Online Exclusives

Alliance of Wound Care Stakeholders Advocacy Update: Q3 2018


The 3 "C's" of Q3: CMS, Commercial Payers & Capitol Hill
Each year, CMS's proposed annual updates to the Physician Fee Schedule and Hospital Outpatient Prospective Payment System (HOPPS) demand significant time and resources to understand the specific impacts to wound care providers and patients. This year, our comments were not just "comments as usual," they were in several cases a call to arms. For example:

New to the OWM Editorial Board for 2018

Although our niche in medicine may be small, OWM covers a spectrum of care management and prevention issues. Likewise, our Board members have diverse backgrounds and professional and personal interests. We are fortunate to have input from so many interesting people. Meet our newest members.


OWM My Scope of Practice Featuree Introduces Facility

OWM My Scope of Practice featuree Monique L. Abner, MD, introduces us to the Meritus Wound Care Center Wound Care Team (along with Tootsie) and the Wheel of Healing algorithm. To view the video, click here

If you would like us to feature you or your facility — your accomplishments and successes — contact the Editor at

Alliance of Wound Care Stakeholders Advocacy Update 2Q 2018

Alliance of Wound Care Stakeholders 2Q 2018

CMS "Comment Season" Heats Up 

"Comment season" is heating up. As summer temperatures rise, we at the Alliance are busy reviewing and addressing the FY2019 prospective payment system updates from the Centers for Medicare & Medicaid (CMS) that can have impacts large and small across the wound care space.

My Scope of Practice: The Wound Care Jigsaw Puzzle

My Scope of Practice

To the outside world, wound care can seem like glorified dressing application, but people within the field understand all too well the complex care puzzle. Treating a wound, coordinating care with other clinicians, and gaining the patient’s trust can make achieving results seem almost impossible to piece together. Nancy Weckel, BSN, RN, CWCN, reassures her patients that they can figure out the wound care jigsaw puzzle through an individualized treatment plan. 

Two Innovative Approaches for Wound Care/Closure

Farid Blog

In previous blogs, I have advocated the use of Montgomery straps to relieve tension on wounds. Montgomery straps are readily available online and can be purchased through Amazon or individual medical supply companies (Google search Montgomery straps). Each strap is approximately 11 in long with a 6-in wide adhesive strip. The silk tape adhesive is porous, “kind” to the skin, and can be worn in the shower (afterward, it dries quickly).

Handling the Changing Reimbursement Scene

In the November issue of OWM, Kathleen D, Schaum, President and Founder of Kathleen D. Schaum & Associates, Inc, Lake Worth, FL, and a 50-year veteran of reimbursement issues, addressed recent changes to reimbursement policies that will impact wound care providers as part of the new value-based system. Here, she further outlines strategies she anticipates will become part of her, and your, wound care scenarios. Ms.

Farid Blog: Ileostomy Management

Karen Farid, RN, MA, CWON

Managing Liquid Output

Farid Blog: Venous Stasis Dermatitis/Ulcerations Management

Venous stasis dermatitis and associated ulcerations are common in the elderly, most likely due to decreased activity and hours of sitting. This is a problem also is common among persons limited to wheelchair mobilization (with legs in the dependent position for hours at a time) and among people with an injury and/or a neurological deficit in 1 or both lower extremities, even with ambulation. The lower extremity venous return relies on the “kneading” action of the musculature to assist with the pumping of the venous blood supply to return it to the central circulation (see Orr et al.

High-output Stomas: Education is Your Best Back-up

In past blogs I have provided a multitude of strategies to help wound ostomy continence (WOC) nurses oversee care for inpatients and outpatients with high-output stomas. None of us work 24/7 and none of us is the ongoing primary caregiver across all settings (acute, rehab/long-term care, home care, palliative, and hospice) where ostomy care is needed. That responsibility falls on the family/significant others, who need WOC nurses to educate and instruct them.

So, WOC nurses, here goes: