Wound Care Demographics & Staffing

Question 1: Which of the following is included in the wound-care-visits statistic? (Select all that apply.)

A. One count for each inpatient visit (41.3%)
B. One count for each visit to the outpatient wound clinic (91.3%)
C. Nursing home visits (20.2%)
D. Hospice, home health, other outreach visits (15.4%)
E. Prison visits (5.8%)

Question 2: What percentage of total wound care worked hours represents contract (external) staff?

A. 1-5% (4.4%)
B. 6-10% (4.4%)
C. 11-15% (2.2%)
D. > 20% (10%)
E. Contract staff hours not included in worked hours    (11.1%)
F. Contract staff not utilized (67.8%) 

Question 3: If wound care worked hours include contract (external) staff hours, are contract staff labor costs included in labor expenses?

A. Yes (19.3%)
B. No (8.4%)
C. Contract staff not utilized (72.3%)

Question 4: Which of the following staff hours are included in wound care worked hours? (Select all that apply.)

A. Director (39%)
B. Assistant director/manager/clinical coordinator (41.6%)
C. Nurse practitioner/physician assistant (35.1%)
D. Registered nurse [RN] (76.6%)
E. Hyperbaric technologist (28.6%)
F. Physical therapist (18.2%)
G. Physical therapist assistant (7.8%)
H. Certified wound specialist (50.6%)
I. Wound ostomy continence nurse [WOCN] (42.9%)
J. Licensed practical nurse [LPN] (29.9%)
K. Certified nursing assistant (28.6%)
L. Administrative assistant (22.1%)
M. Medical office assistant (29.9%)
N. Coder (10.4%)
O. Biller (11.7%)
P. Medical director performing administrative functions (20.8%)
Q. Physician providing patient care (31.2%)

Question 5: What percentage of wound care visits are self-referrals?

A. 1-5% (19%)
B. 6-10% (25.3%)
C. 11-15% (10.1%)
D. 16-20% (15.2%)
E. 21-25% (7.6%)
F. > 25% (2.5%)
G. N/A (20.3%) 

Question 6: What percentage of wound care procedures requires two or more clinical wound care staff members (other than physicians and front-office staff) to perform?

A. 1-10% (42.7%)
B. 11-20% (17.3%)
C. 21-30% 13.3%
D. 31-40% (5.3%)
E. 41-50% (4%)
F. > 50% (10.7%)
G. N/A (6.7%)

Question 7: Which of the following non-patient-care-related activities are performed by wound care personnel at least 80% of the time? (Select all that apply.)

A. Between case cleaning (77.3%)
B. Central sterile ordering (40%)
C. Charge entry (52%)
D. Chart assembly/medical record processing (45.3%)
E. Coding (24%)
F. Coordination of care with other providers (86.7%)
G. End-of-day cleaning (56%)
H. Instrument decontamination/sterilization (excluding flash sterilization (25.3%)
I. Order entry (62.7%)
J. Patient transport
K. Photo transfer to electronic health record [EHR] (69.3%)
L. Precertification (36%)
M. Procedure scheduling (65.3%)
N. Referrals (61.3%)
O. Report transcription (10.7%)
P. Software/database management/maintenance (20%)
Q. Stocking supplies/stock rotation (74.7%)
R. Supply order entry (57.3%)
S. Wound care kit assembly (24%)
T. Warehouse ordering (37.3%)
U. N/A (4%) 

Question 8: What percentage of non-hyperbaric wound care visits requires 30-60 minutes of treatment?

A. 1-25% (20.3%)
B. 26-50% (23%)
C. 51-75% (27%)
D. 76-100% (17.6%)
E. N/A (12.2%)

Question 9: What percentage of non-hyperbaric wound care visits requires 60-120 minutes of treatment?

A. 1-25% (72.6%)
B. 26-50% (9.6%)
C. 51-75% (5.5%)
D. 76-100% (4.1%)
E. N/A (8.2%)

Question 10: What percentage of non-hyperbaric wound care visits requires > 120 minutes of treatment?

