News

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 Welcomes New Association Management Partner

Dear NPUAP Board and Panel Members:

The National Pressure Ulcer Advisory Panel is pleased to officially announce we have contracted with a new Association Management Company, McKenna Management, Inc.  McKenna Management will partner with NPUAP leadership to provide services in the areas of:  General Administration, Financial Management, Board and Committee Services, Council Membership Services, Meetings & Conferences, Webinars, Social Media, Website Build & Updates and Product Development & Promotion.

Over the last month and a half, they have connected with a number of you as well as the previous management company, Hauck & Associates, to ensure a smooth transition.  McKenna Management’s official first day is Wednesday, May 1st.

Please join me in welcoming:

Pam McKenna, CAE, Executive Director (Pam@NPUAP.org)

Megan Brouwer, CMP, Deputy Executive Director and Meeting Planner (Megan@NPUAP.org)

Michele Sperry, Accountant (Michele@NPUAP.org)

Ana Mattson, Administrator/Social Media (Ana@NPUAP.org)

NPUAP’s new address, phone and fax numbers are below:

National Pressure Ulcer Advisory Panel (NPUAP)
4 Lan Drive, Suite 310
Westford, MA  01886
Phone: 978-364-5130
Fax: 978-250-1117

We look forward to working with McKenna Management as they bring new ideas and new efficiencies to support our core mission of improving patient outcomes in pressure injury prevention and treatment.

Thank you for your continued support of the NPUAP and its vital mission.

Janet Cuddigan, PhD, RN, CWCN, FAAN
President
National Pressure Ulcer Advisory Panel (NPUAP)

Treasurer and President of NPUAP Present Testimony Before the US House of Representatives Subcommittee on Labor, Health and Human Services, Education and Related Agencies

FOR IMMEDIATE RELEASE
April 18, 2019

Washington, DC. –  On April 9, 2019, Dr. William Padula, NPUAP Treasurer, and Dr. Janet Cuddigan, NPUAP President, provided written testimony to the House Committee on Appropriations; Subcommittee on Labor, Health and Human Services, Education and Related Agencies to explore new payment models that could further increase innovation and incentivize the prevention or pressure injuries.

Dr. William Padula is Assistant Professor of Pharmaceutical & Health Economics in the School of Pharmacy and Leonard D. Schaeffer Center for Health Policy & Economics at University of Southern California. Dr. Janet Cuddigan is Professor of Nursing at University of Nebraska. Together, they informed the Subcommittee of increasing concerns regarding pressure injuries in the U.S. and what steps can be taken to improve the outlook in U.S. healthcare for vulnerable patients.

Dr. Padula cited from his paper, Value of hospital resources for effective pressure injury prevention: a cost-effectiveness analysis that “The national cost of hospital-acquired pressure injuries in the United States”, revealing that “pressure injuries affect 2.5 million patients, resulting in 60,000 deaths and over $26 billion in U.S. healthcare expenditures”.  To read Dr. Padula’s paper please visit: https://www.ncbi.nlm.nih.gov/pubmed/30097490

Drs. Padula and Cuddigan also brought to the Subcommittee’s attention that even though Medicare has introduced advanced payment models related to pressure injury prevention, they appear “to have leveled off” and possibly need a revamp.

The National Pressure Ulcer Advisory Panel (NPUAP), in partnership with the European Pressure Ulcer Advisory Panel (EPUAP) and Pan Pacific Pressure Injury Alliance (PPPIA) will be hosting a special event to celebrate the launch of the 2019 International Guideline for the Prevention and Treatment of Pressure Injuries. Please join us November 15-16, 2019 at the University of Southern California in Los Angeles for this event. Please stay tuned at www.npuap.org for additional information.

The National Pressure Ulcer Advisory Panel (NPUAP) is the nation’s leading scientific expert on pressure injury prevention and treatment. Our goal is to ensure improved patient health and to advance public policy, education, and research. Contact NPUAP at npuap@npuap.org.

Public Policy Committee Recent Initiatives 2018

The Public Policy Committee of the National Pressure Ulcer Advisory Panel (NPUAP) have supported the following initiatives in 2018.

