WoundReference improves clinical decisions
 Choose the role that best describes you

Elaine Horibe Song, MD, PhD, MBA

Physician - MD/DPM/DO
, Wound care, Plastic Surgery
Elaine Horibe Song's Background
Dr. Song is a Co-Founder and Chief Executive Officer of WoundReference, Inc., a clinical and reimbursement decision support & telemedicine platform for wound care and hyperbaric clinicians. With a medical, science and business background, Dr. Song previously served as medical director for a regenerative medicine-focused biotech company in California, and for a Joint Commission International-accredited hospital network. Dr. Song also served as a management consultant for Kaiser Permanente, practiced as a plastic surgeon in private practice and academia, and conducted bench and clinical research in wound healing, microsurgery and transplant immunology. Dr. Song holds a position as Affiliate Professor, Division of Plastic Surgery, Federal University of Sao Paulo, and is a volunteer, Committee Chair of the Association for the Advancement of Wound Care. She has authored more than 100 scientific publications, book chapters, software registrations and patents.

About Wound Reference
Clinical and reimbursement decision support digital solutions

Coming soon...
  • Patient Education - Radiation-induced cutaneous damage - Acute Effects
    Radiation-induced cutaneous damage (RICD) is a common side effect of radiation therapy. Initial skin changes caused by radiation (acute effects) are usually seen within 90 days from the day the patient receives radiotherapy. This evidence-based topic for patients and caregivers answers common questions related to acute effects of RICD. It can be printed at the point-of-care or digitally shared with patients.
  • Radiation-Induced Cutaneous Damage - Treatment, Prevention, Patient Education
    Radiation-induced cutaneous damage is a common sequela of radiation exposure. This topic describes management of acute and late effects of radiation
  • Radiation-induced Cutaneous Damage - Introduction and Assessment
    SUMMARY Radiation-induced cutaneous damage is a common sequela of radiation exposure, affecting up to 95 percent of patients who receive radiotherapy.(1–3) Skin damage can be either acute or chronic, based on the timing of presentation. Acute damage occurs within 90 days of exposure, and is dose dependent, ranging from transient erythema, to dry a
  • Pressure Ulcers/Injuries - Overview
    Pressure ulcer/ pressure injury overview: updates on terminology, evidence-based clinical guidelines, quality measures and resources
  • Compression Therapy
    Compression therapy is considered the mainstay of venous leg ulcer (VLU) treatment and along with standard care has the potential to heal 50%-75% of VLU. This topic provides an overview on the use of compression therapy in the treatment of VLU with evidence-based recommendations
  • Patient Education - Radiation-induced cutaneous damage - Late Effects
    Summary Radiation-induced cutaneous damage (RICD) is a common side effect of radiation therapy that affects your skin. As much as 95 percent of all patients receiving radiation therapy will experience some form of RICD. (Bray et al. 2016). The initial skin changes (acute effects) caused by radiation usually heal after radiotherapy is completed, but the late skin changes (chronic effects) can develop mon
  • Venous Ulcers - Treatment and Prevention
    Venous Leg Ulcers (VLU) are relatively common, affecting 1% of the population in the U.S. This topic discusses treatment and prevention of VLU. Evidence-based management of venous ulcer, including a section for clinicians on patient education. Concise Algorithm for Management of Venous ulcer for use of point-of-care.
  • Medicare Billing Protocol and Workflow
    Hyperbaric oxygen therapy Medicare billing workflow for wound and hyperbaric therapy clinics.
  • Medicare Billing Protocol - Appeal of Claim
    Hyperbaric Oxygen Therapy Overview of the Medicare Claim's Appeal Process
  • Dressing Essentials
    Practice essentials on dressings. Summarized information on the main types of dressing used in wound management, organized in a practical tool
  • Medicare Targeted Probe and Educate Protocol
    The Centers for Medicare and Medicaid (CMS) Targeted Probe and Educate (TPE) Process is designed to help providers and suppliers reduce claims denials and appeals through one-on-one help. This topic provides guidance on how to successfully navigate the TPE process. It includes information on additional documentation request and latest results of recent TPE findings.
