by Caroline Fife, M.D. | Jun 2, 2015 | Fight the Good Fight, Health Information Technology and Wound Care
Tuesdays in the month of June, I’d like to have some straight talk about a few of the MANY ways in which payment for hyperbaric oxygen therapy is going to change and FAST. All payers, commercial and Medicare/Medicaid are establishing specific criteria for hyperbaric...
by Caroline Fife, M.D. | May 26, 2015 | Fight the Good Fight, Health Information Technology and Wound Care
I completed my review of the Novitas LCD for “bioengineered skin” otherwise known as cellular and/or tissue based products (CTPs). The documentation required by the Novitas LCD requires clinicians to specifically address the circumstances as to why the wound has...
by Caroline Fife, M.D. | May 19, 2015 | Fight the Good Fight, Health Information Technology and Wound Care, Quality Payment Program
I wonder how many “eligible providers” are doing point of care documentation? That means in the room with the patient. To reap the benefits of health care information technology, you have to do point of care documentation. You need to use electronic prescribing so...
by Caroline Fife, M.D. | May 12, 2015 | Fight the Good Fight, Health Information Technology and Wound Care
I’d like to have some straight talk about the Hospital Based Outpatient Clinic, electronic medical records, and the misconception that two people can chart in an EHR at the same time in that setting. The hospital based outpatient wound and hyperbaric department...
by Caroline Fife, M.D. | Apr 13, 2015 | Health Information Technology and Wound Care
I think it is important to remind physicians about the importance of proper wound care EHR workflow. Here is the link to an article I released back in October regarding the Ebola crisis and what could have been done differently. How Thoughtful EHR Design Might Have...
by Caroline Fife, M.D. | Apr 8, 2015 | Fight the Good Fight, Health Information Technology and Wound Care
This patient has a venous ulcer but he has also had prostate cancer with pelvic radiation and renal cell cancer with a lymph node biopsy on the left groin. He has lymphedema in the leg where he has this stasis ulcer. Watch the fluid weeping out of this ulcer....
by Caroline Fife, M.D. | Feb 19, 2015 | Health Information Technology and Wound Care
In the early 1990s we had a form for our wound care patients to document the wound size and the dressing we used, etc. It seems to me that the templates inside most EHRs are no different from those old forms. Unless you have an EHR that can process data and actually...
by Caroline Fife, M.D. | Feb 9, 2015 | Health Information Technology and Wound Care
I heard on the radio recently that Presbyterian hospital in Dallas reached an undisclosed settlement with the family of the man who died of Ebola. His death might have been avoided if he had not been sent home from the ER the first time. According to news reports, the...
by Caroline Fife, M.D. | Feb 6, 2015 | Fight the Good Fight, Health Information Technology and Wound Care
Good morning and Happy Friday! Friday’s on the blog are reserved for “Ask the Physician Friday.” If you have any questions for me please feel free to leave them in the comments below, ask on Twitter (@carolinefifemd), or on Facebook (Woodlands Wound...
by Caroline Fife, M.D. | Feb 4, 2015 | Fight the Good Fight, Health Information Technology and Wound Care, Miscellaneous Musings
Happy Hump Day everyone! Each Wednesday I will post wound photos and explain the diagnosis and treatment plan that set these patients on a path to healing. Sometimes physicians need to dig deeper into a patient’s medical history to fully understand their...
