Dean Emerita of the Duke School of Nursing 25 INTERSECTING LIVES Service Statistics in 2013 The average age of a patient was Hospitals were the largest single source of referrals for VNSNY. 70 years old. VNSNY provided care to more than 708 patients who were over 100 years old. The oldest patient was Total Patients Served: 113 163,500 while the youngest was 12 hours old. Total Clinical Visits: Approximately 63% 2,276,690 of our patients were female. More than Total Home Health Aide Hours: 37,281,067 29% of our patients spoke languages other than English. Diabetes, hypertension, symptoms involving the nervous and muscular systems, osteoarthritis, heart failure, and chronic skin ulcers are among the most frequent diagnoses of our patients. 26 How We Care in the Community A partial list of VNSNY programs and services includes: Care Coordination Community Outreach VNSNY CO•CARE Transitional Care VNSNY CO•CARE Population Health Management VNSNY CO•CARE Complex Care Management Rockaway Wellness Partnership (Q) Post-Acute Care Services Skilled Nursing Physical, Occupational and Speech Therapies Behavioral Health Specialty Care (BX, BK, M, Q, SI, N, W) Infusion Care (BX, BK, M, N, Q, SI) Telehealth Home Visiting Physicians (M) Strong FoundationsTM (Falls Prevention) Long-Term Services Family Support Team for HIV-affected Families (BX, BK, M, Q) Housing-Based Care Home Attendant Care (BX, BK, M) VNSNY Chronic Care Expertise Asthma Heart Failure Complex Illness Management Rehabilitation COPD Stroke Diabetes Wound Advanced Illness and End-of-Life Services Hospice Care (BX, BK, M, Q, SI) Palliative Care (BX, BK, M, Q, SI for Adults VNSNY CHOICE Medicare and Medicaid Health Plans VNSNY CHOICE Medicare Advantage* VNSNY CHOICE Managed Long-Term Care (MLTC)** VNSNY CHOICE Total** VNSNY CHOICE SelectHealth (BX, BK, M, Q) and BX, BK, M, N, Q for Children) Family Support Programs (BX, BK, M, Q) Community Mental Health Services VNSNY Haven, Short-Term Inpatient Care (M) Shirley Goodman and Himan Brown Hospice Residence (M) (BX, Upper M) Geriatric Mental Health Outreach Health Home Care Management (BX, M) FRIENDS Program (BX) Mobile Crisis Teams (BX, M, Q) Children and Family Services (BX, BK, M, Q, parts of N, W) Partners in Care (Private Pay Services) The VNSNY Research Center Pediatric Palliative Care Program (BX, BK, M, N, Q) Pediatric Diabetes Program (BX, M) Nurse-Family Partnership (BX, N) Early Steps Family Center (Rockaway Q) Fathers First and Bronx Fatherhood Programs (Rockaway Q, BX) Personal Care and Companionship Ambulatory Escort Skilled Nursing PRI Assessment Rehabilitation Therapies (Physical, Occupational, Speech) Geriatric Care Management VNSNY Centers of Excellence Maternity, Newborn & Pediatrics Advancing and promoting evidence- based home healthcare practice Nursing Rehabilitation Maternity, Newborn & Pediatrics Unless otherwise noted, VNSNY serves all five boroughs of New York City as well as Nassau, Suffolk and Westchester Counties. Key: BX = Bronx; BK = Brooklyn; M = Manhattan; Q = Queens; SI = Staten Island; N = Nassau; W = Westchester * For VNSNY CHOICE Medicare Advantage service areas, go to: www.vnsnychoice.org/medicareservicearea ** For VNSNY CHOICE MLTC and VNSNY CHOICE Total service areas, go to: www.vnsnychoice.org/ltcservicearea 27 INTERSECTING LIVES 2013 Charitable Care and Community Benefit The Intersection of Collaboration and Care based not-for-profit 501(c)(3) organization. We are a nationally recognized leader in home- and community-based health care, generously supported by philanthropic contributions. It is through collaboration— with our donors, with partner agencies and organizations, and among our colleagues — that VNSNY is able to carry out its charitable mission. With the support of our donors, we have been helping to transform the lives of New York’s children, adults, and families by providing the vital health care and social support they need for more than 120 years. In 2013, our donors helped us to provide $30.3 million in charitable care and community benefit, including: Collaboration with donors: Every year, the home healthcare and community services offered by VNSNY help transform the lives of over 163,500 New Yorkers. However, a portion of this care is not covered by government reimbursements or private insurance plans. Thanks in part to our many individual donors and institutional funders, we are able to combine philanthropic support with a substantial contribution from VNSNY itself to bridge the funding gap. Collaboration with other organizations: When our patients require services beyond our scope, we partner with agencies that can deliver what they need, from local housing organizations to keep mentally ill homeless patients safe and warm, to international organizations like the American Red Cross after Superstorm Sandy. We also work with home healthcare agencies across the country and around the globe, sharing our research and our expertise to improve the delivery of care to those who need it most. Collaboration with colleagues: VNSNY caregivers aim to meet each patient’s individual needs by working together as teams that take a multidisciplinary approach to care. In addition to our clinicians, home health aides, and office and support staff, some 1,400 volunteers contribute their own time, offering support to staff in the field as well as providing a wealth of expertise and assistance to our employees in our regional offices. The Visiting Nurse Service of New York (VNSNY) is a community28 • Access to home healthcare services to more than 6,100 uninsured or underinsured New Yorkers • Supportive care for vulnerable children and families • Services that help seniors age in place and with dignity • Initiatives to enhance the lives of individuals in underserved communities • Research to improve patient care and home healthcare policy • Programs that train the next generation of home care clinicians Charitable care dollars also allow us to supply: prescriptions, transportation to medical appointments, and home life necessities that allow the elderly to age in place safely; comfort care and free wigs to patients with cancer; mental health and behavioral health services to individuals in emotional distress; hospice and palliative care programs for adults and children with life-limiting illnesses, as well as support for their families; and for many other vital initiatives, including free health education and screenings to thousands of individuals throughout the communities of New York. Working Together for Children and Families VNSNY offers home- and community-based health care and social services for children and families. These programs address both immediate and long-term needs. Nurse-Family Partnership The Nurse-Family Partnership (NFP) delivers free, intensive at-home nursing assistance to more than 1,000 low-income families in the Bronx each year; in 2014, we were able to expand this program to Nassau County with funding from the NY State DOH. The NFP is a national, evidenced-based model of home visiting that pairs a VNSNY nurse with a first-time mother-to-be, starting as early in the pregnancy as possible and continuing to the child’s second birthday. The nurse provides education, monitors the mother’s and infant’s health, and promotes interactions between mother and baby that foster the child’s growth and development. The nurse also works with mothers to become self-sufficient and guides them in continuing their education and finding employment. The NFP has demonstrated a positive impact on prenatal health and pregnancy outcomes, children’s health, development and school readiness, and families’ economic self-sufficiency and educational attainment. In New York City, NFP is overseen by the New York City Department of Health and Mental Hygiene (NYC DOHMH). VNSNY is able to enhance the national model by coordinating with our many programs and resources in the Bronx, including Community Mental Health Services, the Bronx Fatherhood Program and the FRIENDS program, enabling underserved families to access much-needed social supports and health services that are not part of the national program and are not covered by the NYC DOHMH. These enhancements are covered by philanthropic dollars and include: •A dedicated psychiatric social worker who provides Since 1893, VNSNY has provided essential services to all New Yorkers who would otherwise go without care, regardless