  • 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 Select Cellular and/or Tissue Products
    This topic provides guidance on selection of Cellular and/or Tissue Products (CTPs) with an interactive framework
  • HBO Initial Patient Evaluation
    Overview of an initial patient evaluation for Hyperbaric Oxygen Therapy
  • HBO Physician Orders Overview
    Physician order sets for Hyperbaric Oxygen Therapy
  • HBO Treatment Indications With Protocols
    Hyperbaric Oxygen Therapy Treatment Protocol Guidelines and Indications
  • HBO Threshold Levels
    Hyperbaric Oxygen Therapy treatment threshold levels (lower limit, upper limit/utilization review)
  • Acute Carbon Monoxide Poisoning
    Hyperbaric oxygen therapy (HBOT) protocol for acute carbon monoxide with GRADE recommendation, review of recent evidence, checklist, sample documentation statements. Approved for 1 Category A Continuing Education Credit by the NBDHMT
  • Acute Exceptional Blood Loss Anemia
    Hyperbaric oxygen therapy (HBOT) protocol for Acute Exceptional Blood Loss Anemia, documentation template and GRADE assessment of current evidence
  • Acute Peripheral Arterial Insufficiency
    Hyperbaric oxygen therapy (HBOT) protocol for Acute Peripheral Arterial Insufficiency
  • Acute Traumatic Ischemia, Crush Injury and Compartment Syndrome
    Hyperbaric oxygen therapy (HBOT) protocol for acute traumatic peripheral ischemia, crush injury and compartment syndrome with GRADE recommendations, review of recent evidence, checklist, sample documentation statements
  • Central Retinal Artery Occlusion
    Hyperbaric oxygen therapy (HBOT) protocol for Central Retinal Artery Occlusion
  • Clostridial Myonecrosis (Gas Gangrene)
    Hyperbaric oxygen therapy for treatment of clostridial myonecrosis. Evidence-based protocol, sample physician order template and documentation templates to support HBO indication. Operational considerations and nursing interventions
  • Compromised Skin Grafts and Flaps
    Hyperbaric oxygen therapy for treatment of compromised flaps and skin grafts (including mutilated limb injuries), with evidence, sample documentation statements, checklists.
  • Decompression Illness and Arterial Gas Embolism
    Hyperbaric oxygen therapy for treatment of decompression illness and arterial gas embolism, evidence-based protocol, sample physician orders, documentation statements, evidence-based GRADE recommendations. Category A Continuing Education Credit
  • Diabetic Foot Ulcer - Hyperbaric Oxygen Therapy
    Hyperbaric oxygen therapy (HBOT) protocol for patients with diabetes with lower extremity ulcers
  • Venous ulcers - Introduction and Assessment
    Concise Algorithm for Assessment of Venous Ulcer for use at point-of-care. Comprehensive topic including epidemiology, risk factors, etiology, pathophysiology, history, physical examination, diagnosis, differential diagnoses, documentation and ICD-10 coding. Free Abstract Summary
  • Idiopathic Sudden Sensorineural Hearing Loss
    Hyperbaric oxygen therapy (HBOT) protocol for Idiopathic Sudden Sensorineural Hearing Loss, with evidence-based graded recommendations, sample documentation statements, physician order template, checklists.
  • Pyogenic and Invasive Fungal Intracranial Abscesses
    Hyperbaric oxygen therapy for treatment of pyogenic and invasive fungal intracranial abscesses, evidence-based protocol, sample physician order template
  • Necrotizing Soft Tissue Infections And Fournier's Gangrene
    Hyperbaric oxygen therapy for treatment of necrotizing soft tissue infections and Fournier's gangrene, protocol with evidence, sample physician order template and documentation guidance/template
  • Osteoradionecrosis - Mandibular
    Hyperbaric oxygen therapy (HBOT) protocol for osteoradionecrosis (mandibular), with evidence, sample documentation statements, checklists
  • Soft Tissue Radiation Necrosis
    Hyperbaric oxygen therapy (HBOT) protocol for soft tissue radiation injury, with evidence, sample documentation statements, checklists
  • Venous Ulcers - Overview
    Venous leg ulcer overview: evidence-based clinical guidelines, quality measures and resources
  • Diabetic Foot Ulcers - Overview
    Diabetic foot ulcers overview: evidence-based clinical guidelines, quality measures and resources
  • Diabetic Foot Ulcer - Introduction and Assessment
    A diabetic foot ulcer (DFU) can be defined as a full-thickness wound below the ankle, or as a lesion of the foot penetrating through the dermis, in people with type 1 or type 2 diabetes.
