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Grand-Aides Make Nursing Go Further

Alexandra Wilson Pecci, for HealthLeaders Media, May 22, 2012

When I'm sick, there are a handful of people who I'd want to take care of me, and my grandmother is chief among them.

That's the idea behind Grand-Aides, a corps of trained community members who act as "nurse extenders" by transmitting information and instructions back and forth between patients and nurses. They are directly supervised by nurses and can conduct telephone consultations or make home visits to patients. 


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It's all done in an effort to reduce the number of visits to EDs, clinics, and hospitals by people who can actually be cared for at home.

Grand-Aides don't do any decision-making themselves in providing patient care, says Arthur Garson, Jr., MD, MPH, president and CEO of The Grand-Aides Foundation and director of the Center for Health Policy at the University of Virginia.

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