title: One organization's journey to improved operations.
authors.affiliation: Falmouth West Branch of the VNA of Cape Cod, Hyannis, MA 02601, USA.
authors.forename: Jeanne
authors.initials: J
authors.lastname: Hupprich
authors.forename: Nancy
authors.initials: N
authors.lastname: Siekman
authors.forename: Ann-Marie
authors.initials: AM
authors.lastname: Peckham
mesh_terms: D019090:Case Management / Q000458:organization & administration*; D006273:Health Facility Merger / Q000458:organization & administration; D018574:Home Care Agencies / Q000458:organization & administration*; D006699:Home Care Services / Q000458:organization & administration*; D006801:Humans; D006278:Medicare / Q000458:organization & administration; D017146:Models, Organizational; D020380:Needs Assessment; D009511:New England; D009718:Nurse Administrators / Q000458:organization & administration*; D015403:Nursing Evaluation Research; D009742:Nursing Theory; D009745:Nursing, Supervisory / Q000458:organization & administration*; D009936:Organizational Innovation; D017063:Outcome Assessment, Health Care / Q000458:organization & administration; D011367:Professional Staff Committees / Q000458:organization & administration; D011445:Prospective Payment System / Q000458:organization & administration; D019984:Quality Indicators, Health Care / Q000458:organization & administration; D020379:Risk Adjustment / Q000458:organization & administration; D017749:Total Quality Management / Q000458:organization & administration*; D014481:United States