A program using a team consisting of a nurse practitioner and a social worker to provide care for nursing-home patients was established. An important feature is the use of a specially designed problem-oriented record. The project disclosed a number of current deficiencies in nursing-home care and demonstrated ways to remedy many of these. The overall cost of the project was offset by the savings realized from reduced hospitalization and related medical costs.
(JAMA 235:516-519, 1976)