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The NPUAP serves as a resource to health care professionals, government, the public, and health care agencies.  The three mission committees of the NPUAP (Public Policy, Education, and Research) are active in a variety of endeavors including webinars, creation of a reference database, and a number of public policy initiatives.

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NPUAP congratulates CMS on putting consumers first

The NPUAP announced today that the recent decision by CMS to separate skin protective cushions from bundled competitive bidding is a victory for all Americans. NPUAP President Laurie McNichol, MSN, RN, GNP, CWOCN added, “We are pleased that the open forum process and opportunity for stakeholders to provide written commentary on a draft version of a CMS policy has driven change.” The comments received by CMS from NPUAP and others have resulted in policy makers at CMS realizing the importance of patient-focused care for Americans with disabilities and prompted revisions to the proposed policy.

Despite public concern about the fate of Medicare in the present political environment this announcement highlights that sound reasoning can prevail. CMS was responsive to the comments of the NPUAP and other professional organizations regarding the importance of customizable, pressure redistribution seat cushions for Americans requiring specialty care to prevent pressure ulcers and their devastating sequelae.

 

Winter 2011/2012 Newsletter

In this issue…

Page 2 QRG to be translated into Chinese
Page 4 NPUAP Educational Webinars
Page 4 NPUAP People on the Move
Page 5 Public Policy Update
Page 6 CAC Member Spotlight
Page 7 NPUAP Slide Sets

Please click HERE to view the Winter 2011/2012 newsletter.

Competitive Bidding for Seating and Group 2 Support Surfaces

Since forming in 1987, the National Pressure Ulcer Advisory Panel (NPUAP) has served as the authoritative voice for improved patient outcomes in pressure ulcer prevention and treatment through public policy, education and research. After careful review and deliberation, the NPUAP Public Policy Committee recommends against including pressure redistribution surfaces (mattresses, mattress overlays and seat cushions) as part of the competitive bidding process at this time.

Pressure redistribution surfaces are the mainstay for the prevention of pressure ulcers in at risk individuals. Competitive bidding should reduce expenditures while insuring that beneficiaries have access to the goods and services that they need. To achieve this, products within a category must be similar in function. This requirement is not met in the current code classification structure for skin protection seating and group 2 support surfaces. As a result, we are concerned that bidding these products will reduce or eliminate beneficiaries’ access to the specific goods they need-in the end actually increasing health care costs associated with the treatment of pressure ulcers.

Last September, at a hearing of the Health Sub-committee of the House Energy and Commerce Committee concern regarding competitive bidding of adjustable skin protection seating was raised in both submitted statements and publicly during the hearing. The Independence through Enhancement of Medicare and Medicaid Coalition, a consumer-led coalition including the Paralyzed Veterans of America (PVA) and the Christopher and Dana Reeves Foundation, submitted a written statement specifically requesting that custom (adjustable) seating be exempted. In addition, Congressman Jim Langevin (Rhode Island), the first quadriplegic to serve in the US House of Representatives, has stressed the importance of a “properly fitted, adjustable skin protection seat cushion” to permanent wheelchair users and the risks to beneficiaries’ health and health care expenditures, should these individuals not continue to have access to items which meet their needs.

In 2009 (most recent available data) skin protection seat cushions cost Medicare and Medicare beneficiaries less than $400. Medicare’s total allowed charges for these products was approximately $6 million and Group 2 support surfaces cost $91 million. The total U.S. expenditure for wound care treatment is estimated at $11 billion annually; one wound can cost over $40,000 to heal.

CMS included skin protection cushions and Group 2 support surfaces in round one of competitive bidding. Since many individuals at high risk for skin breakdown already have pressure redistribution surfaces, the negative impact of this decision may not be apparent for some time. Sufficient time should be allowed to obtain adequate data and assess the effect on patient outcomes before expanding this program. We request that you contact Health and Human Services Secretary Sebelius to recommend that skin protection wheelchair seating and group 2 support surfaces be excluded from the second round of DMEPOS Competitive Bidding Program.

Spring 2011 Newsletter

In this issue…

Page 4 Biennial Conference “Best Posters”
Page 6 New NPUAP Directors
Page 7 New NPUAP Slide Sets Now Available
Page 8 NPUAP-Sentara Joint Conference

Please click HERE to view the April 2011 newsletter.

Winter 2011 Newsletter

In this issue…

Page 2 NPUAP Committee Reports
Page 3 Profile of WCET
Page 4 12th NPUAP Biennial Conference

Please click HERE to view the Winter 2011 newsletter.

Fall 2010 Newsletter

In this issue…

Page 2 Fall Educational Opportunities
Page 3-4 COC, POC, and Alumni Spotlights
Page 6 12th NPUAP Biennial Conference

Please click HERE to view to Fall 2010 newlsetter.

Spring 2010 Newsletter

In this issue…

Page 2 WOCN–WCET Joint Conference
Page 3 NPUAP 12th National Biennial Conference
Page 4 RMR-WOCN / NPUAP Fall Conference

Click HERE to view the Spring 2010 newsletter.

Winter 2010 Newsletter

In this issue…

Page 2 NPUAP Directors and Officers Elected
Page 2 NPUAP Alumni Council
Page 4 WOW Conference Review
Page 4 WOCN–WCET Joint Conference
Page 4 NPUAP CAC Member Spotlight

Please click HERE to view the Winter 2010 newsletter.

Summer 2009 Newsletter

In this issue…

Page 1 DTI Public Policy Report
Page 1 S3I’s First Surface Test Standard
Page 3 NPUAP Regional Seminar Program
Page 4 NPUAP Provider Organization Council Update

Please click HERE to view the Summer 2009 newsletter.

Spring 2009 Newsletter

In this issue…

Page 1 NPUAP Biennial Conference Highlights
Page 1 International Guideline Development Report
Page 2 Meet the Newly Elected NPUAP Board Members
Page 6 NPUAP Model Adapted in Virginia

Please click HERE to view the Spring 2009 newsletter.