Health Care Economics

Marcia Nusgart's picture
Cost associated with chronic wounds

by Marcia Nusgart, Executive Director, Alliance of Wound Care Stakeholders

Editor's note:This blog post is part of the WoundSource Trending Topics series, bringing you insight into the latest clinical issues and advancement in wound management, with contributions by the WoundSource Editorial Advisory Board.

Michel Hermans's picture
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By Michel H.E. Hermans, MD

The 10 year old son of friends of mine incurred a gash in his right knee. After the injury, he was able to walk without pain in the leg (the gash did hurt, of course) but was taken to the hospital by ambulance. There, an X-ray of the knee was taken which did not show any fractures or other non-skin injuries. The gash was sutured and the patient was referred to an orthopedic surgeon for regular checks of the sutures and for suture removal. Sutures were to be removed 14 days after the accident. On that day, the orthopedic surgeon had no office hours.

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Aletha Tippett MD's picture

By Aletha Tippett MD

Welcome, Colton Mason, to the WoundSource blog forum. I enjoyed your opening blog on cost versus price and love your Healthcare Caffeine image. You are so correct, looking at overall cost is what is important, not necessarily the price of a product. And it reminds me how we need to look at the whole picture to determine the correct approach for controlling cost

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Michael Miller's picture

By Michael Miller DO, FACOS, FAPWCA, WCC

As much as I detest bureaucratic oversight and mandates from those above who have no idea what they are doing in their own day to day lest my own, I am coming to the conclusion that a big hammer is needed and fortunately, it seems to be coming. At first, when I heard the whisper that there would be a single amount paid for each wound care case, I shuddered because I was concerned that it would make me look harder at how I spend my patients' money. Diabetic foot ulcer debridements weekly to every other week... going to advanced biologics after the basics have not produced the desired results... tough decisions when economics is the ultimate gatekeeper.

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Colton Mason's picture

By Colton Mason

I love coffee. I often joke with my friends that drinking coffee is the only way I can get my eight glasses of water in every day. Now if you're a coffee junky like me, you can probably tell the difference between a great cup of coffee and one that's just so-so.

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Paula Erwin-Toth's picture

By Paula Erwin-Toth MSN, RN, CWOCN, CNS

March is here and for many of us winter continues unabated. The bright news is that Daylight Savings Time is coming so spring is in the offing. What is less certain is how the 'Sequester' is going to affect health care. While there has been much debate on who is to blame and how dire the consequences of across-the-board budget cuts will be, the reality is we need to be prepared for the possible impact on our patients and clinical practices.

Glenda Motta's picture

By Glenda Motta RN, MPH

The Center for Medicare & Medicaid Services (CMS) reports that nearly one in five Medicare patients discharged from a hospital—approximately 2.6 million seniors—is readmitted within 30 days, at a cost of over $26 billion every year.

Aletha Tippett MD's picture

By Mary Ellen Posthauer RDN, CD, LD, FAND

"Our food should be our medicine and our medicine should be our food."
-Hippocrates

This statement by Hippocrates rings true today as hospitals, rehabilitation centers and nursing homes strive to improve the quality of their meals. The day of “bland, cold, tasteless hospital food with limp vegetables and hard, dry meat” should be distant memory. When the meals and supplements served are not consumed, poor intake often results in weight loss and inadequate consumption of calories required for pressure ulcer prevention and healing.

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Sue Hull's picture

Part 2 in a series examining the reduction of facility costs and the continuation of quality care

For Part 1, Click Here

By Sue Hull MSN, RN, CWOCN

After North Mississippi Medical Center (NMMC) identified advanced wound care as a costly service, observed that multiple wound care products were being used to perform the same clinical functions, and realized that evidence-based practice would be difficult to implement without standardization, they developed a strategy for change.

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Sue Hull's picture

Part 1 in a series examining the reduction of facility costs and the continuation of quality care

By Sue Hull MSN, RN, CWOCN

Remember W. Edwards Deming? We all learned about him in business management, right? He taught and demonstrated that systematic approaches were necessary to improve quality and control costs. Maybe I’m the only one, but I couldn’t really grasp how that principle could be applied to wound care.

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