Re: Wounds, reimbursement & Continuum of Care

[Guest guest]

, I am the Rehab Director at an LTAC, who receives very complex wounds

and sends some of these patients to SNF;s when appropriate. You are so

right that the creams and systems used are costly. The best advice I have

is that you get good data for using the expensive stuff and include how it

is used as well as when. If you are part of a network, getting the wound

care experts together to decide on a service and debrider formulary that

becomes your standards for wound care is your best course. If wound vacs

cannot be safely or appropriately handled by the staff you have, clearly

state this to your clinical operations manager. I hope this helps!!

>

>Reply-To: ptmanageregroups

>To: " PTManager (E-mail) " <ptmanageregroups>

>Subject: Wounds, reimbursement & Continuum of Care

>Date: Mon, 25 Sep 2000 08:25:45 -0500

>

>I run a SNF Unit that is part of a hospital. We continue to see

>significant

>wound care needs on our patients that are challenging discharges in part

>because we need to heal those wounds to a much healthier wound before LTC

>facilities will accept these patients.

>

>One major challenge that I struggle with is the comprehensive of wound care

>that gets started in acute hospital that I am expected to continue in

>skilled. This all happens at a time when I receive little or no

>reimbursement for these developing technologies on Skilled.

>

>This includes- hyperbaric, specialty beds, " vac " system, pricey

>drugs/creams.

>

>How are other hospital based SNFs dealing with these challenges? Are you

>doing this service? Are you defining these items OUT of you SNF scope of

>service? How are you maintaining standard of care if you aren't doing all

>of the items that are started in acute care?

>

>If I was free-standing, I just wouldn't provide these services to avoid the

>expense, and I'd turn away those patients that used these kinds of

>resources. But when you're tied to an acute facility, there is no question

>that we best serve our patients and our system by caring for those patients

>in our hospital snf.

>

>Ideas?

>

>Jon Turton

>St. ph Regional Rehab Center

>, Texas

>

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>

>

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