Bariatric Times - December 2008 - (Page 8) 8 Patient Management Perspective Bariatric Times • December 2008 Pressure Ulcers, CMS Changes, and Patients of Size: What Are the Issues? by Susan Gallagher Camden, RN, MSN, MA, WOCN, CBN, PhD UNDERSTANDING CMS CHANGES As part of the Deficit Reduction Act of 2005, CMS has introduced a plan designed to contain costs by rejecting payment of certain secondary diagnoses in acute care facilities. Therefore, today there is a renewed focus on the prevention and timely, appropriate intervention of pressure ulcers because beginning in October 2008, hospitals will no longer receive additional reimbursement to care for a patient who acquired the pressure ulcer while under the hospital’s care. The interest in pressure ulcers as a preventable adverse event is largely because of the high volume of occurrences. For example, in 2007, CMS reported 257,412 cases of preventable pressure ulcers as a secondary diagnosis. The average cost per case in which pressure ulcers were listed as a secondary diagnosis is over $40,000 per hospital stay. The incidence of new pressure ulcers in acute-care patients is seven percent; however, the incidence rate varies greatly from facility to facility. Although this system is likely to create challenges, it may lend a new emphasis on some of the basics of nursing care, and provide a wonderful opportunity to have the problem of pressure ulcers taken to a higher level of interdisciplinary attention. To learn more about CMS changes, see the resources listed in Table 1.
Table of Contents Feed for the Digital Edition of Bariatric Times - December 2008 Bariatric Times - December 2008 Table of Contents Patient Management Perspective Diabetes Perspective Interview: ASMBS’s Georgeann Mallory Editorial Message Editorial Board Body Contouring Perspective Meeting Perspective Journal Watch Advertiser Index News & Trends Bariatric Times - December 2008 Bariatric Times - December 2008 - Interview: ASMBS’s Georgeann Mallory (Page Cover1) Bariatric Times - December 2008 - Interview: ASMBS’s Georgeann Mallory (Page Cover2) Bariatric Times - December 2008 - Editorial Message (Page 3) Bariatric Times - December 2008 - Table of Contents (Page 4) Bariatric Times - December 2008 - Table of Contents (Page 5) Bariatric Times - December 2008 - Editorial Board (Page 6) Bariatric Times - December 2008 - Editorial Board (Page 7a) Bariatric Times - December 2008 - Editorial Board (Page 7b) Bariatric Times - December 2008 - Editorial Board (Page 7) Bariatric Times - December 2008 - Editorial Board (Page 8) Bariatric Times - December 2008 - Editorial Board (Page 9) Bariatric Times - December 2008 - Editorial Board (Page 10) Bariatric Times - December 2008 - Editorial Board (Page 11) Bariatric Times - December 2008 - Editorial Board (Page 12) Bariatric Times - December 2008 - Editorial Board (Page 13) Bariatric Times - December 2008 - Editorial Board (Page 14) Bariatric Times - December 2008 - Editorial Board (Page 15) Bariatric Times - December 2008 - Editorial Board (Page 16) Bariatric Times - December 2008 - Editorial Board (Page 17) Bariatric Times - December 2008 - Editorial Board (Page 18) Bariatric Times - December 2008 - Editorial Board (Page 19) Bariatric Times - December 2008 - Body Contouring Perspective (Page 20) Bariatric Times - December 2008 - Body Contouring Perspective (Page 21) Bariatric Times - December 2008 - Body Contouring Perspective (Page 22) Bariatric Times - December 2008 - Body Contouring Perspective (Page 23) Bariatric Times - December 2008 - Meeting Perspective (Page 24) Bariatric Times - December 2008 - Meeting Perspective (Page 25) Bariatric Times - December 2008 - Meeting Perspective (Page 26) Bariatric Times - December 2008 - Meeting Perspective (Page 27) Bariatric Times - December 2008 - Meeting Perspective (Page 28) Bariatric Times - December 2008 - Meeting Perspective (Page 29) Bariatric Times - December 2008 - Journal Watch (Page 30) Bariatric Times - December 2008 - Journal Watch (Page 31) Bariatric Times - December 2008 - Advertiser Index (Page 32) Bariatric Times - December 2008 - News & Trends (Page 33) Bariatric Times - December 2008 - News & Trends (Page 34) Bariatric Times - December 2008 - News & Trends (Page Cover3) Bariatric Times - December 2008 - News & Trends (Page Cover4)
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