Title: #101 Introduction to VNA First Home Care Pathways & Components 


Program Description: 
This course will provide an overview of the current homecare market and challenges, including P4P and best practice standards. Definitions as well as key components for disease management programs will be presented. A brief history and a description of the components of the VNA First clinical pathways and care plans will be provided. Examples of how this evidence-based standardized care approach promotes efficient care and quality outcomes will be demonstrated. The many benefits agencies have experienced using this pathway model of care will be shared.

Program Goals: 

• To demonstrate the importance of disease management at the national level, the industry level, the agency level and the patient level.
• To introduce VNA First clinical pathways and care plans as tools to assist the agency, the clinician and the patient in achieving cost effective disease management.

Program Outline: 

• Current Homecare Environment, Meeting the Challenge
• Disease Management Definitions and Program Components
• Introduction to VNA First Clinical Pathway Components for All Disciplines in McKesson Horizon Homecare
• How Clinical Pathways Promote Efficient, Cost Effective Care & Exceptional Outcomes

Pre-Requisites for this Program:   
None


Documents Provided for this Session: 

• Webinar Handout
• Program Evaluation
• Notes to the Trainer
• SN, PT, OT, MSS, Dietitian Guideline Samples
• Focus Assessment Worksheet (optional)
• VNA First Variance Codes & Key OASIS MO Descriptions
• VNA First Pathway Component Descriptions
• Program Evaluation

Title: #102 Nursing: Day-to-Day Use for Home Care: Demonstration and Practice Session
Recommended Pre-Requisites for this Program: 

1. Knowledge of the Horizon Homecare v10x Guidelines, Advanced Clinical components and functionality. This course does not cover the basics of Guideline functionality or other Advanced Clinical activities of the Horizon Homecare software.
2. Participation in webinar #101 Disease Management & Clinical Pathways: Basic Concepts & Benefits

Program Description: 
This course will prepare the clinician to use the VNA First pathway components in Horizon Homecare v10x Guideline software. A demonstration of the day- to- day use of the pathways and CoSteps will be provided. With this standardized care approach, program components can easily be individualized to meet the patient’s needs. Numerous scenarios will be presented. Benefits of using these Guidelines in Horizon Homecare v10x related to continuity and efficiency of care will be emphasized. Case management tools available in the system will be described and recommendations for use will be presented. Practice sessions are integrated and encouraged throughout the session.


Program Goals: 

• To demonstrate the recommended day to day use of this pathway program in Horizon Homecare v10x.
• To emphasize the ease of use, efficiency in care and other benefits for the clinicians and patients

Program Outline: 

• Overview of Guideline Components
• Description and then Demonstration of Initial Guideline Activities
• “What if” Scenarios, How to Meet the Patient’s Needs
• Care Management Tools and Recommended Use 
• Description and Then Demonstration of Routine Visit Guideline Activities
• Description and Use of CoSteps
• Description and Use of Care Management Tools

Documents Provided for this Session: 

• Webinar Handout, Clinician Field Guide, and Practice Activity Tool
• Program Evaluation
• Notes to the Trainer
• SN screenshots for guidance through practice activities (optional)
• Focus Assessment Worksheet (optional)
• CHF Sample with Component Descriptions
• Field Guide Sample
• Program Evaluation

Title: #103 Day to Day Use (PT/OT/MSS/RD) - VNA First Pathways in McKesson Horizon Homecare and Horizon Hospice v10x  

Program Description: 
This course allows hands-on practice session using the VNA First Guideline components in Horizon Homecare and Horizon Hospice v10x software. Emphasizing the ease of use, a demonstration of day-to- day use of these discipline-specific guidelines will be provided. Components and activities used during the Initial visit and a Routine visit will be demonstrated. These Guidelines contain episode-specific content that can easily be used to meet the patient’s need. Practice Activities are integrated throughout the session. Practice sessions are integrated and encouraged throughout the session.


