Residential fires are the major cause of death from fires and burns in the United States, accounting for nearly two-thirds of annual fatalities. High-risk groups are more accessible now to burn prevention programs because of increasing home health care. Our burn prevention program, directed at homebound patients cared for by our hospital-based home care staff, combines fire safety education and smoke detector installation for this designated high-risk population. The combining of home health care with burn prevention activities has proven to be an effective means of reaching thousands of high-risk homes per year. We believe this approach would be equally effective in other areas.