Song EH, Milne C, Hamm T, Mize J, Harris K, Kuplicki S, Smith A, Ferreira LM, Wong A, et al.
Advances in skin & wound care. Date of publication 2020 Feb 1;volume 33(2):91-97.
1. Adv Skin Wound Care. 2020 Feb;33(2):91-97. doi:
10.1097/01.ASW.0000617852.54001.46.
A Novel Point-of-Care Solution to Streamline Local Wound Formulary Development
and Promote Cost-effective Wound Care.
Song EH(1), Milne C, Hamm T, Mize J, Harris K, Kuplicki S, Smith A, Ferreira LM,
Wong A.
Author information:
(1)Elaine H. Song, MD, PhD, MBA, is CEO, Wound Reference, Inc, San Francisco,
California. Catherine Milne, APRN, MSN, CWOCN-AP, is Wound, Ostomy, Continence
Advanced Practice Nurse, Connecticut Clinical Nursing Associates, Bristol,
Connecticut. Tiffany Hamm, BSN, RN, ACHRN, CWS, is Chief Nursing Officer, Wound
Reference, Inc, San Francisco, California. Jeffrey Mize, RRT, CHT, CWCA, is Chief
Clinical Officer, Wound Reference, Inc, San Francisco, California. Kimberly
Harris, RN, CWCA, is Nurse Manager, Newton Medical Center, Newton, Kansas;
Samantha Kuplicki, MSN, APRN-CNS, ACNS-BC, CWS, CWCN-AP, RNFA, CFCN, is General
Surgery APRN, Hillcrest Healthcare System, Tulsa, Oklahoma. Amy Smith, JD, RN, is
a nurse, Kaiser Permanente, Walnut Creek, California. Lydia Masako Ferreira, MD,
PhD, is Chief, Plastic Surgery Division, Federal University of São Paulo, Brazil.
Alex Wong, MD, FACS, is Associate Professor of Surgery, Division of Plastic and
Reconstructive Surgery, University of Southern California, Los Angeles,
California. Acknowledgments: Dr Song, Ms Hamm, and Mr Mize are employees of Wound
Reference, Inc. The authors have disclosed no other financial relationships
related to this article. Submitted August 3, 2019; accepted in revised form
August 26, 2019.
OBJECTIVE: To develop and implement a point-of-care digital solution to
streamline the creation and maintenance of wound care product formularies and
promote cost-effective wound management.
METHODS: Researchers used Design Thinking methodology to develop the Formulary
Module, a point-of-care digital solution within a clinical and reimbursement
decision support web application for wound care and hyperbaric clinicians. The
module was implemented in a US hospital-based outpatient wound clinic as follows:
A baseline list of products was established, with brands automatically grouped by
product category. Brands within each dressing category were compared, and
redundancy eliminated. Study authors assessed the financial impact of formulary
implementation in the wound clinic by comparing inventory expenditure before and
after implementation.
RESULTS: Implementation of the digital Formulary Module resulted in a 36%
decrease in products (67 to 43 across 22 types), 38.73% decrease in the monthly
average dollar spent on chargeable products, 29.56% decrease in the average
dollar amount spent on chargeable products per patient visit, and increased staff
efficiency.
CONCLUSIONS: The Formulary Module has the potential to increase the adoption of
cost-effective practices in wound care significantly.
DOI: 10.1097/01.ASW.0000617852.54001.46
PMID: 31972581
