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Monday, July 2, 2012
  Clinical Accuracy Spoken Here  

Thoroughly Complete Forms

Two significant aspects of hospital-based wound care have already been singled out for reduced reimbursement by the Centers for Medicare and Medicaid Services (CMS). These are hospital acquired Pressure Ulcers - Stages III and IV and Surgical site infections (SSIs).

The hospital can avoid losing reimbursement if these conditions were present on admission (POA) and the chart documentation supports this assertion. If a field is not applicable, it is recommended that providers enter N/A rather than leaving a field blank.

[Reference: Wound Care, Module A, Prevalence]

  Excellence in Case Mgmt  

Assess Complex Impact of Wounds

Wounds which are extremely painful and/or unsightly can have extreme physical and psychological impacts on the patient's abilities to cope.

While resource expenditures on wound care can be quantified, quality of life is more complex to evaluate.

Through heightened awareness of the type of physical and psychological manifestations which affect patients with chronic wounds, CMs can take steps to assess for their existence and work with health care teams to diminish all forms of negative impacts.

[Reference: Wound Care, Module E, CM Role]

  Improving Patient Care...  

WBP Accelerates Endogenous Healing

Wound bed preparation (WBP) is an evidence-based approach to the management of chronic wounds. It recognizes that there are impediments to healing in chronic wounds. WBP accelerates endogenous healing and facilitates the effectiveness of other therapeutic measures.

The focus of WBP involves four key elements:

  • Debridement of necrotic tissue
  • Bacterial balance
  • Moisture balance
  • Epithelial edge advancement

[Reference: Wound Care, Module C, Treatments & Interventions]


Tom RasmussenTom Rasmussen
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