Interview with Diane Wilson, July 22, 1980

Interview Summary

Diane Wilson discusses the involvement of the FNS in home health work. Beginning in 1966, a nurse was stationed at each FNS outpost center specifically to take care of home health patients. In 1975, home health was centralized at the hospital to facilitate Medicare and Medicaid reimbursement, and Wilson cites the opposition of district nurses to this move. She explains the necessity for visits to the home to clarify medical instructions that might be confusing to the patient. She feels that FNS nurses have gotten away from teaching and preventive care. Wilson tells of a 1966 law that limited home health visits to a specific patient with a specific complaint; the traditional FNS practice was to examine the whole family. She also discusses the implications of a long illness for Medicare and Medicaid patients.

Interview Keyword

Changes related to Medicare District nurses FNS outpost centers Home health Hospitals Medicaid Skilled nursing Unskilled nursing

Interview LC Subject

Appalachian Region Frontier Nursing Service, Inc. Medicaid Medical care Medicare Nurses Nursing

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Interview Usage

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