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...
by Caroline Fife, M.D. | Dec 18, 2019 | Health Information Technology and Wound Care, Hyperbaric Oxygen Therapy, 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...
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...
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...
