Recent and proposed changes in home care reimbursement have had a profound effect on the delivery of nursing care. Fewer nursing visits are performed due to these cost-reduction strategies. Consequently, each visit that is made must be efficient and high quality. Traditional medical-surgical home care nurses may not have the experience or training to provide the diagnosis-related specialty care for home care patients. A specialty orthopaedic/rehabilitation program can improve the patient care for this population and provide long-term savings to the agency. The development of this program is a model for the development of other specialty programs in home care.
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