Up to 40% of patients who have recovered from a diabetic foot ulcer will develop the same condition within the same year, with the risk increasing to 75% within five years, according to a study of 5 billion outpatient visits published in The New England Journal of Medicine. Researchers urged health care teams to pay closer attention to ulcer remission.
The Clark Regional Medical Center in Winchester, Ky., opened a wound care center to treat patients with chronic wounds from diabetes, radiation issues, osteomyelitis, venous insufficiency and immobility. The Center for Wound Care has two hyperbaric oxygen chambers.
The Advanced Wound Center at Medical West in Bessemer, Ala., turns to a hyperbaric oxygen chamber when cellular tissue substitution, negative pressure and advanced wound dressings are unsuccessful, according to director Nathan Clark. "It really does make a big difference in people's lives. A lot of our patients didn't know that there was this kind of specialty care out there," Clark said.
A monitoring system developed by MR3 Health uses an internet-connected device to detect temperature changes in the feet that could signal the development of diabetic ulcers. An app tells users where on their feet to place sensors, and temperature readings are transmitted to a cloud-based system that tracks changes and alerts company representatives of potential problems.
A report from the CMS Office of the Actuary showed total hospital services spending grew nearly threefold from 1991 to 2014, with annual growth rates ranging from 3.8% in the District of Columbia to 7.9% in Idaho. Per capita health care spending in Medicaid expansion and non-expansion states climbed by 4.4% and 4.5%, respectively, which the report attributed to increased coverage in expansion states and higher spending growth per insured person in non-expansion states, the report said.
A Medicare Payment Advisory Commission report said commissioners are looking at revising the Quality Payment Program because its Merit-based Incentive Payment System may not help people choose a clinician or help practitioners change their practices to improve value. MedPAC also made recommendations on ways to improve the Medicare Part B drug program.
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Ingmar Bergman, director and screenwriter
About Advanced Tissue
Advanced Tissue is a leading wound care supply company offering a comprehensive line of wound care products from virtually all manufacturers. We understand the many obstacles associated with effective wound treatment and use this insight to provide the efficient delivery of dressings to enable enhanced compliance and improved patient outcomes.