Quality Measure Improvement Guide for Pressure Sores

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1 Quality Measure Improvement Guide for Pressure Sores Problem: If your nursing home has residents with pressure sores, those residents are exposed to potentially serious even life-threatening medical conditions. For that reason, Centers for Medicaid & Medicare Services (CMS) includes pressure sores as one of ten quality measures (QMs) in its Five-Star rating. Your facility s performance in pressure sore management is evaluated based on this CMS regulation: F314 Based on the comprehensive Assessment of a resident, the facility must ensure that: 1. 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; and 2. A resident having pressure sores receives necessary treatment and services to promote healing, prevent infection and prevent new sores from developing. Intent (c): The intent of this requirement is that the resident does not develop pressure ulcers unless clinically unavoidable and that the facility provides care and services to: Promote the prevention of pressure ulcer development; Promote the healing of pressure ulcers that are present (including prevention of infection to the extent possible); and Prevent development of additional pressure ulcers. Solution: To help your nursing home effectively prevent or treat pressure sores and improve its CMS Five-Star quality rating Briggs has assembled the exact documentation, charting, education and training, and medical supplies you ll need. Remember, every Briggs form integrates industry best practices and has been recognized by customers as best-of-class. Get the Right Solutions Now! The sooner you implement the right solutions for preventing and treating pressure sores, the sooner you can see your Five-Star quality ratings improve.

2 DOCUMENTATION Packaging List Price* Qty. Admissions 1370P Pressure Ulcer Disclosure 50/pack Woundcare 3167P Norton Plus Pressure Ulcer Scale 100/pad P Braden Scale 100/pad P Skin/Wound Tracking Log 100/pad 9.54 CFS6-5HH Pressure Ulcer Record 100/pad CFS6-5HF Pressure Ulcer Record 100/pad CFS6-6HH Weekly Pressure Sore Progress Record 100/pad CFS6-6HF Weekly Pressure Sore Progress Record 100/pad HH Weekly Pressure Ulcer Healing Assessment 100/pad HF Weekly Pressure Ulcer Healing Assessment 100/pad Bed-Ridden Patient 4-day Turn Record 100/pad HH Non-Pressure Skin Condition Report 100/pad HF Non-Pressure Skin Condition Report 100/pad HH Skin Condition Report 100/pad HF Skin Condition Report 100/pad CFS6-7HH Turn/Reposition Record 100/pad DP Photographic Wound Documentation Sheet 20/pack DP Photographic Wound Documentation Sheet 20/pack Wound Care Measurement and Assessment 100/pack CFS6-4HH Pressure Ulcer Risk Assessment 100/pad CFS6-4HF Pressure Ulcer Risk Assessment 100/pad Quality Improvement 3081 Weekly Pressure Sore QI Log 100/pad EDUCATION AND TRAINING Quantity List Price* Qty F314 Simplified 1 each Wound Care Essentials 1 each Nurses Clinical Guide to Wound Care 1 each Wound Care Quick Reference Sheet 1 each Wound Care Made Incredibly Easy 1 each Charting Quantity List Price* Qty. L-2043 Skin Care Alert Label 250/bx Chart Divider - Wound/Skin - Paper - Brown - Side 25/pk Chart Divider - Wound/Skin - Paper - Brown - Bottom 25/pk 11.50

3 792 Chart Divider - Wound/Skin - Tyvek- Brown - Side 25/pk Chart Divider - Wound/Skin - Tyvek - Brown - Bottom 25/pk Chart Divider - Wound/Skin - Poly- Tan - Side each Chart Divider - Wound/Skin - Poly - Tan - Bottom each 1.35 L-2355 Turning Clock label 25/pk LS-8202 Wound Ruler Label 50/pk 9.85 LS-8201 Wound/Photo ID Label 50/pk 9.85 L-6491 Anatomical Diagram Label 100/pk Photo Packet (Polaroid Size) 10/pk Photo Pocket 12/pk Photo Pocket (4" x 6" Digital size) 10/pk L-9201 Preventing Pressure Areas Poster 1 each MEDICAL SUPPLIES Quantity List Price* Qty. Pressure Relief HeelBoot and Lifter HeelBoot Orthotic Boot, Regular 1 each HeelBoot Orthotic Boot, Large 1 each Heelbo Lifter Foot Elevator, Extended Calf Base 1 each Heelbo Lifter Foot Elevator, Octagon Shape 1 each Heelbo Lifter Foot Elevator, Anti-Rotation Base 1 each Heelbo Heelbo Heel and Elbow Protector, Yellow, Small 12 pair/bx Heelbo Heel and Elbow Protector, Blue, Medium 12 pair/bx Heelbo Heel and Elbow Protector, White, Large 12 pair/bx Heelbo Heel and Elbow Protector, Green, X-Large 12 pair/bx Heelbo Heel and Elbow Protector, Beige, XX-Large 12 pair/bx Heelbo Premium Heel and Elbow Protector, Yellow, Small 6 pair/bx Heelbo Premium Heel and Elbow Protector, Blue, Medium 6 pair/bx Heelbo Premium Heel and Elbow Protector, White, Large 6 pair/bx Heelbo Premium Heel and Elbow Protector, Green, X-Large 6 pair/bx Tubing Pads Cann-U-Wrap Tubing Pads 100 pair/bx Bed Pads DMI Convoluted Bed Pad, Hospital-size, 33" x 72" x 2" 1 each DMI Convoluted Bed Pad, Hospital-size, 33" x 72" x 3" 1 each DMI Convoluted Bed Pad, Hospital-size, 33" x 72" x 4" 1 each DMI Convoluted Bed Pad, Hospital-size, 33" x 76" x 4" 1 each DMI Convoluted Bed Pad, Full-size, 50" x 72" x 2" 1 each 24.29

