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Don’t Miss This – the Evolution of a Stage 4 Pressure Ulcer

Don’t Miss This – the Evolution of a Stage 4 Pressure Ulcer

by Caroline Fife, M.D. | Jan 28, 2019 | Fight the Good Fight, Health Information Technology and Wound Care, Pressure Cooker: Rethinking Pressure Ulcers

Since the pressure ulcer staging system is based on the tissue you can visualize, we get caught up in a bizarre logic. It ought to be possible to describe the steps a wound goes through to get to a stage 4 pressure ulcer. But you can’t, because an ulcer doesn’t become...
Regulating Efficiency

Regulating Efficiency

by Caroline Fife, M.D. | Aug 14, 2018 | Cassandra Chronicles: Regulatory and Coverage Policy, Pressure Cooker: Rethinking Pressure Ulcers, US Wound Registry

The White House Office of Management and Budget (OMB) spent 6 months reviewing a proposed rule to ease Medicare-participation requirements called, “Regulatory Provisions to Promote Program Efficiency, Transparency and Burden Reduction.” CMS has promised to “reform...
Standards for Expert Witness Testimony by Wound Care Professional Organizations

Standards for Expert Witness Testimony by Wound Care Professional Organizations

by Caroline Fife, M.D. | Jun 7, 2018 | Fight the Good Fight, Health Information Technology and Wound Care, Pressure Cooker: Rethinking Pressure Ulcers

Check out another “Can We Talk” letter to the editor regarding the request that Joy Schank and I have made that NPUAP members disclose their work as expert witnesses, and that the NPUAP develop a policy pertaining to expert testimony. I think expert...
Injury and Harm – How Do You Think Those Sound to a Jury?

Injury and Harm – How Do You Think Those Sound to a Jury?

by Caroline Fife, M.D. | Feb 23, 2018 | Fight the Good Fight, Health Information Technology and Wound Care, Pressure Cooker: Rethinking Pressure Ulcers

CMS is soliciting public comments on its “Hospital Harms” Quality measures which include hypoglycemia, acute kidney injury, opioid related adverse events, and – Hospital-Acquired Pressure Injury. The call for public comment closes on March 02, 2018. CMS has contracted...
Risky Business

Risky Business

by Caroline Fife, M.D. | Feb 16, 2018 | Cassandra Chronicles: Regulatory and Coverage Policy, Pressure Cooker: Rethinking Pressure Ulcers, Quality Payment Program, US Wound Registry

Helen Gelly recently blogged about the HCC methodology that CMS uses to create risk adjustments and why it is a really big deal for wound care practitioners. Last year “Minuteman Health,” a Massachusetts based insurance company, filed a lawsuit in federal court...

AAWC on Proposed NPUAP Pressure Ulcer Staging System

by Caroline Fife, M.D. | Nov 1, 2016 | Fight the Good Fight, Health Information Technology and Wound Care, Pressure Cooker: Rethinking Pressure Ulcers

I’ve included a link to the document from the AAWC Board of Directors, offering their Position Statement on the Proposed NPUAP Pressure Ulcer Staging System. Click the logo for the attachment: Here are my other blog posts re: NPUAP on Pressure Ulcer Staging...

Recommended Reading

by Caroline Fife, M.D. | Jun 16, 2016 | Cassandra Chronicles: Regulatory and Coverage Policy, Miscellaneous Musings, Pressure Cooker: Rethinking Pressure Ulcers, US Wound Registry

A Predictive Model for Diabetic Foot Ulcer Outcome: The Wound Healing Index Caroline Fife, MD I’ve got a NEW Facebook Page – be sure to follow me there too! Twitter/CarolineFifeMD  |  Facebook/CarolineFifeMD  |  LinkedIn/CarolineFifeMD Caroline Fife, M.D.Dr. Fife is a...

Recommended Reading

by Caroline Fife, M.D. | Jun 16, 2016 | Cassandra Chronicles: Regulatory and Coverage Policy, Miscellaneous Musings, Pressure Cooker: Rethinking Pressure Ulcers, US Wound Registry

Two great articles about Pressure Ulcer Terms: OWM Guest Editorial: Changing Pressure Ulcer Terms: Consensus or Conspiracy? Wound Care Advisor: A Pressure Ulcer By Any Other Name Let me know your thoughts.  Comment below or connect with me on Twitter @CarolineFifeMD ...

Selecting Measures

by Caroline Fife, M.D. | Dec 22, 2015 | Cassandra Chronicles: Regulatory and Coverage Policy, Pressure Cooker: Rethinking Pressure Ulcers, Quality Payment Program, US Wound Registry

Selecting Measures Beginning in 2015, measure selection took on a whole new meaning. No longer was it “ok” to simply pick a few measures that your EHR could easily capture the data and send the results off to CMS. Where once you were paid for reporting, P4R, now with...

Monday Musings

by Caroline Fife, M.D. | Dec 1, 2015 | Cassandra Chronicles: Regulatory and Coverage Policy, Miscellaneous Musings, Pressure Cooker: Rethinking Pressure Ulcers, US Wound Registry

I’m happy to announce the open access publication of another of the Wound Healing Index predictive models in the December issue of Advances in Skin & Wound Care:  December 2015 – Volume 28 – Issue 12 – p 560–572...
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