ABSTRACT
For 74 years the Norwell Visiting Nurse Association has provided home health care, public health, and community services to the 27,000 residents of Norwell and Scituate, in Massachusetts. This article explores the history of this nurse-managed, nonprofit, free-standing visiting nurse association.
Subject(s)
Community Health Nursing/economics , Delivery of Health Care/economics , Financial Management/economics , Home Care Services/economics , Suburban Population , Community Health Nursing/organization & administration , Costs and Cost Analysis , Delivery of Health Care/organization & administration , Financial Management/organization & administration , Home Care Services/organization & administration , Humans , MassachusettsABSTRACT
External peer review of each of the 8917 Medicaid patients in 228 Skilled Nursing Facilities in Minnesota demonstrated characteristics and needs of patients and produced documented recommendations for Medical Evaluation Studies to strengthen multiple aspects of treatment programs. As a whole, Medicaid patients were well placed and well cared for. However, wide variations were observed in individual facilities. Principal problem areas were those which prevail in all long term care facilities in this country: weakness of individualized treatment, weakness of restorative goal-oriented treatment, severe mental/emotional/behavioral disabilities, lack of strong leadership in medical and nursing professions, and weakness of psychosocial support programs.