Wound Management | ACEWM
PRACTICE

Wound Management Special Interest Group (WMSIG)

The Wound Management Special Interest Group (WMSIG) of the Academy of Clinical Electrophysiology and Wound Management (ACEWM), as described in our bylaws, provides a forum where individuals interested in wound management may meet, confer, and promote patient care through education, clinical practice and research, as well as multi-disciplinary dissemination of PT-based knowledge.

The Wound Management Special Interest Group (WMSIG) of the Academy of Clinical Electrophysiology and Wound Management (ACEWM), as described in our bylaws, provides a forum where individuals interested in wound management may meet, confer, and promote patient care through education, clinical practice and research, as well as multi-disciplinary dissemination of PT-based knowledge. We meet every year at APTA Combined Sections Meeting for integumentary updates, WMSIG elections, and networking. During the year blast emails are sent to all members to address current issues.

Help is just a click away for entry level therapists

In addition to the WMSIG leadership identified below, the following people have graciously offered to assist those who are just beginning to pursue wound management physical therapy.  Just click on their name to send them a question.

Kate McKenney, PT CWS
Rachael Craig, PT CWS
Dawn Allen, PT CWS
Jessica Miller, PT

LCD Commenting Period Alert!

Again another LCD draft has surfaced and is within the commenting period for us to make an impact on our practice. This LCD impacts Wisconsin Physicians Service Insurance Corporation. The LCD includes the following states for Medicare Part B: Iowa, Kansas, Missouri, Nebraska, Indiana, and Michigan.

This LCD impacts a significant amount of states and includes language similar to the Novitas draft that was sent out in February. Below is the link to CMS website, which you must agree to the terms of the CMS page to access the LCD.

https://www.cms.gov/medicare-coverage-database/details/lcd-details.aspx?LCDId=37227

Some language to consider is as follows:

  • Debridement indication diagnosis are limited (ie chronic ulcers not fitting in categories).
  • Mechanical debridement does not qualify as debridement service.
  • Biophysical Agents and 30-day standard care
  • Only 6 negative pressure wound therapy visits covered within a four-month period (disposable not mentioned)
  • Documentation requirements specifically for Physical Therapist

Below is the info to comment. This is in draft status currently but comment period is open now through June 22, 2017. So please act now and pass along to your colleagues and other providers performing wound care. Let’s make a difference.

You can also address comments and concerns directly to the following:

Proposed Contact
Cheryl Ray, D.O., MBA, FACN
1717 W. Broadway
Madison, WI 53701-1787
policycomments@wpsic.com

Please comment by June 22, 2017.  If you have any questions please contact me at melissa.johnson@piedmont.org.

Melissa Johnson PT, DPT, CWS
Federal Affairs Liaison

Highlights of Symposium on Advanced Wound Care (SAWC) Spring 2017 from the HMP Scholarship Winner

Faustina Tran PT, DPT, CWS was the 2017 Spring Wound Care Therapist Scholarship winner sponsored by HMP.  Harriett Loehne, ACEWM President was able to represent the WMSIG and present the award to Faustina.   As a thank you to the WMSIG, Faustina provided us a mini review of what she learned at the conference!  Take a look at what she had to say.

“The Spring 2017 Symposium on Advanced Wound Care (SAWC) did not disappoint.  Much like the last SAWC I attended in spring 2016, the conference was filled with energy, knowledgeable speakers, and passionate researchers and clinicians.  The exhibit hall was also a lot of fun with exciting, new wound management innovations.

I have only attended SAWC twice, but I have been drawn to the topic of nutritional medicine both times.  At SAWC Spring 2016, I attended Dr. Vincent Li’s lecture on “Food as Medicine” and how nutritional components of plants can promote wound healing and ideal health.  As a novice clinician focused on learning technical knowledge and mastering my clinical skills, I oftentimes forget how critical an optimal nutritional status is for wound healing in addition to selecting an appropriate treatment.  Sessions like Dr. Li’s reminded me of the importance of a healthy diet and ways clinicians can better educate patients to adopt better dietary habits leading to improved wound healing and overall well-being.  It was Dr. Li’s presentation that piqued my interest in this topic and encouraged me to attend Dr. Hadar Lev-Tov’s and Dr. Raja Sivamani’s session this past spring on “Natural Products in the Wound Healing Pharmacopeia” which was one of the many highlights for me at SAWC Spring 2017.  I look forward to more sessions discussing the latest research on nutritional medicine at future symposiums. “

Congratulations again to Faustina and thank you for sharing your experience at SAWC Spring 2017. Members, keep an eye out for the next Scholarship winner for SAWC Fall 2017!  If you think that SAWC is something you would like to attend and feel you are an appropriate candidate for the scholarship, consider applying for one of the scholarships that is awarded twice a year.  Contact me at lisa.cabral16@gmail.com if you have any questions about this opportunity.