Program Outline:

• Overview of the Guideline Components
• Initial Visit Guideline Activities with Practice Sessions
• Routine Visit Guideline Activities with Practice Sessions
• Use of CoSteps (PT/MSS)
• Use of the Care Management Tool (Focus Assessments & Care Summary)

Documents Provided: 

• PT Handout – Case Study
• OT Handout – Case Study
• MSS Handout – Case Study
• Focus Assessment Worksheet (optional)
• Notes to the Trainer
• PT, OT and MSS screenshots for guidance through practice activities (optional)
• Program Evaluation

Program Description: 
The goal of this session is to highlight the movement towards an evidence-based and outcome driven hospice environment. How the VNA First pathways in the McKesson Guidelines software assist agencies and clinicians to meet and exceed these new expectations will be demonstrated. The following topics will be covered during this presentation:

Documents Provided for this Session (Discipline is included in File Name): 

• ALL – Hospice Interdisciplinary Guideline – used during session
• ALL – Program Evaluation – completed following session, results shared with VNA First 
• Nursing – Focus Assessment Worksheet
• Nursing – Palliative Cirrhosis CoStep
• Nursing & Social Worker – Hospice Bereavement
• Social Worker – Hospice MSS Coping CoStep
• ALL – VNA First Paths & Guideline Components - Hospice - used as reference following session
• ALL – VNA First Variance Codes – used as reference following session

This program includes a complete list of recommended activities for the Implementation Team and Trainers to complete prior to instructing the field staff.

Program Description: 
This course will prepare the clinician to use the VNA First Hospice pathway components in Horizon Hospice v10x Guideline software. It will begin with a brief history of the Hospice pathways and the integration of best practice standards. A demonstration of day to day use of the pathways and CoSteps will be provided. With this standardized care approach, it can easily be individualized to meet the patient’s needs. Different scenarios will be presented. The benefits of using these Guidelines related to continuity of care and symptom management will be emphasized. Case management tools available in the system will be described and recommended use will be provided. A Clinician Field Guide and a Practice Activity handout are included with this webinar.

Program Goals: 

• To demonstrate the recommended day to day use of this pathway program in Horizon Homecare v10x.
• To emphasize the ease of use, efficiency in care and other benefits for the clinicians and patients

Program Outline: 

• To demonstrate the recommended day to day use of this pathway program in Horizon Homecare v10x.
• To emphasize the ease of use, efficiency in care and other benefits for the clinicians and patients
• “What if” Scenarios, How to Meet the Patient’s Needs
•  Care Management Tools and Recommended Use 

Documents Provided for this Session: 

• Webinar Handout, Clinician Field Guide, and Practice Activity Tool

100 minutes (plus time for Q/A for live sessions)

Program Description: 

This course assists agencies in preparing for efficient and successful implementation of the VNA First clinical pathways and CoSteps in Horizon Home Care and Horizon Hospice v10x. This session will include a brief overview of the framework and components of the VNA First pathways and standardized care approach. How the Guidelines are ready to use “out-of-the-box” will be emphasized. A demonstration of the use of the VNA First components and recommendations for use, along with considerations and agency-specific options will be presented. Many of these considerations are outlined in the Activities Checklist document that will be provided. Other roll out and implementation tips will be provided.

Program Outline:

Recommended Pre-requisites for this Program:

• Experience with McKesson Guideline software components and functionality.
• Knowledge of the basic components of the VNA First Guidelines, how it looks in Clinical Explorer, and general instructions for use. 
• Review of support documents (download from McKesson Info Center website): 
  o 2008 VNAF Upgrade Description (for component descriptions)
  o VNAF Paths & CoSteps Procedures for Use in McKesson v10+
  o VNAF Variance Codes for McKesson 2008
  o CHF 2008 VNAF McKesson Sample & Component Use & Description
  o VNAF Pathways : Guidelines INCLUDED in the 2008 Upgrade
  o VNAF Pathways : Guidelines NOT INCLUDED in the 2008 Upgrade
  o 2008 Standard Orders for VNAF Pathways
  o VNAF Sampling of 2008 Pathways & CoSteps (PDF’s) 
• Access and viewing of the VNA First Clinical Pathways Introduction 30" video

(Free: available on our website at www.innovativehcs.com)

Documents & Materials Provided with Registration: 

• Implementation Activity Checklist: Comprehensive list of activities or decisions to be made prior to implementation 
• Focus Assessment Worksheet (Homecare)
• Focus Assessment Worksheet (Hospice)
• CHF Paper Pathway Sample
• CHF Pathway – Content in Table Format Sample
• Clinician Surveys (A & B)