Maximize CAMPs Clinical Outcomes by Focusing on Wound Bed Preparation
The use of CAMPs is under scrutiny by Medicare, emphasizing the need for clinical excellence and documenting medical necessity.
Part of responsible CAMPs utilization is adequate wound bed preparation. Using SnapshotNIR can confirm that adequate debridement has been accomplished prior to application of a CAMP increasing the likelihood of successful integration. SnapshotNIR images provide clinical value and risk reduction by streamlining documentation processes with photographic evidence of optimal clinical technique.
Adding SnapshotNIR to your workflow can:
Increase the success rates of CAMPs integration resulting in shorter healing times for patients.
Support the use of the correct size of CAMP reducing product waste and cost of materials.
Provide documentation for the medical necessity of debridement to assist with serial debridement denials and potential clawbacks.
Photographic documentation of wounds at initiation of treatment, and pre- and post-debridement is recommended (1).
SnapshotNIR images may be of particular benefit as an adjunct to written documentation of reasonable and necessary services which require prolonged or repetitive debridement (1).
Are you using CAMPs in your wound care?
Formerly known as skin substitutes and Cellular/Tissue Products (CTPs), CAMPs are Cellular, Acellular, or Matrix-like Products utilized in the management of complex and compromised wounds.
The development of this wide variety of biomaterials, alongside advanced debridement techniques, have been massive steps forward in the management of healing chronic wounds. CAMPs can assist in re-establishing an ideal wound healing environment, particularly in chronic wounds.
How do you know if a CAMP will work for your patient?
According to the International Consensus on best practice for CAMPs, “The success of any CAMP application depends on an appropriate and thorough patient evaluation, treatment of all underlying disorders, adequate wound bed preparation and comprehensive patient and caregiver education.” (2)
Image provided by Erin Buchness, MHL, RN, CHWS, MAPWCA, using SnapshotNIR to evaluate wound bed and peri-wound StO2 on the plantar aspect of the patient’s foot.
To achieve this success, having a streamlined process for your facility and clinicians can improve workflows.
For example:
Complete a patient evaluation and collect objective data of the patient’s baseline status by using SnapshotNIR.
a. SnapshotNIR will show tissue oxygen saturation (StO2), oxyhemoglobin, and deoxyhemoglobin values.
b. Use this data to support clinical decision making and determine if a wound requires further investigations or if it has adequate oxygenation.
Prepare the wound bed
a. With the baseline measure of StO2 from SnapshotNIR, you can support the medical necessity for debridement.
b. Assess the wound bed and peri-wound to gather objective patient data and compare it to the initial baseline to ensure adequate debridement.
c. It is recommended by the International Consensus that all surgical and non-surgical wounds are debrided to manage non-viable tissue, providing the CAMP with the best chance of integration (2).
Apply a CAMP to the wound
a. Using the wound sizing feature and StO2 of the scanned area from SnapshotNIR, you can ensure the right size of CAMP is used and applied, reducing product waste.
b. Follow the International Consensus guidelines for CAMP application (2).
Monitor patient healing trajectory
a. SnapshotNIR can identify angiogenesis after a CAMP application, confirming clinical judgement regarding wound prognosis.
b. Monitor the StO2 and oxy- and deoxy-hemoglobin trends of the wound bed and peri-wound.
c. The process may need to be repeated multiple times during wound healing as most CAMPs are applied more than once.
d. The International Consensus emphasizes the importance of adequate debridement of non-viable tissue before repeat CAMP applications (2).
Images taken with SnapshotNIR provided by Dr. Amy Couch, MD (Wound Care Physician at Mercy Hyperbaric and Wound Care, Missouri) showing a patient with a posterior heel wound that has been debrided and a CAMP applied. The wound bed had an increase of 21% from the pre- to post- debridement and CAMP application.
How does having a streamlined process have a positive economic impact?
The International Consensus is that the proper usage of CAMPs, including adequate debridement for wound bed preparation, can (2):
Decrease the length and cost of treatment
Reduce amputations
Decrease hospital readmissions
Implementing the process above helps to create a standardized process to optimize clinical outcomes that could work for your clinic and patients.
Enhancing the successful utilization of CAMPS will provide improved healing thereby decreasing clinic visits and the pain associated with repetitive debridement procedures, together improving patient satisfaction scores.
References:
Wound Source 2021 Using Wound Photos to Enhance Your Documentation, HMP Global Network; Wound Source Practice Accelerator, 01/31/21. Accessed on July 17, 2024, at https://www.woundsource.com/blog/using-wound-photos-enhance-your-documentation.
Wu S, Carter M, Cole W, Crombie R, Kapp DL, Kim P, Milne C, Molnar J, Niezgoda J, Woo K, Zabel D. Best practice for wound repair and regeneration use of cellular, acellular and matrix-like products (CAMPs). Journal of wound care. 2023 Apr 1;32(Sup4b):S1-31.