Programs That Work!The Gatekeeper Program Proactive Identification and Case Management of At-Risk Older Adults Prevents Nursing Home Placement, Saving Healthcare Dollars Program EvaluationBARRETT, DONNA L. BA, LSW; SECIC, MICHELLE MS; BOROWSKE, DEBBIE MSN, GCNS-BC Author Information Donna L. Barrett, BA, LSW, is the Manager of the Gatekeeper & Geriatric Services Southwest General Health Center, Middleburg Heights, Ohio. Michelle Secic, MS, is a Senior Statistician, Secic Statistical Consulting, Inc, Chardon, Ohio. Debbie Borowske, GCNS-BC, MSN, is Director, Community Health, Geriatrics & Hospice, Southwest General Health Center, Middleburg Heights, Ohio. Address for correspondence Donna Barrett, 18697 Bagley Road, Middleburg Heights, Ohio 44130. Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional: March 2010 - Volume 28 - Issue 3 - p 191-197 doi: 10.1097/01.NHH.0000369772.41656.4e Buy Metrics Abstract The Gatekeeper Program is an innovative community and hospital partnership focused on prevention of premature nursing home placement. Utilizing trained volunteers, who come into contact with older adults through their everyday jobs, the program provides assistance to over 1600 older adults. Positive program outcomes include reducing emergency department (ED) and hospital admissions and a 14 million dollar savings in healthcare costs related to nursing home placement. © 2010 Lippincott Williams & Wilkins, Inc.