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Cathy Milne, APRN, MSN, CWOCN-AP

Nurse - APRN
Private Practice
Cathy Milne's Background
Advanced Practice Wound, Ostomy Continence Nurse at Connecticut Clinical Nursing Associates
Connecticut Clinical Nursing Associates American University

About Wound Reference
Clinical and reimbursement decision support digital solutions

Coming soon...
  • Debridement: Enzymatic
    CPT® codeThere is one relevant CPT code for the debridement with enzymatic debridement agents such asSANTYL Ointment:97602 Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia(e.g., wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topicalapplication(s), wound assessment, and instruction(s) for ongoing care, per sessionNOTE: Under Medicare, this code is only separately payable to hospital-bas
  • How to set up and optimize your wound care formulary
    Save time and money with a well planned wound care formulary. Learn how to setup an institutional formulary to better manage your inventory of dressings and bandages.
  • Products that inhibit collagenase enzymatic activity
      Product Inhibition (%) Description Manufacturer Antibacterial active Mafenide Acetate 0.0 Sulfonamide-based antimicrobial Sigma Aldrich Antibacterial active Mupirocin 0.0 Carbohydrate-based antimicrobial Sigma Aldrich Antibacterial active Chlorhexidine Gluconate 0.0 Biguanide-b
  • Dressing Essentials
    Practice essentials on dressings. Summarized information on the main types of dressing used in wound management, organized in a practical tool
  • Cellular and/or Tissue Based Products
    Evidence-based topic on cellular and/or tissue products (also known as human skin equivalents, or skin substitutes) - clinical, coverage and reimbursement updates.
  • How to Apply Cellular and/or Tissue Based Products
    Practical guidance with step-by-step pictures, protocol and tips on how to apply different types of cellular and/or tissue products (CTPs), also known as skin substitutes
  • Pressure Ulcers/Injuries - Classification/Staging
    This topic provides pictures and details on two of the most used classification systems for pressure ulcer/injury (PU/PI): the classification created by the National Pressure Ulcer Advisory Panel (NPUAP) and the system adopted by the Centers for Medicare and Medicaid Services (CMS)
  • Pressure Ulcers/Injuries - Introduction and Assessment
    Framework for assessment of patients with pressure ulcers/injuries. Includes concise abstract, clinical pathway/algorithm for use at the point-of-care, and comprehensive resources on the condition (e.g. epidemiology, risk factors, etiology, pathophysiology, history, physical examination, diagnosis, differential diagnoses, documentation and ICD-10 coding)
  • Pressure Ulcers/Injuries - Treatment
    Pressure Ulcers/Injuries - evidence-based, always current review on management with a concise algorithm/pathway for use at the point-of-care
  • Pressure Ulcers/Injuries - Is it Really a Stage 2?
    A practical framework for clinicians on how to differentiate Stage 2 pressure ulcers/injuries on the gluteal region from selected common conditions, namely incontinence-associated dermatitis (IAD) and friction-induced skin injury (FISI). Includes pictures and ICD-10 codes for these conditions
  • Pressure Ulcers/Injuries -Coordination of Care
    Coordination of care for prevention and management of pressure ulcers/injuries - problems and practical solutions
  • Pressure Ulcers/Injuries - Prevention
    Pressure ulcers/injuries (PUs/PIs) pose a large burden to affected individuals, caregivers and healthcare systems. As in any illness or injury, preventing PUs/PIs is better than treating them. This topic presents evidence-based interventions for prevention of PUs/PIs, with best practices and recommendations summarized in a concise table.
  • Case: How 20 minutes of fun can cost 4 months of disruption
    This case illustrates how a seemingly innocent decision in the life of a person at risk for pressure ulcer/injury (PI/PI) can lead to a new episode of PU/PI
  • Case: When Pressure Ulcer/Injury Happens...
    This case illustrates real world obstacles that lead to scenarios of increased likelihood of unavoidable pressure ulcers/injuries (PUs/PIs) and delayed transition of care.
  • MIPS in Wound Care and Hyperbaric Medicine
    Collection period for MIPS Year 3 started in January 1st, 2019. In 2019, CMS expanded the types of clinicians who are subject to participation in MIPS, and implemented other updates. This blog post summarizes some of these changes and provides an overview on how WoundReference can help eligible clinicians and groups perform well in MIPS.
  • How to Interpret Audible Handheld Doppler Ultrasound and Waveforms to Rule out PAD
    Audible handheld Doppler ultrasound and waveforms have been gaining acceptance as a tool for bedside non-invasive arterial assessment of lower limbs. This topic provides a primer (includes videos) on how to perform and interpret audible handheld doppler and waveforms to detect peripheral artery disease.
  • How to Select Adequate Compression Therapy Pressure Levels and Products
    Compression therapy is essential for patients with venous leg ulcer, lymphedema and other conditions. This topic provides algorithms that illustrate how audible handheld Doppler ultrasound/ waveform analysis or ankle-brachial index can be utilized to determine appropriate pressure levels and types of compression across different clinical scenarios.
  • Pyoderma Gangrenosum - Introduction and Assessment
    Pyoderma gangrenosum is a rare but serious primary ulcerating condition of the skin that falls into the category of neutrophilic dermatoses. This topic provides a framework for assessment of patients with pyoderma gangrenosum. Includes concise abstract, clinical pathway/algorithm for use at the point-of-care, and comprehensive resources on the condition (e.g. epidemiology, risk factors, etiology, pathophysiology, history, physical examination, diagnosis, differential diagnoses, documentation and ICD-10 coding)
