Wound Care TrainingProven Practice Principles

WOUND CARE TRAININGProven Practice Principles

Wound Care TrainingProven Practice Principles

On behalf of the clinical services team, I am pleased to offer our Wound Care Training Program forphysicians and nurses who are either new to wound care or looking for a review and update. Thecourse content is updated on an annual basis to reflect the latest evidence based guidelines andrecommendations.

Is there a registration fee?No, the course costs, including meals and breaks, are provided through RestorixHealth.

Will I receive a certificate of training?Yes, all attendees who complete the course are provided a certificate of completion.

Who is the audience?The primary audience is physician panel members. However, all interested RestorixHealth staff arewelcome to attend.

Do I have to register to attend?Yes, registration is required for planning purposes related to space, meals, refreshments andeducational materials. If you plan to attend ANY portion of the course, you must notify Jeff Kingery,VP of Professional Development. Email is Jeff.Kingery@RestorixHealth.com. Mobile is 304.208.2535.

Will there be CME/CEUs?No, credits will not be available because the curriculum contains numerous references to corporatepathways, guidelines and policies. Although corporate guidelines reflect best practices, the use of“proprietary” documents and administrative processes are not eligible for credits. The same is true forthe wound work shops provided by corporate sponsors.

Is the seminar open to personnel who do not work in the wound healing center?No, the seminar is designed exclusively for center personnel.

Will there be any reimbursement for travel?No, travel expenses cannot be reimbursed. In accordance with the Sunshine Act, CMS and the U.S.Department of Justice. Physician reimbursement of private practice expenses (continuing education)can be interpreted as “referral inducements” and are prohibited by law.

I look forward to working with you!

Bob Bartlett, MD, MAPWCA, CPE, APWHcChief Medical Officer, RestorixHealth

Wound Care TrainingProven Practice Principles

This program is designed to provide a firm foundation in the current concepts of wound care. It is a detailed review ofRestorixHealth clinical pathways which embody the basic precepts of “best practice”. Special emphasis is placed onprinciples of care which should be routinely applied. If you are new to wound care or simply wish to expand yourknowledge as a wound care expert, this concise course will be a good use of time.

Course Objectives:• Identify common wound types and the key factors which affect wound healing.• Describe the healing phases and associated physiology.• Describe specific laboratory and imaging tests which are part of a comprehensive evaluation.• Understand RestorixHealth clinical pathways for wound assessment and management.• Describe specific treatments including debridement, topical therapies and biophysical agents.• Understand RestorixHealth metrics used to benchmark outcomes and identify areas for improvement.

Day One

8:00 – 8:15 AM Introduction – Bob Bartlett, MD

8:15 – 8:45 AM Professional Resources: Who to Call | Where to Look – Regional Directorof Clinical Training (RDCT)RestorixHealth is a “resource rich” organization. This session provides a practical review of available resources forphysicians and nurses. The organizational roles and relationships of personnel inside and outside the center will bediscussed. In addition, a quick “how to” for locating resources in the EMR and on the web.

8:45 – 9:15 AM Wound Center Logistics: Know the Flow – RDCT In this session we discuss the inner workings of a multidisciplinary panel, the medical direction of the program,expectations for clinical and financial success as well and professional satisfaction.

9:15 – 9:45 AM Wound Center Philosophy – Bob Bartlett, MDThe journey from good to great is always guided by a central philosophy. This thought provoking presentationunderscores the importance of a systematic and comprehensive evaluation for every patient.

9:45 – 10:00 AM Break

10:00 – 11:00 AM Wound Bed Preparation – Bob Bartlett, MDThe TIME acronym was first developed by an international group of wound healing experts to provide a frameworkfor a structured approach to healing chronic wounds. This approach is often referred to as “Wound Bed Preparation”.In this presentation, Dr. Bartlett presents a more complete version of the acronym called TIME Squared whichprovides a systematic approach for managing chronic wounds.

11:00 – 12:00 PM Acute vs. Chronic Wound (Video)Wound healing is the result of dynamic interactive processes which involve soluble mediators, numerous cell typesand extracellular matrices. When a wound proceeds through an orderly and timely reparative process, it is labeled anacute wound. Conversely, a chronic wound is one which failed to proceed through this process. This session reviewsthe stages of wound healing and highlights corrective strategies for chronic wounds.