  • Diabetic Foot Ulcer - Treatment
    Diabetic foot ulcer (DFU) management with a concise algorithm which can be used at the point-of-care
  • Diabetic Foot Ulcer - Prevention
    Diabetic Foot Ulcers (DFUs) are a chronic problem. Recurrence rates range from 8–59% however, up to 75% of DFUs may be preventable. Therefore, long-term maintenance must be addressed even for healed ulcers to prevent recurrence.
  • Diabetic Foot Ulcer Associated with Ischemia - Management
    ABSTRACTVenous Leg Ulcers (VLU) are relatively common, affecting 1% of the population in the U.S.[1] VLU can be defined as an open skin lesion of the leg or foot t
  • Diabetic Foot Ulcer Associated with Infection - Management
    Topical agents, systemic antibiotics surgical interventions for diabetic foot ulcers soft tissue infection
  • Diabetic Foot Ulcers - Classification Systems
    Diabetic Foot Ulcer Classifications - Wagner, University of Texas, WIfI, IDSA. Actionable tables with pictures and documentation tips for proper ICD-10 coding
  • 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)
  • Chronic Refractory Osteomyelitis
    Hyperbaric oxygen therapy (HBOT) protocol for chronic refractory osteomyelitis, with evidence, sample documentation statements, checklists
  • What is new in 2019 for Telehealth and Telemedicine?
    2019 is a landmark for Telehealth services - The Centers for Medicare & Medicaid Services will start to reimburse healthcare providers for a broader range of telehealth services. This post provides an overview of telehealth and telemedicine and updates regarding newly covered services.
  • Negative Pressure Wound Therapy
    This topic provides an updated evidence-based review and reimbursement policies on the use of Negative Pressure Wound Therapy (NPWT), with a focus on chronic wounds.
  • 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
  • Other Biophysical Agents
    This topic covers biophysical agents used to treat wounds. Electromagnetic stimulation (ES), pulsed electromagnetic field therapy (EMT/PEMF), diathermy, therapeutic ultrasound and phototherapy. This topic will be expanded to include clinical information soon. A list of Medicare national and local coverage determinations can be found under section 'Coding, Coverage and Reimbursement'
  • 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
  • Patient Education - Diabetic Foot Ulcer
    Diabetic Foot Ulcers for patients and caregivers. The topic can be shared by email, or the attached trifold brochure can be printed and handed directly to patients.
  • 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.
  • Acute Burns - Introduction and Assessment
    This topic provides an evidence-based review and framework for assessment of acute burns, including epidemiology, risk factors, etiology, pathophysiology, first aid, primary and secondary assessment, transfer criteria, burns classification, documentation and ICD-10 coding
  • Acute Burns - Overview
    Acute Burn Injury overview: evidence-based clinical guidelines, quality measures and resources
  • Hyperbaric Program Staffing Guidelines
    Staffing guidelines for hyperbaric medicine departments. Roles and responsibilities, staffing ratios, staffing considerations
  • Lymphedema - Overview
    Lymphedema overview: evidence-based clinical guidelines, quality measures and resources
  • Lymphedema - Introduction and Assessment
    Evidence-based review on lymphedema. Framework for assessment of patients with lymphedema. Includes concise abstract and comprehensive resources on the condition (e.g. epidemiology, risk factors, etiology, pathophysiology, history, physical examination, diagnosis, differential diagnoses, documentation and ICD-10 coding)
  • 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.
