Case Study: Travelers Are Integral to Managing Homecare Agency’s Increased Demand

January 8, 2018

Established in 1907, the Visiting Nurse and Hospice (VNH) office for Vermont and New Hampshire covers about 4,000 square miles, which includes more than 150 towns. The VNH office is located between the beautiful White and Green Mountains of Vermont, where about 50 nurses are dispatched to perform a number of home healthcare services, including cardiopulmonary assessment, medication teaching, preventative care instruction, wound care, and therapy. The area is rural, but the VNH network is growing steadily at approximately 4% each year.

In the beginning, VNH President/CEO Jeanne McLaughlin, MSN, MSEd, BSMP, who has been with VNH for seven years and in the industry for 35, will tell you that home healthcare growth was predominately from changes in government regulations and faster hospital discharges. Today, although those situations still affect growth, new challenges have led her to use travel nurses, which she calls an integral strategy for accomplishing her agency’s goals.


Since she started working for VNH, McLaughlin said that VNH’s homecare patient volume has grown due to the following reasons:

  • A growing senior population (10,000 baby boomers turning 65 every day)
  • Fragmented families (fewer extended families)
  • Medical technologies that help people live longer and at a higher quality of life
  • Chronic illnesses that need regular attention
  • Constraints on inpatient facilities
  • A collective desire to reduce costs and find efficiencies
  • The senior population wanting to age at home
  • The overwhelming desire to achieve good outcomes

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