RT Journal A1 Suter P, Stuart B, Hennessey B T1 IS reducing home health a step in the right direction? JF Archives of Internal Medicine JO Archives of Internal Medicine YR 2011 FD September 26 VO 171 IS 17 SP 1597 OP 1598 DO 10.1001/archinternmed.2011.430 UL http://dx.doi.org/10.1001/archinternmed.2011.430 AB The report by Boult et al1 titled “The Effect of Guided Care Teams on the Use of Health Services” in the March 21, 2011, issue of the Archives concluded that the addition of guided care services within a primary care practice setting did not reduce health care utilization with 1 exception: home health care.1 However, is a physician office-based nurse optimally situated to reduce avoidable emergency department (ED) visits and hospitalizations? Would a nurse who intervenes in the home environment have greater impact?