of their ability to pay. Through collaboration with donors, partner agencies and organizations, and colleagues, VNSNY is able to carry out its charitable mission to: •Care for our area’s most vulnerable children, adults, and families • Improve the lives of the critically ill •Offer medical and social support services to meet the needs of those with mental illness • Provide programs that benefit communities •Be a nationally recognized leader in program innovation, hospice and palliative care, nursing education, and home care research and public health policy evaluations, counseling, and support to NFP families in order to reduce or alleviate stress before it escalates to crisis proportions •Coordination with the Bronx Fatherhood Program to reach out to non-custodial fathers to facilitate a co-parenting relationship •Certified home healthcare services that are available to NFP women and infants •Collaboration with VNSNY’s FRIENDS program so NFP families have access to counseling, crisis intervention, and assistance VNSNY would also like to acknowledge the New York State Department of Health (NYS DOH), Robin Hood, the Tiger Foundation, and the Charles A. Frueauff Foundation for their generous support of our NFP. For more information about this program, please see page 14. 29 INTERSECTING LIVES “Tiger Foundation has been funding VNSNY’s Nurse-Family Partnership program as a part of our Early Childhood portfolio since 2007. The program has a significant, measurable impact on families and communities and we are pleased to be among its supporters.” — Tiger Foundation Early Steps Family Center/Early Head Start and Head Start VNSNY’s Early Steps Family Center in Rockaway, Queens, was destroyed by Superstorm Sandy. The program transitioned to a home-based model, offering one-on-one case management to each family, facilitating parent-child activities, and promoting parental self-sufficiency and school readiness for children. The Early Steps Family Center reopened in a new location in July of 2013. Through grants and charitable dollars, the Center is able to expand its offerings. In addition to Early Head Start, which has served 75 low-income families, including pregnant women and children up to age 3 and the Fathers First Initiative, the Center will now include Head Start, for 110 children from ages 3 to 5. The Center also features a mental health consultant and social worker, free child care, child development workshops, pediatric screenings, and programs designed to promote self-sufficiency in parents. We also collaborate with the New York City Department of Education (NYC DOE) to offer on-site General Equivalency High School diploma and literacy classes for parents. VNSNY recognizes the Administration for Children and Families (ACF) Office of Head Start for funding our Head Start programs, as well as the generous support from Administration for Children and Families (ACF), Region II Office of Head Start, Robin Hood, Save the Children, Baby Buggy Inc., Bank Street College, Full Gospel Tabernacle Church, Hammel Community Center, Herbert A. Licht, IKEA and FEMA. 30 The Fathers First Initiative and Bronx Fatherhood Program Both the Fathers First Initiative in Rockaway, Queens, and the Bronx Fatherhood Program help young, low-income fathers to understand the important role a father plays in his child’s life and provide emotional support to help these men accept the responsibilities and enjoy the rewards of fatherhood. Participants attend twice-weekly support groups, receive instruction in basic parenting skills, and are connected to resources and agencies to assist them with continuing their educations, finding employment, and contributing financially to their children’s lives. Since 2007, the Bronx Fatherhood Program has worked with more than 450 young men between the ages of 16 and 35. We gratefully acknowledge the support of our Bronx Fatherhood Program by The Whistler Charitable Lead Annuity Trust. The Fathers First initiative is supported by the NYC DOHMH. Pediatric Palliative Care Program This program provides medical and social support to children with complex, long-term, life-threatening or life-limiting conditions and their families in Brooklyn, Queens, Manhattan, the Bronx, and Nassau County. Services begin when the child is diagnosed and continue without time limits, and include regular home visits from VNSNY nurses trained in pediatric palliative care, licensed social workers, hospice physicians, and child-life specialists. In addition to helping children and their families cope emotionally, our teams take a holistic approach to care and assist with pain and symptom management, support families as they evaluate curative and palliative treatment options, and coordinate with the child’s physicians to ensure ongoing and effective care. VNSNY gratefully acknowledges the Lucius N. Littauer Foundation, the Milbank Foundation and the Sy Syms Foundation for their generous support of VNSNY’s Pediatric Palliative Care Program. Pediatric Diabetes Program Launched in 2010, VNSNY’s Pediatric Diabetes Program assists children with type 1 or type 2 diabetes and their families in the Bronx and Upper Manhattan. Interdisciplinary teams include VNSNY home care nurses, registered dietitians, social workers, and certified diabetes educators who provide individualized instruction and complementary support to children and their families in order to help them develop the positive behaviors that are critical to each child’s long-term health. VNSNY would like to thank the Morgan Stanley Foundation for its support of this program. • Counsel children affected by their parents’ illness •Connect families with physicians and other resources VNSNY’s HIV/AIDS Family Support Team receives federal funding from the Ryan White grant, administered by the NYC DOHMH. Working Together for Family Caregivers and the Elderly VNSNY Family Caregiver Support Program The Family Caregiver Support Program targets individuals caring for sick and aging relatives who need additional training to improve their caregiving skills, or who may be jeopardizing their own emotional or physical health while providing care. Each caregiver is assigned a VNSNY social worker who provides counseling on stress reduction, self-care, and caregiving. The program also offers resource referrals and short-term respite services. HIV/AIDS Family Support Team The Family Support Team staff address the needs of up to 50 low-income families—90 percent of them headed by single mothers—in which a parent or other family member has been diagnosed with HIV/AIDS. Team members include social workers and psychiatrists who work to provide a network of services across multiple disciplines. This program takes a comprehensive approach to supporting and stabilizing families in order to: •Ensure that the diagnosed family member receives ongoing medical care and adheres to medical regimens •Help pregnant women with HIV get the necessary care to avoid passing the infection to their newborn children VNSNY is deeply committed to helping older adults age safely and comfortably in their homes, and offers several programs and services to support the elderly and their caregivers. Chinatown NNORC Located at the VNSNY Chinatown Community Center, the Chinatown Neighborhood Naturally Occurring Retirement Community (NNORC) serves a portion of the 24-block community that some 2,000 residents age 60 and older call home. The NNORC staff speaks a range of Chinese dialects and works closely with community partners on several ongoing initiatives to keep NNORC members supported by their communities. NNORC members can receive free social services, non-reimbursable nursing care, and participate in support groups, health screenings, educational lectures, and social and volunteer programs on topics that range from colon health to advance directives and health care proxies, housing and entitlement issues to intergenerational cultural arts projects. The Chinatown NNORC is funded by the New York State Office for the Aging (NYSOFA) and the John H. and Ethel G. Noble Charitable Trust. 