  • Letter of Support for Wound Management Specialist Certification by the American Physical Therapy Association (APTA) (12/20/2018)
  • Submitted comments to National Quality Forum on MUC18-107 Hospital Harm – Pressure Injury (12/5/2018)
  • Submitted a request a formal policy reconsideration for Local Coverage Determination (LCD) titled Wound Care, LCD ID DL37228, for contractor Wisconsin Physicians Services Insurance Corporation (11/29/2018)
  • Submitted a response to Medi-Cal’s coverage criteria for seating and positioning products (1/25/2018)
  • Submitted comments to CMS regarding Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2019 Rates (6/25/2018)

NPUAP Treasurer Visits Capitol Hill for a Series of Leadership Meetings with Members of Congress for Pressure Injury Prevention Advocacy

FOR IMMEDIATE RELEASE
April 12, 2019

Washington, DC – On March 25 through 27, Dr. William Padula visited Washington, D.C. to advocate for policy solutions surrounding pressure injury prevention at the highest levels of government and healthcare. His independent advocacy for improving patient safety was provided as a researcher on behalf of NPUAP and its panel members. Dr. Padula is Treasurer on the Board of Directors for NPUAP, as well as an Assistant Professor of Health Economics at the University of Southern California Schaeffer Center for Health Policy & Economics in Los Angeles, along with a secondary appointment at the Johns Hopkins School of Nursing in Baltimore.

On March 25, Dr. Padula attended the Society of Hospital Medicine (SHM) 2019 Annual Meeting to present research about the Standardized Pressure Injury Prevention Protocol (SPIPP) as part of SHM’s “innovations” study section. This research, coauthored with NPUAP board member and past-President Dr. Joyce Black in the Journal of Clinical Nursing, provided insight into a simple, structured checklist in order to advance implementation of evidence-based practices for pressure injury prevention in accordance with the forthcoming NPUAP/EPUAP/PPPIA 2019 International Guidelines. The research at SHM was well received among the more than 4,000 attendees, including hospitalists, medical directors and advanced practice nurses.

On March 26 and 27, Dr. Padula attended separate meetings with 18 members of the U.S. Congress, their policy staffers, and committee liaisons. Congressional meetings included interactions with the offices of seven Senators and nine Representatives. He also connected with liaisons to the Senate Appropriations Committee and the House Subcommittee on Labor, Health and Human Services, Education & Related Agencies.

Dr. Padula spent the time immersed in conversation with each office on two major issues surrounding pressure injury prevention that are important to NPUAP. First, that there is a dire need for good science in the field of wound care, and that federal funding agencies could do more to support prevention research around harmful pressure injuries. He cited important data highlighted by the NPUAP, including that most of the 2.5 million pressure injury cases in the U.S. are preventable, which lead to ~60,000 deaths and over $26 billion in financial impact on the U.S. economy. Second, that payment models and coding issues addressed in the past by CMS and AHRQ have been effective measures to improve the outlook for prevention in U.S. healthcare facilities; however, more needs to be done. Dr. Padula cited his recent publication in BMJ Quality & Safety with co-author Dr. Peter Pronovost, a leading global voice on healthcare quality improvement, suggesting that payment models promoted by CMS that reward hospitals for good performance with respect to never events like pressure injuries, in addition to existing nonpayment and penalty structures, would help guide hospitals towards doing more quality improvement for pressure injury prevention.

These discussions were well-received by members of Congress who promised to work on behalf of one of America’s most vulnerable populations, the elderly/frail patient at-risk for pressure injuries, to ensure that patient safety is an improved priority during the 116th Congress. Dr. Padula and some Congressmen even shared their personal stories of family members who were harmed or succumbed during hospitalization and long-term care as a result of pressure injuries – Dr. Padula’s own grandfather died of complications following heel ulcers after a hip replacement surgery. Dr. Padula noted, “Many of us have a story to share about a loved one who was diagnosed with cancer, for instance. But what is astounding is that when you begin to talk about pressure injuries with members of Congress, they suddenly realize how they each have been personally affected by pressure injuries and hospital quality. This issue touches many Americans, and therefore it’s becoming an important realization on Capitol Hill.”

Dr. Padula noted something extremely valuable during his three days on Capitol Hill that is not exactly a noticeable trait in today’s politics: “I was impressed with the content of character in each Congressmen that I met with – Democrat or Republican or Independent. These are not people who look to create infighting across party lines. In fact, I have never met a group of individuals so prepared to listen to their constituents, learn about the issues and work together through bipartisan support in order to fix issues such as pressure injury prevention. On Capitol Hill, I see agreement, not separation. The key to the success of these missions on behalf of NPUAP and the American patient is to find issues that Congressmen can collaborate and work together on. Patient safety, and pressure injury prevention in particular, is a topic that none of our elected officials is willing to let go by the wayside.”

Overall, Dr. Padula had a busy, constructive three days on Capitol Hill in which he discovered that it’s clear that pressure injury prevention is on the minds of the U.S. Congress and many of our leading healthcare providers.

