by Caroline Fife, M.D. | Aug 26, 2019 | Miscellaneous Musings
Here’s a photo of a gorgeous Texas quilt, hand crafted by an octogenarian wound center patient (she’s getting her dressing changed). Caroline Fife, M.D.Dr. Fife is a world renowned wound care physician dedicated to improving patient outcomes through quality driven...
by Caroline Fife, M.D. | Aug 22, 2019 | Miscellaneous Musings
This cane makes me think of the Johnny Cash song, “I’ve been everywhere.” Caroline Fife, M.D.Dr. Fife is a world renowned wound care physician dedicated to improving patient outcomes through quality driven care. Please visit my blog at CarolineFifeMD.com and my...
by Caroline Fife, M.D. | Aug 21, 2019 | Fight the Good Fight, Pressure Cooker: Rethinking Pressure Ulcers, US Wound Registry
The story of my son’s intraoperative pressure injuries In August of 2017, Hurricane Harvey dumped 52 inches of rain on Houston turning the 4th largest city in America into a literal island. However, with our house above water, I was selfishly focused on...
by Caroline Fife, M.D. | Aug 20, 2019 | Miscellaneous Musings
Here’s a nifty way to keep track of your phone and your pen if you are in a wheelchair. Caroline Fife, M.D.Dr. Fife is a world renowned wound care physician dedicated to improving patient outcomes through quality driven care. Please visit my blog...
by Caroline Fife, M.D. | Aug 19, 2019 | Miscellaneous Musings, Pressure Cooker: Rethinking Pressure Ulcers
Patients inspire me every day. This lady in her 9th decade showed me a picture on her smart phone (which alone is an accomplishment). She’s at church playing the accordion and the piano at the same time. I’ll add her to my gallery of patients with “undaunted spirit.”...
by Caroline Fife, M.D. | Aug 15, 2019 | Healthcare Payment Policy, Hyperbaric Oxygen Therapy
Noridian has started sending out letters to notify hospitals of post-payment review of outpatient HBOT charged records from 2018 (G0277). See below for the pitfalls of writing the usual HBOT note. If you do not order the HBOT for that day, you will likely not get...
by Caroline Fife, M.D. | Aug 13, 2019 | Don't Miss This
I have been pondering the economics of an “anti-biofilm” agent. I received Plurogel samples from Medline and had dramatic success in a very compromised patient, both for her acute wound (due to an ulcerated hematoma) and her chronic ankle ulceration related to her...
by Caroline Fife, M.D. | Aug 5, 2019 | Fight the Good Fight, Healthcare Payment Policy
By Helen Gelly, MD Most people these days know their Credit Score. There are “apps” to check it and to improve it, even though it may be calculated in a complex way from a lot of factors. And even though the financial impact of a low credit score may be indirect, most...
by Caroline Fife, M.D. | Aug 2, 2019 | Don't Miss This, Nutrition & Wound Healing
Fifty years ago I stayed up late with my grandfather to watch the Apollo 11 astronauts land on the moon. We sat riveted, watching grainy images on a tiny black and white television set, marveling at how far technology had advanced. In the 1960s, my father was an...
by Caroline Fife, M.D. | Jul 25, 2019 | Cassandra Chronicles: Regulatory and Coverage Policy, Fight the Good Fight, Nutrition & Wound Healing
This month in TWC, learn about the history of total parenteral nutrition and how the Space Race of the 1960’s helped patients with malabsorption. I explain why QCDR quality measures have been a disappointment for all specialties, why Practice Improvement Activities...