A visiting nurse association (VNA), also known as a visiting nurse agency or home healthcare agency or association, is any of various American organizations that provide home healthcare and hospice services through a network of nurses, therapists, social workers, and other healthcare associates for patients who are housebound, recovering from an illness or injury, or are living with a disability or chronic condition.
In the late 1800s, several district nurse associations began to form in the northeastern United States based on the British district nurse model. Among the first district nurse associations in the United States were the Buffalo District Nursing Association in 1885, The Boston Instructive District Visiting Nurse Association in 1886, Visiting Nurse Association of Philadelphia in 1886, and the Chicago Visiting Nurse Association in 1889. [1]
The current VNA model finds its origins in the Visiting Nurse Service of New York founded by nursing pioneer Lillian D. Wald in 1893 to teach home classes on nursing and healthcare to poor immigrants in New York's Lower East Side. [2] Today there are over 12,000 home health care agencies listed on the Medicare database. [3]
In 2004, the United States Congress recommended the establishment of a Visiting Nurse Association Week reporting that there are over 500 individual VNAs in the United States employing over 90,000 clinicians which provides healthcare to 4,000,000 people annually. [4] In the same report they claimed that VNAs are one of the largest providers of immunizations in the Medicare program with more than 2,500,000 influenza immunizations given manually. [4] The first Visiting Nurse Association Week was celebrated in 2005 in order to increase awareness of the charity-based mission of VNAs and is held annually on the second week in May. [5]
Medicare is a government national health insurance program in the United States, begun in 1965 under the Social Security Administration (SSA) and now administered by the Centers for Medicare and Medicaid Services (CMS). It primarily provides health insurance for Americans aged 65 and older, but also for some younger people with disability status as determined by the SSA, including people with end stage renal disease and amyotrophic lateral sclerosis.
The Centers for Medicare & Medicaid Services (CMS), is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards. In addition to these programs, CMS has other responsibilities, including the administrative simplification standards from the Health Insurance Portability and Accountability Act of 1996 (HIPAA), quality standards in long-term care facilities through its survey and certification process, clinical laboratory quality standards under the Clinical Laboratory Improvement Amendments, and oversight of HealthCare.gov. CMS was previously known as the Health Care Financing Administration (HCFA) until 2001.
Home care is supportive care provided in the home. Care may be provided by licensed healthcare professionals who provide medical treatment needs or by professional caregivers who provide daily assistance to ensure the activities of daily living (ADLs) are met. In-home medical care is often and more accurately referred to as home health care or formal care. Home health care is different non-medical care, custodial care, or private-duty care which refers to assistance and services provided by persons who are not nurses, doctors, or other licensed medical personnel. For patients recovering from surgery or illness, home care may include rehabilitative therapies. For terminally ill patients, home care may include hospice care.
A nursing home is a facility for the residential care of older people, senior citizens, or disabled people. Nursing homes may also be referred to as care homes, skilled nursing facilities (SNF) or long-term care facilities. Often, these terms have slightly different meanings to indicate whether the institutions are public or private, and whether they provide mostly assisted living, or nursing care and emergency medical care. Nursing homes are used by people who do not need to be in a hospital, but cannot be cared for at home. The nursing home facility nurses have the responsibilities of caring for the patients' medical needs and also the responsibility of being in charge of other employees, depending on their ranks. Most nursing homes have nursing aides and skilled nurses on hand 24 hours a day.
The Henry Street Settlement is a not-for-profit social service agency in the Lower East Side neighborhood of Manhattan, New York City that provides social services, arts programs and health care services to New Yorkers of all ages. It was founded under the name Nurses' Settlement in 1893 by progressive reformer and nurse Lillian Wald.
Single-payer healthcare is a type of universal healthcare in which the costs of essential healthcare for all residents are covered by a single public system.
Lillian D. Wald was an American nurse, humanitarian and author. She strove for human rights and started American community nursing. She founded the Henry Street Settlement in New York City and was an early advocate for nurses in public schools.