31 INTERSECTING LIVES Working Together with Community Partners VNSNY is a vital presence throughout the New York metropolitan area and an anchor in many communities. Through partnerships with community-based agencies, we are able to undertake a wide range of initiatives that act as a safety net for our most vulnerable and fragile neighbors. Community Mental Health Services VNSNY Hospice and Palliative Care Designed to meet the needs of people with advanced lifethreatening illnesses and their families, VNSNY Hospice and Palliative Care is the largest such program in the New York metropolitan area, with nearly 1,000 patients in its care on any given day. Our Hospice Care Team, which includes physicians, nurses, nurse practitioners, social workers, chaplains, registered dietitians, home health aides, bereavement counselors, complementary therapists, and volunteers, strives to promote comfort, dignity, and quality of life for each patient. Philanthropy has played a vital role in allowing us to sustain and expand this program, enabling VNSNY to meet the needs of patients at the end of life and their families with the best possible medical, nursing, emotional, and spiritual care. Although most patients are cared for in their homes, VNSNY also provides end-of-life care in nursing homes, as well as in two facilities of our own: The Shirley Goodman and Himan Brown Residence, a dignified, home-like setting for hospice patients who cannot remain in their homes; and the VNSNY Haven Hospice Specialty Care Unit at Bellevue Hospital, a 25-bed facility for patients whose symptoms cannot be managed at home. VNSNY thanks The Ambrose Monell Foundation, the Hugoton Foundation, the David L. Klein, Jr. Foundation, The Balm Foundation, the John Conley Foundation For Ethics & Philosophy in Medicine, The Y.C. Ho/Helen and Michael Chiang Foundation, Select Equity Group Foundation, and The New York Community Trust-Richard and Mildred T. Rhodebeck Fund, and Wise Hospice Options for their generous support of Hospice and Palliative Care. 32 VNSNY’s Community Mental Health Services encompass a broad range of programs which, collectively, deliver care to up to 15,000 low-income clients of all ages every year: •The FRIENDS Program provides comprehensive mental health and social support services to emotionally disturbed children in the Bronx •Geriatric Mental Health Outreach offers short-term mental health services to senior citizens in the Bronx and Upper Manhattan to ensure compliance with treatment, encourage socialization, and assist with daily activities •Health Home Care Management, a partnership that unites VNSNY with several community-based organizations and one hospital, cares for people in the Bronx and Manhattan who suffer from overlapping mental illness, substance abuse, and multiple chronic illnesses In addition, VNSNY recently developed two programs where mental health counselors worked with FEMA to address the needs of traumatized residents suffering in the aftermath of Superstorm Sandy with ongoing psychological outreach and disaster recovery. Through the extraordinary generosity of the American Red Cross, VNSNY’s Community Mental Health Services established the Disaster Distress Response Program to provide mental and community health services (including crisis counseling, care management, and health assessments) to more than 13,600 victims of Sandy in New York City and Nassau County. VNSNY’ s Community Mental Health Services are funded through grants and contracts from a variety of government offices, including the NYC DOHMH and the New York State Office of Mental Health (NYS OMH). Educating the Next Generation of Home Healthcare Clinicians Working Together for the Future of Health Care The exchange of ideas and information is critical to improving the delivery of care now and in the future. VNSNY is on the cutting edge of research and educational development to ensure healthcare practices evolve to meet the needs of this transformative time. Center for Home Care Policy & Research VNSNY is the nation’s only home- and community-based healthcare organization with its own research center. Our internationally renowned Center for Home Care Policy & Research is recognized as the preeminent research center for home care. The Center conducts rigorous scientific research with the goal of promoting positive changes in the field of health care through: •Improving the quality of data, decision-making, and patient care at VNSNY •Addressing the future of U.S. healthcare delivery • Supporting successful aging in the community •Informing healthcare policy on the state and national levels Data gathered by the Center has broad applications for home and community care, and the Research Center frequently hosts delegations from across the country and around the globe. VNSNY collaborates with more than 30 colleges and universities in the New York area to address the chronic shortage of home healthcare clinicians, and to hone the home care skills of the next generation of caregivers. Supported by charitable dollars from myriad donors, VNSNY provides paid internships, work-study programs, and clinical training in the field for students pursuing degrees in the disciplines of nursing, medicine, rehabilitation therapy, social work, and pharmacy. Community Connections TimeBank This unique program was featured in the December 15, 2013 issue of New York magazine as one of the “Reasons to Love New York.” VNSNY’s TimeBank facilitates the exchange of services among members of all ages and backgrounds, and it partners with community organizations and businesses, increasing members’ access to services in their neighborhoods as well as offering discounts. Founded in 2006, VNSNY’s TimeBank is the fastest growing one in the world and is the country’s largest, with more than 3,200 members. Our Commitment VNSNY is committed to delivering high-quality, compassionate home care to all of our patients, regardless of their ability to pay. Our generous supporters are a major reason we are able to do this. Today, with the need for our services steadily expanding even as levels of government reimbursement decline, philanthropic contributions are more important to our mission than ever. In these challenging times, we thank all of our donors for enabling VNSNY to continue to serve our neighbors in need. The Center is supported by a variety of private funders, including the Beatrice Renfield Foundation, The Commonwealth Fund, the John A. Hartford Foundation and the Harry and Jeanette Weinberg Foundation as well as the National Institutes of Health (NIH) and the Agency for Healthcare Research and Quality. 33 INTERSECTING LIVES Financial Summary 2013 & 2012 2013 2012 Net patient service revenue $599,477 $697,028 Capitated premiums 1,285,931 862,608 47,856 44,266 1,933,264 1,603,902 Salaries 666,560 617,953 Fringe benefits 196,169 167,813 Contract services 981,144 645,668 Rent, supplies and other 205,831 168,645 16,128 15,246 2,065,832 1,615,325 (132,568) (11,423) Operating revenue: Grants, contributions and other Total revenue and other support Operating expenses: Depreciation and amortization Total operating expenses Income (loss) from operations, before asset impairment Asset impairment Income (loss) from operations (32,778) ($132,568) ($44,201) * Figures in thousands of dollars By resolution of the Board of Directors of the Visiting Nurse Service of New York, surplus revenue is placed in designated funds that are used to expand VNSNY’s charitable services in the New York community, to pilot new models of patient care and to enhance educational programs, among other initiatives. During 2013 and 2012, the Visiting Nurse Service of New York provided $53,442,000 of combined charitable care and uncompensated services to the New York community. A full audited statement may be obtained by writing to us or the New York Department of State, Office of Charities Registration, Albany, NY 12231. You may obtain a copy of our financial report from Visiting Nurse Service of New York, 107 East 70th Street, New York, NY 10021 (212-609-1525). 