VNA merger expands home health, hospice services
Visiting nurse associations Concord Regional VNA and Central New Hampshire VNA & Hospice have merged to form what is now the Granite VNA, providing certified home health care and hospice care to 82 communities throughout the greater Concord area and central New Hampshire. President and CEO Beth Slepian, formerly the president and CEO of Concord Regional VNA, discussed the merger.
Why was Granite VNA formed?
Industry-wide, [VNA] organizations have been looking at how to be sustainable for the long term. … Over the last five years, and even longer than that, home care and hospice has become challenging because of Medicare payment cuts; our fees are reduced. … We provide over $5 million in community benefits, which is unreimbursed … and we’re seeing our reimbursements declining. We’re also seeing [an increase] in patients to care for. Our biggest costs are labor wages and benefits; how will we be able to continue to both support our workforce and provide those community benefits? … Both Concord Regional VNA and Central VNA & Hospice were very strong financially; neither had to embark on this journey now, but we were looking toward the future to make sure that we could leverage scale and volume to meet the needs of the entity in the long term.
How will the merger improve health care in the state?
In the Lakes Region, Central New Hampshire VNA did not have IV-certified nurses, and that’s something we’re looking to bring to that area. We have more wound care nurses and certified lymphedema therapists in the Capital region that [were part of] Concord Regional VNA, so we’ll be able to spread them throughout our entire service area. We’re expanding the maternal child health services that we provide in the Lakes Region. [Central VNA] had a program, but it was small, so we’re staffing that to address the pediatric and maternal health needs of mothers and babies. … Finally, we’ll be able to spread our community education programs [like] Powerful Tools for Caregivers [and] Better Choices Better Health throughout the communities we serve, based on an assessment [of their needs].
Who will benefit most from these expanded health care services?
More people are receiving care in their homes now than ever before. … We have an aging population in New Hampshire, and an expanding group of people requiring care, [including] patients who have chronic illnesses like diabetes and congestive heart failure, have had joint replacements or an accident, or need IV therapy. We’ll also be able to give patients in the remoter areas of New Hampshire greater access to visiting nurses and home care and specialty care.
How is Granite VNA operating as of now?
The main office is located in Concord, with two branches in Laconia and Wolfeboro. … We now have five home care teams, two hospice teams and a hospice house. We’re currently still operating on two different electronic health records, and once we’re on one, we’ll be able to really resource all 82 towns that we serve with one workforce.
Did the pandemic impact the merger process?
It was hard, as we went through the pandemic, continuing to care for our communities while also working toward this big project … but we persevered … and methodically worked our way through the process to integration. … Discussions [about the merger] had been happening for a year prior [to the pandemic], and they were very collaborative discussions; we were working closely together to create this new entity, so [by the time the pandemic happened] we had already formed a relationship and could support each other and share knowledge and processes on how to handle the new [pandemic] rules.
How has Granite VNA taken care of its staff throughout the merger?
Mergers are not successful when not enough work is done on creating a new [workplace] culture. That’s why we created a new name, instead of keeping either [organization’s] name, and a new identity. It’s really important to us that as we go through this integration it’s a shared experience and a shared new culture for everyone. … We actually [have a] consultant who is working with both organizations to bring them together … and [help them] acknowledge what each is feeling and really understand each other.
What do you anticipate will be the biggest challenge for Granite VNA?
Workforce, workforce, workforce. [Health care organizations] are all competing for the same people [to employ]. We would hire as many nurses as we could find right now, but it’s really hard. We’re doing what we can … and we’re trying to get creative. We have a nurse graduate program so that we can train nurse graduates … and that’s a slow but steady build of our workforce.
Featured photo: Beth Slepian