PT Gathering at the Symposium on Advanced Wound Care (SAWC)

The ACEWM and WMSIG was pleased to coordinate a PT Gathering at SAWC Spring 2017 in San Diego, CA on Thursday, April 6, 2017.  More than 25 PTs enjoyed Dutch Treat food, fun, and fellowship at the Social Tap, a “high end sports bar”, not far from the Convention Center.  Seventeen ACWM members attended – we hope the others will consider joining the Academy!

Thanks to Lisa Cabral, WMSIG Chair, for all her work in arranging the location – even though she was unable to attend SAWC Spring this year.  And special thanks to Peter Norris, Executive Vice President of HMP, the producer of SAWC, who sent an eblast to all PTs and PTAs registered for SAWC Spring; to Tina Thomas, Executive Director, and Karen Strauss, Project Manager of AAWC, who put the event on their social media; and to Sandy Rossi, ACEWM ED, for emailing invites.

Next year SAWC Spring will be in Charlotte, NC April 25-29, 2018.  We hope to plan another evening get together for all PTs, PTAs, SPTs, and SPTAs.  Stay tuned!

Apply for the 2017 Fall SAWC Wound Care Therapist Scholarship

HMP Communications (HMP) and the North American Center for Continuing Medical Education (NACCME), executors of the annual Symposium on Advanced Wound Care (SAWC) Spring and Fall meetings, are offering a “Wound Care Therapist Scholarship” that is open to any Physical Therapist that is currently practicing wound management full time. We are seeking the nomination of a PT member of the American Physical Therapy Association’s Academy of Clinical Electrophysiology and Wound Management (APTA-ACEWM) section, who has demonstrated exceptional clinical skills and an intense dedication to managing patients with wounds.

The application criteria for the 2017 SAWC Fall “Wound Care Therapist Scholarship” is listed below. The winner will receive a complimentary registration (value of ~ $500) to attend the 2017 SAWC Spring meeting being held from October 20-22 in Las Vegas, Nevada. The winner will be responsible for his/her travel and hotel costs.

HMP and NACCME will present the “Wound Care Therapist Scholarship” to the APTA selection at the SAWC Fall meeting. Applicants must confirm that they are available to attend the Las Vegas meeting should they be chosen.

Deadline for application submission is Monday, May 1st, 2017.   Send the completed application to the WMSIG Chair, Lisa Cabral ( lisa.cabral16@gmail.com).

The scholarship recipient will be announced at the beginning of June 2017.

 

Wound Management Clinical Specialty Update

The WMCS Task Force has hired a consultant, Jeannie Bryan Coe, PT, DPT, PhD, to assist us with our resubmission to ABPTS for our Petition for a Clinical Specialty in Wound Management. After a meeting at CSM 2016 with the task force members, Dr. Coe, APTA staff, and ABPTS representatives, Dr. Coe has advised us to conduct another Practice Analysis, so that we can strengthen our Description of Specialty Practice (DSP).

Glenn Irion, PT, PhD, CWS, has graciously agreed to create a survey to satisfy the information needed. Most of the original task force members will continue to work on responding to ABPTS’ concerns following our last resubmission. We hope to resubmit as quickly as possible.

We congratulate and celebrate the Oncology Section who just received approval for their new Oncology Clinical Specialization at the 2016 House of Delegates! This is the first new Specialty in ten years.

Integumentary/Wound Management Curriculum Recommendations Updated

The Academy is happy to announce completion of the 2014 updates to the APTA ACEWM Wound Recommendations July 2014 Updates.  Originally approved by APTA in late 2007, the 2014 revisions were completed and accepted by APTA on July 17th. This document was primarily designed to assist entry-level physical therapist education programs in developing integumentary curriculum.  Academy representatives have delivered two well-attended one-day Combined Sections Meeting (CSM) preconference sessions for educators over the past five years based on these recommendations. It is our hope that by keeping this document up-to-date, it will serve as the “go-to” reference for educators when planning curriculum, clinical instructors in planning integumentary experiences for students during clinical rotations/internships, and for informing students regarding entry-level expectations in integumentary care.

