Hospice of Central New York Hospice Foundation of Central New York. The Solace Garden Annual Report

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1 Hospice of Central New York Hospice Foundation of Central New York The Solace Garden 2012 Annual Report

2 A Letter from the CEO On May 31, 2012 we closed the books on another strong financial year. This would not have been possible without the support of staff, board of directors and the community. As optimistic as we are about how we have done financially, the political battles over Medicare and Medicaid reimbursement continue to be of concern. Potential changes to the healthcare reimbursement system coupled with an ever unpredictable census, keep us focused on what measures we can take proactively to compensate for the financial impacts of such changes. In this fiscal year we have reached out to our community partners to form stronger bonds. We have looked at the gaps and needs of our community and tried to create new avenues to meet these needs. For example the creation of new programs like Heart to Heart for those suffering from serious heart disease and the Care at Home program for children with a life limiting illness. Both programs are designed to keep people at home with family and friends where they want to be, which also assists the hospitals by improving readmission rates. Working together like this in the community will strengthen service delivery, improve efficient use of resources and ultimately improve the quality of healthcare service for everyone. The Hospice Foundation has worked hard to meet established goals. Raising funds in challenging economic times is extremely difficult even when you have a much needed service to support. The team has revitalized our events and mailings to attract new and maintain existing donors. With families and corporations functioning on less income and growing expenses, donation revenues are impacted. We understand but appeal to all for each dollar they can spare so that Hospice of Central New York is able to continue to provide support and care to all in need. We thank each of you for the support you have given to Hospice of Central New York this past year. Each of you has given something significant that in some way has made the life of a patient or family a little easier. We are truly grateful for your support. Please continue to remember Hospice of Central New York this coming year and encourage others to share your enthusiasm. With gratitude, Cynthia L. Chandler MS, RN Chief Executive Officer, Hospice of Central New York

3 Hospice of Central New York Building On Collaboration We are very proud that many companies and organizations in Central New York recognize and support our unique and vital mission. Hospice believes a strong community begins with local collaboration and support. Supporting organizations and business that sustains our patients and their families is part of being an active member of the community we serve. Being collaborative is one of the goals we strive to fulfill in our mission to serve Central New York. Service Statistics Patients Served...1,069 Cancer Patients Non-Cancer Patients Hospice is one of the jewels of our community. Hematology-Oncology Associates is grateful for the services provided to our patients. There are no words to express how meaningful the quality and compassion that Hospice staff provides to our patients when moments matter. Hospice has the unwavering support from our physicians and staff and we will always make every effort to contribute to their mission and success. Maryann Roefaro ENV has always believed in the philosophy, it is easy to make a dollar, but difficult to make a difference. By volunteering our time with Hospice, and participating in their events, we feel as if we are actually making a difference and giving back to our community. We wouldn t have it any other way. Cristina Vaughn Total care days...52, 124 Average daily census Average number of days in program 58 Patients who died in 7 days or less 27.2% Patients 65 and above 80.39% Patients in Nursing Homes 153 Patients served in Hospitals 56 Grief Services Hospice Patient Family Members 1,199 persons/1,554 counseling sessions Community Grief Clients (typically sudden or traumatic death) Few people would purposely choose to impact another person during the most difficult time of life -- the transition to death. We support the invaluable people at Hospice who wholeheartedly serve these individuals and their families with dignity and diligence every day. Wendy Wheelock 204 persons/982 counseling sessions Support Group Participation 378 persons/2,617 support group sessions Camp Healing Hearts 50 children and 31 volunteers

