by Caroline Fife, M.D. | Jul 16, 2015 | Cassandra Chronicles: Regulatory and Coverage Policy, Miscellaneous Musings, Pressure Cooker: Rethinking Pressure Ulcers, US Wound Registry
Remember when the only advanced dressing we had was Duoderm? I still love that stuff. It is still one of the best debriding agents there is. I take Duoderm paste (not gel but PASTE) and cover it with a Duoderm pad and in about 3 days the autolytic debridement is...
by Caroline Fife, M.D. | Jul 15, 2015 | Fight the Good Fight, Health Information Technology and Wound Care
Here’s a photo of Duoderm paste and a Duoderm pad being used for debridement. Tomorrow I’ll explain. Caroline Fife, M.D.Dr. Fife is a world renowned wound care physician dedicated to improving patient outcomes through quality driven care. Please visit my blog...
by Caroline Fife, M.D. | Jul 14, 2015 | Fight the Good Fight, Health Information Technology and Wound Care, Quality Payment Program
Every Tuesday this month we’ve been having some straight talk about a US Wound Registry Quality Measure. In the June/July issue of Today’s Wound Clinic (TWC) I present a case history of a 30 year old man who had been treated for a year at another wound center for a...
by Caroline Fife, M.D. | Jul 13, 2015 | Cassandra Chronicles: Regulatory and Coverage Policy, Miscellaneous Musings, Pressure Cooker: Rethinking Pressure Ulcers, US Wound Registry
Last week I asked how things were going with getting eCQMs into your EHR. You need to do this to avoid negative payment adjustments but also because your performance on quality measures may very likely be the way that payers decide WHETHER they will send patients to...
by Caroline Fife, M.D. | Jul 9, 2015 | Cassandra Chronicles: Regulatory and Coverage Policy, Miscellaneous Musings, Pressure Cooker: Rethinking Pressure Ulcers, US Wound Registry
There are a lot of wonderful cleansers out there but some of my patients can’t afford them. This is the recipe that I give them to make a 0.25% acetic acid solution if they have the classic neon green drainage of Pseudomonas: 3 Tbsp white vinegar in 1 quart distilled...
by Caroline Fife, M.D. | Jul 7, 2015 | Cassandra Chronicles: Regulatory and Coverage Policy, Miscellaneous Musings, Pressure Cooker: Rethinking Pressure Ulcers, US Wound Registry
Here’s great photos of “neon green drainage.” It’s a bit hard to see how green it is so here’s a wound photo that shows the drainage can be so green it’s nearly black. Caroline Fife, M.D.Dr. Fife is a world renowned wound care physician dedicated to improving patient...
by Caroline Fife, M.D. | Jul 7, 2015 | Fight the Good Fight, Health Information Technology and Wound Care
Every Tuesday this month we are going to have some straight talk about Quality Measures. In the June/July 2015 issue of Today’s Wound Clinic (TWC), Darlene Carey has a fantastic article about how she used quality measures to create a wound care program around evidence...
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...
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...
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...