A nurse practitioner (NP) is an advanced practice registered nurse and a type of mid-level practitioner. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans. NP training covers basic disease prevention, coordination of care, and health promotion. One study found that although reasons for referrals to specialists are similar for both physicians and NPs, the quality of documentation in the referrals may be lower for NPs.
Home health is a nursing specialty in which nurses provide multidimensional home care to patients of all ages. Home health care is a cost efficient way to deliver quality care in the convenience of the client's home. Home health nurses create care plans to achieve goals based on the client's diagnosis. These plans can include preventive, therapeutic, and rehabilitative actions. Home health nurses also supervise certified nursing assistants. The professional nursing organization for home health nurses is the Home Healthcare Nurses Association (HHNA). Home health care is intended for clients that are well enough to be discharged home, but still require skilled nursing personnel to assess, initiate and oversee nursing interventions.
The American Health Care Association (AHCA) is a non-profit federation of affiliated state health organizations that represents more than 14,000 non-profit and for-profit nursing homes, assisted living communities, and facilities for individuals with disabilities. The organization's president and CEO is Mark Parkinson, a former governor of Kansas. The National Center for Assisted Living (NCAL) is a part of the AHCA.
The Balanced Budget Act of 1997 was an omnibus legislative package enacted by the United States Congress, using the budget reconciliation process, and designed to balance the federal budget by 2002. This act was enacted during Bill Clinton's second term as president.
In the United States, Medicare fraud is the claiming of Medicare health care reimbursement to which the claimant is not entitled. There are many different types of Medicare fraud, all of which have the same goal: to collect money from the Medicare program illegitimately.
Florence Wald was an American nurse, former Dean of Yale School of Nursing, and largely credited as "the mother of the American hospice movement". She led the founding of Connecticut Hospice, the first hospice program in the United States. Late in life, Wald became interested in the provision of hospice care within prisons. In 1998, Wald was inducted into the National Women's Hall of Fame.
Hospice care is a type of health care that focuses on the palliation of a terminally ill patient's pain and symptoms and attending to their emotional and spiritual needs at the end of life. Hospice care prioritizes comfort and quality of life by reducing pain and suffering. Hospice care provides an alternative to therapies focused on life-prolonging measures that may be arduous, likely to cause more symptoms, or are not aligned with a person's goals.
The American Hospital Association (AHA) is a health care industry trade group. It includes nearly 5,000 hospitals and health care providers.
Ruth Watson Lubic, CNM, EdD, FAAN, FACNM, is an American nurse-midwife and applied anthropologist who pioneered the role of nurse-midwives as primary care providers for women, particularly in maternity care. Lubic is considered to be one of the leaders of the nurse-midwifery movement in the United States.
Founded in 1893 by nursing pioneer Lillian D. Wald and Mary M. Brewster, VNS Health is one of the largest not-for-profit home- and community-based health care organizations in the United States, serving the five boroughs of New York City; Nassau, Suffolk, and Westchester Counties; and parts of upstate New York.
Marilyn Barbour Tavenner is an American government official and health-care executive who served as the Administrator of the Centers for Medicare and Medicaid Services, an agency of the United States Department of Health and Human Services, from 2011 to 2015.
Public health nursing, also known as community health nursing is a nursing specialty focused on public health. The term was coined by Lillian Wald of the Henry Street Settlement, or, Public health nurses (PHNs) or community health nurses "integrate community involvement and knowledge about the entire population with personal, clinical understandings of the health and illness experiences of individuals and families within the population." Public health nursing in the United States traces back to a nurse named Lillian Wald who, in 1893, established the Henry Street Settlement in New York City and coined the expression "public health nurse". A Public or Community Health Nurse is expected to comply with the duties and limitations of the American Nurse Association (ANA) publication Public Health Nursing: Scope and Standards of Practice.
As of 2017, approximately 1.4 million Americans live in a nursing home, two-thirds of whom rely on Medicaid to pay for their care. Residential nursing facilities receive Medicaid federal funding and approvals through a state health department. These facilities may be overseen by various types of state agency.