  • Pyoderma Gangrenosum - Treatment
    Pyoderma gangrenosum is a rare but serious primary ulcerating condition of the skin that falls into the category of neutrophilic dermatoses. Currently, there is no definitive guideline or gold standard in management of pyoderma gangrenosum, as data from controlled clinical trials are scarce. This topic provides an evidence-based, always current review on management of pyoderma gangrenosum, with a concise algorithm/pathway for use at the point-of-care
  • Case: New-onset cutaneous vasculitis
    Wound care clinicians often face challenging ulcers that have been previously treated with little or no success by other healthcare providers. Some of these ulcers are related to cutaneous vasculitis. This topic describes how an atypical lower extremity ulcer was diagnosed as new-onset cutaneous vasculitis at a wound care clinic.
  • Cutaneous Vasculitis
    INTRODUCTIONBackgroundDefinition:Vasculitis of the skin (cutaneous vasculitis) includes several inflammatory disorders that compromise blood vessels and specifically the cutaneous vascular system (i.e. arterioles, capillaries, postcapillary venules), and lead to cutaneous changes. (Papi and Papi 2016) According to the 2012 revised International Chapel Hill Consensus Conference Nomenclature of Vasculitides (CHCC2012), cutaneous vasculitis can present in 3
  • MIPS in Wound Care and Hyperbaric Medicine - Improvement Activities
    The MIPS Improvement Activities Category is one of the four categories comprising the Centers for Medicare and Medicaid Services (CMS)'s Merit-based Incentive Payment System (MIPS). MIPS is part of the CMS Quality Payment Program (QPP), in which eligible clinicians are required to participate during 2019 to avoid a negative impact on the physician fee payment for the year of 2021. This blog post provides a summary on the
  • Quality in Wound Care
    This topic provides an update on Quality in wound care and how clinical decision support systems like WoundReference can help clinicians achieve better outcomes more efficiently. The topic lists resources such as a quality framework intended to be used for creation or assessment of wound care services, algorithms demonstrating application of evidence in product selection, quality measures specific to wound care, and guidance for wound and hyperbaric programs to successfully navigate the CMS Quality Payment Program (MIPS).
  • How to Determine Healability of a Chronic Wound
    As a prerequisite to setting realistic treatment objectives, chronic wounds should be classified according to their ability to heal, that is, as healable, nonhealable, or maintenance. This designation defines for the clinician, patient, and family an expected course of action, plan of care, and healing rate. It also facilitates responsible use of available resources along with realistic treatment goals. This topic serves a tool to help clinicians assess wound healability.
  • Debridement
    Debridement is an important step in optimizing a wound or ulcer for functional healing. This evidence-based topic provides clinical, coverage and reimbursement updates on debridement methods in wound management (e.g., surgical, sharp conservative, mechanical, autolytic, enzymatic, larval, hydro-mechanical, etc). Includes indications, contraindications, GRADE recommendations, documentation guidance, links to Medicare coverage determinations by each Medicare Administrative Contractor.
  • How to Perform Conservative Sharp Wound Debridement
    This topic provides practical guidance on how to perform conservative sharp wound debridement, assess effectiveness, troubleshoot, code and document each procedure. See step-by-step protocols with pictures, video, checklists and documentation template.
  • Telemedicine/ Televisit Implementation Playbook - Part 1
    Telemedicine can be a plausible option to do more with less in wound care. The purpose of the first part of this playbook is to guide healthcare professionals in assessing the benefits telemedicine can bring to their practices.
  • How to Apply Unna Boot
    Unna Boot, also known as Unna's Boot or paste boot, is an inelastic bandage that is frequently used in compression therapy to treat venous leg ulcers. Application of UB is one of the most common clinic procedures billed to Medicare. This topic provides practical guidance on how to apply an Unna Boot, assess effectiveness, troubleshoot, code and document each application. See step-by-step protocol, and documentation checklist.
  • Skin Tears - Introduction and Assessment
    Framework for assessment of patients with skin tears. Includes concise abstract, clinical pathway/algorithm for use at the point-of-care, and comprehensive resources on the condition (e.g. epidemiology, risk factors, etiology, pathophysiology, history, physical examination, diagnosis, differential diagnoses, documentation and ICD-10 coding)
  • Skin Tears - Treatment and Prevention
    Topic on skin tear management and prevention, with a concise algorithm which can be used at the point-of-care
  • How to Select Offloading Devices
    This topic provides guidance on selection of Offloading Devices with an interactive framework
  • 3 Ways Telemedicine Can Help Wound Care Clinicians Combat the New Coronavirus (COVID-19)
    Find out how wound care and HBOT clinicians can leverage telemedicine to continue to care for their patients in a safe manner.
  • Telemedicine/ Televisit Implementation Playbook - Part 2
    Telemedicine can be a plausible option to do more with less in wound care. This is the second installment of the Telemedicine/ Televisit Implementation Playbook. The first installment guides healthcare professionals in assessing the benefits telemedicine can bring to their practices. This topic provides a practical pathway for implementation of telemedicine solutions.

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