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Bringing health and community together, in the name of total healing


Senate Bill S-2878

Dear Senator: I am writing to you regarding Senate Bill S-2878, Minimum CNA Staffing Requirements for Nursing Homes.  It has been brought to my attention that a proponent of this bill, the AARP, contends that a contributing factor of wound care and pressure sores in nursing homes is due to the lack of Certified Nurses Aides (CNA). As the President of Wound Care Specialist of New Jersey, a company that specializes in the treatment and care of wounds for nursing home residents, I can assure you that the treatment of wounds is a complicated process involving several different healthcare professionals. The cause of wounds is a result of a resident’s medical condition, his/her multiple diagnoses or co-morbidities, and less likely the number of a particular kind of staff that may or may not be employed by a nursing home. There is no correlation between the number of staff and the number and frequency of wounds in a nursing home. The treatment of wounds in the nursing home requires the services of a properly trained and experienced nursing professional, preferably a Register Nurse (RN), and a certified and experienced nutritionist,  both coordinating their efforts under the guidance of properly trained medical physicians. Wounds need to be treated, measured, and assessed properly in order to heal. The resident’s diet requires a proper assessment and monitoring to promote healing as well for wound prevention. The physician is required to assess the wound and prescribe the medications and treatment types to heal the wound […]

CMS announces additional participants in pilot project to improve care and reduce costs for Medicare

The Centers for Medicare & Medicaid Service (CMS) today announced that over 2,100 acute care hospitals, skilled nursing facilities, physician group practices, long-term care hospitals, inpatient rehabilitation facilities, and home health agencies transitioned from a preparatory period to a risk-bearing implementation period in which they assumed financial risk for episodes of care.

Type of wounds we managed

There are thousands and millions of people around the world who suffer from non-healing wounds, which severely affects the way of living of people. People cannot do what they love to do. According to a health related study, about 6 million people in the US suffer from the atrocities inflicted by non-healing wounds caused mostly by diabetes, circulation of blood related problems and other conditions. Some of the non-healing wounds that are common and require special treatment are:

MDS 3.0 Update in Wound Care

  March and April, CMS has reconsidered its original guidance regarding how to code blister pressure ulcers on the revised Minimum Data Set (MDS) version 3.0. Previously, CMS directed that any pressure ulcer that presents as a blister regardless of what type of fluid seen (serous, sero-anguineous, or blood filled) was to be coded as a stage 2 . This is no longer true, not all pressure ulcer blisters are coded as stage 2 for MDS 3.0.