Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - News on Dr. Levine's medical and consulting practice, and reflections on our healthcare system.

Archive for January, 2010

Skin Surveillance Under Medical Devices is a MUST

Most educational materials on pressure ulcer prevention tell you that the most common areas for pressure ulcers are under boney prominences such as the sacrum, ischium, and heels.   However, an area that is frequently under-emphasized in pressure ulcer prevention education is skin breakdown under medical devices.   Tissue damage under medical devices is therefore frequently overlooked when performing skin assessments, and this can result in devastating consequences of …Read More

Pressure Ulcer Regulations in the Nursing Home: Introduction to Revised F-Tag 314

Care delivered in nursing homes is highly regulated, particularly for pressure ulcers.  Whatever your opinion of government regulation, laws governing nursing homes undoubtedly provide added protection for these vulnerable adults across America.  This post will provide a basic explanation of regulations covering pressure ulcers in the nursing home which have been recently revised and expanded.  But first I will provide some definitions of terms.  Nursing …Read More

How CMS Views Pressure Ulcers in Hospitals

Since October 1, 2008 the Centers for Medicare and Medicaid Services (CMS) classified pressure ulcers as a preventable Hospital-Acquired Condition (HAC) that will no longer be reimbursed by current insurance guidelines. In order to understand how this works, I first need to provide some definitions: MS-DRG: Diagnosis Related Groups (DRG) is a system for classifying hospital cases into levels reflecting hospital resource utilization. MS-DRG stands …Read More

Optimizing a Hospital System to Prevent Pressure Ulcers

According to the Centers for Medicare and Medicaid Services (CMS), pressure ulcers are among the most common, expensive, and avoidable hospital-acquired complications.  Pressure ulcer prevention needs to be embedded within the day-to-day workflow of the healthcare system.  To cope with the burden of pressure ulcer prevention, hospitals need to incorporate risk assessment and prevention techniques into daily care of patients. This blog post is based …Read More