  • Lymphedema - Treatment and Emerging Strategies for Prevention
    Evidence-based, always current review on lymphedema management with a concise algorithm/pathway for use at the point-of-care
  • Staffing Guidance for Wound Care Centers
    Guidance on lean staffing for wound care centers. Identification of variables that impact staffing, staffing tool and tips
  • Lymphedema - Surgical Management
    For well-selected patients with chronic lymphedema, surgical management offers a chance for reduction of limb volume, decreased episodes of infection and improved quality of life. This topic provides updates on recent surgical advancements, along with specific indications and guidance on preoperative evaluation.
  • 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.
  • 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.
  • How to Select and Apply Negative Pressure Wound Therapy Devices
    This topic provides practical guidance to wound care clinicians on the selection of Negative Pressure Wound Therapy (NPWT) devices, device application with step-by-step pictures, assessment of therapy effectiveness, and troubleshooting.
  • Patient Education - Hyperbaric Oxygen Therapy for Diabetic Foot Ulcer
    Topic for patients and caregivers. This topic on hyperbaric oxygen therapy for diabetic foot ulcers can be shared by email, or its PDF (attached to the topic) can be printed as a patient handout and handed directly to patients at the point-of-care.
  • 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)
  • WoundReference publishes new study on Instant Personalized Product Handouts
    The WoundReference Team has just published the study entitled 'A New Mobile-responsive Solution to Increase Patient Adherence: Instant Personalized Product Handouts' on the journal Wounds: a Compendium of Clinical Research and Practice. Find out how WoundReference Instant Personalized Product Handouts have been saving clinicians time and helping improve patient adherence.
  • 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
  • Patient Education - Hyperbaric Oxygen Therapy for Chronic Refractory Osteomyelitis
    Topic for patients and caregivers. This topic on hyperbaric oxygen therapy for chronic refractory osteomyelitis can be shared by email, or its PDF (attached to the topic) can be printed as a patient handout and handed directly to patients at the point-of-care.
  • Patient education - Lymphedema
    Topic on lymphedema and its complications for patients and caregivers. The topic can be shared with patients and caregivers by email or print.
  • Patient Education - Hyperbaric Oxygen Therapy for Soft Tissue Radiation Injury
    Topic for patients and caregivers. This topic on hyperbaric oxygen therapy for soft tissue radiation injury can be shared by email, or its PDF (attached to the topic) can be printed as a patient handout and handed directly to patients at the point-of-care.
  • Patient Education - Hyperbaric Oxygen Therapy for Osteoradionecrosis
    Topic for patients and caregivers. This topic on hyperbaric oxygen therapy for osteoradionecrosis can be shared by email, or its PDF (attached to the topic) can be printed as a patient handout and handed directly to patients 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
  • Acute Burns - Treatment
    Evidence-based, always current review on management of acute burns.
  • 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).
  • Case: Circumferential Negative Pressure Wound Therapy
    Use of compression therapy to reduce edema on patients with complex chronic leg ulcers can be challenging or contraindicated. Negative Pressure Wound Therapy (NPWT) circumferential dressing may be an option for complex cases.
  • Documentation: Hyperbaric Treatment Notes by the CHRN and CHT
    To ensure audit-readiness and smooth reimbursement, facility and physician charges related to wound care and hyperbaric oxygen services must be validated with documentation from both physician AND non-physician providers (i.e.,Certified Hyperbaric Registered Nurses and Certified Hyperbaric Technologists). The CHRN or CHT note is proof and validation that a treatment was provided and billed by the facility (G0277). This topic provides a template for hyperbaric treatment records documented by non-physician providers.
  • Case: Managing High-output Enteroatmospheric Fistulas - A Case Study and Review
    Fistulas with high amount of drainage (i.e., with high-output), or fistulas that appear in an open abdomen with no overlying soft tissue (i.e., enteroatmospheric fistulas, or EAFs) can pose a real challenge to wound and ostomy specialists. This topic illustrates a case in which a fistula isolation device was used in conjunction with negative pressure wound therapy to manage a high-output EAF. The topic also provides a summarized review on treatment of enterocutaneous and enteroatmospheric fistulas.
