Quality Measure Improvement Guide for Pressure Sores

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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 483.25(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.

DOCUMENTATION Packaging List Price* Qty. Admissions 1370P Pressure Ulcer Disclosure 50/pack 16.95 Woundcare 3167P Norton Plus Pressure Ulcer Scale 100/pad 10.20 3166P Braden Scale 100/pad 11.20 3147P Skin/Wound Tracking Log 100/pad 9.54 CFS6-5HH Pressure Ulcer Record 100/pad 12.28 CFS6-5HF Pressure Ulcer Record 100/pad 12.28 CFS6-6HH Weekly Pressure Sore Progress Record 100/pad 12.28 CFS6-6HF Weekly Pressure Sore Progress Record 100/pad 12.28 3169HH Weekly Pressure Ulcer Healing Assessment 100/pad 12.28 3169HF Weekly Pressure Ulcer Healing Assessment 100/pad 12.28 1300 Bed-Ridden Patient 4-day Turn Record 100/pad 11.67 1174HH Non-Pressure Skin Condition Report 100/pad 11.67 1174HF Non-Pressure Skin Condition Report 100/pad 11.67 3168HH Skin Condition Report 100/pad 12.28 3168HF Skin Condition Report 100/pad 12.28 CFS6-7HH Turn/Reposition Record 100/pad 12.28 1121DP Photographic Wound Documentation Sheet 20/pack 9.49 1122DP Photographic Wound Documentation Sheet 20/pack 9.49 4188 Wound Care Measurement and Assessment 100/pack 57.85 CFS6-4HH Pressure Ulcer Risk Assessment 100/pad 12.28 CFS6-4HF Pressure Ulcer Risk Assessment 100/pad 12.28 Quality Improvement 3081 Weekly Pressure Sore QI Log 100/pad 10.20 EDUCATION AND TRAINING Quantity List Price* Qty. 8314 F314 Simplified 1 each 79.95 8746 Wound Care Essentials 1 each 52.95 7979 Nurses Clinical Guide to Wound Care 1 each 49.95 8513 Wound Care Quick Reference Sheet 1 each 4.95 8742 Wound Care Made Incredibly Easy 1 each 42.95 Charting Quantity List Price* Qty. L-2043 Skin Care Alert Label 250/bx 10.85 782 Chart Divider - Wound/Skin - Paper - Brown - Side 25/pk 11.50 783 Chart Divider - Wound/Skin - Paper - Brown - Bottom 25/pk 11.50

792 Chart Divider - Wound/Skin - Tyvek- Brown - Side 25/pk 28.75 793 Chart Divider - Wound/Skin - Tyvek - Brown - Bottom 25/pk 28.75 5564 Chart Divider - Wound/Skin - Poly- Tan - Side each 1.35 5565 Chart Divider - Wound/Skin - Poly - Tan - Bottom each 1.35 L-2355 Turning Clock label 25/pk 12.90 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 16.60 5710 Photo Packet (Polaroid Size) 10/pk 11.50 4267 Photo Pocket 12/pk 15.95 5715 Photo Pocket (4" x 6" Digital size) 10/pk 12.85 L-9201 Preventing Pressure Areas Poster 1 each 12.15 MEDICAL SUPPLIES Quantity List Price* Qty. Pressure Relief HeelBoot and Lifter 12000 HeelBoot Orthotic Boot, Regular 1 each 71.50 12001 HeelBoot Orthotic Boot, Large 1 each 71.50 12055 Heelbo Lifter Foot Elevator, Extended Calf Base 1 each 107.39 12054 Heelbo Lifter Foot Elevator, Octagon Shape 1 each 86.69 12056 Heelbo Lifter Foot Elevator, Anti-Rotation Base 1 each 92.09 Heelbo 12037 Heelbo Heel and Elbow Protector, Yellow, Small 12 pair/bx 95.41 12038 Heelbo Heel and Elbow Protector, Blue, Medium 12 pair/bx 95.41 12039 Heelbo Heel and Elbow Protector, White, Large 12 pair/bx 95.41 12040 Heelbo Heel and Elbow Protector, Green, X-Large 12 pair/bx 95.41 12041 Heelbo Heel and Elbow Protector, Beige, XX-Large 12 pair/bx 95.41 12059 Heelbo Premium Heel and Elbow Protector, Yellow, Small 6 pair/bx 163.16 12060 Heelbo Premium Heel and Elbow Protector, Blue, Medium 6 pair/bx 163.16 12061 Heelbo Premium Heel and Elbow Protector, White, Large 6 pair/bx 163.16 12062 Heelbo Premium Heel and Elbow Protector, Green, X-Large 6 pair/bx 163.16 Tubing Pads 12033 Cann-U-Wrap Tubing Pads 100 pair/bx 63.39 Bed Pads 552-8002-0000 DMI Convoluted Bed Pad, Hospital-size, 33" x 72" x 2" 1 each 12.29 552-8003-0000 DMI Convoluted Bed Pad, Hospital-size, 33" x 72" x 3" 1 each 16.09 552-7940-0000 DMI Convoluted Bed Pad, Hospital-size, 33" x 72" x 4" 1 each 23.10 552-7945-0000 DMI Convoluted Bed Pad, Hospital-size, 33" x 76" x 4" 1 each 24.95 552-7948-0051 DMI Convoluted Bed Pad, Full-size, 50" x 72" x 2" 1 each 24.29

