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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
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