title: Care of the critically ill client at home.
abstract: The high-tech homecare nurse is operationalizing the trend to bring critical care nursing and medical services directly to the homecare environment. With the continuing advancement in technologic capability, the role of this newly emerging critical care nurse clinician will grow in scope of practice. As the health care industry strives to create more cost-effective solutions to the nation's burden of health care delivery, the relocation of complex medical interventions to the homecare setting is one method of effecting a seamless health care delivery system, where quality of care is maintained while costs are controlled.
authors.affiliation: Keystone Mercy Health Plan, Philadelphia, Pennsylvania, USA.
authors.forename: G J
authors.initials: GJ
authors.lastname: McNeal
mesh_terms: D002983:Clinical Competence / Q000592:standards; D003152:Community Health Nursing / Q000193:education / Q000458:organization & administration*; D003362:Cost-Benefit Analysis; D003422:Critical Care / Q000458:organization & administration*; D006699:Home Care Services / Q000458:organization & administration*; D006801:Humans; D007587:Job Description; D009730:Nursing Assessment / Q000379:methods; D009740:Nursing Staff / Q000193:education; D011785:Quality Assurance, Health Care / Q000458:organization & administration; D012051:Reimbursement Mechanisms