Caroline Fife M.D.
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  • Home
  • About
  • Categories
    • The COVID-19 Diaries
    • COVID-19
    • Dr. Marissa Carter
    • Cassandra Chronicles: Regulatory and Coverage Policy
    • Do the Right Thing: Thoughts on Quality
    • Don’t Miss This
    • Fight the Good Fight
    • Health Information Technology and Wound Care
    • Healthcare Payment Policy
    • Miscellaneous Musings
    • My Articles on PRESENT Podiatry
    • My Editorials in Today’s Wound Clinic
    • Pressure Cooker: Rethinking Pressure Ulcers
    • Quality Payment Program
    • US Wound Registry
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Operations/Business Leaders of Wound Clinics: Please Take This Survey!

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...
B.R.I.D.G.E. TO DATA and the US Wound Registry

B.R.I.D.G.E. TO DATA and the US Wound Registry

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...

Fighting Peripheral Arterial Disease (PAD) One Leg at a Time

by Caroline Fife, M.D. | May 29, 2020 | Do the Right Thing: Thoughts on Quality, Fight the Good Fight, 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...
I am a Crybaby and the Wound Care Evidence Summit April 1-2 (Part 3)

I am a Crybaby and the Wound Care Evidence Summit April 1-2 (Part 3)

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,...
The (Surrogate) Wound Outcomes that CMS Doesn’t Really Care About

The (Surrogate) Wound Outcomes that CMS Doesn’t Really Care About

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...
Post Marketing Clinical Follow Up (PMCF), the European Union and Club Sandwich Wound Dressings

Post Marketing Clinical Follow Up (PMCF), the European Union and Club Sandwich Wound Dressings

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...
What’s the Difference Between Hyperbaric Registries?

What’s the Difference Between Hyperbaric Registries?

by Caroline Fife, M.D. | Dec 18, 2019 | Health Information Technology and Wound Care, US Wound Registry

Nearly every week I get a question about the different registry participation options for wound care and hyperbaric medicine. We need all the data we can get in the fields of wound care and hyperbaric medicine. The thought process should not be that one approach is...
How NPWT Changed Wound Care and Why We Need to Think Like Oncologists

How NPWT Changed Wound Care and Why We Need to Think Like Oncologists

by Caroline Fife, M.D. | Sep 30, 2019 | Healthcare Payment Policy, Quality Payment Program, US Wound Registry

Do you still have the photos of the first patient you treated with the VAC? Here are the 1997 photos of my first VAC patient, only 2 years after the device was cleared by the FDA.  I know the photo quality is terrible – they were originally Polaroids! My point is that...
Yes! It IS a Pressure Injury! An Ischemia Reperfusion Injury…

Yes! It IS a Pressure Injury! An Ischemia Reperfusion Injury…

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...
Sisyphean Mondays

Sisyphean Mondays

by Caroline Fife, M.D. | Mar 11, 2019 | Cassandra Chronicles: Regulatory and Coverage Policy, US Wound Registry

In Greek mythology, Sisyphus was cursed by the gods to spend eternity rolling a boulder up a hill, only to have it roll down again. In the March issue of TWC, I talk about my Sisyphean Mondays with heart failure patients, who represent a quarter of my wound care...
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