Health Care Economics

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.

Blog Category: 
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.

Blog Category: 
Michael Miller's picture

By Michael Miller DO, FACOS, FAPWCA, WCC

Is there some feature, mark or other identification that assures a patient that caveat emptor is not a concern? Perhaps wearing a scarlet letter “W” identifying oneself as a wound care specialist. In Mel Brooks' 1974 Western, Blazing Saddles, the bad guys, when offered the sine qua non of a do-gooder respond acidly "Badges? We don't need no stinking badges." How then can patients identify helpers versus harmers? Why does the desire to be all things to all people as health care providers so easily usurp common sense? While the specific origin is murky, there is no question that somebody created the credo we all purport to adhere to, "First do no harm". Can ignorance, stupidity, greed or malicious intent for profit mitigate this?

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.

Blog Category: 
Aletha Tippett MD's picture

By Aletha Tippett MD

For over a decade now I have treated wounds in palliative care patients and non-palliative care patients. The “funny” thing is that there is no difference in how I treat these wounds, all are approached the same way, with similar treatments used. As I teach more and more about palliative wound care, it seems obvious to me that all wounds and all people deserve this approach. Who does not deserve less pain? Who deserves to be embarrassed by wound odor? Who deserves to have an infection? Who deserves a lesser quality of life? When asked these questions I would think the answer would be NO ONE.

Blog Category: 
Paula Erwin-Toth's picture

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

Ah February! The month of love and romance. Regardless of whether Buckeye Chuck or Punxsutawney Phil predicted an early spring or 6 more weeks of winter for those of us who live in the northern climes winter seems cold, dark and endless. Seasonal affective disorder (SAD) is a real possibility and the idea of hibernating until spring is tempting. If you are living with a chronic wound, this time of year can be especially problematic. Getting out for groceries, doctors appointments, or worship can be a major undertaking. The challenges for home care nurses are incredible.

Lydia Corum's picture

By Lydia A Meyers RN, MSN, CWCN

I recently wrote a blog on my proposal to remodel home health care. I continue my musings as we consider other ways we can incorporate consumer-based business and marketing practices into the health care arena. What has become very clear to me through my recent studies and professional experience is that there is an urgent need to continue with evidence-based care and quality care. One way for this to happen is for health care facilities to become specialized and to fill the unique needs of the community at large and then market that specialty.

Blog Category: 
Michael Miller's picture

em>By Michael Miller DO, FACOS, FAPWCA, WCC

RAMBLINGS OF AN ITINERANT WOUND CARE GUY, PT. 14

Most of us are familiar with Genesis 4:9, in which, after Cain murders Abel, God questions him about his brother. His famous reply is “Am I my brother’s keeper?” Cain’s response (framed as a question) has led scholars to consider the consequences of assuming responsibility for the actions of another over whom you may or may not have a modicum of control.

Blog Category: