congregate housing with assisted living servicesfor <strong>Wilton</strong> seniors who may require help withthe activities <strong>of</strong> daily living. Its members areinvolved with Trackside Teen Center whosemission is to promote healthy, age-appropriatedevelopment for <strong>Wilton</strong> teens and pre-teens. Italso advises the <strong>Wilton</strong> Domestic Violence TaskForce which works to increase awareness onissues related to relationship violence.The staff <strong>of</strong> the Department <strong>of</strong> Social Servicesfor the <strong>2007</strong> year were: Catherine Pierce,Director; Colleen Fawcett, Coordinator <strong>of</strong> YouthServices; Allyson Cusson, Youth Servicescounselor; Lauren Hughes, Coordinator <strong>of</strong>Senior Services; Lizabeth Doty, Coordinator <strong>of</strong>Senior Activities; and Andrea Ragusa, ComputerLearning Center Coordinator.The Board <strong>of</strong> Selectmen appoints the SocialServices Commissioners for a two-year term.The <strong>2007</strong> Commission members were: StephenLanza, Chairman; Leslie Rogers, Secretary;Judy Zucker; Betty Jo Corridon; Ed Raposa;Amy Jeffereis; Judy Mabley; Beth Mason; andSusan Chalons-Browne. We acknowledgewith gratitude the time and effort <strong>of</strong> eachcommission member and especially StephenLanza who served for the last two years asChairman <strong>of</strong> the Commission.The Commission is honored to work with andsupport an eminently qualified and dedicatedstaff. All <strong>Wilton</strong> residents benefit from thepersonal commitment and <strong>of</strong>ten unseen efforts<strong>of</strong> the Social Services Department, its manyvolunteers and collaborative agencies.Leslie Rogers,ChairmanNursing & Home CareLocated in the Comstock Community Center,Nursing & Home Care is proud to providehome health care, public health and schoolnursing to the students <strong>of</strong> the <strong>Wilton</strong> publicschools, Our Lady <strong>of</strong> Fatima School and theMontessori School.For more than 85 years, Nursing & Home Care,and its partner Mid-Fairfield Hospice, havehad the privilege <strong>of</strong> providing pr<strong>of</strong>essionalnursing, compassionate hospice care for theterminally ill, health education, rehabilitationservices and community wellness programsfor individuals and families in <strong>Wilton</strong> andthroughout Fairfield County.Nursing & Home Care’s central mission is topromote health and wellness for individualsand their families by providing a continuum<strong>of</strong> superior home care, community health andsupport services.Nursing & Home Care is called upon to servein the following ways:• Our society has become more “connected”but increasingly isolated. Hundreds <strong>of</strong> <strong>Wilton</strong>residents live alone today, without the benefit<strong>of</strong> a family support system. The numbers<strong>of</strong> elderly, frail individuals living alone hascontinued to escalate throughout the lastdecade. Today many more people are livingwith multiple chronic illnesses which maylimit their ability to be independent. Nursing& Home Care provides much-neededsupport to enable individuals to retain theirindependence at home.• As more physically and mentally challengedchildren are attending the <strong>Wilton</strong> publicschools, there is a dramatic increase in thedaily health and medical needs <strong>of</strong> students.• Now, more than ever, our public healthnurses attend to the health and wellbeing<strong>of</strong> the entire community throughcommunity immunization clinics, strokescreenings, cholesterol screenings, bloodpressure screenings, health educationprograms and in our role with the <strong>Town</strong> <strong>of</strong><strong>Wilton</strong>’s Health Department in EmergencyPreparedness activities.2006-07: The Year in ReviewIn 2006-07, nursing care provided to childrenin the <strong>Town</strong>’s public and private schools –including accidents, illness and/or medicationadministration, as well as nursing activitiesPublic Safety & Welfare23
that included screenings, health classes andcase conferences – accounted for a total <strong>of</strong>136,994 school health visits. The primaryreasons that students visited the school health<strong>of</strong>fices were for treatment <strong>of</strong> acute illness andthe administration <strong>of</strong> medications.This was a highly active year for Nursing &Home Care in helping to maintain <strong>Wilton</strong>residents’ health, prevent illness and detecthealth problems at an early stage. Healthpromotion visits numbered 346. The Agencyprovided 498 blood pressure screenings andadministered more than 2,089 flu shots and74 pneumonia vaccines to <strong>Wilton</strong> residents.Nursing & Home Care provided 563 preschoolscreening visits in <strong>Wilton</strong> and a total <strong>of</strong>549 seniors were served at the Ogden Housesenior clinic.With the significant federally-imposedreductions in Medicare, more <strong>of</strong> our frailelderly are increasingly at risk. This isparticularly true for those with long-termchronic illnesses. Not surprisingly therefore,there has been a continued need for theAgency’s Health Supervision services inconjunction with the Department <strong>of</strong> SocialServices, which provides care to this mostunder-served sector <strong>of</strong> patients who needcare but are without insurance or theresources to pay for essential care.Nursing & Home Care expanded its HomeTeleHealth program this year. Using the latesttelecommunications technologies, HomeTeleHealth is an innovative method by whichNursing & Home Care is able to provide care,monitoring and education to patients in theirhomes. With Home TeleHealth, nurses areable to make “personal” visits to patientswithout leaving the Agency. This has becomeparticularly important in inclement winterweather when the roads are impassable.The nurse and patient are able to engage inpersonal, live, two-way interaction with clear,complete, visual and verbal communication.Accurate measurement and assessmentis made possible with digital, telephonicperipheral equipment such as glucose meters,IV pumps, pulse oximeters and stethoscopes.With Home TeleHealth, our nurses are able tocare for more patients and clinical outcomesare improved.Once again this year, Nursing & Home Careand its affiliates achieved accreditation fromthe Community Health Accreditation Program(CHAP). Nursing & Home Care participatesin nationally established patient satisfactionand clinical outcome benchmarking projects.The Agency has met or exceeded the nationalthreshold in critical patient care outcomeindications, determined by the federalgovernment as a measure <strong>of</strong> high quality care.Nursing & Home Care has been selectedto participate in a national demonstrationproject on home health pay-for-performanceto be conducted by the Centers for Medicare& Medicaid Services (CMS). The project isdesigned to determine the impact <strong>of</strong> incentivepayments to home health agencies for improvingthe quality <strong>of</strong> care <strong>of</strong> Medicare beneficiaries whoreceive home health services.In spite <strong>of</strong> diminishing State and Federalfunding support for home health care, and costPublic Safety & Welfare24