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Founded in 1885, the VNA of Western New York was the first visiting nursing organization in America. Since then, the VNA has become one of the oldest charities in the nation and remains the largest home health agency in the Western New York region.

From humble beginnings in Western New York, the VNA movement migrated across the country.

Today, there are over 500 visiting nurse associations, employing more than 90,000 clinicians, providing health care to more than 4 Million people each year.

VNAs provide a critical safety net in communities, enabling our patients to continue to live independently at home. The VNA has evolved to be and an integral part of the healthcare landscape of our communities.

A rich history.

“In 1885, Elizabeth Coe Marshall, a Sunday school teacher at the First Presbyterian Church in Buffalo, New York, collected funds to hire a nurse to provide free nursing among the sick poor in the City of Buffalo…thus began the practice of nurses traveling to the homes of the sick, recuperating, and disabled Americans.” 
Smithsonian Institute

In 1885, about 75% of America’s 50 million people lived on farms or in rural hamlets. Tuberculosis was the greatest killer of adults. Other common diseases in that period included bronchitis, rheumatism, kidney and circulatory ailments, malaria, syphilis, and small pox. Life expectancy was around 40. Medical science had just discovered that certain bacteria could cause human disease. The hospital system was in its infancy, with less than 700 in the entire country. Physicians were normally generalists who treated the entire family.ElizabethCoeMarshall

Nurses in the area trained at the Buffalo General School of Nursing, which was founded in 1877. They also provided care in people’s homes—for those who could afford to pay for it. Elizabeth Coe Marshall thought that home care should be provided for all, regardless of their ability to pay, and created the vision of a non-profit organization dedicated to that concept. Elizabeth got the idea after she was ill as a result of an accident, and care was provided by a nurse in her home.

Elizabeth approached her church, the First Presbyterian, for some monetary support to get started. Funds left over from a memorial fund set up for the son of the pastor were used to pay for the services of the first visiting nurse. She hired Mary Taylor as the first visiting nurse, fresh from graduation from the Buffalo General School.

Elizabeth Coe Marshall died just a few years later, in 1892, but by that time the VNA of Western New York was firmly established. VNAs in Boston and Philadelphia started on the heels of Elizabeth’s dream, but the visiting nurse movement began in Buffalo, New York.

Over the years, health epidemics, world war, children with disabilities, administration of immunizations, recognition of the needs of seniors… with each passing decade, VNA became a critical resource in providing home care and health services to the communities it grew to serve. Today, the VNA remains the recognized and respected leading in-home care provider at the forefront of innovative skilled health services and compassionate caregiving. 130 years ago VNA was a voice for community health. Today, we are the Face of Care.





VNA is the only in-home care provider that offers public health nurse home visitation and extends care into the community. From school health services to breast cancer treatment assistance, VNA and partnering organizations offer a wide range of community health services designed for individuals as well as the local communities.

VNA has long been relied upon to deliver the services necessary for the wellbeing of our community. And as those needs change over generations, VNA is there.

VNA has long been relied upon to deliver the services necessary for the wellbeing of our community. And as those needs change over generations, VNA is there.


The Visiting Nurse Association has a commitment to all who need us, provides the highest quality and most efficient solutions for keeping people independent, at home and in the community, maximizing their health and quality of life.


The VNA seeks to create a society where everyone has equal access to exceptional health care services and can remain at home and in the community, independently, with dignity and the greatest quality of life.

We work to continuously grow our leadership role in the health care sector. We actively collaborate with our health care partners to provide quality and efficient services to our patients, utilizing evidence-based best practices. We strive to influence public policy to create access to service and demonstrate the value of home care services in the larger health care system, all while remaining true to our mission.

This proud tradition is being carried on right here in our local community by the work of the Guilford, CT VNA Community Healthcare Organization.


vna logo

Beside You at Every Turn

When life takes an unexpected turn, we support our patients with healthcare and homecare assistance for life at home. Helping you deal with those unexpected twists and turns is exactly why VNA Community Healthcare is here, serving Hamden, North Haven and the Connecticut shoreline.

