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In the various roles he has undertaken through the years, Val J. Halamandaris has been a singular driving force behind the policy and program initiatives resulting in the recognition of home health care as a viable alternative to institutionalization. His dedication to consumer advocacy, which enhances the quality of life and dignity of those receiving home health care, merits VNA HealthCare Group’s highest recognition and deepest respect. 

VNA HealthCare Group

I have the highest respect for them, especially for the nurses, aides and therapists, who devote their lives to caring for people with disabilities, the infirm and dying Americans.  There are few more noble professions.

President Barack Obama

Home health care agencies do such a wonderful job in this country helping people to be able to remain at home and allowing them to receive services

U.S. Senator Debbie Stabenow (D-MI) Chair, Democratic Steering and Outreach Committee

Home care is a combination of compassion and efficiency.  It is less expensive than institutional care...but at the same time it is a more caring, human, intimate experience, and therefore it has a greater human’s a big mistake not to try to maximize it and find ways to give people the home care option over either nursing homes, hospitals or other institutions

Former Speaker of the U.S. House of Representatives Newt Gingrich (R-GA)

Medicaid covers long-term care, but only for low-income families.  And Medicare only pays for care that is connected to a hospital discharge....our health care system must cover these vital services...[and] we should promote home-based care, which most people prefer, instead of the institutional care that we emphasize now.

Former U.S. Senator Majority Leader Tom Daschle (D-CD)

We need incentives to...keep people in home health care settings...It’s dramatically less expensive than long term care.

U.S. Senator John McCain (R-AZ)


Home care is clearly the wave of the future. It’s clearly where patients want to be cared for. I come from an ethnic family and when a member of our family is severely ill, we would never consider taking them to get institutional care. That’s true of many families for both cultural and financial reasons. If patients have a choice of where they want to be cared for, where it’s done the right way, they choose home.

Donna Shalala, former Secretary of Health and Human Services

A couple of years ago, I spent a little bit of time with the National Association for Home Care & Hospice and its president, Val J. Halamandaris, and I was just blown away. What impressed me so much was that they talked about what they do as opposed to just the strategies of how to deal with Washington or Sacramento or Albany or whatever the case may be. Val is a fanatic about care, and it comes through in every way known to mankind. It comes through in the speakers he invites to their events; it comes through in all the stuff he shares.

Tom Peters, author of In Search of Excellence

Val’s home care organization brings thousands of caregivers together into a dynamic organization that provides them with valuable resources and tools to be even better in their important work. He helps them build self-esteem, which leads to self-motivation.

Mike Vance, former Dean of Disney and author of Think Out of the Box

Val is one of the greatest advocates for seniors in America. He goes beyond the call of duty every time.

Arthur S. Flemming, former Secretary of Health, Education, and Welfare

Val has brought the problems, the challenges, and the opportunities out in the open for everyone to look at. He is a visionary pointing the direction for us. 

Margaret (Peg) Cushman, Professor of Nursing and former President of the Visiting Nurses Association

Although Val has chosen to stay in the background, he deserves much of the credit for what was accomplished both at the U.S. Senate Special Committee on Aging, where he was closely associated with me and at the House Select Committee on Aging, where he was Congressman Claude Pepper’s senior counsel and closest advisor. He put together more hearings on the subject of aging, wrote more reports, drafted more bills, and had more influence on the direction of events than anyone before him or since.

Frank E. Moss, former U.S. Senator

Val’s most important contribution is pulling together all elements of home health care and being able to organize and energize the people involved in the industry.

Frank E. Moss, former U.S. Senator

Anyone working on health care issues in Congress knows the name Val J. Halamandaris.

Kathleen Gardner Cravedi, former Staff Director of the House Select Committee on Aging

Without your untiring support and active participation, the voices of people advocating meaningful and compassionate health care reform may not have been heard by national leaders.

Michael Sullivan, Former Executive Director, Indiana Association for Home Care

All of us have been members of many organizations and NAHC is simply the best there is. NAHC aspires to excellence in every respect; its staff has been repeatedly honored as the best in Washington; the organization lives by the highest values and has demonstrated a passionate interest in the well-being of patients and providers.

