Outpatient Outcome Examples
A female patient was admitted to a university medical center ER with a forearm laceration/avulsion injury from a domestic accident. The ER attending physician stitched the forearm injury. An orthopedics consult cleared the patient for discharge to home. She discharged without wound care instructions and the traumatized tissue soon became necrotic. The patient was referred to MyWoundDoctor at which time, outpatient wound care was initiated. The following protocols were utilized:
- Weeks 1 to 5: Topical SulfaSilvadene Cream as a broad spectrum antimicrobial and chemical debriding agent
- Weeks 6 and 7: Chloride solution Wet to Wet dressing to debride wound and decrease bacterial counts
- Weeks 8 to 14: Moist, daily dressings until full wound contraction and closure
A male patient was seen in a hospital-based ER with an infected spider bite wound. The Emergency Room physician was ordering inpatient care, surgical debridement and Broad Spectrum Intravenous antibiotic therapy. Prior to initiating inpatient care, a telehealth consult between the E.R. physician and MyWoundDoctor was completed. The care plan set forth by MyWoundDoctor consisted of outpatient care with oral Antibiotics (Augmentin) and topical wound care consisting of dial soap and water, and, antibiotic ointment covered with a moist dressing. Daily images of the wound were monitored by MyWoundDoctor over the next seven days until closure of the wound was achieved.
Corrections Patient Outcome Example
A correctional institution patient was readmitted to a hospital with a surgical site infection from a recent spinal fusion procedure. The patient was admitted by the hospitalist and the treating spine surgeon and was placed on Intravenous Vancomycin for 15 days. Multiple inpatient debridements were performed. Eventually, due to lack of progress in wound closure, on hospital readmission day 15, MyWoundDoctor was consulted.
The patient was immediately discharged back to the West Tennessee Correctional Facility. Simple, moist dressings were prescribed and antibiotics were immediately stopped. MyWoundDoctor provided oversight for the Prison providers in performing the dressing changes. The patient’s mother visited her son a few days per week and provided images for MyWoundDoctor telehealth review. The wound completely healed in less than 2 weeks after discharge from the hospital.
Readmissions Reduction Pilot
MyWoundDoctor completed a pilot in a community-based Nashville hospital to measure the efficacy of using telehealth-supported clinical review of hospitalized patients to address surgical site infections (SSIs) and hospital-acquired pressure ulcers. At this particular tertiary referral center, the hospital’s SSI rate was 9.8%. Hospital data estimated the cost of an SSI at its institution ranged between $10,000 and $40,000 per occurrence in uncompensated care. This figure was from 2010 data and did not include re-admission penalties.
The hospital pilot included the following cases:
- 6 inpatients Identified with wounds for the pilot:
- 5 patients with SSI’s
- 1 patient with an acquired pressure ulcer from the hospital stay
- Efficacy: The results were 100%
- No Readmissions
- No Hospital Care (inpatient or outpatient) after primary discharge by MyWoundDoctor
The conservative estimate of cost savings for the hospital was in excess of $135,000 in avoided hospital care expenses.
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