34 2013 Donors Individuals, foundations and corporations gave generously to the Visiting Nurse Service of New York in 2013. These contributions allowed us to provide a broad range of patient care, support services, research, and charitable care initiatives to help the community and safeguard the health of New Yorkers in need. We deeply appreciate the caring that these gifts represent. They are critically important to our charitable care mission. $500,000 and above Eugenie Doyle, MD, and Joseph Doyle* Andreas C. Dracopoulos Anne and Joel Ehrenkranz/ The Ehrenkranz Family Foundation The Elkes Foundation Empire BlueCross BlueShield Epstein Teicher Philanthropies Charles A. Frueauff Foundation Hugoton Foundation The Randi & Clifford Lane Foundation The Lucius N. Littauer Foundation Milbank Foundation The Ambrose Monell Foundation Henry and Lucy Moses Fund, Inc. Valerie and Jeffrey Peltier Mr. and Mrs. Carl H. Pforzheimer III Solon E. Summerfield Foundation, Inc. United Hospital Fund Weill Cornell Medical College Anonymous (2) American Red Cross Robin Hood The Warner Foundation $100,000 - $499,999 The Balm Foundation Columbia University The Commonwealth Fund Barbara and Donald Jonas/Jonas Center for Nursing Excellence The New York Community Trust New York University School of Medicine Save the Children Tiger Foundation The Harry and Jeanette Weinberg Foundation $50,000 - $99,999 The John Conley Foundation for Ethics & Philosophy in Medicine Deutsche Bank Americas Foundation EmblemHealth The Irma T. Hirschl Trust Robert M. Kaufman, Esq. John H. and Ethel G. Noble Charitable Trust The Beatrice Renfield Foundation Vital Projects Fund, Inc./Robert B. Menschel $25,000 - $49,999 The Y.C. Ho/ Helen and Michael Chiang Foundation Creative Health Concepts Group of WeiserMazars $10,000 - $24,999 Richard Abrons/Louis and Anne Abrons Foundation Allen Health Care Services Alliance For Health, Inc. Margaret and Alexander Bancroft Nora Bensahel Beatrice and Douglas Broadwater Cadwalader, Wickersham & Taft LLP Ezra Caldwell* Emy Cohenca/Jacques & Emy Cohenca Foundation Cynara Crandall Curtis+Perry Julie and Bob Daum Joseph and Pamela Donner Edith and Robert DuPuy The Durst Organization Ernst & Young LLP Alice and George Frelinghuysen / The Frelinghuysen Foundation Garfunkel Wild, P.C. Gibbons P.C. Nancy and Stewart Gittelman Peter H. Gleason GNYHA Ventures, Inc. Miriam Gordon Mary W. Harriman Foundation The John A. Hartford Foundation Mary R. (Nina) Henderson and Roger J. Branson, MD Hogan Lovells US LLP/Jeffrey G. Schneider Hospital for Special Surgery Isabella Geriatric Center Thomas and Barbara Israel/ A.C. Israel Foundation Jamestown/1250 Broadway Charles S. Keene Foundation Helen L. Kimmel David L. Klein, Jr. Foundation Michael Koss Honey M. Kurtz Yoko Ono Lennon Susan and Art Lindenauer Nancy and Alan N. Locker Manatt, Phelps & Phillips, LLP Tom and Elizabeth Mao Jon and Laura Mattson Phyllis and Slade Mills The Mount Sinai Hospital Margaret Neimeth The New York Society for the Relief of Widows and Orphans of Medical Men * Deceased 35 INTERSECTING LIVES 2013 Donors NYU College of Nursing NYU Langone Medical Center Julie and Russel Patterson, Jr. People Care Incorporated Personal-Touch Home Care Premier Home Health Care Services, Inc. Presidio PricewaterhouseCoopers LLP Progressive Home Health Services, Inc. Emily and John Rafferty Joshua Ramo Remedy Partners The New York Community Trust - Richard and Mildred T. Rhodebeck Fund Ropes & Gray LLP Rosenblum Newfield LLC Norman Rothfeld RTI International Jack and Susan Rudin Rachel R. Rutherford Englund Sandata Technologies, LLC Seiden Select Equity Group Foundation Simone Healthcare Real Estate Marilyn M. Simpson Charitable Trusts Tara Stacom/ Cushman & Wakefield, Inc. Summit Leadership Strategies Thompson Family Foundation, Inc. TMG Health, Inc. Towers Watson VCE Verizon Wireless Frank and Diane Vigilante Walgreens/ Duane Reade Whistler Charitable Lead Annuity Trust Barrie and Deedee Wigmore Wise Hospice Options Anonymous (2) $5,000 - $9,999 Altruista Health American Medical Alert Corp./ Tunstall Americas Axion Healthcare Kate M. Ballen Sandra A. Bass / The Sandra Atlas Bass and Edythe and Sol G. Atlas Fund 36 James S. Baumann/The Baumann Family Foundation Diane and Clyde Brownstone/ Brownstone Family Foundation Bulls Head Foundation Byram Healthcare Robert M. Carr Mary Ann and George Christopher Collazo Florentino & Keil LLP/ Tonianne Florentino Mary and Maxwell Davidson III Delta Health Technologies Dignity Memorial Patricia M. Dunnington/The Seth Sprague Educational and Charitable Foundation Joan and Bob Easton Elliot Management Corporation Express Scripts Frenkel Benefits, LLC Mary Ann Fribourg Bette Jo Greenberger Robert and Kit Howard Evelyn Lynn Hu Peter Hutchings and Martha Wolfgang Inovalon, Inc. Jack Morton Worldwide Elise Jerard Environmental and Humanitarian Trust Solange Landau McBee Associates, Inc. Medline Industries, Inc. The H & S Menowitz Foundation Mercy Home Care Carolyn and Gene Mercy New York Hospital Queens NewYork-Presbyterian Hospital and Healthcare System John K. Orberg Dennis Paoli/The Heidi Paoli Fund Helen F. Perry Colleen Pietrobono Pine Tree Foundation of New York/ Szilvia Szmuk-Tanenbaum Bernard Posner Corinne H. Rieder, EdD Iris and Ira Rimerman/Rimerman Family Foundation Marcia and Philip Rothblum Foundation, Inc. Larry Rothenberg, Esq./CLC Kramer Foundation May and Samuel Rudin Family Foundation, Inc. Sarah I. Schieffelin Residuary Trust Andrew N. Schiff, MD /The Schiff Foundation Michael W. Schwartz Simione Healthcare Consultants Sterling Medical, part of McKesson Patient Care Solutions Sy Syms Foundation ThomasARTS United Federation of Teachers University of Pennsylvania School of Nursing University Settlement Society of New York Vicom Infinity, Inc./Vicom Computer Services, Inc. $2,500 - $4,999 The Actors Fund Advanced Care, Inc. Advanced Technical Systems Group LLC AMC Health Apex Laboratory, Inc. Stanley J. Arkin Arthur J. Gallagher Risk Management Services Daniel Bayoneto BNY Mellon Elizabeth R. Bramwell The Brooklyn Hospital Center Teresa C. Brown Mrs. John Burton Castle Harlan, Inc. Cerner Corporation Davidson Kempner Capital Management LLC Jose M. and Maria Teresa de Lasa Sandra Delson, EdD Distinctive Workforce Solutions Eagle Asset Management, Inc. Abigail Black Elbaum 2013 VNSNY Leadership Council Hany Abdelaal Richard Abrons/Louis and Anne Abrons Foundation Terese Acampora Jeffrey W. Allister Stanley J. Arkin Margaret and Alexander Bancroft Morton Banks Sandra A. Bass/The Sandra Atlas Bass and Edythe and Sol G. Atlas Fund Daniel Bayoneto Joan Beir Nora Bensahel Stanley and Maureen Bone Elizabeth R. Bramwell Beatrice and Douglas Broadwater Jan P. Browne Diane and Clyde Brownstone / Brownstone Family Foundation Mrs. John Burton Ezra Caldwell Neil Calet Robert M. Carr Mary Ann and George Christopher Emy Cohenca Cynara Crandall Mary and Maxwell Davidson III Denise M. Davin, Esq. Jose M. and Maria Teresa de Lasa John Delfs Joseph and Pamela Donner Eugenie Doyle, MD, and Joseph Doyle Andreas C. Dracopoulos Joan and Bob Easton Daniel and Edith Ehrlich/The Daniel J. & Edith A. Ehrlich Family Foundation Abigail Black Elbaum Gail Erickson Daniel and Marki Flannery Aaron Frankel Alice and George Frelinghuysen Mary Ann Fribourg Peter Frishauf Beverley Galban Sarah Garrity Nancy and Stewart Gittelman Peter H. Gleason Eloise Goldberg Vladimir Golovanov Miriam Gordon Betsy and Victor Gotbaum Bette Jo Greenberger Mary Z. Greenebaum/ Richard Greenebaum Fund Marian Haas Haberman Foundation/ Suchman Family Charitable Trust Hugh and Laura Hale Christopher Harrington and Brian Sherman Freda Hartfield / Ocean Reef Foundation Ms. Regina Hawkey and Dr. Jeffrey Vieira Miriam Helbok Sam and Shonnie Heller Jane P. Hermann William H. Herrman John Hetrick Robert and Kit Howard Evelyn Lynn Hu The Dr. Maxwell Hurston Family Foundation, Inc. Peter Hutchings and Martha Wolfgang Thomas and Barbara Israel / A.C. Israel Foundation Barbara and Donald Jonas / Jonas Center for Nursing Excellence Robert M. Kaufman, Esq. Judith S. Kaye Geoffrey D. Kimball Margery Kirsch, RN, MS, CDE / Harold E. Hirsch Foundation Helen and Jules Kornblau/ The Kornblau Family Foundation Andrew Koss Karen G. Kriendler Nelson Solange Landau The Randi & Clifford Lane Foundation Joan M. Leiman Yoko Ono Lennon Denise J. Levy Charles and Donna Lichti Susan and Art Lindenauer David C. Lindy, MD, and Ruth Galen Lindy Hilary and Ethel Lipsitz Nancy and Alan N. Locker Jody and Brian Locker Berger Rose Madden-Baer Arnold Manheimer Tom and Elizabeth Mao Joan M. Marren, RN, MEd Gwendolyn K. Marx Jon and Laura Mattson Robert B. Menschel Sandy and Mario Merlino Jennifer Milacci Phyllis and Slade Mills Dinny and Lester Morse Margaret Neimeth Earl H. Nemser, Esq. Susan Northover Charles J. O’Connell John K. Orberg Catherine Orme Constance M. Paine Kerry M. Parker Julie and Russel Patterson, Jr. Timothy R. Peng Helen F. Perry Neil Pessin Mr. and Mrs. Carl H. Pforzheimer III Stuart Pinto John and Margaret Pirovano Joan and Charles Platt Beth Polish