About Dr. Fife
Dr. Fife is a world-renowned wound care physician. She is the Director of the Wound Care Center at CHI St. Luke’s The Woodlands Hospital, CMO of Intellicure, Inc., Exec. Director of the US Wound Registry & Editor of Today’s Wound Clinic.
Report Honest Healing Rates
It’s time for Wound Care physicians and providers to stand up for truly honest outcomes and transparent quality reporting. If we don’t we may see our entire profession wiped out. Click here to read more.
Explore Dr. Fife’s ever-growing library of helpful content related to Wound Care and MIPS. From videos to instructional materials, this knowledge base is completely yours to enjoy and use.
The field of wound management is in for a lot of big changes in 2020. As with anything in life, some changes are painful, but they could have beneficial aspects for both clinicians and patients.
Last week on Dec. 18, 2019, a Fifth Circuit appeals panel upheld Judge O’Connor’s ruling, determining that the individual mandate (to buy insurance) under the Affordable Care Act (ACA) is unconstitutional in the absence of a tax penalty. However, the appeals court did not offer a decision as to whether the rest of the ACA remains in force.
There are, it seems, a few problems that we can actually solve.
We need all the data we can get in the fields of wound care and hyperbaric medicine.
Am I the only one who’s worried? (OK, it’s fair to say I’m panicking.)
Re-printed from Today's Wound Clinic We are at an important crossroads in the field of wound management. From the perspective of new technologies, the future is bright. Unfortunately, the future of the field itself is dismal. Under Medicare’s new Quality Payment...
More wound relevant quality measures are under consideration by CMS for depiction on Physician Compare in 2020.
A few weeks ago we began an experiment right here on this blog, taking a look at a complicated wound care case and “crowdsourcing” the diagnosis. We thought it would be fun to share some of the comments to date, along with some follow-up comments from me.
A life story you just can’t make up.
As part of my holistic approach to wound management, I offered to wear this ring for awhile so the patient wouldn’t risk cutting herself with it again. For some reason she didn’t agree to that plan. I had to be satisfied with requesting a home health PT evaluation for...
These excruciatingly painful left leg lesions began after a minor scratch five month earlier. New lesions had continued to form in response to debridements at another wound center. She had a new and rapidly enlarging anterior shin lesion on the other leg that formed...
How many cases of EDS have I have missed in 30 years if I have found 3 of this “very rare” condition in one year?
This beautiful lady (who is wearing a KCI VAC in the photo), is herself seriously ill, but she’s making the most of life after death. She is my definition of an undaunted spirit.
We need a diagnosis for this patient.
A few weeks ago we published a manuscript about the development of the Wound Healing Index for Venous Leg Ulcers (VLUs). The link is below. What is the VLU WHI? The VLU WHI makes it possible to predict at the initial visit whether a venous ulcer will heal with...
Finalized Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar Year 2020 | CMS
Here’s a link to the fact sheet on the final rule - stay tuned for my interpretation of its impact on wound management practitioners.
With his permission, I’m posting this amazing photo of my friend and former patient, Kevin – whose mobility limitations do not keep him down. He’s also helping others experience the challenge and excitement of hunting, even if they hunt on wheels. You can support his...
I guess I’d better figure out the doctor’s office setting.
Hospitals can decide that they want direct supervision of HBOT, but that doesn’t mean it will be reimbursed. Stay tuned.
The payment reform train has left the station. Are you aboard?
We are reaping what was sown a decade ago. Get ready – there’s a big storm coming.
Five years ago, Dr. Guy Clifton, a Robert Wood Johnson Fellow, neurosurgeon, Congressional aid and author of the book Flatlined: Resuscitating American Medicine, spoke at the fall SAWC in a poorly attended session. Most Hyperbaric Medicine and Wound care practitioners...
I can’t think of anyone I admire who has had an easy life. Just as fire purifies gold, trials produce character. Hang in there.
The Health Economic Impact of Living Cell Tissue Products (and Why This Matters) – Guest Blog by Dr. Helen Gelly
Guest blog post by Dr. Helen Gelly Using the claims data from Medicare that are publicly available, a newly published study which I co-authored looked at various parameters that will eventually impact the bundled pricing payment model. Because a number of insurance...
Guest blog post by Dick Clarke of National Baromedical Services On August 1 of this year, a bill entitled the “North Carolina Veterans Traumatic Brain Injury (TBI) and Posttraumatic Stress Disorder (PTSD) Treatment and Recovery Act” (House Bill 50 / SL 2019-175)...
This is a much, much larger issue, and one that no one wants to talk about.