title: Strategies to reduce unplanned hospitalizations of home healthcare patients: a STEP-BY-STEP APPROACH.
authors.affiliation: Norwell Visiting Nurse Association, Inc., 91 Longwater Circle, Norwell, MA 02061, USA.
authors.forename: Jackie
authors.initials: J
authors.lastname: Crossen-Sills
authors.forename: Irene
authors.initials: I
authors.lastname: Toomey
authors.forename: Meg
authors.initials: M
authors.lastname: Doherty
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019985:Benchmarking / Q000458:organization & administration*; D015984:Causality; D003152:Community Health Nursing / Q000458:organization & administration*; D017144:Focus Groups; D006699:Home Care Services / Q000458:organization & administration*; D006801:Humans; D008404:Massachusetts; D008875:Middle Aged; D016294:Models, Nursing; D009730:Nursing Assessment; D009731:Nursing Audit; D015403:Nursing Evaluation Research; D015404:Nursing Methodology Research; D010043:Outcome and Process Assessment, Health Care / Q000458:organization & administration*; D010351:Patient Discharge; D010359:Patient Readmission / Q000706:statistics & numerical data*; D017410:Practice Guidelines as Topic; D016730:Program Development; D015397:Program Evaluation; D036301:Qualitative Research; D012189:Retrospective Studies; D017216:Telemedicine / Q000458:organization & administration; D017749:Total Quality Management / Q000458:organization & administration