GUIDELINES 2004 - New OBRA survey standards and guidance to surveyors.
The major change in substance is in F314 & 483.25 on pressure ulcers,
which has been expanded from three pages in the current Guidance to Surveyors
to 37 pages in the new edition. The new revised section for 314 has been
rewritten to become a comprehensive in-service on the topic of pressure
ulcers, embracing the latest practices.
is little that is "new" in the best practices. They are generally consistent
with the standards recommended in the Council's Pressure Ulcer protocol
in September of 2000 and May of 2001. The difference is that every detailed
aspect of the process of prevention, assessment, interventions, and monitoring
of pressure sores now become a matter of survey enforcement.
Team - As surgeons and only surgeons, we are in the highly advantageous
and respectable position to represent the long-term-care-facility in any
wound related elements under survey as the "back-up" team. Also, by our
expertise, and mere presence, we can help prevent any citations, deficiencies,
or state reviews, supported further by our accurate wound-care documentation.
surgeons are highly trained, experienced, and have superb professional
evidence of their professional training, skills, background, and professional
conduct, supported further by character, and ethical references on request.
They are also state licensed, and members in good standing with their distinct
and respective professional societies.
and Surveys - State inspections, surveys, citations, and tags, however,
can be time-consuming, questionable, and unexpected. They are usually conducted
- Furthermore, one-half of all professional liability insurance claims
are closely related to wound-care management and problems. Adding to the
woes of claims, many plaintiffs' lawyers are now targeting the vulnerable
Academy for State Health Policy Surveys Group.
for Medicare and Medicaid Services.
Department of Health (every 10-15 months).
Ombudsman- complaints by resident-patients-elder abuse;
inspections may include nursing staff training, qualifications, training
requirement fulfillments and credentials.
Laws - Inspections can be even more encumbered by newer and more stringent
laws. Many States, but particularly Florida, has newly implemented a current
State policy-one of the "more stringent" in the U.S.A. - requires nursing
homes caring for Medicaid beneficiaries to "hire enough staff to provide
an average of 2.5 hours of care."
- "Compulsory reporting of infection statistics" is required by law in
hospitals of many States, and may very easily soon "spill over" into long-term-care-nursing-facilities,
who may be totally unprepared for such an event, particularly with infectious
wound prominence in many facilities.
- Based on the above facts, Coast to Coast
Wound Care Surgeons are totally prepared
to meet any inspection or survey episode with complete confidence and professionalism.
We can intercede in behalf of the long-term-care-facility, and its staff,
and protect it from litigation, for our trained surgeons provide early,
aggressive care, with trustworthy surgical standards and protocol. Wound
care management Medicine is our specialty.
- Our goal is to achieve and maintain an A+, "Superior" rating, by not
only caring and treating, but preventing infection and re-injury of wounds.
- In fact, also, we have Board Certified Surgeons among our staff. This
allows for expert professional, comprehensive care, integrity, and credibility.
- Our surgeons interact with the physician, staff, family and friends,
thus limiting further, a facilities' undue exposure to unnecessary litigation.
Remember, we are your "surgical-consultants," not merely your wound-care
are no simple solutions, only intelligent decisions." Socrates
Benefits | Services | Cost savings
| Litigation - Inspections | Hospital connection