New Opportunities To Improve Pressure Ulcer Prevention And Treatment
A Consensus Paper From the International Expert Wound Care Advisory Panel This article was published in Wounds. Issue 9, September 2008. As part of the Deficit Reduction Act of 2005, the Centers for Medicare & Medicaid Services (CMS) initially identified eight preventable adverse events on August 1, 2007, with nine more conditions proposed on April 14, 2008. They have introduced a plan to help contain …Read More
Preparing For The New Medicare Reimbursement Guidelines: Part II: Documentation Of Altered Skin Integrity In The Hospital
This article was published in Clinical Geriatrics 16:7, p 17-20. 2008. Medicare recently released new reimbursement guidelines that will deny payment for “preventable” complications that arise during hospitalization. These include such entities as catheter-related infections, fall-related injuries, transfusion with incompatible blood products, and pressure ulcers. This is Part II of a two-part series on pressure ulcers and Medicare reimbursement. Part I appeared in the June …Read More
Preparing For The New CMS Reimbursement Changes, Part I: The Unavoidable Pressure Ulcer.
This article was published in Clinical Geriatrics 16:6, p 19-23; 2008 Medicare recently announced that as of October 2008 it will no longer reimburse hospitals and nursing homes for preventable complications; included in this list of complications is pressure ulceration. This article looks at the issue of unavoidable pressure ulcers and its implications for the new reimbursement policy. This is Part I of a two-part series …Read More
Risk Management For Pressure Ulcers: When The Family Shows Up With A Camera
This article was published in Journal of the American Medical Directors Association 2008; 9(5), pp 360-363. Pressure ulcers, although sometimes unavoidable, are frequently viewed as a failure of the health care system. Private civil lawsuits alleging malpractice or negligence related to pressure ulcers are becoming increasingly common. Because of their graphic nature, a photograph of a wound may add value to a plaintiff’s case whether or …Read More
Pressure Ulcers In The Long-Term Care Setting: Clinical Practice Guideline Published By AMDA
Dr. Levine was on the advisory panel for revision of this guideline.This updated guideline is evidence based and incorporates the revised federal guidance to surveyors on pressure ulcers (Tag F314) including risk factors, infection, pain management, treatments based on the wound characteristics, and the resident’s rights to refuse one or more aspects of pressure ulcer care. The guideline also includes the updates for staging according …Read More
Medical-Legal Aspects Of Long-Term Care
Edited by Jeffrey Levine and published in 2003, this book was designed as a reference source for attorneys and the general public on the topic of federal regulation and how it impacts on nursing home care. This law is called the Nursing Home Reform Act, also known as the Omnibus Budget Reconciliation act of 1987, and is cited as the Chapter 42 of the Code …Read More
Elder Neglect And Abuse: A Primer For Primary Care Physicians
This article was published in Geriatrics 58(10) pp 37-44. 2003. Elder neglect and abuse represent a widespread, largely undiagnosed problem in the United States. Factors contributing to misdiagnosis and underreporting include denial by both the victim and the perpetrator, clinicians’ reluctance to report victims, disbelief by medical providers, and clinicians’ lack of awareness of warning signs. Physical abuse is most recognizable, yet neglect is most …Read More
