Benefits the Nursing Facility Receives
Capital Primary & Geriatric Care provides wound care rounds and beyond to nursing facilities.
BEYOND WOUND CARE
Immediate accessibility at all times
We understand that acute wound care issues arise in between scheduled wound care rounds. So, we encourage nursing facility staff to contact us directly. We can access resident medical records remotely allowing us to manage these issues via telehealth. We are very amenable to visit residents in between the wound rounds to provide them care. Such residents include new admissions to the facility as well as those with complex wounds.
Avoid acquired/worsening decubitus ulcers
We actively treat pressure ulcers by using a multifaceted approach that extends beyond topical wound care. This includes offloading, proper support surface implementation, nutritional supplementation, moisture control, and treatment of any dermatitis. We also manage lesions in “pressure” areas to avoid their progression to pressure ulcers.
Medical care related to wound healing
We don’t provide wound care in a vacuum. We recognize many health conditions that relate to wound care such as diabetes, peripheral vascular disease, venous insufficiency, muscle contracture, malnutrition, infection, etc. We assist the primary physician in managing these health conditions as oftentimes the worsening of wounds may signal that these conditions may warrant more aggressive management.
Residents need to be compliant with wound care when they leave the facility for home or transferring to another facility. We provide counseling to residents to promote this compliance and ensure a smooth transition. This includes nutritional support, tobacco cessation, and other types of counseling. We also involve family members and next of kins in our counseling to address their feedback and ensure them of the optimal wound care their loved ones are receiving.
No additional cost to the facility
We accept all major health insurances including Medicare, Medicaid, and Commercial Products including HMOs and PPOs. We aim to eliminate any administrative burden on the facilities.
Coordination of care with outside providers
Often residents require various specialists to care for their wounds. These include surgeons as well as infectious disease specialists, particularly for resident with wounds complicated by osteomyelitis. We aim to recognize wounds that may be challenging and we actively seek specialists that can assist in wound care. Examples are necrotic wounds that warrants invasive debridement by surgeons in an OR setting, arterial insufficiency ulcers warranting revascularization by vascular surgeons, and non-healing wounds that may benefit from grafting and flap procedures by plastic surgeons. We also confer with primary care physicians to brainstorm means of treating non-healing wounds.
Avoid citations in wound care including F-tags
We avoid surveyor demerits in wound care such as F-tags (F684/F686). We provide thorough wound care documentation that uphold CMS guidelines and we accurately categorize ulcers to distinguish decubitus ulcers from other lesions. We address the wound care/skin condition component of the Minimum Date Set (MDS) and wound care related SBAR (Situation-Background-Assessment-Recommendation) to uphold Joint Commission standards.
Capital Primary & Geriatric Care takes pride in providing internal medicine and geriatric medicine in nursing facilities.
Personalized care for residents
We provide general geriatric care to residents of nursing facilities including independent, assisted, and skilled nursing facilities. We have specialized training in geriatrics that enables us to address the unique needs of the senior population. We welcome helping patients with advanced medical conditions because we appreciate the difference we can make in our service.
The HALLMARK of our practice is that we provide nurses to assist us in our care of the residents. Our nurses conduct order entry, make appointments with outside providers, get outside records, and procure durable medical equipment (DME). Our nurses facilitate provider healthcare delivery and their communication with the facility. This improves quality measures and eliminates demerits (F-tags) during surveys.
Electronic medical records
We implement supplemental electronic medical records (EMR) that improves provider documentation. This platform extrapolates resident medical history from the facility EMR. This enables optimal formulation of provider documentation as well as Merit-based Incentive Payment System (MIPS) enhancement in provider care.
Visual based platform for telehealth
Telehealth visits, via Doxy.me, provides our internal medicine, geriatric medicine and wound care specialists flexibility to be reached anytime eliminating any gaps of care and lack of available providers. This is valuable for acutely sick patients and in other urgent circumstances.
Improving continuity of care documentation (CCD)
We review records of hospital stays and those from outside providers and incorporate them into facility records. This incorporation of continuity of care documentation (CCD) improves facility medical records and enables facility staff access to all resident medical information for them to provide optimal care.
Provide inpatient care to residents referred to the hospital
For residents admitted to the hospital, we can extend our service to care for them as inpatients. Residents and families appreciate this continuity of care. Our experience as hospitalists helps patients navigate difficult times when they are in the hospital.