NPUAP is appreciative of everyone’s time on Capitol Hill who listened to Dr. Padula’s insight on pressure injury prevention and provided helpful feedback to seek the right policy solutions to improve pressure injury prevention. Pressure injury prevention will continue to resonate with Congress over the next two years, and hopefully lead to effective change that the NPUAP can continue to advise.

The National Pressure Ulcer Advisory Panel (NPUAP), in partnership with the European Pressure Ulcer Advisory Panel (EPUAP) and Pan Pacific Pressure Injury Alliance (PPPIA) will be hosting a special event to celebrate the launch of the 2019 International Guideline for the Prevention and Treatment of Pressure Injuries.  Please join us November 15-16, 2019 at the University of Southern California in Los Angeles for this event.  Please stay tuned at www.npuap.org for additional information.

The National Pressure Ulcer Advisory Panel is a multidisciplinary group of experts in pressure injury. The NPUAP serves as the authoritative voice for improved patient outcomes in pressure injury prevention and treatment through public policy, education and research. Contact NPUAP at npuap@npuap.org.

ANSI/RESNA SS-1-2019 RESNA for Support Surfaces (revision of ANSI/RESNA SS-1-2014)

FOR IMMEDIATE RELEASE
March 7, 2019

ANSI/RESNA SS-1-2019 RESNA for Support Surfaces (revision of ANSI/RESNA SS-1-2014)

Washington, DC. –  On February 15, 2019, the American National Standard Institute (ANSI) approved a revision to the ANSI/RESNA SS-1-2014 standard. The revision includes 4 new test methods to evaluate important performance characteristics of support surfaces, including mattresses, mattress overlays, and integrated bed systems related to the prevention and treatment of pressure injuries. This National standard has been developed by the NPUAP Support Surface Standards Initiate (S3I) and is available through RESNA (https://www.resna.org/standards/support-surfaces/support-surfaces).

Stakeholders including clinicians, manufacturers, and users can all benefit from the development of standardized methods to assess the characteristics of support surfaces. Detailed information provided by standardized testing will help clinicians to objectively match support surface’s performance with the needs of individual users. Testing standards also assist manufacturers by guiding new product development and in the improvement of existing products.  Sellers too, will benefit by being able to clearly describe and compare products from multiple manufacturers. Lastly, users will benefit by having a support surface that truly supports their needs.

These standards are intended to provide means of identifying and measuring clinically meaningful metrics for comparison.

ANSI/RESNA SS-1-2019 now consists of the following sections under the general title Support Surfaces:

Volume 1: Requirements and Test Methods for Full Body Support Surfaces

Section 1:     Vocabulary
Section 2:     Standard Protocol for Measuring Immersion In: Full Body Support Surfaces
Section 3:     Standard Protocol for Measuring Heat and Water Vapor Dissipation Characteristics of Full Body Support Surfaces – Body Analog Method
Section 4:     Standard Protocol for Measuring Heat and Water Vapor Dissipation Characteristics of Full Body Support Surfaces – Sweating Guarded Hot Plate (SGHP) Method
Section 5:     Support Surface Horizontal Stiffness Test
Section 6:     Envelopment and Immersion – Hemispherical Indenter Test
Section 7:     Envelopment with Dual Semispherical Indenter Test
Section 8:     Standard Protocol for Measuring Water Vapor Dissipation Characteristics of Full Body Support Surfaces – Heated Water Bladder Method

The National Pressure Ulcer Advisory Panel is a multidisciplinary group of experts in pressure injury. The NPUAP serves as the authoritative voice for improved patient outcomes in pressure injury prevention and treatment through public policy, education and research. Contact NPUAP at npuap@npuap.org.

NEW NPUAP Product! Root Cause Analysis (RCA) Toolkit!

The National Pressure Ulcer Advisory Panel (NPUAP) is pleased to announce a new product for 2019, the Root Cause Analysis (RCA) Toolkit Package!

Use data to drive practice!

The use of a RCA process will help a hospital/facility gain insight into the development of a pressure injury. This comprehensive evaluation includes an analysis of the influencing factors, a review of events and documentation prior to the pressure injury discovery.  It also provides a systematic, structured, and evidenced-based method to collect data, identify potential gaps in care and drive action plans.

This package includes:

  1. RCA Template & Instructions combined document
  2. RCA Template only
  3. RCA Clinician Guide
  4. Comprehensive instructions on how to export your data into excel

For more information on this product please visit: https://www.npuap.org/resources/educational-and-clinical-resources/rca-template-2019/

Purchase the RCA Toolkit Package today for only $100 through the NPUAP Online Store!

