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Monday Musings

by Caroline Fife, M.D. | Jul 6, 2015 | Cassandra Chronicles: Regulatory and Coverage Policy, Pressure Cooker: Rethinking Pressure Ulcers, Quality Payment Program, US Wound Registry

I don’t know how many of you have actually downloaded any of the USWR electronic clinical quality measures (eCQMs) and then gotten them installed into your wound center EHR. Downloading them is easy because the programming is open source and you can use the link below...

Throwback Thursday

by Caroline Fife, M.D. | Jul 2, 2015 | Cassandra Chronicles: Regulatory and Coverage Policy, Miscellaneous Musings, Pressure Cooker: Rethinking Pressure Ulcers, US Wound Registry

In recognition of the upcoming Independence Day holiday, I’m honoring Dr. James Tilton (June 1, 1745—May 14, 1822) an American physician and soldier from Dover, Delaware. He attended the College of Philadelphia (later the University of Pennsylvania) earning his...

Wound Wednesday

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

I learn a lot from the dressings that we take OFF of patients. I make sure that they are not thrown away before I look at them. What can you tell from this dressing? Is there a problem with the way that the absorptive pad has been used? Caroline Fife, M.D.Dr. Fife is...

Monday Musings

by Caroline Fife, M.D. | Jun 29, 2015 | Cassandra Chronicles: Regulatory and Coverage Policy, Miscellaneous Musings, Pressure Cooker: Rethinking Pressure Ulcers, US Wound Registry

On Mondays in the month of June I am focusing on the way that quality measures will be used to evaluate practitioner performance inside and outside a healthcare organization, including compensation packages and contracted rates with payers. There are thousands of...

Throwback Thursday

by Caroline Fife, M.D. | Jun 25, 2015 | Cassandra Chronicles: Regulatory and Coverage Policy, Miscellaneous Musings, Pressure Cooker: Rethinking Pressure Ulcers, US Wound Registry

Welcome to “Throwback Thursdays” in June. I’ve noticed that patients are having increasing problems affording wound care supplies as a result of the high deductibles under the Affordable Care Act. We are going back to baby diapers for some patients.   Caroline...

Throwback Thursday

by Caroline Fife, M.D. | Jun 18, 2015 | Cassandra Chronicles: Regulatory and Coverage Policy, Miscellaneous Musings, Pressure Cooker: Rethinking Pressure Ulcers, US Wound Registry

Welcome to “Throwback Thursdays” in June. I’ve noticed that patients are having increasing problems affording wound care supplies as a result of the high deductibles under the Affordable Care Act. I confess I am having to go back to tricks I used in the 1990’s like...

Throwback Thursday

by Caroline Fife, M.D. | Jun 11, 2015 | Cassandra Chronicles: Regulatory and Coverage Policy, Miscellaneous Musings, Pressure Cooker: Rethinking Pressure Ulcers, US Wound Registry

Welcome to “Throwback Thursdays” in June. I’ve noticed that patients are having increasing problems affording wound care supplies as a result of the high deductibles under the Affordable Care Act. I’m having to provide patients with the “recipes” for making acetic...

Monday Musings

by Caroline Fife, M.D. | Jun 8, 2015 | Cassandra Chronicles: Regulatory and Coverage Policy, Pressure Cooker: Rethinking Pressure Ulcers, Quality Payment Program, US Wound Registry

Last week I talked about the way that quality measures are now being used as part of physician compensation packages. Reimbursement based, in part, on patient satisfaction is around the corner. How are wound care clinicians going to handle that? We had better start...

Throwback Thursday

by Caroline Fife, M.D. | Jun 4, 2015 | Cassandra Chronicles: Regulatory and Coverage Policy, Miscellaneous Musings, Pressure Cooker: Rethinking Pressure Ulcers, US Wound Registry

Welcome to “Throwback Thursdays” in June. How many different products do you use in your wound center? How many do you really need? Do you think you could care for patients with, say, only 5 categories of dressings? We used to do that in the 1990’s. Which products...

Monday Musings

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

Last month I focused on healthcare reform initiatives focused on how quality measures will be front and center in the move from volume based care to value based care by CMS. Performance on quality measures is also going to be used to determine physician compensation...
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