Ann C. Poll Sidney L. Posel / The Posel Foundation Bernard Posner Julie Price Emily and John Rafferty Joshua Ramo Salvatore A. Ranieri Peter and Trudi Richardson Corinne H. Rieder, EdD Iris and Ira Rimerman David Rockefeller Mr. and Mrs. Kevin Rogers Evanthia Rogers-Horne Ann Rosow-Lucchesi Paul T. Roth Marcia and Philip Rothblum Foundation, Inc. Norman Rothfeld Jack and Susan Rudin Sara Rudner Rachel R. Rutherford Englund Andrew N. Schiff, MD / The Schiff Foundation Flora Schnall Michael W. Schwartz Jennifer M. Shotwell Stefanie Steel Roger L. Strong / Strong Foundation of New York Judith A. Sullivan/Stewart and Judith Sullivan Family Fund Ilona Swaring Thompson Family Foundation, Inc. Frank and Diane Vigilante Jill Weinstein Stacey Weston Ransom C. Wilson Michael C. Wolf, DDS Anonymous (7) 37 INTERSECTING LIVES 2013 Donors $2,500 - $4,999 (continued) Patricia Tucker Ewert Falk Technical Service Corp. Family Home Care Services of Brooklyn & Queens, Inc. Daniel and Marki Flannery Aaron Frankel Gannon Vitolo Contracting, LLC Audrey D. Gerson/Valiant Foundation, Inc. Goldman, Sachs & Co. Clare and Vartan Gregorian Haberman Foundation Health Care Service Corporation John Hetrick The Rita and Alex Hillman Foundation Hunter College The Dr. Maxwell Hurston Family Foundation, Inc. Hutch Metro Center IBM Infusion Options, Inc. JP Morgan Chase Attallah Kappas, MD Janet Kardon Helen and Jules Kornblau/The Kornblau Family Foundation Andrew Koss KPMG LLP Karen G. Kriendler Nelson Max Kupferberg /The Kupferberg Foundation Loeb & Loeb LLP Stefan Lysak Joseph and Meryl Mark Gwendolyn K. Marx Mascioni & Behrmann Architecture & Engineering, P.C. Medstar Surgical Richard and Ronay Menschel Merkle Inc. Mathy and Andrew Mezey Dinny and Lester Morse Mullen Nate’s Specialty Pharmacy NEPC, LLC New York Home Health Care Equipment * Deceased 38 NewYork-Presbyterian Lower Manhattan Hospital Office Supply Headquarters Inc. Oved Bros Realty PA Consulting Group Parker Jewish Institute for Health Care and Rehabilitation Joan and Charles Platt Predilytics, Inc. Prestige Care, Inc. Prime Staffing Salvatore A. Ranieri Ricoh David Rockefeller Mary and Win Rutherfurd Sector3 Appraisals, Inc. Selfhelp Community Services, Inc. Seton Hall University College of Nursing Etka Singh and Mark Bushell SL Green Realty Corp. The Sourcing Group, LLC Special Touch Home Care Services TMP Worldwide Advertising & Communications ValueOptions, Inc. vXchnge White Plains Hospital Bradley and Elizabeth Whitman Ransom C. Wilson Anonymous (2) $1,000 - $2,499 1199 SEIU-UHWE 5 Penn Plaza LLC A&A Maintenance Enterprise, Inc. A&T Healthcare A-1 International, Inc. Hany Abdelaal Christine Algrant* All Season Home Attendant Allcare Medical Jeffrey W. Allister The Allure Group The Auxiliary of St. Barnabas Healthcare Facilities AVR Realty Janie Bailey Morton Banks Jack D. Barchas, MD and Rosemary A. Stevens, PhD, MPH Janet Barsky Judith G. Bartlett Richard and Kerri Bartlett Fund The Batir Foundation Joan Beir/Beir Foundation Bobbie Berkowitz, PhD, RN, CNAA, FAAN Marion Bernstein Richard & Katherine Berresford Fund Bestcare, Inc. Alexander Bing The Blackstone Charitable Foundation Blumenfeld Development Group, Ltd. Stanley and Maureen Bone Booz & Company Deborah B. Breznay Bronx-Lebanon Hospital Center Milton and Fannie Brown Family Foundation, Inc. Jan P. Browne Mr. and Mrs. Robert M. Burger Sally and Sam Butler Neil Calet Calvary Hospital Cicero Consulting Associates Carmen B. Ciparick Blanche Cirker Citywide Mobile Response Consolidated Technologies, Inc. Sarah Sheets Cook, DNP Cooperative Home Care Associates Coram Specialty Infusion Services Cordo & Company LLC Crothall Healthcare CVS Caremark Stanley Darrow, DDS Denise M. Davin, Esq. Elisabeth de Picciotto Richard C. Decker John Delfs, MD The Helen and Philip Delman Foundation Carol J. Dempster Linda DeRose Digital Pulp Judy and Jamie Dimon Austin and Paula Dooley Duro Electrical Contracting Daniel and Edith Ehrlich/The Daniel J. & Edith A. Ehrlich Family Foundation The Ember Foundation EMC Empire Office, Inc. Gail Erickson Essen Medical Associates, P.C./ Sumir Sahgal, MD Claire and Sam Fagin Nancy and Hart Fessenden First American Healthcare Finance First Quality Maintenance Lynn S. Fitzgerald Barbara H. Freitag Fried, Frank, Harris, Shriver & Jacobson LLP Peter Frishauf Future Tech Enterprise, Inc. Beverley Galban Gannett Healthcare Group/Nurse.com Sarah Garrity Janice Gewirtz and George Gewirtz, MD Beatrice Goelet Manice Eloise Goldberg Goldie Anna Charitable Trust Vladimir V. Golovanov Betsy and Victor Gotbaum Gotham Research Group Michael Gould Greenberg Traurig, LLP Mary Z. Greenebaum/Richard Greenebaum Fund Ann and Arthur Grey Foundation Group Gordon G-Systems, Inc. Mary R. Guettel Marian Haas Kevin R. Hackett Hugh and Laura Hale Christopher Harrington and Brian Sherman Linda Harris John and Malo Harrison Freda Hartfield / Ocean Reef Foundation Sylvia K. Hassenfeld Regina Hawkey and Dr. Jeffrey Vieira Healthplex, Inc. The Hebrew Home at Riverdale Miriam Helbok Abbe A. Heller Sam and Shonnie Heller Patricia Helms, MSN, RN, NE-BC HELP/PSI Inc. Henry Schein, Inc. Jane P. Hermann William H. Herrman Anne and John A. Herrmann Mortimer H. Hess Heymann-Wolf Foundation Dorothy N. Hidalgo* HighPoint Associates Hines Virginia M. Hoffmann Holborn Corporation Amory Houghton John R. Hupper Income Research + Management Jacob Feinberg Katz & Michaeli Consulting Group, LLC Jewish Home Lifecare George S. Kaufman Judith S. Kaye Theresa Kemps Paulina Kim Geoffrey D. Kimball King + Company Christopher Kinney Clay Kirk Margery Kirsch, RN, MS, CDE/ Harold E. Hirsch Foundation The Hess and Helyn Kline Foundation Elaine A. Langone Lazard Asset Management Joan M. Leiman Lisa LeSavoy John P. Levine and Susan M. Clopton/ Levine Clopton Family Fund Denise J. Levy Charles and Donna Lichti David C. Lindy, MD and Ruth Galen Lindy Hilary and Ethel Lipsitz Jody and Brian Locker Berger Marianne Longo Sam & Anna Lopin Foundation Helen Lowenstein Ruth Watson Lubic, EdD, CNM, FAAN Lillian Wald Heritage Society Members of the Lillian Wald Heritage Society lead by example to ensure the future of VNSNY through the extraordinary gesture of including a bequest or planned gift, such as a Charitable Gift Annuity (CGA) or Retirement Assets (like an IRA), in their estate plans to help support the future of VNSNY. Dianne E. Beach Joan L. Benson Marie Bostinto Anita Brenner Sandra and Jack E. Bronston Joel T. Camche and Caren Raine Camche Claire and Sam Fagin Mildred Forrell Aaron Frankel Miriam Gordon Frederick L. Jacobson Robert M. Kaufman, Esq. Lucy D. Lieberfeld Anneliese C. Marx Phyllis and Slade Mills Nancy F. Morgan Hi-Chul Mun and Young-Sook Mun Barbara Oliver Joan and Charles Platt Ann C. Poll Marc Ratner Iris and Ira Rimerman Dorothy K. Rupp Flora Schnall Doris Scott Lorraine Soffen Beverly Moss Spatt, PhD Marian Stadelman Frank and Diane Vigilante Gretchen Walther Dumler Michael C. Wolf, DDS Anonymous (4) * Deceased 39 INTERSECTING LIVES 2013 Donors Charlene and Gary E. MacDougal Macro Consultants, LLC Josiah Macy Jr. Foundation Rose Madden-Baer Maimonides Medical Center Arnold Manheimer Margaret Tietz Nursing & Rehabilitation Center Julia A. Marin Joan M. Marren, RN, MEd Marx Myles, Inc. Maryland Hospital Association, Inc. Diana J. Mason, PhD, RN, FAAN Sandy and Mario Merlino MetLife, Inc. Microsoft Corporation Jennifer Milacci Howard Milstein Mobile Health Edward A. Muccini Earl H. Nemser, Esq. The Netter Foundation, Inc. The New York Academy of Medicine New York Daily News New York Post Robert and Ann Newburger Foundation The Lois & Richard Nicotra Foundation The Nolan Company Susan Northover Isabelle R. Oaklander, MD Charles J. O’Connell Abby and George O’Neill Trust Paula K. Oppenheim Catherine Orme Pace University, College of Health Professions Constance M. Paine Pannonia Foundation Kerry M. Parker Carolyn and Bill Patterson David and Emelyn Patterson Liz and Jeff Peek Timothy R. Peng Neil Pessin PHI Stuart Pinto John and Margaret Pirovano Sheila and Nicholas Platt 40 Beth Polish Ann C. Poll Sidney L. Posel/The Posel Foundation Julie Price Queens Boulevard Extended Care Facility Michael Rehaut Robert Rheinstein Peter and Trudi Richardson Mr. and Mrs. Kevin Rogers Evanthia Rogers-Horne Paula L. Root and Dr. Leon Root Ann Rosow-Lucchesi Paul T. Roth Roytex, Inc. Sara Rudner Jeffrey Sachs Sands Capital Management, LLC Flora