Healthcare Quality

Skin Failure: An Emerging Concept

This post is based on my article that recently appeared in the Journal of the American Medical Directors Association. Skin failure is an emerging concept that ties together current trends in clinical practice and deserves wider acceptance. Wound care providers have long recognized that skin failure

  25.09.2016

New Pressure Ulcer Chapter in the Geriatrics Review Syllabus

The Geriatrics Review Syllabus, 9th Edition, also known as GRS9, has been released and I am thrilled to be author of the newly revised and expanded chapter on Pressure Ulcers.  The GRS9 is a comprehensive reference on geriatric medicine, a study guide for those preparing to

  20.05.2016

Pressure Ulcers are an Under-Appreciated Public Health Issue

As a geriatric fellow back in the 1980’s I became intrigued by the wide prevalence of pressure ulcers and how little literature there was on this disease.  Three decades later, they have not gone away and it amazes me that they are not on the list

  9.04.2016

Upcoming Webinar on History of Pressure Ulcers & Wound Care

I am thrilled to announce that registration is now open for my webinar entitled History of Pressure Ulcers and Wound Care: Past, Present and Future, sponsored by the National Pressure Ulcer Advisory Panel (NPUAP). This event takes place on November 19th at 1:00 PM EST, and

  25.10.2015

World Wide Pressure Ulcer Prevention Day

This is a press release from NPUAP dated September 18, 2015: Washington, DC – According to the Prevention and Treatment of Pressure Ulcers: Clinical Practice Guidelines; “Pressure Ulcers increase hospital costs significantly. In the US, pressure ulcer care is estimated to approach $11 billion (USD) annually,

  24.09.2015

New Rules for Pressure Ulcer Risk Assessment in Nursing Homes

MDS version 3.0, the mandatory assessment tool for residents of skilled nursing facilities, was finally implemented October 2010 after years of planning.  Section M: Skin Condition has been completely revised and expanded.  This blog post will address MDS 3.0 sub-section M0100: Determination of Pressure Ulcer Risk, which approaches

  17.08.2011

Ageism, the New York Times, and Geriatric Medicine

After reading an article entitled “The Geezers’ Crusade” by columnist David Brooks in the Op-Ed pages of the New York Times last week I felt compelled to comment on it.   The article begins on an encouraging note, pointing out how society’s views of human aging are

  9.02.2010

Skin Surveillance Under Medical Devices is a MUST

Most educational materials on pressure ulcer prevention tell you that the most common areas for pressure ulcers are under boney prominences such as the sacrum, ischium, and heels.   However, an area that is frequently under-emphasized in pressure ulcer prevention education is skin breakdown under medical devices.   Tissue damage

  15.01.2010

Pressure Ulcer Regulations in the Nursing Home: Introduction to Revised F-Tag 314

Care delivered in nursing homes is highly regulated, particularly for pressure ulcers.  Whatever your opinion of government regulation, laws governing nursing homes undoubtedly provide added protection for these vulnerable adults across America.  This post will provide a basic explanation of regulations covering pressure ulcers in the

  14.01.2010

Optimizing a Hospital System to Prevent Pressure Ulcers

According to the Centers for Medicare and Medicaid Services (CMS), pressure ulcers are among the most common, expensive, and avoidable hospital-acquired complications.  Pressure ulcer prevention needs to be embedded within the day-to-day workflow of the healthcare system.  To cope with the burden of pressure ulcer prevention,

  12.01.2010

Dr. Jeffrey M. Levine has authored numerous articles on topics related to healthcare of the elderly. These include medical history, prevention and treatment of chronic wounds such as pressure ulcers, elder neglect and abuse, and physical restraints. He has also edited a book on legal and regulatory aspects of nursing homes.