Wound Care TrainingProven Practice Principles

Day One - continued

12:00 – 12:30 PM Lunch

12:30 – 1:30 PM Diabetic Ulcer Management – Bob Bartlett, MDThis session reviews the key concepts for successful management of diabetic foot ulcers. Important concepts forevaluating the diabetic foot ulcer patient will be reviewed. Prevention of further ulceration in the diabetic patient willbe presented. The participant will be able to list best practices for prevention and management of diabetic footulcers.

1:30 – 2:15 PM The Science of Offloading – Lee Rogers, DPMReduction of pressure, or offloading, is a very effective therapy for healing diabetic foot ulcers. This presentationreviews the evidence and recommendations from a recent offloading consensus paper.

2:15 – 3:15 PM Offloading Workshop – Sponsored Session | Lee Rogers, DPMTotal contact casting is a method used to treat diabetic foot ulcers by fitting a non-removable cast around theaffected leg. The entire cast is in contact with the foot and part of the leg, hence the name. The cast is usually madeof fiberglass or plaster and is designed to protect the ulcer and allow wound healing.

The principle purpose for treating diabetic foot ulcers with total contact casting is offloading, or limiting the use of thefoot with the ulcer. Diabetic patients who already have neuropathy are at the greatest risk for ulcers since the loss ofprotective sensation in their limbs prevents early detection of any injuries to their feet. The peripheral neuropathymay also cause foot deformities from myopathy, causing clawing of the toes and producing bony prominences whichare subject to pressure.

3:15 – 3:25 PM Break

3:25 – 4:00 PM Surgical Solutions – Lee Rogers, DPMAs the saying goes, “An ounce of prevention is worth a pound of cure” and failure to consider and correct mechanicaldeformities associated with diabetes will doom your patients to relapse. This session reviews the top three surgicalprocedures which can decrease the recurrence of foot ulcers.

4:00 – 4:30 PM Charcot Foot – Lee Rogers, DPMFirst described 140 years ago by Jean Martin Charcot, the foot condition that bears his namesake is commonlymisdiagnosed and constitutes a true medical emergency. This presentation reviews the diagnosis and treatment ofCharcot foot.

4:30 – 5:00 PM Osteomyelitis and Diabetic Ulcers – Bob Bartlett, MDNew data on the diagnostic value of the “probe-to-bone” test will be presented with a review of imaging strategies and management options.

5:00 – 5:45 PM IDSA Diabetic Foot Guidelines – Bob Bartlett, MD | Lee Rogers, DPM Every diabetic ulcer is a window for infection. This session reviews the current recommendations from the Infectious Disease Society of America for when and how to use antibiotics for diabetic ulcer infections.

Wound Care TrainingProven Practice Principles

Day Two

8:00 – 9:15 AM Debridement | Biopsy Lab – Bob Bartlett, MD Debridement is an essential component of wound bed preparation to facilitate wound closure and healing.Debridement can be accomplished by different interventions. Special emphasis will be placed on sharp surgicaldebridement with numerous video demonstrations provided. In addition, the use of a punch biopsy willdemonstrated.

9:15 – 9:45 AM Venous Ulcer Management – Bob Bartlett, MDVenous ulcer, also known as stasis ulcer, is the most common etiology of lower extremity ulceration, affecting onepercent of the U.S. population. Possible causes of venous ulcers include inflammatory processes resulting in leukocyteactivation, endothelial damage, platelet aggregation and intracellular edema. Lower extremity ulcer management,prevention and best practices will be reviewed.

9:45 – 10:15 AM Compression Therapy (Video)The impact of compression therapy on ulcer healing has been highlighted in numerous studies across the worldduring the last decade. There are few healthcare interventions that can claim such dramatic effects on outcome. Thefocus will be placed on the science, product selection and application of compression therapy. This presentation willalso review the distinguishing features of edema, lymphedema and lipedema.

10:15 – 10:25 AM Break

10:25 – 11:00 AM Dress for Success – Lee Rogers Wound care dressing and products continue to evolve. This session will provide an overview of recent advances indressings and wound care products that can improve healing, reduce pain or decrease the risk of complications.Assessment of the wound characteristics and a physiologic-based selection of products will be discussed. Attendeeswill be able to list appropriate criteria for dressing selection based on form/function and explain how an appropriatedressing can have a positive impact on wound healing.

11:00 – 11:45 AM The ABC’s of CTPs – Lee Rogers The use of “biologic” dressings continues to evolve and the number of products has increased to the point that theFDA and Medicare has created a new category called Cell/Tissue Products (CTP). CTP family provides powerfulcatalysts which accelerate healing. However, the products are expensive and require a clear understanding of whenthey can be used.

