Mary Ann Rosa, RN, CS, GNP, MSN, is an Assistant Professor, Queensborough Community College, Bayside, New York, and a Consultant, Disease Management Home Care Programs, North Shore LIJ Home Care Network, Queens, New York. Shawn Lapides, RN, MSN, is a Nurse Educator, North Shore LIJ Home Care Network, Queens, New York. Corrine Hayden, MSW, is a Supervisor, Social Work, LIJ Home Care, Queens, New York. Roxanne Santangelo, PT, a Supervisor, Rehabilitation, LIJ Home Care, Queens, New York.