The Gatekeeper Program: proactive identification and case management of at-risk older adults prevents nursing home placement, saving healthcare dollars program evaluation

Home Healthc Nurse. 2010 Mar;28(3):191-7. doi: 10.1097/01.NHH.0000369772.41656.4e.


The Gatekeeper Program is an innovative community and hospital partnership focused on prevention of premature nursing home placement. Utilizing trained volunteers, who come into contact with older adults through their everyday jobs, the program provides assistance to over 1600 older adults. Positive program outcomes include reducing emergency department (ED) and hospital admissions and a 14 million dollar savings in healthcare costs related to nursing home placement.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Case Management / organization & administration*
  • Community Health Nursing / organization & administration
  • Cost-Benefit Analysis
  • Geriatric Assessment / methods*
  • Health Services for the Aged / organization & administration*
  • Home Care Services / organization & administration*
  • Hospitals, Community / organization & administration*
  • Humans
  • Interinstitutional Relations
  • Needs Assessment
  • Nursing Evaluation Research
  • Nursing Homes / statistics & numerical data
  • Ohio
  • Outcome Assessment, Health Care
  • Program Evaluation
  • Referral and Consultation / organization & administration*
  • Risk Assessment