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  • 05/09/2019 10:55 AM | Anonymous

    APWCA's weekly Wound Care Report which has the latest developments in wound care news publication featuring the following articles:

    • New dispersion method to effectively kill biofilm bacteria could improve wound care
    • Beating bedsores: Researchers working on 3-D method to aid treatment
    • Prognosis of the outcome of severe diabetic foot ulcers with multidisciplinary care
    • Treatment of Diabetic Foot Gangrene Using the STAGE Principle: A Case Series
    • Perceptions of opioid policies and implications for pain treatment in older adults
    • New shockwave treatment heals diabetic foot wounds of San Antonio patients
    • The Microflora of Chronic Diabetic Foot Ulcers Based on Culture and Molecular Examination: A Descriptive Study
    • How well-designed tech can help medical professional avoid burnout

    May 8, 2019 |  Archives

  • 05/08/2019 9:22 AM | Anonymous

    Last year, on behalf of its members, the APWCA submitted comments to CMS regarding the electronic clinical quality measure titled, “Hospital Harm – Hospital- Acquired Pressure Injury.” We expressed concern that the denominator had no exclusions and suggested that certain exclusions be included. A cope of that letter is below:

    The American Professional Wound Care Association® (APWCA) is a non-profit medical association welcoming medical providers from all disciplines involved in prevention and treatment of difficult wounds. Through a synergy of disciplines, APWCA has been a worldwide leader in clinician advocacy and education for the prevention and treatment of acute and chronic wounds since 2001. This association provides an informational and educational forum for healthcare providers, while promoting excellence in wound healing and patient advocacy.

    On behalf of the APWCA we appreciate the opportunity to comment on the electronic clinical quality measure titled, “Hospital Harm – Hospital- Acquired Pressure Injury.” We are concerned that the denominator has no exclusions. All hospitalized patients ages 18 years and older are included. We agree that pressure ulcers should be avoided in all patients when possible, but contend that all pressure injuries are not preventable. We agree with your statement in question #7 that “practices may change for end- of-life or hospice patients who have a comfort care-only order.” Comfort care-only orders can be captured in some EHR systems, but not all. There are also some hospitals still not using a fully functional EHR. Therefore, we do suggest denominator exclusions in this measure.

    We suggest that the following exclusions be considered:
    Palliative care
    End of life care
    Metastatic malignancies
    Septic shock

    As you know, the same critical pathologies that compromise perfusion to critical organs such as the heart, lungs, and brain also compromise perfusion to the skin!

    Thank you for the opportunity to provide this feedback and for considering our suggestion

    Robert Skerker, MD, FAPWCA
    Medical Director, Morristown Wound Healing Center
    APWCA liaison to the Alliance of Wound Care Stakeholders

    Jeffrey D Lehrman, DPM, FASPS, MAPWCA
    Medical Director, Center for Wound Healing and Hyperbaric Medicine at
    Crozer-Chester Medical Center
    APWCA Board of Directors

  • 05/01/2019 12:18 PM | Anonymous

    APWCA's weekly Wound Care Report which has the latest developments in wound care news publication featuring the following articles:

    • Microbiomes of diabetic foot ulcers are associated with clinical outcomes
    • The benefit of early ankle-brachial pressure index measurement for vascular wound care
    • Nanodevices could be the answer to healing chronic wounds
    • CMS offers resources to address social determinants of health
    • New dispersion method to effectively kill biofilm bacteria could improve wound care
    • 5 ways to improve patient satisfaction through pain management
    • Defining success in wound healing: 'Ambiguous and difficult to define'
    • Black, Latino patients much more likely than whites to undergo amputations related to diabetes

    May 1, 2019 |  Archives

  • 04/25/2019 2:33 PM | Anonymous

    APWCA's weekly Wound Care Report which has the latest developments in wound care news publication featuring the following articles:

    • Researchers develop wearable biosensors that mimic skin's properties
    • 4 ways to integrate digital health into the wound center today
    • Researchers pinpoint microbial strains that delay healing in diabetic foot ulcers
    • Negative-pressure wound therapy for managing complicated wounds at extracorporeal membrane oxygenation sites
    • 5 surprising ways to create a more patient-friendly vibe at your practice
    • Chronic wounds are the massive global health problem no one's talking about, doctor warns
    • Guidelines for safe negative-pressure would therapy

    April 24th, 2019  |  Archives

  • 04/22/2019 7:00 AM | Anonymous

    Keep up to date with the latest developments in wound care news through APWCA's weekly email publication Wound Care Report.