Programs & Events

As part of the Shoreline Community, VNA Community Healthcare offers you valuable resources close to home, including preventive health services, educational programs and support groups. You can meet other people, learn about healthier lifestyle, and talk with licensed medical professionals about your specific health concerns. Click on one of the programs bellow to learn more.


Beside you at every turn.

Featured Events

Taste of Spring Fundraiser, All Towns

05/12/15, 05:30 PM – 08:00 PM

Join VNA Community Healthcare at our 3rd Annual Taste of Spring Fundraiser to help support … [ more ]

Senior Boot Camp, All Towns

05/04/15, 05:30 PM – 06:30 PM

Exercise class in Madison for older adults.  Designed for anyone who should be more active … [ more ]

Antibiotics: Cure and Curse, All Towns

05/05/15, 08:30 AM – 10:30 AM

Join the Campaign!  Antibiotics: Cure and Curse   Presented by The Health Neighborhood* Featuring: Matthew Ellman, MD, Director, Yale … [ more ]


Spring 2015 Calendars

Click here to download PDFs for either our Hamden or Shoreline area event calendars.[more]

Programs for Health Professionals

We offer professional education series with information that you can use immediately.[more]

Family Caregiver Programs

Our programs provide family caregivers with information and strategies to help in caring for an older adult. [more]

Exercise Classes

From Zumba and Yoga to Tai Chi and Aerobic/Strength building classes — we have something for everyone and every level.[more]

Fall Prevention: Screening and Exercise Sessions

Get active and learn how to prevent falls.[more]

Fundraising Events

Our fundraising events enable us continue to offer free and low cost wellness programs, screening and caregiver support. [more]

Ask the Nurse – Health Sessions (Hamden/North Haven Area)

Speak one-on-one with our community nurses: ask questions, set goals and get a health screening. [more]

Ask the Nurse- Health Sessions (Shoreline area)

Speak one-on-one with one of our nurses: ask questions, set goals and have health screenings. [more]

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The Power of Voiceevent telemarketing

We know the secrets of event marketing success. For conference marketing managers, event planning and event marketing firms have depended on Mosaic for seminar telemarketing and webinar marketing campaigns and event promotion services. Our cost effective event telesales and event registration service is designed to help show producers, B2B event planning firms and corporate event planners increase registrations and drive attendance to.



  • Conferences
  • Seminars
  • Webinars
  • Trade Shows and Exhibitions
  • Corporate Events
  • Breakfast Meetings
  • Lunch and Learn Events
  • Wine and Cheese Events

blogging for success

Boost Event Attendance


Typical projects for our B2B clients include:

  • Sales prospecting and lead generation services
  • Market research and questionnaires
  • Answering questions about content or logistics
  • Processing online registrations via your website or our event software
  • Event attendance reminder calls
  • Automated voicemail and broadcast voice messaging campaigns



The Benefits of Event Telemarketing


Outbound telemarketing is one of the most productive tools available to event marketers. Due to its low cost and predictable results, savvy conference marketers make it a part of their marketing plan for every event they produce.

Pre-conference telemarketing will always pay for itself simply by identifying the large percentage of your best prospects that haven’t even seen your latest brochure or email blast due to:

  • Email caught in spam filter
  • Incorrect address
  • Brochure thrown out in company mail room
  • A new or different prospect, due to job changes
  • Additional prospects at the same company


Once identified, prospects can be immediately processed to receive your latest email promotion. The net effect of these additional registrations alone is enough to generate a positive return on investment from your telemarketing campaign.


There are however many more potential benefits:

  • Acts as an upbeat and timely sales reminder, encouraging additional registrations.
  • Establishes long-term personal relationships with your customers, influencing future participation.
  • Allows you to make better attendance projections, signaling whether or not you may need to perform costly last minute advertising or direct mail.
  • Distinguishes by name which prospects are ‘maybes‘, allowing you to target them for special marketing treatment.
  • Identifies commonly mentioned objections or complaints, giving you advance notice about possible problem areas.
  • Keeps your prospect database clean, saving money in wasted mailings.
  • Distinguishes you from your competitors.