Schnall Seid Carro Family Foundation Inc./ Andrew Seid Elizabeth M. Sesselberg Virginia W. Sheerin Albert E. Short Jennifer M. Shotwell Siguler Guff & Company, LP Margot M. Slater Jean K. Smith Jeannette Solomon UJA Fund The Sprenger Lang Foundation Marian Stadelman Daniel Starer Chris Steel Stefanie Steel Nan and Charles Strauch Roger L. Strong/Strong Foundation of New York Judith A. Sullivan/Stewart and Judith Sullivan Family Fund Ilona Swaring Nicki and Harold Tanner/Newman-Tanner Foundation Anne-Marie Thom TPG Architecture, LLP UMarketing Roe and Toni Vaughn Ellen M. Violett Visiting Nurse Services in Westchester Visiting Nurse Association Health Group Wagner College Lulu and Anthony Wang Jill Weinstein Stacey Weston Mark and Jane Wilf Family Foundation, Inc. William Blair & Company Janice Savin Williams and Christopher J. Williams Michael C. Wolf, DDS Wolfensohn Family Foundation Worldwide Security Network X-treme Care, LLC L. Randall Yates Albert Zdenek Anonymous (6) $500 - $999 Terese Acampora Access Staffing, LLC Adelphi University College of Nursing and Public Health John Amato Aon Risk Solutions Whitney B. Armstrong John H. Asiel Dr. Janet Asimov Eileen C. Bach Martin Barr Santino Basile Carol Beck Tobias Bermant Mashi Blech Block Vision, Inc. Robert Blum Vicki Breitbart Judy Brustein Clifton Bullard Patrick A. Burns Jonathan J. Bush Joel T. Camche and Caren Raine Camche Eli Camhi Meredith Carr Robert M. Chalfin Grace L. Charles Theodore Chu Ronald M. Cohen Baukje Cohen Common Cents New York, Inc. Community Healthcare Network Renee Conforte Connecticut Gastroenterology Consultants, P.C. Robert J. Cummins CUNY Peggy and Dick Danziger Bruce DeLaurentis Richard Ehrenreich Elmhurst Hospital Center Norman Epstein Elizabeth Eveillard Exclusive Ambulette Service, Inc. Fedcap Rehabilitation Services Inc. Thomas Fenaughty Jason Ficks First Chinese Presbyterian C.A.H.A Corp (MCO) Thomas A. FitzGerald Forbes Media LLC Stephen M. Freedman Ilene Friedman Terry and Keith Fulmer Alice Geller Alan Ginsberg Jeannie Gioia Lynn Rosenberg and Rick Giovinazzo Carol R. & Avram J. Goldberg Fund Michael L. Goldstein David H. Gordon Nadia Gorman Mr. and Mrs. Oliver R. Grace Barbara Greene Isadore Greenspan Alice Greif Roslyn and Frank Grobman Sadie Z. Hall Mimi Halpern Lillian S. Hardy Hartford Investment Management Company Morrison and Fenella Heckscher Steve Herman Trina Hidalgo James R. Houghton James R. Hurley International Alliance of Theatrical Stage Employees Frederick L. Jacobson The Kandell Fund Karen Katter Barbara Adler Katzander Barbara K. Kelly Marianne E. Kennedy Michael P. Kerrigan Anne Kilgannon Robert G. Klein Mr. and Mrs. Harvey Klein Andrea Klepetar-Fallek Werner H. and Sarah-Ann Kramarsky Edward J. Kyne Leon Lachman James J. Lally Bill Lambert Lamport Foundation, Inc. Frank Langhammer John S. & Florence G. Lawrence Foundation, Inc. Laurie Z. Lederman Susan L. Levine Herbert A. Licht Roger and Florence Liddell Linsone, Inc. Jaye Liset-Lynch Loeb & Troper Robert Longo Jeffrey S. Lovinger Brian Lustbader Donna Powell MacNeil Sharon Mahoney The Malkin Fund, Inc. Erika Mark Dorothy Marks Margaret L. McClure, EdD, RN, FAAN Catherine McCollum Cathy McKeon Maryalice McNamara Matthew V. Merola Anna Marie Michaelides The MirRam Group Lynda Montella Morgan, Lewis & Bockius LLP Erin F. Moriarty Marie O. Morse Susan and Peter Nitze Frank Oliva Rachel Osborne Arduino Pacifico Panwy Foundation, Inc. Manuel X. Patino Robert Pennoyer Melvin Polisher Marilyn P. Pryce Mary K. Quirk Melissa Radgowski Michael J. Razny Judy Reemtsma Ira M. Resnick Margaret O. Richards Richmond University Medical Center The Rockefeller Group Gemma Rogers Myron Sulzberger Rolfe The Benjamin M. Rosen Family Foundation Helene and Samuel L Rosenberg Dr. and Mrs. Michael A. Rosenbluth Rebecca and Peter Rosow Gerald A. Rothstein Martha Rowen Michael and Debra Sabanos Safeguard by Bradley Marketing Group Sanky Communications, Inc. Robert Santiago Mark I. Schubin Jonathan and Andrea Scilken Dr. and Mrs. Thomas P. Sculco Randi Seigel Irwin and Ruth Shapiro Shiel Medical Laboratory Anne Sidamon-Eristoff* Albert L. Siu MD, MSPH Sydell Smith Shoshanna Sofaer, PhD Vivian Sonn Spiegel Associates Peter Spielberg Alfred C. Stepan III Zelda Storm Strategic Outdoor Shop Suchman Family Charitable Trust Sunnyside Community Services 41 INTERSECTING LIVES 2013 Donors Gary Sycalik William Sycalik William S. Sycalik Pamela Tarica Paul R. Teitelbaum Joanne Thier Thorn Run Partners Time Moving & Storage Inc. Andrea Traubner Trilogy Leasing Co., LLC Joanna Underwood VNSNY HR Department Wendy Waterman Erika Weilharter Norbert Weissberg David Weller Westchester County Association Burton Weston Bernard M. White Marvin F. White Scott and Linden Wise Hsiu Mei Wong Samuel Y. Yee Christian Zrull Anonymous (2) 2013 Matching Gifts AIG Matching Grants Program Alliance Bernstein Altman Foundation AXA Foundation Bank of America Bank of Tokyo-Mitsubishi UFJ Community Health Systems Foundation GE Foundation Goldman Sachs Matching Gift Program Grainger Matching Charitable Gifts Program Henry Luce Foundation IBM Matching Gift Program iStar Financial Inc. Josiah Macy Jr. Foundation MasterCard Pepsico Foundation Pfizer Foundation, Inc. The Hearst Corporation The New York Community Trust 42 Thomson Reuters Verizon Matching Gift Foundation Anonymous Gifts In Kind Akers Global Travel Iyabo Akinfemi Alex Toys LLC Mary Ann Aliperti Allen Stevenson School Michael Ambrosini AMC Health Peter Angelilli Michelle Antonucci The Apawamis Club Asia Society Museum Baby Buggy Inc. Barbara Bartley Baldwin Bigelow Tea Bradford Renaissance Portraits Brooklyn Museum Diane and Clyde Brownstone/ Brownstone Family Foundation Burt’s Bees, Inc. Cabot Creamery Marie A. Caiafa Casa VESPA Joy Catapano CB Richard Ellis Real Estate Services, Inc. CBS Television Distribution Joan Chaya Christie Co. Salon Spa Church & Dwight Co., Inc. Alissa Churchill Citigroup Inc. City National Bank Collins Building Services, Inc. Lori Cress Crown Laboratories, Inc. Davler Media Group LLC Directravel DKNY Austin and Paula Dooley Douglaston Garden Club Inc. Edith and Robert DuPuy Joan and Bob Easton EmblemHealth Equinox The Estee Lauder Companies, Inc. Evergreen Nail Salon Federal Reserve Bank of New York Diane A. Fitzsimons French Transit Ltd. GIM Electronics Golf Event Management Elena Goltsberg Kathy Greenstein Kathy Harrington Deborah Harris Trinidad Hidalgo Barbara Higgins Kristin Huckshorn Doerfler Delois Hurston IBM Ikea Il Sapore Italiano Pizzeria Il Toscano Ristorante International Flavors & Fragrances John Iorio Daniel Isgro Betsy Jenks Jesus Alive Ministries Jones, Lang, La Salle Naseebah Khan Knitty City Catherine Heller Lenihan Mir Mahmoud Major League Baseball - Concept One Lia Mariscal/Mariscal Design Materials for the Arts Deepak Mathur Kelly Mattone Eve O. Mayer Antonieta McPherson Medline Industries, Inc. Mercedes-Benz of Greenwich Metropolitan Tower Lisa Murano New York Life Insurance Company New York Yankees New York University Newman’s Own Gwen and Peter Norton Office Depot Office Supply Headquarters Michelle M. Otremba Christopher and Amy Palmieri Park Dental Sandie Petit Pizazz Salon Robert Guido Towers Country Club Rosemarie Robertson Mr. and Mrs. Kevin Rogers Ronique Catherine Conklin A. Rosenbluth Roxy Trading, Inc. S&N Nails, Inc. Georgina Sager Nancy P. Sakas Saks, Inc. Sam Ash SBS Promo Marsha Serrano Robert Shaller Margot M. Slater Stash Tea Marilyn A. Stone Stumptown Coffee Sunstar Butler Floyd Thomas Abraham Thomas Tiffany & Co. Timber Ridge School Pamela A. Timoyanis Simone Waksberg Waxelene, Inc. Richard Zhao Anonymous 2013 Bequests and Planned Gifts Eileen Bamberger Charitable Trust Joan L. Benson Estate of Barbara M. Clark Estate of Rita Cohen Estate of Miriam Feldman Estate of Ruby B. Fleming Estate of Rhoda Forman Dorothee Gottschalk Revocable Trust Estate of George Knote David M. Mahood Memorial Fund Estate of Paul Deynes Perez Estate of Robert Piel Estate of Channing Pollock Iris and Ira Rimerman John Roach Trust Estate of Meyer Smolen Marian Stadelman Estate of Victor A. Von Klemm Michael C. Wolf, DDS Martha A. Zalles Trust Anonymous In Honor Of Arnold Agas Ann Anderson Cynthia Ardell Leonard Bakalchuk, MD Augustine Balaram Elizabeth Barker Eliza Bates Joel Bauer Francisco Bielinki Mary Bogan Maud Bonnell Stephen Borow Lewis Braff Frank J. Branchini Sadie Braz Rivkah Brenenson