  • Designation of Hyperbaric Safety Director
    This topic elaborates on the role of a Hyperbaric Safety Director, including aspects related to designation, training/education and a sample policy and procedure. Authors also explain the rationale behind having a formally designated and specifically trained Safety Director in each hyperbaric medicine facility. Designation of the Safety Director in writing and an appropriate job description for the role are paramount to hyperbaric facility safety.
  • Staff Minimum Qualifications and Training for HBOT
    Regardless of the the purpose and scope of the hyperbaric facility, inadequate knowledge of applicable gas laws, chamber fire safety, potential risks, side effects, and contraindications of hyperbaric medicine, may result in dangerous situations that risk patients' and personnel's well-being. This topic elaborates on the minimum qualifications and training/education for hyperbaric staff, and provides policies that can be adjusted and adopted by hyperbaric programs.
  • 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.
  • Internal Medical Documentation Auditing
    Payers frequently audit providers. Internal medical documentation audits are necessary to determine areas that require improvements and corrections. To be ready for audits by payers, the documentation, including HBO consultation note, physician orders and daily HBO progress note must meet medical necessity requirements. This topic provides a lean protocol on how to conduct internal medical documentation audits to help ensure audit-readiness.
  • Safety and Hyperbaric Oxygen Therapy
    Creating and maintaining an environment of safety in the hyperbaric facility is achieved through proactive planning and attention to detail. Lack of proper safety protocols and procedures causes accidents, and, unfortunately, loss of life. While we never want to have a disaster, we learn from safety analysis of them. This topic provides a summarized update on Safety in the Hyperbaric Facility. The topic also provides guidance and resources that will help you build an excellent hyperbaric safety program. Resources include safety guidelines, job descriptions, go-no-go lists, go-no-go risk assessment tool, and emergency procedures.
  • 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.
  • Patient Education in Wound Care and Hyperbaric Oxygen Therapy
    Patient and caregiver education is central to patient-centered, value-based care. It can be a differentiating factor for wound care and hyperbaric oxygen therapy (HBOT) services looking to offer the highest standards of clinical practice. This topic provides an update on the importance and benefits of patient education in wound care and HBOT, current gaps, commonly used methods, and resources to develop patient education programs in wound care and HBOT. It lists 5 tools that can be implemented today to streamline patient education at the point-of-care, and provides a downloadable framework with best practices on patient education in wound care and HBOT.
  • Educación al Paciente - Terapia de Oxígeno Hiperbárico Para Osteomielitis Refractaria Crónica
    For patients and caregivers, in SPANISH. This topic on hyperbaric oxygen therapy for chronic refractory osteomyelitis can be shared by email, or its PDF (attached to the topic) can be printed as a patient handout and handed directly to patients at the point-of-care.
  • Educación al Paciente - Terapia de Oxígeno Hiperbárico Para Injertos y Colgajos Comprometidos
    For patients and caregivers, in SPANISH. This topic on hyperbaric oxygen therapy for compromised skin grafts and flaps can be shared by email, or its PDF (attached to the topic) can be printed as a patient handout and handed directly to patients at the point-of-care.
  • Educación al Paciente - Úlcera venosa
    Venous leg ulcer for patients and caregivers in SPANISH. This illustration-rich topic can be shared by email, or the attached trifold brochure can be printed and handed directly to patients.
  • Educación al Paciente - Terapia de Oxígeno Hiperbárico Para Úlcera de Pie Diabético
    For patients and caregivers, in SPANISH. This topic on hyperbaric oxygen therapy for diabetic foot ulcers can be shared by email, or its PDF (attached to the topic) can be printed as a patient handout and handed directly to patients at the point-of-care.
  • Educación al Paciente - Úlcera de Pie Diabético
    Diabetic Foot Ulcer for patients and caregivers in SPANISH. This illustration-rich topic can be shared by email, or the attached trifold brochure can be printed and handed directly to patients.