Call us for your next event program, we can help increase attendance…203-483-4598 ask for David on extension 306

Mosaic logo only_with_color_circle2-150x150I recently had a conversation with an astute Health Care Interactive Marketing Executive about her plans for the year. She mentioned that her current website was roughly two years old and that now was the time to start thinking about a redesign. She had quite a few items on her redesign wish list (upgraded CMS, trimmed down Flash elements, etc.), but one thing that stood out to me was her keen interest in making sure that mobile users were accounted for.

Sure, she wanted the core website to render well on mobile browsers, and for good reason. After all, the balance has shifted in favor of consumers with smart phones as opposed to “dumb” phones.

That’s more or less standard fare, though. (Note: If your site isn’t optimized for mobile browsers, then perhaps a redesign should be on your agenda.)

What really struck me was her insistence on making sure that her core website experience and functionality could be mirrored on tablets.

The following statics are an important consideration:

  • Internet browsing from mobile and tablet devices accounts for 13.2% of unique visitor traffic.responsive-WEBSITE
  • Social networks account for 20% of the time spent online.
  • 70-80% of users ignore the paid ads online. Source.
  • Overall Content Marketing Strategy Leads to 2,000% Lift in Blog Traffic, 40% Boost in Revenue.
  • SEO leads have a 14.6% close rate, while outbound leads (such as direct mail or print advertising) have a 1.7% close rate. source: Search Engine Journal

Redesigning your website can help you capture the shifting tide in the way consumers use technology and use it to your advantage. Here are five important things you need to include in your website redesign.

Fresh Content

You don’t want your website to feel like the waiting room at the dentist’s office with those old and outdated magazines sitting on the table. If you want to attract visitors to your website, there has to be a reason for them to stop by!

Sharing fresh content on your website through a blog is a great way to draw new visitors from search engines and from social media sites.

Mobile Responsive Design

More and more people are using tablets and smart phones to access the Internet. When a visitor comes to your website on their smart phone, a responsive design will resize your website to fit their device. (Mobile responsive design)

new web designCheck this out, if you’re reading this on a laptop or desktop, take your cursor over to the far right side of the page. Now shrink the size of the Internet window. See how this post is shrinking and reformatting. Pretty cool, huh!

If you want to test your website to see how it looks on different devices, check out this site: Studio Press Responsive Test.

Social Media Channels

20% of the time spent on the Internet is on social media sites. LinkedIn, Twitter, Google +, Facebook, and Yelp have become the place where people go to get answers and recommendations.

Your potential customers may feel more comfortable communicating with you with a tweet rather than a phone call. We recommend making it easy for a prospect to connect with you by placing links to Twitter, Facebook, and LinkedIn on your site.

So what’s the takeaway?

In a year that seems destined to further usher in the era of mobile devices as the mainstream computing platform (as opposed to the old desktops and laptops of yesteryear) companies must seriously consider a two-tiered approach to web design. Maybe even three-tiered when you take into account the difference between smart phones and tablets.

If your current web presence is still one-dimensional, focusing only on traditional computing devices, make sure to add these quickly developing dimensions into your overall redesign plan. And if your current design and development agency isn’t properly taking these dimensions into account, well, you know what to do…Please call us we can help you get your site Mobile Responsive..203-483-4598 ask for David on extension 306…You will be glad you did.

Please visit for more interesting blogs

Imagine a future in which a device connected to a computer can print a solid object. A future in which we can have tangible goods as well as intangible services delivered to our desktops or highstreet shops over the Internet. And a future in which the everyday “atomization” of virtual objects into hard reality has turned the mass pre-production and stock-holding of a wide range of goods and spare parts into no more than an historical legacy.