11:45 – 12:00 PM Break

12:00 – 12:30 PM Lunch & Learn: Clinical Tool Box – RDCT | Program DirectorA practical review of the available service lines you will be using such as Home Health agencies and orthotics. Thissession will also introduce the audience to the RestorixHealth QI process, benchmark data, what it means and how itimproves clinical care.

Wound Care TrainingProven Practice Principles

Day Two - continued

12:30 – 1:00 PM Pressure Ulcer Management – Bob Bartlett, MDPressure ulcers are focal injuries to the skin and/or underlying tissue which usually occur over a bony prominence asa result of pressure, or pressure in combination with shear and/or friction. This session reviews risk factors, ulcerstaging and management guidelines.

1:00 – 2:00 PM Negative Pressure Therapy – Sponsored sessionThis session reviews the role for Negative Pressure Wound Therapy (NPWT) for the management of chronic wounds.Participants will be able to state the mechanisms of action of NPWT. The wound types and therapy goals will bepresented in this session. Attendees will be able to list the precautions and the contraindications of this therapy.Clinical cases will be presented to illustrate its use in practice.

2:00 – 2:10 PM Break

2:10 – 3:00 PM HBO Therapy - Clinical Challenge – Bob Bartlett, MDTest your knowledge of HBO indications with these fast-paced clinical scenarios using an audience response system.

3:00 – 4:00 PM Wound Care Challenge – Lee Rogers, DPM | Bob Bartlett, MDTest your newly acquired knowledge of wound care with these clinical questions and case management scenariosusing an audience response system.

4:00 – 4:15 PM Panel Q&A Closing Remarks – FacultyOpen forum for thoughts, comments, suggestions and questions.

Wound Care TrainingProven Practice Principles

WOUND CARE MANAGEMENT FACULTY

Chief Medical OfficerRestorixHealth445 Hamilton Ave, Suite 800White Plains, NY 10601

Mobile (561) 866-5651Bob.Bartlett@RestorixHealth.com

Dr. Bartlett is a Magna cum Laude graduate of the University of South Alabama School of Medicine and an attending

physician at St Luke’s Medical Center, which is the largest hyperbaric facility in North America. He is a Certified

Physician Executive (CPE) who is also certified in Wound Care, Hyperbaric Medicine and Emergency Medicine. He is

the Chief Editor and founding member for the creation of two certification exams. One is the physician exam for

hyperbaric medicine and the other is the physician exam for wound care. He has completed training from the

National Oceanic and Atmospheric Administration in Dive Medicine and is the past President of the American College

of Hyperbaric Medicine.

Educationally, he has trained more than 6,000 health care professionals in hyperbaric medicine. In 2010, he received

the Eric Kindwall award from the American College of Hyperbaric Medicine in recognition of his contributions to

hyperbaric medicine. In 2011, he received the “Masters in Wound Care” designation by the American Professional

Wound Care Association. In addition to his 30 years of wound care experience, he has garnered considerable

management experience through the creation and direction of several health care companies and one health care

foundation.

As the Chief Medical Officer for RestorixHealth, he uses knowledge-engineering for leveraging collective-intelligence

and e-learning to facilitate rapid knowledge diffusion in healthcare systems. His interests include oxygen dynamics,

knowledge engineering, patient centered care, direct to consumer marketing and e-learning design.

Bob Bartlett MD, CPE, UHM, FAPWHc

Wound Care TrainingProven Practice Principles

WOUND CARE MANAGEMENT FACULTY

Medical DirectorAmputation Prevention Centers of America®RestorixHealth445 Hamilton Ave, Suite 800White Plains, NY 10601

Mobile (805) 813-9075 Lee.Rogers@RestorixHealth.com

Lee Rogers is the executive medical director of the Amputation Prevention Center at Sherman Oaks Hospital in Los

Angeles, CA. He is also the national medical director of the Amputation Prevention Centers of America®, a division of

RestorixHealth. He is the past chair of the foot care council for the American Diabetes Association. Dr. Rogers

received the 2011 Rising Star Award from the American Podiatric Medical Association for outstanding national

accomplishments and has been selected by Podiatry Management Magazine as one of the most influential

podiatrists in America. Dr. Rogers was selected as Educator of the Year from the California Podiatric Medical

Association in 2012 and given the Master’s Award from the American Professional Wound Care Association.

Dr. Rogers’ work has been quoted in the Wall Street Journal, the Washington Post, US News & World Report and he’s

been a guest on ABC’s The Doctors Show and featured on PBS’s American Medical Journal and Al Jazeera

International’s The Cure.

Lee Rogers, DPM