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VNA Homecare & Hospice of the Wabash Valley

For fast, easy referrals call: 1-800-844-7610

VNA Homecare

Since 1916, VNA has been committed to delivering quality healthcare to patients in their homes. Whenever the need arises you can rely on us. Our team consists of registered nurses, home health aides, physical, occupational and speech therapists, social workers, infusion specialists and certified wound care specialists. We take care of people from birth through their geriatric years.

Hospice of the
Wabash Valley

Hospice, established in 1982, is a comprehensive program of care and support for incurably ill patients and their loved ones when the focus must shift from cure to comfort and quality of life. Care may be provided in the patient’s home or place of residence, in a nursing home or extended family care.
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Bridge Program

The Bridge Program blends the skilled care of Visiting Nurse Association (VNA) Homecare with the specialized symptom management consultations of the Hospice of the Wabash Valley team, based on the patient’s needs. This collaboration ensures a smooth, timely and seamless transition from home health to hospice care.

About Us

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We are committed to providing the highest quality home health and hospice care to the people of the Wabash Valley.

Service Area

  • Clay
  • Parke
  • Sullivan
  • Vermillion
  • Vigo

Speakers Bureau

In our ongoing effort to provide continuing education and raise awareness, Visiting Nurse Association and Hospice of the Wabash Valley, a non for profit agency offers a series of programs designed to address the needs and concerns of the community. We provide speakers at no cost to clubs, organizations, faith-based groups, senior centers and other interested audiences. The goal of our Speaker’ Bureau is to educate our community on home health and hospice services.

Our Speaker’s Bureau can tailor presentations according to your group’s needs and wishes.
Topics include:

• Basics of Home Health Care
• Hospice 101: Myths and Facts

To request a speaker for future presentations, please call (812) 232-7611 Ext. 248 at least one month prior to your preferred date. The Speakers Bureau is a free service. Donations are accepted to provide care to our clients in need.

Administrative Team

Trudy Rupska, MS, RN – Chief Executive Officer

Jon Meier, RN, MBA – Clinical Director

Lynn Morales, BS, MBA, CPA – Finance Director

Kim Streeter, PHR – HR/Info Systems Director

Tracy Rippy, BSW – Business Development Director

Gayle Bland, RN, MSN – Regulatory Director

Karina Wallace, RN – VNA Clinical Supervisor

Robin Royce, RN – Hospice Clinical Supervisor

Judy Wiggins, RN – Intake Coordinator

Judi Boyd-Horndasch – Volunteer Coordinator

Board of Directors

The Board of Directors of VNA and Hospice of the Wabash Valley guide the strategic direction and raise philanthropic support for the organization. We are honored and grateful to have such respected leaders from the Wabash Valley’s medical, business, and volunteer communities help serve our mission. We rely greatly upon their expertise, insights, and support.

Greg Gibson – President
President, Retec

Don Ireland – Vice President
President, Industrial Supply Company

B. Curtis Wilkinson – Secretary
Attorney, Wilkinson, Goeller, Modesitt, Wilkinson & Drummy

Don Scott – Treasurer
President, Sycamore Insurance Associates

Eileen Balduf
Community Volunteer

Tom Miller
Rose Hulman Institute of Technology

Jeff Smith
President, 500 Automotive Group

Becky Buse
Girl Scouts of Central Indiana

Joel Harbaugh
Executive Director
Union Hospital Foundation

Karen Dyer
Saint Mary of the Woods College

Rhonda Smith
Chief Nursing Officer,
Vice President Patient Care Services Union Hospital

Dan DeBard
Wealth Strategies

Troy Helman
Coldwell Banker/Troy Helman Realtors

Sharon Pattison
Community Volunteer

Nancy Farr
Farr & Associates

Wayne Hutson
Chief Financial Officer, Union Hospital

Trudy Rupska
Chief Executive Officer,
VNA and Hospice of the Wabash Valley

Biff Williams, PhD.
Provost and Vice President of Academic Affairs,
Indiana State University

Andy Fox
President, Fox Canteen

HIPAA


VNA

Home health care allows you to remain in the comfort, security and privacy of your own home. The goal is to treat illness or injuries, helping you get better so you can regain independence.