    April 17th, 2019  |  Archives

  • 03/15/2019 4:41 PM | Anonymous

    NEW THIS YEAR! Special APWCA discounted rate of $299 (Enter code: APWCA-2019) to attend the 20th Anniversary NCVH 2019 Annual Conference, which now includes a day-long educational track focused on the interdisciplinary integrated team approach to wound care - Save hundreds of dollars!

    Register Here!

    APWCA will be presenting a full day didactic session on May 31st! See schedule of the day below:

    10:00 - 11:20AM NCVH/APWCA Session IV: Reconstruction of Complex Tissue Defects in the Lower Extremities
    10:00 - 10:10AM The Importance and Goals of Wound Healing in Limb Preservations, Charles Andersen, MD
    10:10 - 10:20AM When to get a Vascular Consult and the Limitation of Non-Invasive Vascular Studies, Craig Walker, MD
    10:20 - 10:30AM Identifying the Etiology of the Wound, Charles Andersen, MD
    10:30 - 10:40AM Debridement of the Complex Wound: Extent, Tools and Frequency Stephanie Wu, DPM
    10:40 - 10:50AM Controlling the Bacteria in the Wound: Topical vs. Systemic Treatment, Charles Southerland, DPM
    10:50 - 11:00AM Venous Ablation for the Venous Leg Ulcers: Indications and Timing, Robert Coronado, MD
    11:00 - 11:10AM THat is the Role of Cellular and or Tissue Based Products in Dermal Reconstruction: Evidence Based Medicine, Steven Kavros, DPM

    11:20 - 1:30PM Lunch/Lunch Symposia/Exhibits

    1:30 - 3:00PM [Podiatry and Wound Care] Session V: Reconstruction of Complex Tissue Defects in the Lower Extremities
    1:30 - 1:40PM Hyperbaric Oxygen Therapy: What is the Evidence? Jeffrey Niezgoda, MD
    1:40 - 1:50PM Vascular Imaging: Evidence to Improve Outcomes, Jeffrey Ross, DPM, MD
    1:50 - 2:00PM When to Consider Flaps vs. Split Thickness Skin Grafts, Charles Southerland, DPM
    2:00 - 2:10PM Taking the Mystery Out of Offloading: It is more than a Simple Insert, Steven Kavros, DPM
    2:10 - 2:20PM Compression Therapy for Chronic Venous Insufficiency: Compression Wraps vs. Gradient Support Hose, Cheryl Bongiovanni, PhD
    2:20 - 2:30PM Topical Oxygen: Hocus or Evidence Based, Stephanie Wu, DPM
    2:30 - 2:40PM What is Feasible for Complex Would Healing in the Changing Economic and Reimbursement Environment, Steven Kavros, DPM
    2:40 - 2:50PM Questions and Answers/Panel Discussion
    2:50 - 3:00PM Closing Remarks, Frank Tursi, DPM 

    3:00PM Adjourn

  • 06/12/2018 9:45 AM | Anonymous member

    Recent research demonstrates the effectiveness of various foam dressings for pressure redistribution. Jeffrey Niezgoda, MD (APWCA Vice-President) recently published his findings in a poster presentation (SAWC 2018).  His results demonstrated that all foams are not equivalent in the ability to provide pressure relief in patients at risk for developing pressure ulcers.  OxyBand Rescue out performed all other foam dressings currently on the market, providing superior reduction in average pressures and peak pressures, while at the same time maximizing contact area.  The NPUAP has recently published recommendations advocating the use of foam dressings to provide pressure redistribution in an attempt to reduce the risk of pressure ulcer formation in at risk patients.  A copy of the Poster is provided.  