Such a future may sound like it is being plucked from the worlds of Star Trek. However, while transporter devices that can instantaneously deliver us to remote locations may remain a fantasy, 3D printers capable of outputting physical objects have been in both development and application for over three decades, and are now starting to present a whole host of new digital manufacturing capabilities. 3D printing may therefore soon do for manufacturing what computers and the Internet have already done for the creation, processing and storage of information. Such a possibility has also started to capture mainstream media attention.

The following provides an overview of 3D printing technologies and their present and likely future application.

Current 3D Printing Applications

Most current 3D printers are not used to create final consumer products. Rather, they are generally employed for rapid product prototyping, or to produce moulds or mould masters that will in turn allow the production of final items. Such printing of 3D objects already enables engineers to check the fit of different parts long before they commit to costly production, architects to show detailed and relatively low-cost scale models to their clients, and medical professionals or archaeologists to handle full-size, 3D copies of bones printed from 3D scan data. There are also a wide range of educational uses.

The range of products that have employed 3D printers in their design process or to produce final moulds or mould masters is constantly growing. To date such products include automobiles, trainers, jewellery, plastic toys, coffee makers, and all sorts of plastic bottles, packaging and containers. More usefully, some dental labs have for some years been using 3D printers to help create appliances, for use in the creation of crowns, bridges and temporaries by dental technicians. Using this technology, even long-term temporaries can now be created, meaning that 3D printers can quite literally already print you new teeth! 3D printers are now also widely used by many major hearing aid manufacturers to produce ear moulds and shells for final consumer use.

Medical uses of 3D printing:




















Direct Digital Manufacturing

3d printing concertWhile most 3D printers are currently used for prototyping and in pre-production mould making processes, the use of 3D printing to manufacture end-use parts is also now occurring. This is becoming known as direct digital manufacturing (DDM), for low-volume manufacturing DDM is more cost-effective and simpler than having to pay and wait for machining or tooling, with on-the-fly design changes and just-in-time inventory being possible.

Many believe that 3D printers have a great future in the creation of fashion items including jewellery and shoes. For example, with injection moulding set to give way to 3D printing to allow maufacture-on-demand and higher levels of customization. You can see even more 3D printed shoes.

It is also already not just a few specialist plastic items that are being made using a 3D printer. For example, engineers at the University of Southampton recently 3D printed a flyable aircraft (well, aside from its electric motor). A driveable prototype of a new electric car called the Urbee has also been 3D printed. Mainstream automobile makes are also already in on the DDM act, with Audi now 3D printing parts of its cars using Objet Polyjet 3D printers.

Some artists are now also using DDM to create their masterpieces. For example, sculptor Bathsheba Grossman already uses 3D printers to create her works. In the future, museums could also print out exhibits as required from their own digital collection — something that the Smithsonian is already working on — or indeed from a global archive of artworks scanned from long-lost or too-delicate-to-display originals.

 Future 3D Printing Applications

Whether or not they arrive en-mass in the home, 3D printers have many promising areas of potential future application. They may, for example, be used to output spare parts for all manner of products, and which could not possibly be stocked as part of the inventory of even the best physical store. Hence, rather than throwing away a broken item (something unlikely to be justified a decade or two hence due to resource depletion and enforced recycling), faulty goods will be able to be taken to a local facility that will call up the appropriate spare parts online and simply print them out. NASA has already tested a 3D printer on the International Space Station, and recently announced its requirement for a high resolution 3D printer to produce spacecraft parts during deep space missions. The US Army has also experimented with a truck-mounted 3D printer capable of outputting spare tank and other vehicle components in the battlefield.

As noted above, 3D printers may also be used to make future buildings. To this end, a team at Loughborough University is working on a 3D concrete printing project that could allow large building components to be 3D printed on-site to any design, and with improved thermal properties.