Jeanne M. Brousseeau Connie Brown Zenobia Brown Clifton Bullard Lori Buonogura Ezra Caldwell Robert M. Carr Dee Carvo Casserene Cassells Mitchell Chandler, MD Mireille Charles Olderine Charles Balem Choi Joanne Ciaramella Herman Citron Eugene Coffey Deanine Copeland Lyla J. Correoso, MD Rita Corrigan Salena Cummins Barbara Curran Edwin Damaso E. Mary C. Davidson Marie Defilippo Sandy Dennis Christina Dickinson Michael DiStefano Christine Dobrydnio Denise Dolan Joseph and Pamela Donner Austin and Paula Dooley Mary Lou Driscoll Hong Du Joan and Bob Easton Isabel Edison Judith Engel Claire M. Fagin, PhD, RN, FAAN Victoria S. Ferenbach John Fiddler Jim Flanigan Michele Forsten Alice and George Frelinghuysen Dorothy Furness Roasalie Galante Sarah Gall Christine Gallagher Lynn Geisel Alfred Gescheidt Alan Ginsberg Nancy Girlando Linda Haederlin Karen Hamilton Michelle Hamilton Tiffany Hanton Mary R. (Nina) Henderson Angela T. Henning Sarah Hilde Gary Hoffman Hospice Volunteers Hui-Chen Hsiao Tove Jacobs Anite Jean-Baptiste Josephine Johnson Barbara and Donald Jonas Janet Jones Atkins Claire Josephs David & Shirly Kane Attallah Kappas, MD 43 INTERSECTING LIVES 2013 Donors Robert M. Kaufman, Esq. Carol Kelly Farouk Khan Mary Kay King Janet King Wendy Klansky Barbara Klett Karen G. Kriendler Nelson Frank LaFara Lissy Lau Clarine Lefevre Bernard I. Levine Yuri Levitsky Benjamin Levy, MD Martin Lewis Floyd H. Lichtenberg Jason Lightly Crystal Lobo Gui Loo Ruth W. Lubic, EdD, CNM, FAAN Glennson Magsombol Armentria Makris Auro Marguey Betty Sue Martin Tameka McCabe Mary McDonough Catherine M. McGowan Karen A. McLaughlin Domenick J. Mele Evelyn Mendez Charles Meys, RN Chaim G. Miler Phyllis and Slade Mills Timothy Mills Nancy Mintz Michael Moskowitz Verna Nelson Gwen and Peter Norton Mildred Nugent Helen O’Flynn Kei Okada Debra A. Oryzysyn Karen Osborne Armin Osgood Alice Palatnic Sarah Parnes Yanira Pereyra Grace Peters 44 Filippa Petruccelli Mr. and Mrs. Carl H. Pforzheimer III Chee Phang Karen Philip Maria Polin Julie Pollitz Norma Pope John Ramos Carol Raphael and Charles Olson Ben Raposa Les Ravitz Claire Reid Min Rhee Gretchen Rigol Colleen Riley Renen Robles Roisin Rogers Paula Root Arnold Ross Yael Rotter Estelle Rubin Annie Russo Marie Sappia Mark I. Schubin Barbara Schulman Amy Schwalberg Pamela Schwartz Joel Seligman Leon Silver Karla Silverman Lisa-Tara Simpson Joshua Sokal Agnes Sonnassa Elsie Soto Deborah Soulios Harold M. Stern Renee Stringer Lee Strong Clara Terebessy Mary Tetta Raluca Todoran Christiane Vasan Frank and Diane Vigilante Yaffa Vinikoor Marie Watrous Barbara Wenzel Dorothea K. Whalen Ashley Wiener David Willner Florence Wong Barbara Yau In Memory Of Norman B. Ackerman Sarah E. Addison Sadie Albala Vicenta Alicea Mary Altilio Rose Altman Grace Amato Glenn Anderson Hector Arce Catherine Baechtold Miriam Baez Jean Banks Angela Baratta Lottie C. Barone Paul Barr Ruth S. Bass Leslie H. Batehan James Baumann Joel Beckwith Jane G. Bensahel Herman Bershader Anna Bisso Hal Blankenship Gloria Blauhut Fritz Blomback Constance M. Boardman Francoise J. Boas Lorraine Bodnar Sidney T. Bogardus Susan Bopp Roger Bradley Bernard Brandes Esther Braun Loran Braverman James Breslin Murray Brounstein Alfred W. Brown Caroline Brown Harry Browne Victoria Bruno Richard Brushett Ethel Brustein Rosemary Bulloch Red Burns Gage Bush Englund Gert Butch Janie Butler Vivienen & Diana Buultjens John D. Buxton Zoriano Caballero Vic Cabillus George Cabrera Robert Callahan Louis M. Camia Francis P. Campbell, MD Pasquale Carbone Anna Carnevale Margaret Carroll Dolores Carvo James Casey Frank Cassell Regina Cassell Lanie Cecula Sally Chapman Sit Ben Chin Chui May Chiu Diane R. Chou Po C. Chow Eve Hlavaty Cimmet Joseph Cirruzzo Dean H. Clopton Tom Coffey Clair Cohen Evelyn Cohen Lillian Cohen Bob Collins Robert D. Collins Eileen Coly Rita Corrigan Angela Costa Virginia Critelli Ellen Crowley Fred Cuba Joan Cullen John Cullen Cecilia Culta Doug Cummins Theresa Curcio Jane Dalecki Helena Dawson Otilio M. De Leon Silvio De Rose Theresa C. De Simone Richard Decker Georgia Delano Susan Delio Helen Delman Andrei Derevenco Martha Dettmering Charles Devito Anthony Di Palma Audrey Dock Jerome Dock Morris Dock Patricia Doelger Rosalie Doerre Richard Druss Fredi Dubin Freida Dubin Egon Dumler Daisy Dwyer David Ehrlich Betty Elkan Norman Ember Marvin End Esther Epstein Edward A. Fanelli Eileen Findlay Sonia Fink Dave Fisher Edward J. Flores Cynthia Flowers Michele Forsten Susan D. Fortunato Abetha Aayer Frankel Irwin Fredman Michael Freedman Buddy Freitag Jane Fullerton Allan M. Fusco Julie Ann Gandle Julie Gandle Josef Ganz Vito Gassi Lillie Genee Dorothy Geras Alvin Gerdhart Joseph Gevena Claire Glowitz Norman Goldner Valentin Golovanov Stanley Gongolewski Mercedes Gonzalez Rafael Gonzalez Stephen V. R. Goodhue Harold Goodman Ira D. Goodman John Goodman Robert Gordon Arthur Gray Linda Green Irene Greenbaum Arnold Greenberg Kevin Greene John Griffo Barbara Grimaldi Howard B. Grunther Mirtha Guerrero Paul Haberman Victoria K. Hagopian Daphne Hall John C. Hall Madelyn Halpern Edward R. Halpert Mary Lou Harrington Ruby Harvey James Hastings Donna Hazen Lesmes Hechavarria Marion Heckler Paul R. Hendricks, Jr. Bernard Herz Valerie Holden Jerome Holtzman Ruby G. Hoppin David Hu Katherine M. Hurd John Ide Ileana D. Immit Katherine Intrieri Alice Israel Dr. Murrey Itzkowitz Janice Jacobson Aaron Jarit Sophia Johneris Clarence Jones 45 INTERSECTING LIVES 2013 Donors David & Shirly Kane Esther Karpel Gladys Kaufman Joseph Kenavan David J. Kendalton Ellen Kiersblick Gary Kiesnoski Patrick Kilgannon Marvin King Victoria Kisseleff Joan L. Klein Henri Kocur Raymond Kohn Joan Koman Angelika Kontonotas Paul Korwin Leopold G. Koss Mitchell A. Kraeling Seymour Kramer Ethel Kreger Oliver Krenzer Florence Feller Kriendler John Laemle Saul Lambert Gail M. Lambrix Bruno Lansing Seymour Laskow Owen Laster Jean Lathem Linda Lee Langhammer Marc J. Leiman Joan Levine Ray Levine Joseph Lianzo Ira Lieberman Rose & Abraham Lieberman Oscar London Robert Longman Ann Lopes Lanie Lotsa Joseph Loverde Shirley Lublin Ralph Lugo Jessie Lupia Denis Lynch Seymour Madanick Mary Magee Josephine Magistrale 46 Catherine Mahoney Robert V. Maida Andrew Makk Catherine Mangiaracina Carol Mann Richard I. Mark Michael Marks Cohen Linda Markstein Gertrude T. Marmorek Roy Martin Antoinette Matarazzo Craig Mawdsley William D. Mayer Robert McDowell Thomas McGovern Mary McGrath Helen McGuire Claudette McKenzie Peter Mechanick Stanley Memis Lois Menchicchi Harold Menowitz Gerald Merriman Sonya Miler Faye Mintzer Arline Mischel Rosemarie Montelone Leon Morse Joseph J. Mullalley JoAnn Mullen Mary Ellen Mullen Ursula Murphy Meyer Nachemin Joan Nelson Harold Nemser Robert Nielsen Christine Nolan Carole O’Hara James T. O’Neill Donald O’Toole Bernard J. Osborne Bernie Osborne Raymond P. Osso Angel Pacheco Rose Padawer Dorothy Pagliuco Ignatius Paolilla Charles & Jo Paolino George Paris Charlotte Parkinson Stephen Pascal Jane Pecherski Angela Pensabene Barbara Peter Rosalyn I. Pier Rachel Pinto John Pisano Esther Posin Myrna Posner Dorothy Price Tamara Pristin Stavros Protopapadakis Roman Przaster Jim Pucci Dorothy Puyear Sonia Quinones Olga A. Racine Dominik Rahn Mary K. Regan Pauline Rehaut Frank P. Reid Ross Reinhart Lorraine Restaino Timothy Rhodes Maurice Richter Norbert Robbins Grace Rodgers Helmut Roeder Martha Romanak Concetta A. Rotella Marcia Rothblum Joseph Rothenberg Judith Rothenberg Carola W. Rothschild Joseph Rovinsky Anita Rowan Joseph Ruberti Tommie Rudiger Martin Rudman Myer Rudnick Charles Sala Charles W. Sandquist Sonia Santiago Marie Sappia Gino Sartori Rose Savarese Sylvia Schiff Sara Schlee Ina Schlesinger Kurt Schloss Eileen Schueler Polly Scilken Herbert Sedlitz Geraldine Seid Bertha Seltzer David Sheinkopf Charlotte Shine Mark P. Shnitkin Charlette Sikes Gloria Silverman Evelyn Silverstein Salvatore Sirugo Carol C. Skorr- Piela Enid Smith Mrs. Francis Smith Jane Snadecky Marcia Sorkin Elsie Soto Madeline Spiciarich Elaine Spielberg Mildred Spitz Catherine Spoto Stewart Sullivan John Sullivan Candace Sycalik William D. Tabachnik Truman Talley Albert and Jean Tapper Guissepe Taverna Robert P. Taylor Gaspare Temperino Marian Ten Hagen Sarah Teracina Allen B. Terjesen Thomas K. Thom Santino Titta Teresa Tom Zoila Toral Encarnacion Torres Julio Torres Ann Tromello