My sister was hospitalized last fall and was sent home with orders for physical therapy. The physical therapist was knowledgeable but did not address the safety issues in her home. When it was determined by the family that there were many safety issues not addressed by the physical therapist and that possibly a consultation from an occupational therapist might be the most appropriate service to meet her needs. In checking with other sources it seems that physical therapy is the service of choice by home health care providers, when occupational therapy would be a more beneficial first service. How do we get providers to provide the best service for patients and family and prevent many falls, and other safety issues related to taking care of one's self in the home. It certainly seems more cost effective?