4 Consolidated Financial Report Fiscal Year Ended May 31, 2012 Thomas Maroney, CFO Hospice of Central New York Net patient service revenue $9,237,838 $8,394,738 Grants from Hospice Foundation of CNY 147, ,815 Other revenue 246, ,819 Patient care and bereavement expenses (7,479,294) (6,804,102) Other expenses (1,568,107) (1,507,322) Excess revenues of over expenses 585, ,948 Hospice Foundation of Central New York Gifts to Annual Fund $615,666 $586,139 Endowment gifts and other restricted giving 55,713 43,281 Investment income (loss) (52,239) 314,555 Total revenues 619, ,975 Fundraising expenses (230,123) (224,293) Other operating expenses (61,699) (74,724) Total expenses (291,822) (299,017) Excess of revenues over expenses 327, ,958 Grants to Hospice of Central New York (147,743) (501,815) Excess of revenues over grants and expenses 179, ,143 Consolidated revenues (under) over expenses $764,704 $884,091

5 Hospice of Central New York is offering a new program specifically designed to help Central New Yorkers who are suffering from serious heart disease. The program is called Heart to Heart. Its purpose is simple. The Heart to Heart program can help patients manage their heart disease in a way that helps avoid unwanted trips to the emergency room. Hospital stays can be reduced or eliminated. How does this work? Hospice of Central New York s palliative care experts offer patients a specially trained team of physicians, nurses, social workers, chaplains, home health aides, and volunteers whose goal is to help patients cope with their unique symptoms and enhance their emotional and spiritual well-being. The team is available 24 hours a day to respond to patient needs and will make home visits when needed. If the patient s symptoms cannot be managed at home, the Heart to Heart program will help arrange for hospitalization and work with the hospital staff to get the patient s symptoms under control and get them home as soon as possible. Because Heart to Heart works in collaboration with the patient s physician and area hospitals, we can make hospital visits less frequent and shorter in length. Heart to Heart is cost effective. Hospital stays are very expensive. Local hospitals are collaborating with us on this program because this type of care benefits the patient and family the most. We feel the services offered through the Heart to Heart program can reduce stress, result in better symptom management and offer patients a return to life as they want it at home surrounded by the people and things that make them happy. We help families with terminally ill children. The Home program provided by the Caring Coalition of CNY offers consultation to patients and families looking for expert palliative advice and services. Services are offered to children 17 years and younger, who without participation in the Home program, could be at risk for institutionalization. Pediatric palliative care services are in collaboration with the child s community case manager and attending physician. Pediatric palliative care is an interdisciplinary approach to care for children with serious illnesses. The focus of care is on relieving symptoms and providing emotional support to the child and their family. Curative treatments can continue to be provided. The goal is to improve the family s quality of life while the child is ill. The Home Pediatric Palliative Care program provides experienced professionals who can help a child, family and their extended network of support cope with the challenges present during a serious life limiting illness.

6 Compassionate Presence In this past fiscal year, Hospice of Central New York began to provide additional volunteer help and presence to Hospice patients residing in Skilled Nursing Facilities who are imminently dying (2 days to hours from death) and needing extra support. Hospice will provide as many hours as we have volunteers available between the hours of 8am to 8pm when a request is made by a Hospice team member or our Hospice/ Senior Nursing Facility nurse liaison. Hospice volunteers offer patients emotional support and presence. They also provide encouragmement and comfort to patients families. Hospice volunteers have received extra training to be able to provide this special care to Hospice patients in Nursing Facilities. During this sensitive time patients and their families can rely on these volunteers to help them through the most difficult time in their hospice experience. Volunteers will take direction from the facility staff and Hospice staff and will be willing to help in ways that are within their scope of practice as Hospice volunteers. In its first year, the program has been well received by our patient s families who have requested this special help. Hospice leadership was very touched by the number of volunteer family caregivers who stepped forward for special training. Our Great Volunteers Hospice of Central New York is blessed to have so many wonderful people to offer their time and talents to our agency. We are so pleased to see their numbers grow and so appreciative of their commitment to Hospice. Family Caregiver Volunteers Administrative Volunteers Total Patient Visit Hours Non Patient Related Volunteer Hours Total Hours for all Patient Care Volunteers Total Volunteer Hours