Lena Tron Jerry Truhlar Maggie Tuts Heather Ann Vaughn Charlotte K. Veal Seth Vidal Christopher Von Baeyer Olia Wang Robert Weeman David Weir Bernice Weisenholz Anna S. Weissberg Marjorie B. Weller Jerry Wexler Ann Will Bernice W. Wilman Dorothy Winkelman Christopher Winters Bruce Wise William Witherspoon Dooley Sari Worzman John T. Wrzenski Eugene Wunder Lillian Yacuk Sui K. Yee Larry C. Yong Jack Zagerman Beverly Zagor Guillermo Zalamea Ramon Zaldivar Irene Zeffero Emanual Zimmer Michael Zorawick Freda L. Zucker Sue Zucker Anne Marie Zustovich 47 INTERSECTING LIVES Directors and Committee Members Board of Directors of the Visiting Nurse Service of New York John P. Rafferty, Chair Mary Ann Christopher, MSN, RN, FAAN Margaret A. Bancroft Bobbie A. Berkowitz, PhD, RN, CNAA, FAAN Douglas D. Broadwater Carmen Beauchamp Ciparick Robert C. Daum E. Mary C. Davidson Jose M. de Lasa Edith M. Dupuy Anne B. Ehrenkranz Claire M. Fagin, PhD, RN, FAAN Alice C. Frelinghuysen Betsy Gotbaum Clare R. Gregorian John R. Gunn Mary R. (Nina) Henderson Peter L. Hutchings Robert M. Kaufman Michael B. Laskoff Arthur Lindenauer Kwan Lan (Tom) Mao Joseph Mark Jon E. Mattson, Vice Chair, Secretary and Treasurer Mathy Mezey, EdD, RN, FAAN Phyllis J. Mills, BSN, RN Valerie S. Peltier Carl H. Pforzheimer III Corinne H. Rieder, EdD Ira S. Rimerman Andrew N. Schiff, MD Albert L. Siu, MD, MSPH Kenneth G. Standard Frank S. Vigilante 48 Emeritus Directors Eugenie Doyle, MD John Gordon Attallah Kappas, MD Juliet Patterson Paula L. Root VNSNY CHOICE/VNSNY CHOICE Community Care Board Andrew N. Schiff, MD, Chair Bobbie A. Berkowitz, PhD, RN, CNAA, FAAN Mary Ann Christopher, MSN, RN, FAAN Carmen Beauchamp Ciparick Robert C. Daum Betty Gross Mary R. (Nina) Henderson Peter L. Hutchings Michelle Lopez Kwan-Lan (Tom) Mao, Treasurer Joseph Mark Phyllis J. Mills, BSN, RN Albert L. Siu, MD, MSPH VNSNY Continuing Care Development Corporation Douglas D. Broadwater, Chair Kwan-Lan (Tom) Mao, Treasurer Mathy Mezey, EdD, RN, FAAN Phyllis J. Mills, BSN, RN VNSNY Home Care and Partners in Care Jon E. Mattson, Chair Margaret A. Bancroft Douglas D. Broadwater Mary Ann Christopher, MSN, RN, FAAN Sarah L. Eames Anne B. Ehrenkranz, Vice Chair Claire M. Fagin, PhD, RN Alice C. Frelinghuysen Betsy Gotbaum Clare R. Gregorian Michael B. Laskoff Arthur Lindenauer Mathy Mezey, EdD, RN, FAAN Valerie S. Peltier Carl H. Pforzheimer, III Ira S. Rimerman Kenneth G. Standard VNSNY Hospice and Palliative Care Frank S. Vigilante, Chair Nessa Coyle E. Mary C. Davidson, Vice Chair and Secretary Jose M. de Lasa Edith Dupuy Amber Jones Robert M. Kaufman Diane Meier Mathy Mezey, EdD, RN, FAAN Margaret Neimeth Corinne H. Rieder, EdD, Treasurer Family Care Services Kenneth G. Standard, Chair Judith Duhl Catherine A. George Kevin Rogers VNSNY Executive Committee John P. Rafferty, Chair Douglas D. Broadwater Mary Ann Christopher, MSN, RN, FAAN Robert C. Daum Peter L. Hutchings Robert M. Kaufman Jon E. Mattson Mathy Mezey, EdD, RN, FAAN Valerie S. Peltier Andrew N. Schiff, MD Audit Committee Arthur Lindenauer, Chair Douglas D. Broadwater Carmen Beauchamp Ciparick Robert M. Kaufman Michael B. Laskoff Finance Committee Peter L. Hutchings, Chair Margaret A. Bancroft Robert C. Daum Mary R. (Nina) Henderson Carl H. Pforzheimer, III Ira S. Rimerman Frank S. Vigilante Governance Committee Robert M. Kaufman, Chair Alice C. Frelinghuysen Clare R. Gregorian Mary R. (Nina) Henderson Phyllis J. Mills, BSN, RN Valerie S. Peltier Kenneth G. Standard Development Committee Phyllis J. Mills, BSN, RN, Chair Douglas D. Broadwater E. Mary C. Davidson Anne B. Ehrenkranz Claire M. Fagin, PhD, RN, FAAN Betsy Gotbaum Mary R. (Nina) Henderson Robert M. Kaufman Corinne H. Rieder, EdD Frank S. Vigilante Executive Compensation Committee Valerie S. Peltier, Chair Douglas D. Broadwater Alice C. Frelinghuysen Robert M. Kaufman Mathy Mezey, EdD, RN, FAAN John P. Rafferty Andrew N. Schiff, MD Investment Subcommittee Robert C. Daum, Chair Margaret A. Bancroft Elizabeth R. Bramwell Carl H. Pforzheimer, III Corinne H. Rieder, EdD Ira S. Rimerman Andrew N. Schiff, MD Quality Committee Mathy Mezey, EdD, RN, FAAN, Chair Claire M. Fagin, PhD, RN, FAAN Alice C. Frelinghuysen John R. Gunn Peter L. Hutchings Amber Jones Eileen Sullivan-Marx, PhD, RN, FAAN Phyllis J. Mills, BSN, RN Albert L. Siu, MD, MSPH Charlene Visconti Research Advisory Committee Margaret A. Bancroft, Chair Claire M. Fagin, PhD, RN, FAAN Mathy Mezey, EdD, RN, FAAN Phyllis J. Mills, BSN, RN Alvin I. Mushlin, MD, ScM Albert L. Siu, MD, MSPH Lorna Thorpe Children & Family Services Advisory Board Anne B. Ehrenkranz, Chair Kate M. Ballen Clare R. Gregorian Dorothy N. Hidalgo* Katherine S. Lobach, MD Joanna Miller, EdD Juliet Patterson Valerie S. Peltier Lise Scott Community Mental Health Advisory Committee Stanley Bone, MD, Chair Sheila H. Akabas, PhD E. Mary C. Davidson Edith DuPuy Clare R. Gregorian Phyllis J. Mills, BSN, RN Anand Pandya, MD Paula L. Root Phillip A. Saperia Volunteer Council Edith DuPuy, President Patricia Ewert, First Vice President Committees Layettes Juliet Patterson, Chair Literacy Kathy Harrington, Co-Chair Juliet Patterson, Co-Chair Toy Drive Edith Dupuy, Chair Kathy Harrington, Co-Chair Volunteer Council Benefit Fund Patricia Ewert, Chair Patricia Zalar, Co-Chair (As of March 31, 2014) * Deceased 49 INTERSECTING LIVES How to Help VNSNY Many of VNSNY’s Charitable Care and Community Benefit programs and services are made possible in part by contributions from people like you. With your help, we will continue to provide essential care for thousands of vulnerable children, adults, and families. Here are some of the ways you can help transform the lives of these underserved populations: The 2014 VNSNY Annual Benefit Dinner. This black-tie event, which will take place on Thursday, November 13 at The Waldorf Astoria, raises funds for our Children and Family Services programs. Last year’s gala raised nearly $1.2 million and attracted 700 guests. For information, please contact John Billeci, Director of Special Events and Individual Giving, at 212-609-1565 or [email protected]. Join the VNSNY Leadership Council. This group, made up of donors who have each given a total of $1,250 or more in a calendar year (exclusive of planned gifts and special event tickets), offers an opportunity to become closely involved with VNSNY as a mission-driven organization, with benefits that include invitations to receptions, special events, and educational programs; reserved VIP seating for our Amazing Lives lecture series; and access to the Friends Care Center Phone Line that provides assistance in navigating the home healthcare system. General Contributions help VNSNY continue its nearly 125-year charitable mission to provide the best quality homeand community-based care to all New Yorkers, regardless of circumstance. Memorial or Tribute Gifts allow you to leave a lasting and meaningful legacy in honor of a loved one or a special VNSNY staff member or home health aide. Become a member of the Lillian Wald Heritage Society by making a Planned Gift to ensure that VNSNY’s outstanding care is available to support future generations. Support VNSNY with a planned gift, such as a Charitable Gift Annuity (CGA), a gift of Retirement Assets (such as an IRA), or a Bequest through your will. Planned Gifts may protect and increase your income, generate estate planning advantages, or provide tax benefits and real dividends now, while continuing to do good far into the future. Donate Appreciated Securities that you have owned for more than one year and receive a tax deduction for the full fair market value of the securities on the day of transfer to VNSNY. You can use the enclosed gift envelope to make your gift now, or make an online donation at vnsny.org/donateonline. For more information about donating to VNSNY, please call our Development Office at 212-609-1525. Thank you. Your generous support helps VNSNY provide the most skilled and compassionate healthcare to all New Yorkers regardless of circumstance. We are grateful to you for making this possible. You may opt out of receiving fundraising requests by emailing [email protected] or calling 212-609-1525. 50 Visiting Nurse Service of New York 2013 Annual Report L I N T E R S E C T I N G V E S Visiting Nurse Service of New York 107 East 70th Street, New York, NY 10021 1-888-VNS-1-CALL (1-888-867-1225) www.vnsny.org