Resources for Wound Care and HBOT Policies and Procedures

Last updated on 6/18/24 | First published on 6/18/24 | Literature review current through Oct. 2024 [cite]

Authors: Elaine Horibe Song MD, PhD, MBA, Tiffany Hamm BSN, RN, CWS, ACHRN, UHMSADS, Jeff Mize RRT, CHT, UHMSADS, Topic editors: Cathy Milne APRN, MSN, CWOCN-AP, Scott A. Robinson MD, more...

INTRODUCTION

Overview

Evidence-based policies, procedures, and guidelines are essential for delivering high-quality care in wound clinics. It is important that these documents be easily accessible to all clinic staff. To ensure effective implementation, familiarity with these documents should be addressed through competency-based staff education programs. This topic offers a list of sample resources for creation and ongoing updates of policies and procedures in wound care and hyperbaric medicine (HBOT). Please refer to the Wound Care Knowledge Base and to the Hyperbaric Oxygen Therapy Knowledge Base for the full list of resources.

Background

Definitions

Policies are high-level guidelines that provide a framework for daily activities and decisions.
Procedures provide steps needed for staff and clinicians to adhere to policies or complete a process.

Relevance

Policies and Procedures can guide a Wound Care Program to success through compliance with applicable Federal and State laws, regulations, guidelines and policies.
One of the requirements for earning accreditation from the Joint Commission is for organizations to maintain policies and procedures that guide patient care, treatment, and services. Leaders should review, approve and manage the implementation of such policies and procedures.[1]

RESOURCES FOR POLICIES AND PROCEDURES IN WOUND CARE

Periodic reviews of policies should be conducted to ensure it aligns with best practices and any changes in local regulations or standards. The table shows sample resources. Please refer to the Wound Care Knowledge Base for the full list.

Wound Care Program Operations

Wound Care Program Operations

Scope of Service

Advanced Wound Care Program Scope of Service

Healthcare rights

Refer to your organization's overarching policies for the items below:

Patient Bill of rights
Informed consent
Refusal of treatment
Patient feedback and grievance procedures
Termination of Patient Provider Relationship

Termination of Relationship: Patient-Provider And/Or Patient-Wound Care And Hyperbaric Service

Scheduling and Registration

Refer to your organization's overarching policies for the items below:

Appointment Scheduling
Provision of care for patients in the Global period

Global Surgical Transfer of Care to the Wound Clinic

Billing

Medicare Billing Protocol and Workflow
Insurance authorization process

HBO Pre-Determination/ Prior Authorization

Documentation for insurance claims

HBOT Documentation Checklist

Coding guidelines for wound and HBOT services

Denials and Appeals:

A Roadmap to Medical Billing and Coding Audits for Wound Care Providers

Human Resources

Human Resources

Qualifications

Refer to your organization's overarching policies for the items below:

Credentialing and licensing verification
Hiring and Termination

Staffing

Incident-to services and direct supervision

Understanding CPT Code 99211: Billing and Documentation Guidance for Wound Care Programs

Training and Education

Infection Prevention and Control

Infection Prevention and Control

Occupational Safety and Health (OSHA topics for wound care programs)
Antimicrobial Stewardship In Wound Care
Wound Culture - Swabs, Biopsies, Needle Aspiration
How to Collect a Wound Swab (Levine Technique) for Culture

Information Management

Clinical Information Management

Information Privacy and Security

HIPAA Basics for Providers or "covered entities": Privacy, Security, & Breach Notification Rules (CMS MLN Connect)

Medication and Supply Management

Medication Management

Antimicrobial Stewardship In Wound Care

Supply Management

Wound Care Formulary

How to set up and optimize your wound care formulary

Refer to your organization's overarching policies for the items below:

Inventory control and reordering procedures
Handling and storage of wound care products

Provision of Care, Treatment, and Services

Wound Assessment and Documentation

Refer to Patient and Wound Management for selected topics. Refer to the Wound Care Knowledge Base for the full list of topics on Assessment and Documentation of chronic wounds

Comprehensive Patient and Wound Assessment and Documentation

Policy: Wound Assessment, Documentation and Photography

Wound Management

Refer to Patient and Wound Assessment for selected topics. Refer to the Wound Care Knowledge Base for the full list of topics on Management of chronic wounds

Direct Supervision

Policy: Wound Management

Care Coordination

Building a Limb Preservation Program: Traditional and Nontraditional Models
Pressure Ulcers/Injuries -Coordination of Care
Competency Tool Module: Case Manager (Patient discharge)

Patient Education

For customizable patient education materials, refer to the Wound Care Knowledge Base - Patient Education, Dressing Change Brochure, Product Navigator Product Handouts

Patient Education in Wound Care and Hyperbaric Oxygen Therapy

Discharge and Transfer

Transfer of care

Provider Wound Communication Tool

Quality and Performance Improvement

Quality and Performance Improvement

Continuous monitoring of clinical outcomes and quality indicators

Regular policy reviews and updates to reflect evidence-based practices

Compliance and Audits

Internal Medical Documentation Auditing

RESOURCES FOR POLICIES AND PROCEDURES IN HYPERBARIC MEDICINE

The table shows sample resources available with the PRO+HBO plan. Please refer to the Hyperbaric Oxygen Therapy Knowledge Base for the full list.

Hyperbaric Program Operations

Billing

Human Resources

Human Resources

Provision of Care, Treatment, and Services

Patient Assessment and Documentation

Treatment

Patient Education

For customizable patient education materials, refer to the HBO Knowledge Base - Patient Education

Patient Education in Wound Care and Hyperbaric Oxygen Therapy

Environment of Care

Safety

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NOTE: This is a controlled document. This document is not a substitute for proper training, experience, and exercising of professional judgment. While every effort has been made to ensure the accuracy of the contents, neither the authors nor the Wound Reference, Inc. give any guarantee as to the accuracy of the information contained in them nor accept any liability, with respect to loss, damage, injury or expense arising from any such errors or omissions in the contents of the work.

REFERENCES

The Joint Commission. 2022 Hospital Accreditation Standards . 2021;.

Topic 2235 Version 1.0

Resources for Wound Care and HBOT Policies and Procedures

Resources for Wound Care and HBOT Policies and Procedures

INTRODUCTION

Overview

Background

Definitions

Relevance

RESOURCES FOR POLICIES AND PROCEDURES IN WOUND CARE

Wound Care Program Operations

Human Resources

Infection Prevention and Control

Information Management

Medication and Supply Management

Provision of Care, Treatment, and Services

Quality and Performance Improvement

RESOURCES FOR POLICIES AND PROCEDURES IN HYPERBARIC MEDICINE

Hyperbaric Program Operations

Human Resources

Provision of Care, Treatment, and Services

Environment of Care

REFERENCES

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