A. 1-10% (43.8%)
B. 11-20% (1.4%)
C. 21-30% (2.7%)
D. N/A (52.1%) 

Question 11: If wound care employs an onsite physician, which of the following applies?

A. Physician hours are included in worked hours and salary is reported in labor (19.7%)
B. Expense [not in accordance with definition] (4.2%)
C. Physician salary is paid as contract; hours are not    reported and expense is (14.1%)
D. Reported in “other expense” 2.8%
E. N/A (59.2%)

Question 12: Does wound care “other expense” include medical director fees?

A. Yes (42.3%)
B. No (57.7%)

Question 13: What percentage of wound care visits involves the application of bioengineered skin substitutes?

A. 1-2% (25%)
B. 3-4% (11.8%)
C. 5-6% (19.1%)
D. 7-8% (11.8%)
E. 9-10% (14.7%)
F. > 10% (5.9%)
G. N/A (11.8%) 

Question 14: Does your wound care clinic have a method for tracking patient outcomes? 

A. Yes (63.6%)
B. No (36.4%) 

Question 15: If your clinic tracks patient outcomes, are these outcomes discussed on a regular basis with staff and physicians?

A. Yes (59.4%)
B. No (40.6%)

Question 16: Do you know the average length of time in your clinic that it takes to heal a patient?

A. Yes (63.1%)
B. No (36.9%)

Question 17: Does your clinic have annual clinical competencies that staff is required to complete?

A. Yes (84.8%)
B. No (15.2%)

Question 18: How many times per year is a continuing education topic presented to clinic staff?

A. None (9.1%)
B. 1-3 (36.4%)
C. 4-6 (16.7%)
D. > 6 (37.9%) 

Question 19: Is attendance at seminars and conferences encouraged (and is financial assistance provided) by your clinic?

A. Yes (63.1%)
B. No (36.9%)

Question 20: Is the medical director of the clinic involved in the training/education of clinical staff?

A. Yes (43.9%)
B. No (56.1%)

Question 21: Is there a process in place to identify the clinical education needs of the clinic staff?

A. Yes (65.2%)
B. No (34.8%)

Question 22: Is a formal, approved hyperbaric oxygen therapy (HBOT) course required for all staff members who work with HBOT chambers?

A. Yes (66.1%)
B. No (33.9%) 

Question 23: Have the physicians who cover HBOT completed a formal, approved course in HBOT?

A. Yes (74.6%)
B. No (25.4%)

Question 24: Is certified hand therapist certification an expectation of your clinic?

A. Yes (4.8%)
B. No (95.2%)

Question 25: Is certified hyperbaric registered nurse certification an expectation of your clinic if HBOT is utilized?

A. Yes (27.1%)
B. No (72.9%) 

Question 26: Is there a formal safety program with a designated safety officer as part of your HBOT/clinic?

A. Yes (72.9%)
B. No (27.1%)

Question 27: Does clinic/HBOT staff receive regular safety training as part of the formal safety program?

A. Yes (67.7%)
B. No (1.5%)
C. N/A (30.8%) 

Question 28: Do you use an EHR for documentation within your clinic?

A. Yes (86.2%)
B. No (13.8%) 

Question 29: Is there a formal program for review/audit of documentation within your clinic?

A. Yes (69.2%)
B. No (30.8%)

Question 30: Is there a process in place to address areas of improvement identified from review of documentation?

A. Yes (62.5%)
B. No (20.3%)
C. N/A (17.2%)

Question 31: Does your clinic have a patient-satisfaction survey that is completed upon discharge?

A. Yes (69.2%)
B. No (30.8%)

Question 32: Are results of any patient-satisfaction surveys shared with clinical staff?

A. Yes (75.4%)
B. No (6.2%)
C. N/A (18.5%) 

Question 33: Is there a process in place to address any areas for improvement determined from patient-satisfaction surveys?

A. Yes (73.8%)
B. No (26.2%)