“Medicare reimburses providers for inpatient hospitalizationonly if “a physician certifies that such services are required to be given on an inpatient basis for such individual’s medical treatment, or that inpatient diagnostic study is medically required and such services are necessary for such purpose[.],” according to Centers for Medicare & Medicaid Services. 42 U.S.C. § 1395f(a)(3). [...]
“The first question I think that needs to be answered by hospitals that cause a Stage IV bedsores is if there is a plastic surgeon on staff that can fix the problem,” states Greg Vigna, MD, JD, malpractice attorney, Board Certified Physical Medicine and Rehabilitation. What does the study by Dr. Damioli say about Stage IV [...]
“Mortality rate is high, and hospital-acquired bacteremia, polymicrobial bacteremia, and serum albumin < 23 g/L are associated with increased mortality,” states Dr. Elena Espejo, Complex Wounds Working Group. Greg Vigna, MD, JD, national decubitus ulcer attorney explains, “Every hospital that discharges patients with a Stage IV decubitus ulcers, with or without osteomylitis, risks a bloodstream [...]
“We represent the Estate of Betty Bell, deceased, who we allege was not provided the standard of care by the University of Chicago for a severe hospital-acquired pressure injury to her sacrum. We expect hospitals to take care of serious bedsores in-house, as discharging the injured to nursing homes is unsafe and not supported by [...]
“Across the United States, patients are suffering hospital acquired decubitus ulcers with African Americans most at risk. Compared with Whites, rates of sepsis and death is higher for African Americans,” states Greg Vigna, MD, JD, national malpractice attorney, Board Certified in Physical Medicine and Rehabilitation. What did the authors of “Outcomes of Pressure Ulcer Injuries Classified [...]
“The type of debridement should align with the treatment goals when managing a patient with a serious Stage III or Stage IV decubitus ulcer. Salvageable patients who desire flap closure require a debridement designed to get the wound ready for reconstructive surgery. That is best provided by the plastic surgeon,” states Greg Vigna, MD, JD, national [...]
“Clearly, this research supports the consideration of treatment phases and milestones of a complex treatment concept," states Reto Wettstein, MD, Plastic Surgeon, University Hospital, Basel, Switzerland. Dr. Greg Vigna, MD, JD, national bed sore attorney, Board Certified in Physical Medicine and Rehabilitation, explains, “The conclusion made by authors of the study support the cost-effectiveness of reconstruction of [...]
California and national malpractice attorney, states, “We are seeing cases across the country where certified wound care nurses evaluate our clients during their hospitalization, yet do no act to ensure that the patient is safe from further injury." (Martin, et. al. vs. Cedars-Sinai Medical Center, et. al., Case No. 24STCV00619) Click here to read Dr. Vigna’s [...]
“Hospital-acquired decubitus ulcers require either a transfer to a hospital specializing in flap reconstruction or should remain in the hospital until surgically closed,” states Greg Vigna, MD, JD, national decubitus ulcer attorney. What does the WHS Guidelines 2023 update report? “Preamble: Surgical treatment of pressure injury/ulcers is often considered a final invasive choice for wounds refractory [...]
“We represent those who have hospital acquired Stage III or Stage IV bedsores that are discharged to nursing homes without being offered the standard of care recommended by Wound Healing Society Guidelines. Early flap closure is required to prevent malnutrition, chronic infection, sepsis, and death,” states Greg Vigna, MD, JD, national decubitus ulcer attorney. Dr. Greg [...]