The RCA Toolkit was created by Michelle Deppisch PT, CWS, FACCWS, Joyce Pittman PhD, ANP-BC, FNP-BC, CWOCN, FAAN, Mary Sieggreen MSN, CNS, NP, CVN and Janet Cuddigan PhD, RN, CWCN, FAAN.

American Board of Physical Therapy Specialties (ABPTS) Letter of Support for Wound Management Specialist Certification

American Board of Physical Therapy Specialties (ABPTS)
c/o American Physical Therapy Association
1111 North Fairfax Street
Alexandria, VA 22314-1488

December 20, 2018

American Board of Physical Therapy Specialties (ABPTS)
Letter of Support for Wound Management Specialist Certification

As the Public Policy Committee of NPUAP, and the Board of Directors we are writing this letter in support of a Wound Management Specialist Certification for physical therapists.

The National Pressure Ulcer Advisory Panel (NPUAP) is an independent, not-for-profit professional organization dedicated to the prevention and management of pressure injuries. Formed in 1987, the NPUAP Board of Directors is composed of leading experts from different health care disciplines—all of whom share a commitment to the prevention and management of pressure injuries. The NPUAP serves as a resource to health care professionals, government, the public, and health care agencies; and welcomes and encourages the participation of those interested in pressure injury issues through utilization of NPUAP educational materials, participation at national conferences, and support of efforts in public policy, education and research.

The NPUAP supports a Wound Management Specialist Certification for physical therapists. The
American Physical Therapy Association (APTA) has been a Collaborating Organization of the NPUAP for over a decade. As such, a physical therapist representative has attended our bi annual meetings as a member of our panel and has also participated as a voting member in our Consensus Conferences on issues such as non-avoidable pressure injuries and the staging system.

Physical therapists have participated in developing NPUAP’s clinical guideline documents and have also served as members of NPUAP’s Board of Directors. We feel that physical therapists are an integral part of the team for preventing and treating pressure injuries and are in favor of Wound Management Specialist clinical specialization through ABPTS.

Sincerely,

Sarah Holden-Mount, PT, CWS
Public Policy Chair

Showcase your product at the NPUAP 2019 Annual Conference

Exhibitor and Commercial Supporter registration is now open for the NPUAP 2019 Annual Conference!  Save 25% on your exhibitor fees by registering by September 30.  Learn more here: https://www.npuap.org/events/npuap-2019-annual-conference/

New Consumer Survey to Inform the 2019 International Guideline

FOR IMMEDIATE RELEASE
June 20, 2018
National Pressure Ulcer Advisory Panel
1000 Potomac Street NW, Suite 108
Washington, DC  20007

Press Contact: Ana Mattson, 978-364-5130

RE: New Consumer Survey to Inform the 2019 International Guideline

The National Pressure Ulcer Advisory Panel (NPUAP) announces a new online Consumer Survey designed to solicit “the voice of the patient”.   The Consumer Survey will provide critical information to inform the 2019 revision of Prevention and Treatment of Pressure Ulcers/Injuries: Clinical Practice Guideline.

Systematic literature reviews and evidence appraisals are well underway as the NPUAP works with its international partners, the European Pressure Ulcer Advisory Panel (EPUAP) and Pan Pacific Pressure Injury Alliance (PPPIA) to incorporate new evidence into the third edition of our international guideline. 

To ensure we are addressing the needs of the patients and families we serve, we are asking individuals (and their caregivers) who have experienced a pressure injury/pressure ulcer (or worked to prevent one) to share their knowledge, preferences and values in an anonymous survey.  The survey takes 5-10 minutes to complete.  It is available online in English, German, French, Mandarin, Arabic, Korean, Japanese, and Thai or as a paper copy in English.

If you are a health care provider, member of a professional organization or consumer organization, we would appreciate your assistance in identifying potential survey participants for this IRB approved survey.

A recruitment flyer can be downloaded HERE and shared with potential participants.

The ethical aspects of this research have been approved by the ANU Human Research Ethics Committee (Protocol 2018/66). In addition, a waiver has been granted by the US Department of Veterans Affairs Institutional Review Board (IRB). If you have problems or complaints about this survey, please refer to the survey website for full information about risks, benefits and confidentiality.

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Find more information at our website: www.npuap.org or contact us at npuap@npuap.org

Looking for free education with continuing education credits?

Join us on Wednesday, May 9 at 1 PM ET for a FREE NPUAP webinar on the Support Surface Standards Initiative!

For more information and to register please visit: www.npuap.org/events/s3i-webinar-may2018/