As this document has been utilized and referenced in the Academy’s ABPTS petition to establish a wound management specialty, it also appears these recommendations are also being used to inform other stakeholders regarding entry-level integumentary content. The next review cycle is slated to begin sometime in 2020.  At that time a call for volunteers will go out to the membership for new/additional Task Force volunteers.  A big “thank you” goes to the current review cycle Task Force: Harriett Loehne, Luther Kloth, Karen Albaugh, and Karen Gibbs.  Additional appreciation goes to Lisa Culver, APTA Clinical Practice & Research, and Jody Frost, former APTA Lead Academic Affairs Specialist, for their assistance in the review and approval process.

The Role of Physical Therapists in Wound Management: An Update

The purpose of this report is to educate patients, physicians, nurses, allied health professionals, payors and coders, legislators, and the general community regarding the very important role physical therapists have in the area of wound management. While entry-level physical therapists receive a good foundation for practicing in the area of wound management, many therapists spend hundreds of hours in mentored on-the-job clinical training, self-study, and post-graduate professional continuing education in order to advance their wound management knowledge and skill. Many physical therapists achieve board certified specialization in the area of wound management as a mechanism of documenting their high level of training.

Active Wound Care Management FAQ Document

Thank you to APTA staff and Harriett Loehne for creating a helpful document addressing coding and documentation questions related to Active Wound Care Management.  You can download the document to the right.  Additional coding and billing resources may be found on the APTA website here: http://www.apta.org/Payment/CodingBilling/.

Functional Limitation Reporting Guidance

  • Click here to download the Guide “Appropriate Reporting of G-Codes & C-Modifiers by Therapists Who Treat Chronic Wounds
    Appropriate Reporting of G codes and C codes”
  • Download the Wound and Integumentary Functional Limitations recommendations to the right

National Pressure Ulcer Advisory Panel (NPUAP)

  • Visit the NPUAP website by following the link to the right

Success Story

  • Here’s an inspiring story from inMotion’s Fall 2016 magazine about a patient with necrotizing fasciitis who, thanks to the incredible work of a medical team that included wound management physical therapists, kept his leg and life.  inMotion is the official publication of the USC Division of Biokinesiology and Physical Therapy.  Click the button to the right to download the magazine and view the article on pages 16-19.

New WMSIG Research Chair

The WMSIG would like to thank Glenn Irion for his service as the WMSIG Research Chair.  Glenn has helped the SIG by assisting with the posterior presentations at CSM and continues to be active with the Wound Specialization Task Force.

With Glenn’s exit from this position, the SIG Council would like you to help us welcome Daryl Lawson as the new WMSIG Research Chair.  Daryl was appointed to this position at CSM 2017.   He has had quite the history in integument and wound management.  Daryl went to Central Michigan University and University of Southern California University for PT school. His first position after graduating from PT school was splitting time between an out-patient orthopedic clinic and wound care at an extended nursing facility in North Carolina. He moved to California and did a residency in orthopedics. Wound care called again when Daryl moved to Reno, NV and help start a large out-patient wound care facility. At this facility, he split his clinic time between orthopedics and wound care. Daryl then decided to pursue an academic doctorate at Loma Linda University (DSc). Wound care called again when LLU and Dr. Petrofsky had a grant from the Army to investigate wound healing in people with diabetes using electrical stimulation. After graduating from LLU, Daryl has published 11 articles in the area of wound healing and electrical stimulation, in 2012 awarded the Wound Management SIG Research Award, and in 2106 received a 100,000 grant from the North Carolina Biotechnology Center to pursue a device that will help heal wounds in people with Diabetic Foot Ulcers. Daryl is currently employed by Elon University as an associate professor.  He teaches and is active in research in wound care and orthopedics.

We look forward to having Daryl be an active lead in the WMSIG and assist those that currently participate in research and urge newer clinicians to the research realm of integument and wound management to pursue their goals.  He already is brainstorming ways to improve members’ participation within the research field.  Thanks for your service Glenn and Daryl!

Lisa Cabral
WMSIG Chair

Officers & Committees