4 DMI Convoluted Bed Pad, Queen-size, 56" x 78" x 2" 1 each DMI Alternating Pressure Pump and Pad 1 each DMI Alternating Pressure Pump Only 1 each DMI Alternating Pressure Pad Only 1 each Bed Wedges DMI Foam Bed Wedge, 12" x 24" x 24", White 1 each DMI Foam Bed Wedge, 12" x 24" x 24", Blue 1 each Chair Pads DMI Convoluted Foam Chair Pad, 16" x 18" x 4" 1 each DMI Convoluted Foam Chair Pad with Cover, 16" x 18" x 4" 1 each DMI Convoluted Foam Chair Pad with Back, 18" x 32" x 3" 1 each 9.10 SkinSleeves S Posey Skinsleeves, Arm, Small Adult 1 pair Posey SkinSleeves, Arm, Adult 1 pair Posey SkinSleeves, Leg, One Size Fits All 1 pair Wound Supplies Photo Documentation PPRS Patient Photo Record System (PPRS) 1 each PPRS2463A Extra PPRS Camera - Canon PowerShot A590 1 each PPRS2096 Extra PPRS Printer - Canon Selphy ES-2 1 each PPRS1335 Canon Easy Photo-Pack E-P100 Cartridge 1 each Wound Measurement 6252 Briggs MediRule Wound Measurement Device, 4 1/2" x 6" 250/bx Briggs MediRule III Wound Measurement Device, 4 1/2" x 12" 250/bx Briggs MediRule II Wound Measurement Device, 8" x 10" 100/bx 6.99 Clean Sodium Chloride 30ml Saljet 40/bx B8552 Saline Wound Wash 7oz 1 bottle 6.49 Protect Liquishield Unit Dose Wick App 25/bx No Sting Barrier Film Spray 28ml 1 bottle Fill/Absorb Kerlix Roll Sterile 1 each Kerlix Roll Sterile 1 each Kerlix Roll 2.25" x 3yd Sterile 1 each Kerlix Roll Med Sterile 1 each Kerlix Roll Non Sterile Bulk 100 rolls Gauze 12 ply ns 2" x 2" 200/pk Gauze 4" x 4" 8 ply ns 200/pk 6.29

5 Gauze, 4" x 4", 12 ply ns 200/pk Gauze, 2" x 2", 8 ply st 2s 50pk/bx Gauze, 4" x 4", 8 ply st 2s 25pk/bx Gauze, 4" x 4", 12 ply st 2s 25pk/bx Gauze Sponge, 4" x 4", 12 ply Sterile 10ea/ty 0.99 Cover aquacel ag 2" x 2" 10/bx Aquacel ag 6" x 6" 5/bx Aquacel ag 4" x 4.7" 10/bx Allevyn Adhesive 5" x 5" 10/bx Duoderm cgf 4" x 4" 5/bx Duoderm Xtra Thin cgf 4" x 4" 10/bx W Dressing Tegaderm 4" x 4 3/4" wndw 50/bx Polymem 4" x 4" Pad Dressing 15/bx Allevyn Adhesive 3" x 3" 10/bx Mepilex Border 4" x 4" 5/bx Prisma Matrix 4.34 sq in 10/bx Aquacel Hydrofiber Dressng 4" x 4" 10/bx 9.59 Tape Micropore 1" x 10 yds 12 rl/bx Micropore 2" x 10 yds 6 rl/bx Tape Transpore 1" 12 rl/bx Tape Transpore 2" 6 rl/bx ORDERING INFORMATION: Fill out the information below and fax to 1. or call 1.. Name Title Facility Address City State Zip Account Number Phone Address *If you belong to an ownership or group purchasing organization you may be eligible for additional discounts.

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