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  1. Truglio-Londrigan, Marie PhD, RN, GNP
  2. Gallagher, Louise P. EdD, RN, FNP


Home care agencies cannot succeed under Medicare PPS unless clinicians efficiently assess and appropriately refer the elderly to community support systems. This article outlines how using the Seven A's ( awareness, accesssibility, affordability, appropriateness, adequacy, acceptabilitiy, and availability ) can help nurses and agencies effectively determine the fit between older adults and community support agencies.