The following video is a good example of 3D printing on the construction site:

Another possible future application is in the use of 3D printers to create replacement organs for the human body. This is known as bioprinting and is an area of rapid development. You can learn more on the bioprinting page, or see more in my bioprinting video or the Future Visions gallery.

A Solid Tomorrow3d printing building

In an age in which the news, books, music, video and even our communities are all the subjects of digital dematerialization, the development and application of 3D printing reminds us that human beings have both a physical and a psychological need to keep at least one foot in the real world. 3D printing has a bright future, not least in rapid prototyping (where its impact is already highly significant), but also in the manufacture of many kinds of plastic and metal objects, in medicine, in the arts, and in outer space. Desktop 3D printers for the home are already a reality, and should cost no more than a few hundred dollars by 2015. 3D printers capable of outputting in color and multiple materials also exist and will continue to improve to a point where functional products will be able to be output. As devices that will provide a solid bridge between cyberspace and the physical world — and as an important manifestation of the Second Digital Revolution — 3D printing is therefore likely to play some part in all of our futures.

For a fascinating glimpse at a wide range of amazing and unusual printers — including concrete printers, glass printers, bioprinters, and printers that print on toast! — click here.

Welcome to the world of 3D Printing: The Next Industrial Revolution

Traditional Landing Page Optimization7-levels-of-landing-page-optimization

1. Element optimization.
For any given element on a page — for instance, the headline — you can test to find the best version. This is the lowest level of landing page optimization. It’s important in the context of a particular page, but in the big scheme of things, it delivers the least overall value.

2. Page optimization.
This is what is usually meant by “landing page optimization”. It’s about finding the right combination of elements — each of which gets optimized — as well as the best layout and design of the overall page. This can have a significant impact on the performance of a specific page, and if you do this
across all of your online marketing, it can contribute a noticeable bump to
marketing’s overall results.

Enlightened Landing Page Optimization

3. Path optimization.
A page is merely a single step along a path — one that starts with the ad or email that the respondent clicked on and carries through to the second and third pages the user clicks on and beyond. Optimizing the path is about
message match and expectation management to make the prospect’s
overall experience the best it can be. Optimizing at this level lets you leap ahead of competitors who are stuck in the disconnected underbrush of individual pages.

4. Segment optimization.
Not all clicks are equal. Different respondents arrive with different needs and varying frames of reference. At this next level up, you start optimizing different paths to cater to those different audiences. With this optimization, you can reveal tremendous insights about who your customers are and how they view themselves and their interest in your company. These discoveries not
only improve your conversion rate for specific paths — they can help optimize your segmentation strategy at a higher level too. Big dividends.

5. Campaign optimization.sep terms glossary
Even as “campaigns” are giving way to a more fluid marketing environment, there are still different initiatives in the field that connect certain messages, offers, audiences, and tactics with common threads. At the campaign level, landing page optimization becomes about matching the right pages
and paths with the right slices of the campaign, and using the front-line results to inform and improve overall campaign effectiveness. It requires
coordination and continuity . Even in large enterprises, this is where the outcomes are now visible to senior management.

Advanced Landing Page Optimization

6. Operations optimization.
At this level, landing page optimization is about maximizing the efficiency of your overall landing page capabilities. How good is your landing page management for producing, organizing, and optimizing landing pages across all your different campaigns? This is about increasing your cycle speed and reducing your per-page and per-path overhead. The more optimized you can make your landing page management processes, the more optimization you can execute at the tactical levels below.

7. Strategy optimization.
At the very top of the pyramid, the focus is on optimizing the big picture marketing strategy. At this level, landing page optimization becomes abstracted from the gory details, but it makes two very important contributions: (1) the option to execute highly segmented strategies and (2) the ability to quickly test strategic assumptions in micro-campaigns and to use that learning to optimize the overall strategy.

The difference between this more strategic landing page optimization and traditional landing page optimization can mean the difference between myopia (i.e., optimizing the deck chairs on the Titanic) and visionary marketing leadership.
Landing page optimization in the big picture isn’t just important. It’s very important.