Home (© pending D. Zabilowicz). The algorithm utilizes the Braden Scale for Predicting Pressure Sore Risk and incorporates additional deductions in scoring for complicating factors such as extreme frailty, fever, diastolic below 60, hemodynamic instability, uncontrolled diabetes, existing pressure ulcers, casts and/or appliances to determine if a client is at risk for pressure ulcer development in the home. I then used not only the overall pressure ulcer risk score, but also the score in each Braden subcategory, to cue the interventions that should be implemented and the referrals that needed to be generated to prevent the development of pressure ulcers. The Braden Score, with incorporated deductions, is completed upon admission, resumption of care, re-certification and upon any significant change in condition. The formulated algorithm is used as a guide to cue all necessary interventions and referrals required for those patients found to be at risk for developing a pressure ulcer in the home. In participation with the New Jersey Hospital Associations Pressure Ulcer Prevention Collaborative Project, Meridian At Home began implementing these tools. The pressure ulcer incidence was significantly reduced. In December of 2005 our pilot team had a pressure ulcer incidence of 7.7%, by March 2007 we had an agency wide, 6-month pressure ulcer incidence of 1.1%.