  • Global Surgical Transfer of Care to the Wound Clinic
    Wound physicians must be aware of the surgical global packaging rules as they relate to the transfer of care from one provider to another. Documentation and proper billing methods are essential to meet CMS compliance standards and to ensure the rules are followed. Failure to do so could make the wound care provider a target for audit and denials. This topic provides guidance and a protocol for global surgical transfer of care. Normal 0
  • Educación al Paciente - Terapia de Oxígeno Hiperbárico para Osteorradionecrosis de Mandíbula
    For patients and caregivers, in SPANISH. This topic on hyperbaric oxygen therapy for osteoradionecrosis of the mandible can be shared by email, or its PDF (attached to the topic) can be printed as a patient handout and handed directly to patients at the point-of-care.
  • 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.
  • Errors and Healthcare
    Patient safety is a serious public health issue. Like obesity and motor vehicle crashes, harms caused during care have significant mortality, morbidity, quality-of-life implications, and adversely affect patients in every care setting. This topic provides a snapshot of current patient safety facts, helpful definitions in Patient Safety, factors that lead to errors, liability in Wound and Hyperbaric Oxygen Therapy Programs, and actions that can be implemented to improve Patient Safety and reduce errors.
  • Billing 101 for Hyperbaric Providers
    INTRODUCTION99183- Physician or other qualified health care professional attendance and supervision of hyperbaric oxygen therapy, per sessionG0277- Hyperbaric oxygen under pressure, full body
  • 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.
  • Case: New Technique to Seal Negative Pressure Wound Therapy on Exposed Dermis
    Negative pressure wound therapy (NPWT) has the potential to expedite healing and may be applied in many clinical situations, but achieving and maintaining a reliable, occlusive seal is requisite to realize benefit and mitigate cost, regardless of NPWT type. This topic illustrates a new method to achieve effective seal of an open abdomen NPWT dressing on a highly exudative deepithelialized periwound lacking any dry tissue to apply adhesive drape.
  • 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)
  • Hyperbaric Certification and Continuing Education for Technicians & Nurses
    This blog post provides an overview on the importance of Hyperbaric Certification for Technicians and Nurses, as well as recertification and continuing education requirements
  • Patient Education - Nutrition for Wound Healing : Understanding the Basics
    This topic for patients and caregivers explains the importance of food, and how it can help wounds heal. It answers questions such as "Why is it important for me to eat well when I have a wound?" and "What should I eat"? Includes handouts on food groups, vitamins and minerals
  • Patient Education - Nutrition for wound healing : What if I have other health conditions?
    What should I do if I have diabetes mellitus, kidney disease, high blood pressure, food allergies, and other conditions that affect what I eat? Topic for patients and caregivers.
  • 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
  • Offloading Devices
    This topic provides a review and updates on offloading devices for diabetic foot ulcers (DFUs), from the clinical, coverage and reimbursement perspectives.
  • Webinar: Unwrapping Venous Ulcers - Assessment and Management
    Sign up for a Free Basic Account to watch this webinar co-produced by MidAmerica Wound Healing Society and Wound Reference.
  • How to Select Offloading Devices
    This topic provides guidance on selection of Offloading Devices with an interactive framework
  • Patient Education - Nutrition for wound healing in action - Step 4: What if I don’t cook?
    What if I don’t cook? One of the greatest challenges to having optimal nutrition is time. Fresh, healthy foods can be delicious when prepared right. But this requires certain skills and experiences in the kitchen, as well as enough time to prepare, cook, and eat your meal. Meal preparation can be mentally exhausting, especially with the added stress and pressure from a wound that needs to heal. Explore available options.
