In this white paper, we will review the use of modalities as a lever for reducing unwarranted clinical variability. This is the fourth in a series of white papers that have tried to provide evidence and clinical guidance for providers managing complex wound patients. As in all previous white papers, the literature has been reviewed, the data has been updated and refreshed using a 2019 research database from Healogics and recommendations have been formulated for consideration.
Wound Science InitiativeThe Healogics Wound Science Initiative recognizes the value and relevance of data to drive continuous, collaborative learning towards a better understanding of how to efficiently utilize healthcare resources to effectively manage this growing population. Review data and insights from our research.
The COVID-19 pandemic provides direct evidence of why wound care is an essential service. Along with many other service lines, wound care has seen a decline in visits despite being designated as an essential service and the adoption of telemedical options. There have been several recently published articles that report significant increases in major limb amputations during the pandemic compared with matched time frames from pre-COVID-19 data. In this article, Dr. Ennis briefly describes the findings and compares them to his own University’s data, with the goal of ensuring patients are scheduled and evaluated during these complicated times.
As part of our ongoing research aimed at minimizing unwarranted clinical variability and improving healing rates, we have already reported on visit frequency and the impact of wounds that fail to heal on a normal trajectory. In this report, we describe the impact on healing when patients either cancel visits, or completely quit their treatment plan.
Recently, we introduced four levers that could improve our patient outcomes. These levers included frequent patient visits, the prevention of stalled wounds, improving patient engagement and utilizing advanced modalities. The focus of this paper will be on the evidence and research supporting the key lever of preventing stalled wounds in driving better patient outcomes.
Healogics developed a process to identify and evaluate critical topics to determine the levers which would result in reducing unwarranted clinical variability across our organization and improve Comprehensive Healing Rates (CHR) amongst our patients.
How COVID-19 is Changing Wound Care: New Triage Models, Metabolic Inflammation in Diabetes, and the Need for International Consensus
Speaking from four separate rooms in four different corners of the world, William Ennis, Desmond Bell, Michael Edmonds, and William Li expounded over zoom on the myriad ways in which COVID-19 had impacted multidisciplinary wound care, both in terms of the disruption the pandemic had caused to their daily practices, and how the echoes of this disruption would ripple into the future. They also touched on the interrelationship between diabetes and COVID-19, questioning what the downstream effects will be in the vulnerable diabetic population.
We continue to monitor the current information about COVID and there appears to be two new developments that should be of interest to our Healogics community. The first is the concept of “thrombo-inflammation” and how it might develop in COVID patients leading to clots, strokes and heart attacks. It is also possible that this thrombo-inflammation might be the cause of the recently described finding known as “COVID toes.”
The AAWC sponsored a one-hour webinar on the use of HBO therapy for patients with progressive hypoxia unresponsive to oxygen therapy. The webinar was hosted by Dr. Tom Serena, past president of AAWC and Dr. Kerry Thibodeaux from Opelousas Medical Center in Louisiana.
Healogics is proud to announce the launch of the Healogics Telehealth Program. The program is available immediately, providing patients access to continued wound care during Center disruptions related to COVID-19.
Healogics Chief Medical Officer, Dr. William Ennis, assesses the impact of coronavirus on wound care patients and practice.