I’d Rather Switch Than Fight—Thoughts on Moving into Private Practice Wound Management

Stephen “Andy” Rohrer, MSN, RN, APRN, AGACNP-BC, FNP-BC, CWS

 

Seemingly at the mercy of “the C-suite,” many of us have come to loathe hearing the sound of “important shoes” walking down the hall, which means an administrator is lurking. Indeed, profitability and viability have always been elusive to this group of individuals. Historically, they have defined the value of the wound center in terms of the volume of hyperbaric oxygen therapy (HBOT) treatments but HBOT services are at a 14-year low, based on Medicare claims data. Referrals to radiology, laboratory, surgery, cardiology, vascular medicine, durable medical equipment, and infusion services are always missing on monthly reports. Many of us fairly look on with resentment as those departments benefit from the fruits of our labor. Their productivity is always on the winning side while the needs of our specialty go ignored … read more