Services provided

Patients need a physician referral to qualify for payment through a health plan, such as Medicare or private insurance. Following the Physician’s Plan of Care, our inter-disciplinary team helps assess, direct care and provide patient/caregiver education.
VNA offers a wide range of Home Health services and programs, we customize care for patients that clearly adheres to their physician’s Care Plans.

  • Disease Management, Diabetic, Respiratory, Congestive Heart Failure (CHF), Cardiac
  • In-home infusion therapy
  • Orthopedics Assessment, therapy and fall prevention
  • Wound care
  • Colostomy care
  • Health Assessment
  • Foley catheter care
  • Tube feedings
  • PCA pumps
  • Education on medical condition and treatment
  • Evaluate safety as it relates to patient care
  • Laboratory specimen collection
  • New baby checks
  • Occupational, Physical Therapy and Speech Language Pathology

Our Team

SKILLED NURSING SERVICES: Registered Nurses (RN) and Licensed Practical Nurses (LPN) support physician patient directives with in-home care in:
-IV Therapy
-Wound Care
-Pediatrics
-Diabetes
-Medication Management and Compliance
-Congestive Heart Failure (CHF)

HOME HEALTH AIDE SERVICES: Skilled VNA Aides assist patients with their personal care and hygiene needs and provide light homemaking services.

MEDICAL SOCIAL SERVICES: VNA Social Workers support patients and families with emotional, psycho-social and financial counseling and assistance in accessing community resources.

THERAPY SERVICES: Rehabilitative services are available for patients requiring care in Physical, Occupational and Speech Therapy.

Rehabilitation Services

Whether you have had orthopedic surgery or a recent fall, have an increase in weakness or suffered the effects of a stroke, the VNA rehabilitation team can help you with your recovery. Our comprehensive team includes:
• Physical therapists
• Occupational therapists
• Speech Language pathologists
• Medical social workers
• Home health aides

Upon receiving an order from your physician, our therapists can:
• Evaluate, treat and educate you or your loved one in familiar surroundings
• Assess the patient and home for fall risks
• Review your medications for interactions and safety factors
• Make recommendations to support the rehabilitation process
• Provide rehabilitation therapy services that fit your schedule
• Talk with your physician about your progress

Physical Therapy
•Specialized post-op surgery programs for knee, hip and spinal surgeries and other fractures
•Chronis disease rehabilitation
•Home safety evaluations
•Post-stroke rehab
•Gait and stair training
•Balance training
•Equipment evaluation and training
•Pain assessment and treatment
•Transfers and functional mobility training
•Energy conservation

Occupational Therapy
•Improve upper extremity strength
•Improve independence in bathing, dressing, self-care and eating
•Upper extremity and hand therapy
•Adaptive equipment
•Balance and endurance training
•Assistance in wheelchair fitting
•Visual deficit training and safety evaluation
•Community re-integration
•Cognition evaluation and treatment
•Energy conservation and work simplification

Speech Language Therapy
•Speech articulation
•Swallowing difficulties
•Therapeutic exercises
•Cognitive function evaluation and treatment
•Auditory/visual comprehension
•Verbal and graphic expression

Home Monitoring Program

The HomMed Home Monitoring System provides users the best of both worlds: the comfort and independence of staying at home and the security of daily monitoring and proper medical attention.

Each day the monitor will collect heart rate, blood pressure, oxygen saturation and weight. The monitor then transmits the data to our office for review by skilled VNA nurse. HomMed helps to reduce emergency room visits and hospital admissions by assisting clinicians to identify and appropriately treat patients before their conditions become serious.

Who Would Benefit?
Patients with congestive heart failure, cardiac disease, pulmonary disease and hypertension.

Medicare

Medicare

The Visiting Nurse Association of the Wabash Valley is certified to participate in the Medicare program. The information below describes the key criteria to establish home care eligibility. Please use this information as a guide only.

Homebound
A patient is considered homebound by Medicare if:

- Leaving the home required a considerable and taxing effort
AND
- Absences from the home for non-medical reasons are infrequent and are for a short period of time.

Face-to-Face Encounter
The patient must have been seen by the physician ordering homecare within the 90 days prior to the start of home health care, or within the 30 days after the start of care.

