Caroline Fife M.D.
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Reasoning Together at the Wound Care Evidence Summit in May

Reasoning Together at the Wound Care Evidence Summit in May

by Caroline Fife, M.D. | Mar 14, 2022 | Do the Right Thing: Thoughts on Quality, Fight the Good Fight

The Alliance is bringing together payers (e.g., Humana, Aetna, Kaiser Permanente, Noridian), regulators/policymakers (e.g., CMS, FDA, NIH, AHRQ), evidence analysis experts (e.g., Hayes, Milliman Care Guidelines), researchers, medical societies, and manufacturers at...
Elevating the Patient Voice (Meaning, Doing the Right Thing, for Goodness Sake)

Elevating the Patient Voice (Meaning, Doing the Right Thing, for Goodness Sake)

by Caroline Fife, M.D. | Mar 11, 2022 | Do the Right Thing: Thoughts on Quality, Fight the Good Fight

It’s almost been long enough that I can talk about my husband’s death. He died as a result of the most extraordinary extrapyramidal syndrome that I’ve ever seen. I haven’t practiced general medicine for over 30 years, but as soon as I walked into his hospital room I...
Reasoning Together at the Wound Care Evidence Summit in May

Frustrated With Payer Policies for Wound Care Treatments? Join Me in May

by Caroline Fife, M.D. | Feb 28, 2022 | Do the Right Thing: Thoughts on Quality, Fight the Good Fight

What type and quantity of clinical evidence is required by payers in formulating positive coverage policies for products and procedures? If you don’t have a clear answer, you’re not alone. As a board member of the Alliance of Wound Care Stakeholders, I invite you to...
Reasoning Together at the Wound Care Evidence Summit in May

Help Build Solutions to Wound Evidence and Coverage Challenges – Join Payers and Policy Makers in May!

by Caroline Fife, M.D. | Feb 21, 2022 | Do the Right Thing: Thoughts on Quality, Fight the Good Fight

As a board member of the Alliance of Wound Care Stakeholders, I invite you to our upcoming Wound Care Evidence Summit where we will explore the key question: What type and quantity of clinical evidence is required by payers in formulating positive coverage policies...
Why the Current State of Wound Care Research Makes Me Mad – and How You Can Help Fix it at the Wound Care Evidence Summit

Why the Current State of Wound Care Research Makes Me Mad – and How You Can Help Fix it at the Wound Care Evidence Summit

by Caroline Fife, M.D. | Feb 14, 2022 | Do the Right Thing: Thoughts on Quality, Fight the Good Fight

The Wound Care Evidence Summit will take place May 19-20, 2022 at the Hyatt Regency Bethesda, MD. If you are involved in the field of wound care (e.g., Chief Medical Officers, researchers, Regulatory Affairs staff, Clinical Association representatives, manufacturers,...
The Math of Cellular Products in the Hospital Outpatient Department

The Math of Cellular Products in the Hospital Outpatient Department

by Caroline Fife, M.D. | May 6, 2021 | Cellular / Tissue-Based Products, Do the Right Thing: Thoughts on Quality, Fight the Good Fight

Dear Manufacturer of Cellular and/or Tissue-based Products (CTPs) — commonly known as “skin substitutes”: I feel compelled to explain the math of using CTPs in the hospital-based outpatient department (HOPD). A friend who is a podiatrist just told me about the...
It’s Hard to Do the Right Thing About Nutrition in Patients with Chronic Wounds

It’s Hard to Do the Right Thing About Nutrition in Patients with Chronic Wounds

by Caroline Fife, M.D. | Apr 30, 2021 | Do the Right Thing: Thoughts on Quality, Fight the Good Fight, Nutrition & Wound Healing

This is a 35 y.o. woman with type 1 Diabetes, liver disease and end stage renal disease on home peritoneal dialysis after failed renal and liver transplants. She also has other wounds on her body due to pressure and ischemia. The abdominal wound had been present for 9...
Nutritional Screening and Vitamin D Groundhog Day

Nutritional Screening and Vitamin D Groundhog Day

by Caroline Fife, M.D. | Apr 14, 2021 | Do the Right Thing: Thoughts on Quality, Fight the Good Fight, Nutrition & Wound Healing, US Wound Registry

This is a young man in his 20’s who is a quadraplegic and suffered a bowel obstruction about 6 months before this photograph was taken. The midline abdominal wound is granulated, but still hasn’t epithelialized. Why? There’s no pressure over this area and it doesn’t...
Hope for Atrophie Blanche with Compounded Topical Dapsone and Aspirin

Hope for Atrophie Blanche with Compounded Topical Dapsone and Aspirin

by Caroline Fife, M.D. | Dec 8, 2020 | Do the Right Thing: Thoughts on Quality, Fight the Good Fight, Healthcare Payment Policy

I understand why companies develop products for diabetic foot ulcers (DFUs) and venous leg ulcers (VLUs), even though those are NOT the most common wound problems. It’s because the clinical trials needed to satisfy the Food and Drug Administration (FDA) are well...
Hey Doc – Have You Tried Calling Your Own Office Lately?

Hey Doc – Have You Tried Calling Your Own Office Lately?

by Caroline Fife, M.D. | Oct 13, 2020 | Do the Right Thing: Thoughts on Quality

I am a huge proponent of better care coordination. This means doctors have to talk to each other. When I need to talk to a doctor who’s cell phone I don’t already have, I cringe. It means I will have to face their office telephone system and I am so DONE with this. I...
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