On the other hand, shrinking margins have caused one hospital to shed its home care program. Lake Sunapee Region Visiting Nurse Association in New London, N.H., will take over the home health operations of Claremont-based Valley Regional Healthcare’s home care and hospice unit, Connecticut Valley Home Care, reports The Valley News. The VNAwill increase its staff roster to about 200, the newspaper says. The VNA will achieve greater operational efficiencies, officials noted.