Plan of Care
Services must be provided under a Plan of Care established and approved by a physician. The Plan of Care must be reviewed and updated by the physician every 60 days.

Skilled Service
The patient must have a need for skilled nursing, physical therapy or speech therapy on an intermittent part-time basis or a need for occupational therapy.

Intermittent
To meet the Medicare requirement guideline of “intermittent,” the patient must have a recurring need for skilled nursing, physical therapy or speech therapy at least once every 60 days.

History

History

1915

Terre Haute Council of Women’s Clubs addressed the Chamber of Commerce re: the identified need for a public health nursing organization

1916

Public Health Nursing Association incorporated

1957

Name changed to Visiting Nurse Association of Terre Haute, Inc.

1966

Medicare certification received; Physical Therapy and Home Health Aide services added

1979

Service area expanded to Parke, Sullivan and Vermillion counties

1982

Hospice of the Wabash Valley was founded by Jackie Fox, RN

1985

Name was changed to VNA of the Wabash Valley. Clay Co added to service area. Social work, occupational and speech therapies were added

1993

VNA and Hospice of the Wabash Valley merged.

Hospice

Hospice is a special kind of care designed to provide comfort and support for patients and their families during the final stages of life. Our ultimate goal is to help each patient remain comfortable, alert and able to participate in life as fully as possible in his/her home environment.

Who should receive Hospice care?

• Individuals with an illness causing a limited life expectancy of 6 months or less, if the disease runs its normal course.
• Individuals that have chosen palliative care (treating symptoms) rather than curative treatment.
• Individuals who choose no extreme measures to sustain life.

Hospice Eligibility Guidelines

To be eligible for hospice care, the patient’s doctor and the hospice medical director must certify that the patient has a life expectancy of six months or less, if the disease progression were to run its normal course. When a patient elects the hospice benefit they are accepted a goal of treatment focused on palliative care, comfort and relief from pain and symptoms.

Hospice is a covered benefit under Medicare and Medicaid. Many private insurance companies offer a hospice benefit plan. The cost of caring for patients without financial resources is offset by contributions, memorials, donations and fundraising.

No patient will be denied Hospice care because of race, color, creed, age, national orgin, gender, handicap, religion, genetic makeup, marital status, diagnosis, sexual preference, or because of inability to pay for Hospice services.

Common Diagnoses for Hospice Admission

This is not an all-inclusive list. In fact, any disease process in the terminal stage is appropriate for hospice care.
• Cancer
• Heart disease
• Pulmonary disease
• Stroke and Coma
• Alzheimer’s disease and other dementias
• Parkinson’s
• ALS
• End-Stage HIV/AIDS
• Liver and other digestive system diseases
• Renal disease

Hospice appropriate individuals may also exhibit some or all of the following:

• Frequent hospitalizations
• Progressive weight loss
• Deteriorating mental abilities
• Recurrent infections
• Overall decline in condition

Services Provided

Pharmaceutical and clinical management of pain and other symptoms

24-hour response by nursing staff

Case management and advocacy

Spiritual care

Grief and loss counseling

Trained volunteers for companionship and respite

Equipment and supplies related to hospice diagnosis

Services provided in your home, in nursing facilities, hospitals, and assisted living communities.

Our Team

Physician- A patient’s own doctor or the Hospice medical director oversees care.
Nurse Practitioner- The Nurse Practitioner will make home visits and work directly with the hospice medical director. They have advanced training in diagnosis and treatment of medical conditions.
Hospice Nurse- The nurse makes regularly scheduled visits and coordinates the patient’s plan of care with other team members.
Social Worker- The social worker is available for listening, counseling, and offering practical support with assessments, consultations, education, resource and referral services, advocacy and discharge planning.
Chaplain- The chaplain helps with spiritual concerns while giving needed support and kindness.
Pharmacist and Dietitian- They provide support and advice regarding medication, symptom control and nutritional advice when difficulties arise.
Home Health Aides- They assist the patient with personal care needs.
Volunteers- Well-trained volunteers offer support, family respite time and help with chores, errands, etc.
Bereavement Coordinator- Provides bereavement services for people dealing with terminal illness or death, following the patients family up to 13 months after the death of a loved one.

