Implications of Pressure Ulcers and Its Relation to Federal Tag 314

The development of pressure ulcers remains a significant health problem in long-term care facilities (LTCFs). The national prevalence rate for pressure ulcers in long-term care is approximately 8.9% according to a federal report from the Centers for Medicare & Medicaid Services (CMS).1 Data from the National Pressure Ulcer Advisory Panel have noted the incidence of pressure ulcers in LTCFs to range from 2.2% to 23.9%.2 To address this health problem, CMS established the reduction of pressure ulcers as one of its goals for the Government Performance and Results Act (GPRA) in nursing homes.3 Moreover, CMS has mandated that each state Quality Improvement Organization address pressure ulcers in long-term care. Thus, it’s evident that CMS believes that the current rates of pressure ulcers in long-term care can be reduced. Through its regulations, CMS has a significant effect on the standards for pressure ulcer care in long-term care facilities. Any nursing facility that accepts either Medicare or Medicaid reimbursement must comply with CMS regulations. To this end, LTCFs must comply with the federal guidelines for the treatment of pressure ulcers, or they may be subjected to financial penalties or risk having their money withheld, essentially closing the facility. By understanding the revised regulation related to pressure ulcer care, facilities can decrease their exposure to financial penalties.