The premise behind disease management is that coordinated, evidence-based interventions can be applied to the care of patients with specific high-cost, high-volume chronic conditions, resulting in improved clinical outcomes and lower overall costs (Huffman, 2005). The vast majority of wounds treated in home health are chronic wounds. These tend to be high-cost episodes associated with increased urgent/emergent care and treatment of complications. In 2003, 49% of patients receiving home health care had a wound or lesion. Hospitalization was required for 45% of home care patients with chronic skin ulcers (Baranoski, 2003).A disease management model for the care of clients with chronic wounds was developed to include a dedicated wound care team consisting of CWOCN, RNs, and LPNs to provide consistent direct patient care, case management of wound care patients by CWOCN, use of evidence-based practice guidelines to guide clinical decision making including use of advanced wound care products,consultation of Certified Diabetes Educator, Registered Dietician, Medical Social Worker, Physical Therapist, Occupational Therapist, Home Health Aide as needed, and routine communication with physician through progress reports faxed to office every two to four weeks beginning in December 2006. Outcomes are expected to reflect decreases in emergent/urgent care related to wounds, improved supply utilization, improved healing times, and improved patient satisfaction.