552-7948-0052 DMI Convoluted Bed Pad, Queen-size, 56" x 78" x 2" 1 each 25.39 552-1984-0000 DMI Alternating Pressure Pump and Pad 1 each 74.39 552-1980-0000 DMI Alternating Pressure Pump Only 1 each 59.89 552-1982-0000 DMI Alternating Pressure Pad Only 1 each 17.89 Bed Wedges 555-8028-1900 DMI Foam Bed Wedge, 12" x 24" x 24", White 1 each 19.79 555-8028-0100 DMI Foam Bed Wedge, 12" x 24" x 24", Blue 1 each 19.79 Chair Pads 552-8004-0000 DMI Convoluted Foam Chair Pad, 16" x 18" x 4" 1 each 6.20 552-8004-9910 DMI Convoluted Foam Chair Pad with Cover, 16" x 18" x 4" 1 each 9.20 552-8005-0000 DMI Convoluted Foam Chair Pad with Back, 18" x 32" x 3" 1 each 9.10 SkinSleeves 04-6000S Posey Skinsleeves, Arm, Small Adult 1 pair 14.49 04-6000 Posey SkinSleeves, Arm, Adult 1 pair 14.49 04-6001 Posey SkinSleeves, Leg, One Size Fits All 1 pair 14.49 Wound Supplies Photo Documentation PPRS Patient Photo Record System (PPRS) 1 each 269.90 PPRS2463A Extra PPRS Camera - Canon PowerShot A590 1 each 149.99 PPRS2096 Extra PPRS Printer - Canon Selphy ES-2 1 each 199.99 PPRS1335 Canon Easy Photo-Pack E-P100 Cartridge 1 each 39.40 Wound Measurement 6252 Briggs MediRule Wound Measurement Device, 4 1/2" x 6" 250/bx 7.69 6282 Briggs MediRule III Wound Measurement Device, 4 1/2" x 12" 250/bx 26.49 6255 Briggs MediRule II Wound Measurement Device, 8" x 10" 100/bx 6.99 Clean 16-909 Sodium Chloride 30ml Saljet 40/bx 33.79 76-B8552 Saline Wound Wash 7oz 1 bottle 6.49 Protect 82-109225 Liquishield Unit Dose Wick App 25/bx 54.59 60-3346 No Sting Barrier Film Spray 28ml 1 bottle 10.69 Fill/Absorb 15-6730 Kerlix Roll Sterile 1 each 2.79 15-6715 Kerlix Roll Sterile 1 each 1.49 15-6720 Kerlix Roll 2.25" x 3yd Sterile 1 each 0.89 15-6725 Kerlix Roll Med Sterile 1 each 1.09 15-1892 Kerlix Roll Non Sterile Bulk 100 rolls 152.89 09-0212 Gauze 12 ply ns 2" x 2" 200/pk 2.89 09-0408 Gauze 4" x 4" 8 ply ns 200/pk 6.29

09-0412 Gauze, 4" x 4", 12 ply ns 200/pk 9.09 09-1806 Gauze, 2" x 2", 8 ply st 2s 50pk/bx 2.69 09-2187 Gauze, 4" x 4", 8 ply st 2s 25pk/bx 2.79 09-6412 Gauze, 4" x 4", 12 ply st 2s 25pk/bx 2.59 09-6939 Gauze Sponge, 4" x 4", 12 ply Sterile 10ea/ty 0.99 Cover 16-403706 aquacel ag 2" x 2" 10/bx 10.19 16-403710 Aquacel ag 6" x 6" 5/bx 49.99 16-403708 Aquacel ag 4" x 4.7" 10/bx 21.19 16-66000044 Allevyn Adhesive 5" x 5" 10/bx 9.49 16-187660 Duoderm cgf 4" x 4" 5/bx 7.09 16-187955 Duoderm Xtra Thin cgf 4" x 4" 10/bx 5.39 16-1626W Dressing Tegaderm 4" x 4 3/4" wndw 50/bx 63.69 16-5044 Polymem 4" x 4" Pad Dressing 15/bx 71.89 16-66000043 Allevyn Adhesive 3" x 3" 10/bx 6.19 16-295390 Mepilex Border 4" x 4" 5/bx 29.49 08-028 Prisma Matrix 4.34 sq in 10/bx 14.39 16-177902 Aquacel Hydrofiber Dressng 4" x 4" 10/bx 9.59 Tape 16-9306 Micropore 1" x 10 yds 12 rl/bx 6.19 16-9307 Micropore 2" x 10 yds 6 rl/bx 6.19 16-9528 Tape Transpore 1" 12 rl/bx 12.39 16-9529 Tape Transpore 2" 6 rl/bx 12.39 ORDERING INFORMATION: Fill out the information below and fax to 1. or call 1.. Name Title Facility Address City State Zip Account Number Phone Email Address *If you belong to an ownership or group purchasing organization you may be eligible for additional discounts.