  • Patient Education - Nutrition for wound healing in action - Step 3: Shop smartly
    Label reading - one of the keys to smart grocery shoppingGrocery shopping can be overwhelming; with the abundance of options, how do you choose what is right for you? Luckily all foods have nutritional labels. They are called the ‘Nutrition Facts’ label. Learning how to read them correctly is incredibly important! Table 1 below shows some simple steps to assist in your label reading. Table 1. How to read the Nutrition Facts label on food products. Adapted from the Acade
  • Patient Education - Nutrition for wound healing in action - Step 2: Leverage supplements
    What is oral nutritional supplementation? In addition to the balanced meals suggested in the topic nutrition, oral supplementation may be recommended by your healthcare professional. Oral Nutritional Supplementation (ONS) is a way to provide your body with additional macro and micronutrients that may be lacking in your diet.
  • Patient Education - Nutrition for wound healing in action - Step 1: Map out your meals
    What does a balanced meal plan look like? The goal of any healthy diet is to have a balanced meal combined with oral supplementation as recommended by your healthcare professional. Oral supplementation are products (in the form of liquids, powders, capsules/tablets) that provide additional nutrients for the body when ingested. Oral supplementation may not be necessary for everyone but can help boost levels of nutrients that you may be missing.
  • 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.
  • Surgical Ostomy for Fecal Diversion
    Stomas or ostomies are surgically created openings connecting a hollow organ to the skin. This topic provides an overview on the several types of stomas, with a focus on colostomies and ileostomies. It includes descriptions of most common surgical techniques, indications, contraindications, pre and postoperative care, and stomal complications (e.g. ischemia, necrosis, retraction, stenosis, prolapse, varices, hernia).
  • Reimbursement for Telemedicine Services in Wound Care
    This blog article summarizes coding, coverage and reimbursement information on some of the telemedicine services that are relevant to the wound care healthcare professional
  • 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.
  • Case: Surgical offloading of a lesser toe DFU with flexor tenotomy
    This case demonstrates a classic presentation of a lesser toe diabetic foot ulcer which resolved quickly with percutaneous surgical release of the hammertoe deformity. Includes video depicting the procedure.
  • Webinar: Transforming Best Practice in Wound Care with Telehealth
    Sign up for a Free Basic Account and watch this webinar produced by WoundReference and presented on Wounds Research.  Click HERE to watch the webinar  Patient Education - Successful TeleVisits For People With Wounds
    Summary If you cannot physically make a trip to the clinic or if you need to limit trips to your clinician's office, live real-time televisits (also known as video visits, telehealth encounter) are a convenient way to ensure your clinician continues to deliver the care you need, when you need it. During a televisit, your clinician will be able to see your wounds and discuss a care plan with you. Tele
  • The Skin
    This topic provides a practical overview of the main cell types and structures of each layer, including stem cells, appendages and nerves and their role in wound healing.
  • Principles of Wound Healing
    Understanding how wound healing occurs or why the process is impaired is essential. This topic reviews principles of wound healing and provides an update on wounds from various perspectives - economic, physiological and pathological. It includes an overview of the different wound types (e.g. acute and chronic, partial and full-thickness, etc), wound healing phases, pathophysiology of chronic wounds, biofilm, and pathological scarring.
  • A Peek Into 2021 - CMS Proposals and Implications for Wound Care Programs
    In August 2020, the Centers for Medicare and Medicaid published two proposed rules for the calendar year (CY) 2021 with provisions that may be of interest to wound care programs and clinicians.
  • How to Assess a Patient with Chronic Wounds
    Treat the cause IV  a. Determine if there is adequate blood supply to heal  b.  Identify the cause(s) as specifically as possible or make appropriate referrals c.  Review cofactors/comorbidities (systemic disease, nutrition, medications) that may delay or inhibit healing  d.  Evaluate the person’s ability to heal: healable, maintenance, non-healable   2a. Develop an individualized plan of care IV b. Treat the ca
  • Arterial Ulcers - Introduction and Assessment
    ABSTRACT Placeholder, INTRODUCTION Overview Placeholder, Background Definitions:  Arterial or ischemic leg ulcers (AU) are leg ulcers that develop due to inadequate blood supply to the skin (arterial insufficiency). The decrease in blood supply may be caused by underlying peripheral arterial disease (PAD), which results from narrowing of the arteries to the legs

Upgrade to Message

Upgrade to free or paid plan to be able to message this specialist.

Sign Up