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WOCN / CMMI Long Term Care Project
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WOCN / CMMI Long Term Care Project

Pressure ulcers, complicated ostomies, and fistula can be a challenge to treat and manage in the long-term care (LTC) facility settings. LTCs do not have a wound/ostomy care specialist, or even a staff member trained in wounds or care of patients with complex bowel and bladder diversions. The lack of certified wound/ostomy care professionals in these facilities can lead to an increase in: 

  • complications from pressure ulcers and skin breakdown;
  • postoperative complications from complex ostomy dysfunctions;
  • hospitalizations/re-hospitalizations; and
  • increased morbidity and mortality.

As a result, the WOCN Society is working with additional stakeholders on a proposal to be submitted to CMMI which would allow reimbursement of care for LTC patients without direct supervision of a physician.  This would allow WOC Nurses to conduct routine wound/ostomy treatment on a proactive basis, which will result in fewer patient transports, fewer outpatient/hospital stays, less interruption in care, and better overall care for the patients.

There has been a literature review completed to add data and reference sources to our proposal. Assessment of this review is currently in process. 


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