Skilled Wound Care for Nursing Facilities

Nearly 3,500 skilled nursing facilities trust Vohra as their partner to deliver better clinical care. Your Vohra Physician is a dependable consultant for your patient care team – all at no cost to you.

I would like to inquire about bringing a Vohra Wound Physician into my Facility.

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WoundCareManagement

Wound Care Management

Delivering focused wound care treatment at over 3,500 facilities in 28 states, our specialty-trained physicians partner with facilities to deliver wound care expertise, to develop treatment plans, to consult and guide patient treatment, and to provide in-service education to nursing staff. Visiting your facility weekly, your Vohra physician becomes a consistent extension of your patient care.

Why Partnering with Vohra Makes Sense

Reduce Rehospitalizations

Concerned about CMS penalties for high readmission rates? According to the Center for Medical Studies, of the 14,959 skilled nursing facilities subject to the CMS’ Skilled Nursing Facility Value-based Purchasing Program, 73% received a penalty while 27% got a bonus. Conversely, facilities that work with Vohra as part of an interdisciplinary team were found to have less than 0.08% rate of wound-related rehospitalization per day and shorter wound episodes.* *DaVanzo, et. al, A Retrospective Comparison of Clinical Outcomes and Medicare Expenditures in Skilled Nursing Facility Residents with Chronic Wounds, Ostomy and Wound Care, September 2010.
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Financial Savings

We have achieved outstanding health and financial outcomes – saving Medicare more than $19,000 on average per patient and reducing healing times by 21 days*. Your Vohra physician improves outcomes and adds value to healthcare.

Occupancy & Retention

By excelling in wound care management, our facilities are considered preferred locations for patients with serious and/or chronic wounds.

With respect to occupancy and retention of patients, facilities with proven outcomes have an advantage over facilities with high rates of infection and hospital readmission.

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Delivering focused wound care treatment at over 3,500 facilities in 28 states.

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Independent Lewin Group Study

Medical Outcomes For Patients Under Care Of Vohra Wound Physicians

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Vohra Wound Physicians by the Numbers:

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Over

0

Patient Visits

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Healed Over

2938957

Wounds

In the Past 22 Years

One Patient's Story

Dudley Wilson is a resident of a nursing home in Chatham, Pennsylvania. He is 78 year old male who has hypertension and lymphedema. He had been in car crash two years ago which opened large wound on his right shin. He was treated Vohra’s physician, Dr Aaron Blom.

On Dr Blom’s first evaluation, he determined that the wound was quite large, 7cm x 6cm with exposed bone. Mr Wilson’s wife stated that this wound had been present for over two years and that all the other wound doctors were recommending leg amputation. Dr Blom believed there was a different course of action. He stated, “We will NOT discuss amputation as I think we could definitely heal the wound.”

He proceeded through many treatments from alginates with silver, to collagens to antibiotic solutions, changing treatments every two to three weeks based upon the level of improvement. On each visit, Mr Dudley’s wife would say “Please don’t let his leg get amputated.”

After about seven months of regular bedside wound care, we were able to heal this wound completely. The wife was elated and repeatedly told Dr Blom that “every other doctor said he would need an amputation and you were the only one who said he wouldn’t!”

This is one more example of Vohra Wound Physicians’ expertise and commitment to patient care.

Patient’sStory

Dressing Dispensing Program

Facilities also enjoy access to our Dressing Dispensing Program, which streamlines dressing delivery to patients.

Wound Care Services for SNFs and LTACHs

Participation in Quality Assurance & Performance Improvement (QAPI) and Care Planning MDS Compliant Staging Focus on Avoiding F-Tag Penalties Engaging with Family to set Realistic Treatment Goals Sophisticated Real-Time Outcomes Reporting

Compliance with State & National Regulations

The Department of Health and Human Services is responsible for inspecting and  reporting of identified deficiencies within long term care facilities (this is a requirement for Medicare and Medicaid funding). A statement of deficiency document uses a federal tag numbering system that addresses the degree to which a facility meets minimal federal standards.

F-tags correspond to specific stipulations within the Code of Federal Regulations. Facilities that receive F-tags are required to display them in a public location within the facility and they are reported on federal websites and databases.

Vohra Wound Physicians has created this F-Tag resource to assist the long-term care community with understanding and preventing costly state survey citations. In many cases, these can be easily preventable by following the proper guidelines and implementing a well-designed wound care program.

(CFR 42 § 483.30(a)(1)(2)) – Physician Services. Ensure the Resident’s Medical Care is Supervised by a Physician. Adequate physician supervision must be provided for wound care. 

(CFR 42 § 483.25(b)  Each resident must receive and the facility must provide the necessary care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being, in accordance with the comprehensive assessment and plan of care.

Based on the comprehensive assessment of a resident, the facility must ensure that; A resident who enters the facility without pressure sores does not develop pressure sores unless the individual’s clinical condition demonstrates that they were unavoidable. A resident who has a pressure ulcer receives care and services to promote healing and prevent additional ulcers.

483.21(b)(3) – Comprehensive Resident-Centered Care Plans

Services Provided Meet Professional Standards. Correct wound dressings must be used on different wound types

483.10 (g)(14) – Resident Rights

Notify of Changes (Injury/Decline/Room, Etc.). A physician must be notified of any changes to wound health. 

F-Tag 315 – Incontinence

1) A resident who enters the facility without an indwelling catheter is not catheterized unless the resident’s clinical condition demonstrates that catheterization was necessary. §483.25(e)

2) A resident who is incontinent of bladder receives appropriate treatment and services to prevent urinary tract infections and to restore as much normal bladder function as possible. §483.25(e)

Naso-gastric tubes” is considered to include any feeding tube used to provide enteral nutrition to a resident by bypassing oral intake. Since the regulation was promulgated, use of naso-gastric tubes has become extremely rare, and use of other types of enteral feeding tubes (such as those listed in the definitions section) has become prominent. §483.25(g)

(1) Maintains acceptable parameters of nutritional status, such as body weight and protein levels, unless the resident’s clinical condition demonstrates that this is not possible.

(2) Receives a therapeutic diet when there is a nutritional problem. §483.25(g)(3)

The facility must provide each resident with sufficient fluid intake to maintain proper hydration and health. The intent of this regulation is to assure that the resident receives sufficient amount of fluids based on individual needs to prevent dehydration. §483.25(g)(2)

Centers of Excellence: The Standard of Wound Management

We created the Vohra Center of Excellence for Wound Management Program to identify and highlight facilities that have developed a superior wound management program.

A growing number of Nursing Facilities have achieved the special designation of Vohra Center of Excellence based on low wound related rehospitalization rates and demonstrated in-house wound care expertise.

This national certification is earned by those facilities that demonstrably improve the quality of life for their patients with wounds. It is a recognition of staff members’ compassion, dedication to optimizing patient outcomes, and ongoing efforts to educate not only themselves, but their patients.

Hospitals can be assured that when they discharge their patients to a designated Vohra Center of Excellence, the patients will be attended to by a wound physician that provides bedside wound services, a wound care nurse who has been educated and trained on chronic wounds, and a multispecialty interdisciplinary team approach.

The certification process

begins with a Director of Nursing (DON) or the Administrator applying online to designate their facility as a Center of Excellence in Wound Management. The application is then reviewed by a panel of physicians and senior executives, looking for high performance in the following criteria: 

  • Designated, accountable Vohra Wound Certified Nurse(s) seven days a week
  • A verified outcomes-focused, Vohra Physician led Wound Care Program
  • A wound related hospitalization rate of less than 1%
  • Regular team meetings with a focus on Quality and Process Improvement (QAPI)