  • 02/23/2018 1:17 PM | Anonymous

    The Centers for Medicare and Medicaid Services (CMS) recently released an announcement seeking input from stakeholders on a new electronic clinical quality measure under development titled, “Hospital Harm – Hospital-Acquired Pressure Injury.”

    This measure assesses the proportion of hospitalized patients 18 years and older who develop a new stage 2-4 pressure ulcer, deep tissue injury, unstageable pressure ulcer, or experience worsening of any of the above during their hospitalization.

    We read the full description of the measure and provided the following feedback on behalf of APWCA membership:

      • Concern that the denominator has no exclusions; made the point all pressure ulcers are not preventable
      • Responded to one of the questions posed by the measure authors by explaining protocols may change for end-of-life or hospice patients who have comfort care-only orders
        -- Clarified this could be difficult to track because comfort care-only orders may not be captured in some EHR systems and some hospitals are still not using a fully functional EHR
        • Suggested denominator exclusions be added to this measure, including:
        -- Palliative care
        -- End-of-life care
        -- Metastatic malignancies
        -- Septic shock

        This is just one example of how APWCA advocates for our members.  To learn more about your membership and benefits visit www.apwca.org.

        If you would like to submit comments on your own, follow these instructions provided by the Alliance of Wound Care Stakeholders:

                      1. Select “Projects” at top middle on home screen
                      2. Select “View All Projects”
                      3. Select “Quality-Measures” on left-side of screen
                      4. Select “Comments on eCQMs under development” project
                      5. To enter comments, select “Create” (orange button) at the top middle of the screen
                      6. Select the type of issue from the “Issue Type” drop-down menu
                      7. In “Summary” field, type the following title: 
                          Hospital Harm – Hospital Acquired Pressure Injury
                      8. Select the measure name for comment on from the “Draft Measures” drop-down: 
                          Hospital Harm – Hospital Acquired Pressure Injury
                      9. Fill out fields labeled “Contact name,” “Contact email,” and “Contact phone”
                    10. Enter comments in the “Description ”field or upload an attachment under the “attachment” field
                    11. Select “Create” at the bottom left to submit comments
                    12. For additional comments, select “Create another” and then “Create”

      • 02/06/2018 11:28 AM | Anonymous

        Immediate Medicare Changes That May Affect You

        The Medicare Administrative Contractor (MAC) for Jurisdiction J (Tennessee, Alabama, and Georgia) is transitioning from Cahaba to PalmettoThe Part A transition went into effect January 26, 2018 and Part A providers should already be submitting claims to Palmetto GBA. Cahaba has discontinued the receipt of Part A redetermination, reopening, and ADR submissions via the InSite Web Portal. 

        Any of your Part A Redeterminations, Reopenings or ADR responses should now be sent to:

        Cahaba Medicare Part A
        Post Office Box 6168
        Indianapolis, IN 46206

        If you have been communicating with Cahaba via FAX, you may find that some of those FAX lines are no longer functioning, including some that deal with Part B. If you need to communicate Part B information to Cahaba after January 26, 2018 they ask that you use this mailing address:  

        Cahaba Medicare Part B
        Post Office Box 6169
        Indianapolis, IN  46206

        The Part B transition goes into effect February 26, 2018.  Providers should note that their Local Coverage Determinations (LCDs) will transition from Cahaba to Palmetto. A listing of Palmetto LCDs can be found here: Software vendors should update their software to send claims to:

        Part A:
        Palmetto GBA
        Attn: JJ Medicare Part A PO Box 100305
        Columbia, SC 29202-3305 

        Part B:
        Palmetto GBA
        Attn: JJ Medicare Part B PO Box 100306
        Columbia, SC 29202-3306 

        More information can be found at the Jurisdiction J Transition website:  https://www.palmettogba.com/JJTransition

      • 01/25/2018 9:52 AM | Anonymous
        President, Dr. Steven Kavros, and member, Dr. Robert Coronado have been published in the February issue of Advances in Skin and Wound Care. ‘Diagnostic and Therapeutic Ultrasound on Venous and Arterial Ulcers: A Focused Review’ can be read online now.
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