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NEWS | Wound Care Ask The Treatment Expert Guided Care can trim costs Donna Sardina, RN, MHA, WCC President, Wound Care Education Institute for wound care, study finds By John O’Connor Costs for wound care and How should suspected deep tissue other chronic conditions are injury (sDTI) pressure ulcers be lower for older patients when coded on the MDS 2.0? they are closely supported by a nurse-physician primary Unfortunately, the users manual (RAI care team that monitors their manual) for the MDS does not include health and offers regular a any directions for specifically coding support, according to a study suspected deep tissue injury. However, by researchers at the Johns by comparing the available coding Hopkins Bloomberg School Photo: iStockphoto definitions from the RAI manual to the of Public Health. National Pressure Ulcer Advisory Panel Investigators concluded that pressure ulcer staging guidelines, we patients enrolled in a “Guided can determine what coding to use until Care” program spent less time Patients enrolled in a Guided Care program spend less time in skilled the MDS 3.0 becomes available. in skilled nursing facilities and nursing facilities and hospitals, a new study finds. NPUAP defines suspected deep hospitals. They also had fewer tissue injury as a “Purple or maroon emergency room visits and and 29% fewer home health M.D., associate professor in localized area of discolored intact skin home health episodes. Full care episodes. the Department of Medicine or blood-filled blister due to damage of findings appear in the American “While Guided Care at the Johns Hopkins School underlying soft tissue from pressure Journal of Managed Care. patients received more per- of Medicine. and/or shear.” NPUAP further clarifies The three-year study fol- sonal attention from their Under this model, healthcare that sDTI may be preceded by tissue lowed more than 900 patients. care team and had more phy- is provided by physician-nurse that is pain
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