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The Home Healthcare Universal Best Practice Protocol

Panozzo, Gina L. DNP, RN-BC; Rossetti, Jeanette EdD, MS, RN; Hess, Katherine MS, RN-BC

doi: 10.1097/NHH.0000000000000561

To address rehospitalization rates and emergency department rates that were above the state and national averages, a quality improvement project was implemented at a midsized home healthcare agency. In order to address these escalating rates, the Home Health Universal Best Practice Protocol was developed and implemented by a home healthcare consultant. The protocol is evidence-based, time-specific, comprehensive, and includes interventions that are linked to reducing avoidable hospital visits. Interventions include risk assessment for rehospitalization, initiation of telehealth, utilization of teach-back method, and timely documentation. The Home Health Universal Best Practice Protocol was effective in not only exceeding objectives regarding decreasing rehospitalization and emergency department rates within a 6-month period but also in improving home healthcare agency referral rates.

Gina L. Panozzo, DNP, RN-BC, is an Assistant Professor, School of Nursing, Aurora University, Aurora, Illinois.

Jeanette Rossetti, EdD, MS, RN, is a Professor, School of Nursing, Northern Illinois University, Dekalb, Illinois.

Katherine Hess, MS, RN-BC, is an Instructor, Chamberlain College of Nursing, DeVry Education Group Addison, Illinois.

The authors declare no conflicts of interest.

Address for correspondence: Gina Panozzo, DNP, RN-BC, 24358 Leski Ln., Plainfield, IL 60585 (

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