by Caroline Fife, M.D. | Jan 8, 2024 | Fight the Good Fight, US Wound Registry
The list of all CMS approved Qualified Clinical Data Registries (QCDRs) has been posted. These QCDRs have been approved by CMS to participate in reporting QCDR measures and/or MIPS (Merit Based Incentive Payment System) quality measures, PI (Promoting...
by Caroline Fife, M.D. | Jan 5, 2024 | Fight the Good Fight, US Wound Registry
Check out the list of quality measures approved by CMS for 2024 MIPS reporting through the US Wound Registry Qualified Clinical Data Registry (QCDR) and stay tuned for more information! (Whoever says we don’t have an accepted standard of care in wound management is...
by Caroline Fife, M.D. | Dec 13, 2023 | Fight the Good Fight, US Wound Registry
We just published an article about the impact of underlying conditions on Quality-of-Life (QOL) measurement among patients with chronic wounds which sheds new light on the use of QOL assessment as well as the underlying medical complexity of these patients. On the...
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...
by Caroline Fife, M.D. | Sep 17, 2020 | Don't Miss This, Uncategorized, US Wound Registry
Wound Clinic Leaders: Please Take This Survey The US Wound Registry is focused on improving the quality of care and outcomes of patients with chronic wounds and ulcers. As a CMS-recognized Qualified Clinical Data Registry (QCDR), we are trying to understand real-world...
by Caroline Fife, M.D. | Sep 1, 2020 | US Wound Registry
As I’ve discussed before, I actually stopped performing prospective trials in wound care because the trials were not “generalizable,” meaning, the patients enrolled in studies to evaluate wound healing modalities bear no resemblance to the patients we see. I talked...
by Caroline Fife, M.D. | May 29, 2020 | Do the Right Thing: Thoughts on Quality, Fight the Good Fight, PAD Hall of Shame, US Wound Registry
I recently reviewed the case of an elderly woman with a non-healing wound who had ischemic rest pain and extreme malnutrition, neither of which were addressed by the wound center at which she was treated previously. Not surprisingly she failed to improve with the...
by Caroline Fife, M.D. | Feb 28, 2020 | Fight the Good Fight, Healthcare Payment Policy, US Wound Registry
The Wound Care Evidence Summit will take place in Washington, D.C. April 1-2. If you are involved in this area, you need to register now because spots are limited. The meeting will convene commercial and government payer medical directors, the FDA, NIH senior staff,...
by Caroline Fife, M.D. | Feb 24, 2020 | Fight the Good Fight, Healthcare Payment Policy, US Wound Registry
There’s a big focus on finding surrogate measures for wound outcome. I thought I could save anyone working in this area some wasted time by letting you know what outcomes CMS doesn’t care about. I can’t speak to what the FDA might care about. Under the Merit Based...
by Caroline Fife, M.D. | Feb 5, 2020 | US Wound Registry
The average wound is treated with at least 5 different wound dressing products (which may or may not make sense based on the wound characteristics recorded), and dressings are often layered into a “club sandwich” of competing products that ought to be served with a...