About Dr. Fife
Dr. Fife is a world-renowned wound care physician. She is the Director of the Wound Care Center at CHI St. Luke’s The Woodlands Hospital, CMO of Intellicure, Inc., Exec. Director of the US Wound Registry & Editor of Today’s Wound Clinic.
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Explore Dr. Fife’s ever-growing library of helpful content related to Wound Care and MIPS. From videos to instructional materials, this knowledge base is completely yours to enjoy and use.
If any wound care practitioner has looked at their Quality and Resource Use Report (QRUR), you might have gotten a shock.
I wanted you to see it, so that if you encounter one of these sad cases, you won’t miss it.
I’m suspicious that they are just OOZING, and I think that impacts healing. What do you think?
Starved for attention?
Lymphatic fluid begins draining out of the PERI-WOUND area after a cleaning the area caused a minute abrasion.
In the March issue of TWC, I talk about my Sisyphean Mondays with heart failure patients, who represent a quarter of my wound care practice. Medicare is holding me responsible for their repeat hospitalizations.
Poison Ivy – treated with topical and systemic steroids… and a doctor’s excuse for hiring a yard crew.
Allow my assistant to demonstrate the ease with which they may be applied….so why don’t more people who treat venous patients know about this option?
When we evaluated 106,272 wounds, evidence of infection/bioburden was associated with a decreased likelihood of healing in all wound types.
Use the NPUAP Staging System – the Plaintiff’s best friend.
I don’t have THE answer to the “complex but simple” things, but at least I have Super Mario.
Although Medicare officially ended prior authorization, it’s still alive and well through the Medicare Advantage prior authorization programs which are rapidly taking over the market.
The wound closed 11 weeks after OxyBand treatments began.
This message was left on the voice mail of our Wound Clinic Program Director. I’ve cut out any patient identifiers and the name of the payer. She’s providing a list of the documentation needed for her to authorize hyperbaric oxygen therapy: [regarding patient...
How long do you think anyone can continue to practice wound care if quality is going to be determined by the performance of others, and wound care practitioners are held responsible for the cost of all the patient’s underlying medical conditions?
The issue for me is not so much that the patients were hospitalized, but that Medicare holds me accountable for the fact that they got hospitalized, and there is no mechanism for me to explain to Medicare that I’m just their Wound Care doctor.
Happy Valentine’s Day to my Wonderful Nurses!
Either the majority of patients do not heal in a few weeks, or we are spending billions of dollars a year on advanced therapeutics that patients don’t need. Which is it? How can we tell?
I should issue a disclaimer that I’m not a rheumatologist and have no special expertise in connective tissue diseases. However, I do have some rules that have stood me in good stead when it comes to patients with mixed connective tissue disease and ischemia.
The NPUAP staging system was already a mess for a host of reasons, so it really could not be made much worse – but this IS worse.
The number of hyperbaric treatments that have been provided to traditional Medicare beneficiaries has plummeted. We are back to 2009 numbers.
What are your thoughts about how we inform patients regarding the use of animal derived products?
How do we “get to” a Stage 4?
In 2019, the new standard is the “2015 Edition CEHRT.”
I pull hair out of nearly every wound of patients who have a dog or a cat inside the home.
More fun with dog hair and wound care.
I’m thinking it’s no wonder not every physician does this.