History

In medieval times, hospices were inns of rest which “lodged, cherished and refreshed” the returning crusaders, the sick and the dying. The word hospice referred to a place of rest for those on a difficult journey. Today hospice is defined as a concept of care for patients and families on a truly difficult journey.

The modern hospice was founded in England in the last century by Dr. Cicely Saunders and spread to the United States in the 1970s. Dr. Saunders said hospice has come to mean “helping the dying and their loved ones to live as fully and as well as possible in the time remaining.”
Hospice of the Wabash Valley was organized in July of 1982 by Jackie Fox, RN and a group of community leaders. The hospice concept of care for the terminally ill, long practiced in Europe and spreading rapidly throughout the United States, officially became available in the Wabash Valley on September 15, 1983.

Myths and Facts

Myth: I am giving up if I choose Hospice care.


Fact: Selecting hospice care shifts the focus of treatment from aggressive medical curative measures to medical comfort measures (symptom management). Hospice makes it possible for patients to continue living the rest of their lives at home, or in a home-like setting, with family and friends. It offers practical education, emotional support and social services to the loved ones of patients.
Hospice care lessens fears of patients and loved ones by offering peace, comfort and dignity throughout the patient’s last phase of life. Hospice care enhances the quality of life remaining for the patient through a customized care plan involving the patient’s doctor, hospice nurses, home health aides, social workers, clergy and volunteers.


Myth: Hospice uses drugs to hasten death.


Fact: The medicine given to hospice patients is used to treat symptoms and increase comfort. The goal of these medications is to eliminate pain and discomfort as much as possible, not hasten death.


Myth: Hospice is not needed until the last weeks of life.


Fact: Patients are immediately entitled to hospice care once they have been diagnosed with an end-stage illness (defined as 6 months or less to live, should the illness follow its normal course). By selecting hospice care as early as possible, patients and loved ones achieve control of the patient’s environment (home or home-like facility vs. hospital) and better symptom management (comfort care).
Through various support systems, hospice care eases the primary caregiver’s burdens, provides substantial cost savings to the patient, and in many cases help fulfill the patient’s final wishes.


Myth: Once on hospice, always on hospice.


Fact: No matter the situation, patients ALWAYS have a right to change their care provider. If they choose, they may go back to traditional medical treatment for aggressive, curative care. They may also revoke their current hospice provider for another hospice provider.
In addition, if a patient’s condition improves, a discharge from hospice care may be appropriate after a thorough evaluation is performed. Should the patient’s condition decline, he or she may return to hospice care.


Myth: Hospice is only for cancer patients.


Fact: Hospice cares for any patient with any incurable illness with a prognosis of six months or less. Hospice patients have a variety of diagnoses, ranging from cancer, ALS, Alzheimer’s and Parkinson’s disease to AIDS, COPD, and end-stage heart, liver, pulmonary or renal disease. Hospice also cares for those failing to thrive or with an unspecified debility.


Myth: Hospice care costs a lot.


Fact: Hospice services are covered by Medicaid, Medicare, most private insurance plans, HMOs and other managed care systems.
Some hospices charge patients who have no insurance on a sliding scale, while others provide care for free. Hospice of the Wabash Valley never turns away a patient due to lack of a reimbursement source.


Myth: Hospice is a single, large organization.


Fact: Hospice is not a single place or organization. Some hospices are independent, while others are part of a larger company. Hospices are not all connected together. Both for-profit and non-profit hospices exist. Hospice of the Wabash Valley is the only non-profit, independent hospice serving Clay, Parke, Sullivan, Vermillion and Vigo counties.

Bridge Program



The Bridge Program blends the skilled care of Visiting Nurse Association (VNA) Homecare with the specialized symptom management consultations of the Hospice of the Wabash Valley team, based on the patient’s needs.


To be eligible, a patient must qualify for home health care, which means that they cannot leave their home without extreme difficulty or they require skilled nursing care or therapy for medication management, pain management, wound care and education about the disease process.


Patients may be actively involved in curative therapies.


Patients interested in the Bridge Program should consult with their physicians.

Benefits to Patients and Families

• Reduces trips to the emergency room or hospitalizations, leading to a more stable quality of life and helping patients better manage their disease and symptoms at home.

• Provides continuity of care for patients by offering a bridge between the last phases of disease-modifying therapy and the palliative focus of hospice.