Elaine Stephens, Director of Home Care of Steward Home Care/Steward Health Systems and former NAHC C

Home care increasingly is one of the basic building blocks in the developing system of long-term care.  On both economic and recuperative bases, home health care will continue to grow as an essential service for individuals, for families and for the community as a whole.

Former U.S. Senator Olympia Snowe (R-ME)

NCOA is excited to be part of this great event and honored to have such influential award winners in the field of aging.

National Council of Aging

Health care at home…is something we need more of, not less of.  Let us make a commitment to preventive and long-term care.  Let us encourage home care as an alternative to nursing homes and give folks a little help to have their parents there.

Former President Bill Clinton

We Should Talk About Bullying in Nursing

October 14, 2016 04:33 PM

At NAHC, we believe nurses are the backbone of America’s health care system. In home care they are often the quiet and forgotten heroes, caring for the sick, elderly and disabled that depend on them for their well-being and even their lives.

When we think of nurses we think of caring and nurturing, not bullying, which is an act or series of acts of aggression by someone in a higher level of authority over a subordinate. There is also what is called lateral violence – acts of aggression among colleagues. All this matters because bullying and lateral violence is a huge, if often unspoken, problem in nursing.

A 2007 study of student nurses found that 53% had been insulted or demeaned by a staff nurse and a 2001 ANA study found that 57 percent of nurses had been threatened or experienced verbal abuse at work.

One study of lateral violence found 97 percent of nurses surveyed reported lateral violence in their health care workplace as a regular occurrence, with verbal abuse being the form most commonly cited. A web-based survey from 2011 asked nurses to rate the frequency of their experience with lateral violence, using a six-point scale in which one meant never and six meant daily. The mean score of respondents was 4.5, meaning lateral violence occurred more than monthly in the participating nurse’s workplace.

Lateral violence by nurses in the health care workplace is estimated to cost more than $4 billion per year due to absenteeism, lost productivity and turnover of trained staff. That amount is most likely a considerable under-estimate, due to lack of proper reporting of the problem. It is not surprising that nurses are likely to leave their place of employment within six months of the first incident of victimization. The cost of replacing and training nurses is substantial -- $22,000 for each new nurse and $64,000 for each new experienced nurse.

Apart from being expensive, that sort of workplace atmosphere is bad for morale and the psychological (and perhaps physical) well-being of nurses. It can lead to depression, hypertension, coronary artery disease, absenteeism and staff attrition. It can also negatively affect the quality of care.

The Institute of Safe Medication Practice found in 2004 that 40 percent of clinicians “kept quiet” or ignored an improper medication due to an intimidating colleague. The health of patients is at stake.

Nurses who are driven out of the profession by bullying and lateral violence represent a tragedy of lost talent and potential. Our nurses are far too important for them to be driven out of their critical line of work by a problem that is preventable.

But how do employers and managers know when bullying and lateral violence is occurring in their workplace and what do they do about it? These are crucial questions and it is unreasonable to expect managers with no training in this area to instinctively know how to proceed. Fortunately, the information and assistance you need to recognize and deal with bullying and lateral violence among nurses is available.

The NAHC Annual Meeting in Orlando, Florida later this month will feature an educational session called Bullying and Violence in Nursing: The Big Issue in the Profession That No One Wants to Talk About. The speaker will be Patricia Rowell, who earned her BSN and PhD at Virginia Commonwealth University and her MSN at the University of Virginia. She also has a certificate in mental health nursing from Catholic University. Ms. Rowell has worked as an RN in emergency rooms, psychiatry, pediatrics, home care and elsewhere. She is uniquely qualified to discuss the subject of bullying and lateral violence in nursing and we strongly encourage you to attend this educational session.

NAHC’s Annual Meeting is a great opportunity to enhance your place in the industry.  To view all of NAHC’s Annual Meeting education, please click here




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