7 New Technologies For many Hospice nurses, social workers and grief counselors this fiscal year brought significant upgrades to the tools they need to do thier jobs. Just like most other American workers a computer is one of the main tools in their mobile office. Hospice IT has to find the best equipment at a good price for the type of work our people in the field will be doing. Hospice clinical personnel could make multiple stops during their busy day. A rugged light computer with easy to use software is essential. Staff received new laptops and software upgrades so that their job of providing comfort care to our patients can be administered efficiently. To help stay ahead of the curve new technologies have been introduced. Touchpads, smartphones and portable internet hot spots help with efficiencies everyday. In addition to laptop computers, new cell phones were also issued to staff. These new rugged phones meet military standards for shock, water and dirt, making them suitable for travel and constant use. Patients in Hospice are served by a team of healthcare professionals who colaborate with each other to ensure patient care and comfort. That team also makes sure our patients primary caregiver and family is also informed and cared for through our services. Phones are essential to that colaboration and to steer team members to patients who need help when called upon. During 2012, our IT staff installed more powerful server equipment, increased storage capacity and improved remote access capabilities. Also, with the addition of new network eqiuipment the systems have become faster and scalable. Our aging technology needed the upgrade desperately. All of the upgrades, new equipment and software were installed seamlessly. Staff were quickly educated on how to use the equipment and upgrades with no problems reported. Credit for all that success lies with a dedicated and hard working IT staff! Our New Website Hospice of Central New York received word in early March from our website provider that they were shutting down their services within 4 days and our website would not be available on the internet. We had two options open to us. Transfer the site to a new provider or build a new site. Hospice Communications and the IT team had already been working on building a new website and they were aiming for a public release with the new fiscal year in June. The decision was made to finish up with the new website and have it ready to go with a new established provider within the 4 day deadline. The challenge was met and a day before the old site ceased to exist a new website was established and transferred. There was very little down time on the site and the results were spectacular. Our new website offers more information about Hospice services and events. It s new blog style format keeps the homepage fresh and active making it interesting to frequent visitors. The backbone of the site offers real information for people who are researching for end-of-life care information. Most important, the website points people to call Hospice of Central New York. One of our biggest assets is a real live person answering phones 24/7. That service helps establish Hospice as Central New York s go to organization when there is a question about end-of-life care, even if that question is not from our patients or their families. If you have the chance, we welcome you to visit the website at If you have questions about the site, if you have a story or would like to guest blog contact us at info.hospicecny.org.

8 HOSPICE BOARD DIRECTORS: President: Maryann Roefaro Vice President: Lisa Smith 2nd Vice President: Michael Luton, CPA Treasurer: Roz Letiecq Secretary: Mary Huntington Carl I. Austin, Jr., CPA Catherine Green, PHR Mark Muthumbi, MBA, CHC, PAHM Joseph Navone, MD Martin Schwab, Esq. Lynn Steenberg Rachel Windover HOSPICE FOUNDATION BOARD DIRECTORS: President: Paul J. Curtin, Jr., Esq. Vice President: Christopher Didio Treasurer: Robert Wilkinson Secretary: Heather McClanahan Karla Bowles Rick Bunce Jenny Burrows Michael Carr Patricia Greco James F. Prioletti, CFP, ChFC Don Scholl Wendy Wheelock MEMBERS EMERITUS: Linda R. Ervin MEMBERS EMERITUS: Msgr. Charles Eckermann Peter McLellan, Esq. Eric Will, II Joanne Zinsmeister-Yarwood Mission Statement: Hospice of Central New York, as our community s expert resource at the end-of-life, provides comprehensive comfort care to patients and families through unique interdisciplinary services, bereavement counseling, education and collaboration. Mission Statement: The Hospice Foundation of Central New York promotes the values of hospice care. It is dedicated to providing support soley for the programs and operations of the Caring Coalition of CNY dba Hospice of Central New York. The Hospice Foundation of Central New York works to enhance hospice programs and initiatives. A Hospice donors list can be found at our web site at