• Nurses work with patients who are still receiving aggressive disease treatment and are not yet ready to embrace the Hospice philosophy.


Bereavement


Do you recognize yourself in some of these statements?

  • I can’t sleep.
  • I can’t concentrate.
  • I think of my spouse all of the time.
  • Sunday is the longest, loneliest day of the week.
  • I feel angry, resentful, panicky, confused, helpless, guilty, depressed and frustrated.
  • I lost my spouse, my friend and confidant.
  • I have no friends who will listen.
  • I have physical and emotional symptoms that I don’t understand.

If so you could benefit from Bereavement Services.

Purpose
The Hospice Bereavement program is designed to provide support services to bereaved family members or close friends who are touched by the death of a loved one.

Philosophy
Hospice support continues to be available for the surviving family members as long as desired. It is important to realize there are no instant solutions, no early answers, and no timetable for recovery.

Services
Continuing support is available to both those having Hospice services for their loved ones and to those in our community who have had no prior affiliation with Hospice of the Wabash Valley. Services are provided by a team of professionals and lay volunteers prepared for bereavement support work.

Visitation and telephone contacts will be provided to the survivors of the Hospice patient. The amount of contact can be varied depending on the individual’s changing needs and desires. Educational materials about grief and loss will be provided through a series of mailings for 13 months following the death of your loved one.

Support Group
We encourage you to attend a support group meeting with a family member, friend or by yourself. Both the newly bereaved and the longer bereaved are welcome. The meetings are informal. There is time to share with the group or one-to-one. You are also welcome to just listen.

It is important to understand grief, to learn coping skills and to have determination to survive the loss.

The group offers understanding, friendship, support and care. Monthly presentations cover areas of concern to the bereaved. Many in the group will discuss ideas that were helpful to them as individuals. There is the opportunity to recognize and express feelings.

Bereavement Support Groups

You are welcome to attend no matter where you are in your own grief journey. Support groups are free and open to the public.

Contact us for more information on current bereavement support options at (812) 234-2515 or 1-800-844-7610 or email

Helpful Books

Handbook For Those Who Grieve
Martin Auz; Loyola Press

How Can I Help
June Kolf; Fisher Books

Healing After Loss
Martha Whitmore Hickman; Avon Books

What To Do When A Loved One Dies
Eva Shaw; Dickens Press

Losing A Parent
Fiona Marshall; Fisher Books

The Mourning Handbook
Helen Fitzgerald; Simon & Shuster

Helpful Web Sites
www.hospicefoundation.org
www.griefnet.org
www.growthhouse.org
www.goodgriefresources.com


Lifeline

With Philips Lifeline, help is just the press of a button away.

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Along with our home health and hospice services, Visiting Nurse Association and Hospice of the Wabash Valley also provides our community with America’s most trusted medical alert service-Philips Lifeline.

For more than 30 years, Philips Lifeline has enabled millions of people to live with greater independence, peace of mind and dignity in the place they feel most comfortable-their own homes. Lifeline services also help family caregivers balance the needs of their loved ones with the demands of their own busy lives. If you have any questions, we would like to help you with your individual needs.

Our PHILIPS LIFELINE Products are:

CAREPARTNER COMMUNICATOR
Working with your existing telephone, this unit offers all the benefits of a 24-hour medical alert service, along with two-way voice communication. Choose from a pendant or wrist style personal help button or upgrade to the AutoAlert Pendant.

AUTOALERT PENDANT
The AutoAlert Pendant can detect a fall and automatically call for help even if you are disoriented, immobilized, or unconscious. The waterproof design is safe to wear in the shower.

HOME KEY BOX
You can lock a house key in this sturdy box and place it outside your home. If you press your Personal Help Button, we’ll provide the combination to emergency services or other responders you’ve chosen, so they can quickly enter your home and provide the help you need.

Please call our expert Lifeline representative Sherry Rader. Sherry gives every customer 110% of her personal attention and has been working with Lifeline to help care for our patients for over 18 years. Give her a call at 812-232-7611 to discuss setting up a Lifeline unit for you or your family member today.

News




Volunteers

Most volunteers feel personally rewarded through their offering of time, energy and compassion when they see how much they are able to help patients and families.

