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Preventing Rehospitalization through Effective Home Health Nursing Care

Vasquez, Monica S. BSBA, RN, COS-C

doi: 10.1097/01.PCAMA.0000343145.81635.e3

Purpose/objectives To identify strategies to improve patient outcomes and prevent rehospitalizations in home healthcare.

Primary practice settings(s) Primarily for home healthcare but can also be a tool for all other fields in nursing.

Findings/conclusions Through team collaboration and the proper resources, patient outcomes can improve and be cost-effective for home healthcare agencies despite the changes implemented after the Medicare change in payment for services, the prospective payment system.

Implications for case management practice The main goal for home healthcare is to improve patient outcomes. Nurses experienced in case management can devise creative strategies to ensure patient outcomes are met in a cost-effective manner. With continuous changes in reimbursement and payment incentives, case managers in every level of care must know about, and be responsible for, fiscal initiatives.

Monica S. Vasquez, BSBA, RN, COC-C, is Senior Nurse Case Manager and Clinical Review Specialist at VNA of El Paso, Inc., El Paso, Texas. She has been a nurse for 15 years and has worked in various fields in nursing such as: Director of Nurses for a long-term care facility, Director of Nurses for a home health agency. She is currently attending Graduate School at the University of Texas at El Paso, and her main goal is to become a family nurse practitioner.

Address correspondence to Monica S. Vasquez, BSBA, RN, COS-C, VNA of El Paso, Inc., 4171 N Mesa St, Building D, Suite 500, El Paso, TX 79902 (

Reprinted with permission from Home Healthcare Nurse, Vol. 26, No. 2, February 2008, with updates.

© 2009 Lippincott Williams & Wilkins, Inc.