Terrebonne Parish Library

Specialty teams are said to be an innovative solution for providing the coordinated, cost-effective care sought by managed care companies. This article describes one home health agency's systematic process for development of disease management and specialized skills teams.

ABSTRACT A joint federal-state effort has been initiated in Louisiana to reduce current 6,000 hectare annual coastal wetland losses and restore wetland building in the Mississippi River delta. At $50 to $60 million annually, this initiative ranks with efforts in Florida and California as among the most ambitious habitat restorations yet undertaken. It is proposed that slurry pipelines be considered as modern surrogates for natural distributary channels in a subsiding delta tightly managed for navigation, flood control, fisheries and energy development. A twenty year scenario is proposed as one example of how funds available today might be used to stabilize wetland loss by building, saving and maintaining wetlands using a pipeline-based infrastructure to transport sediments. This model predicts that stabilization, or “no net loss” of coastal wetlands, could be achieved after 16 years.