How Volunteers Help

What Can a Volunteer Do for Our Patients?

• Support patient and families by providing respite
• Listen
• Talk
• Small tasks to help patient and family
• Provide companionship by “being there” while caregiver is away
• Read to the patient
• Write letters

What Can a Volunteer Do for the Agency?

• Clerical support
• Committee or task groups
• Fundraising
• Board of directors
• Bereavement support
• Speaking engagements

Our objective is to match the special skills and talents of each volunteer with the needs of our patients, families and agency.

Basic Qualifications and Education

Basic qualifications for being a Hospice of the Wabash Valley volunteer are to demonstrate a sensitive approach to fellow human beings, show respect for others’ values and belief systems, and have a desire to help maintain the dignity and self-worth of the incurably ill patients and family.

Education

One of the principles of the hospice philosophy of care is the use of volunteers as a part of the interdisciplinary team. Education and training of the volunteer are essential.

All volunteers are required to attend a series of orientation sessions before becoming certified as a hospice volunteer. The training is focused on:

• The goals and philosophy of hospice care
• The responsibilities and duties of caring for patients and their families
• The physical, emotional and spiritual aspects of death and dying
• Listening and communication skills
• Patient and family rights
• Family relationships
• Spiritual and cultural diversity
• Patient confidentiality

After training is completed, volunteers determine how much time they can commit to hospice work. Whether dedicating as little as two hours a month or six hours a week, all efforts are appreciated and much needed.


Fundraising


Annual Tulip Bouquet Sale

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Our Annual Tulip Bouquet Sale, which is our largest volunteer fundraiser of the year is a wonderful event in the Wabash Valley. Our volunteers deliver over 1300 bouquets each year. There’s an easy way to remember when it’s “tulip time” because it is always held on Administrative Professional’s Day. Our Tulip Sale is a wonderful way that we can celebrate the sign of life and the hope of spring with someone special.

2014 27th Annual Tulip Bouquet Sale Order Form

Run & Remember

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Our first Annual Run and Remember event was held on March 9th 2013 at the Championship Lavern Gibson Cross Country Course in Vigo County. Over 250 runners and walkers participated in our 5K & 10K Run/Walk event and we couldn’t have been more pleased with the turnout. All of the proceeds from the event supported services for people with a life limiting illness and their families.

Hospice Holiday Celebration

Our Hospice Holiday Celebration is an evening event that consists of a cocktail reception accompanied with a silent action that is usually held on the first Thursday of December. Presentation of the Chapman S. Root Award is the highlight of the evening at the annual Hospice Holiday Celebration.

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The award, established in 1990 and honoring Chapman S. Root, is presented to an individual whose generosity and leadership has enhanced the quality of life in the Wabash Valley. In choosing the recipient, consideration is given to such contributions as enhancing the quality of life intellectually, educationally, culturally, physically and spiritually.


Previous Recipients of the Chapman S. Root award:

1990 Susan Root
1991 Donald E. Smith
1992 Max Gibson
1993 D. Omer Seamon
1994 Mary Fendrich Hulman
1995 John G. & Alice Oakley Schmidt
1996 Congressman John T. Myers
1997 William G. Bannon, M.D.
1998 P. James Diehl
1999 Senator Evan Bayh
2000 Dr. Samuel F. Hulbert
2001 Larry Schopmeyer
2002 Jackie Fox
2003 John Etling
2004 Larry & Susan Helman
2005 Paul J. Pfister
2006 Carl S. Riddle
2007 Daniel T. Tanoos
2008 Ronald G. Reeves
2009 Fred P. Rubey
2010 Donald W. Scott
2011 Craig M. McKee
2012 Joy Saccopolus
2013 Senator Richard Lugar



In 2007, Hospice of the Wabash Valley and Visiting Nurse Association established the Dr. William G. Bannon Award. This award recognizes exceptional leadership and contributions by individuals who fulfilled one or more of several roles and who is an employee or volunteer of our organization.

Previous Recipients of the Dr. William G. Bannon award:

2007 Vickie Balder
2008 Leota Ehm
2009 Bobbi Froderman
2010 Maryann Ax
2011 Donna Doti
2012 Tom Miller
2013 Wayne Hutson

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