Studies and Publications

The Alliance supports research and studies to forward wound care and demonstrate its value.

Highlights include:

The rapidly evolving COVID-19 pandemic has hospitals and acute care facilities changing standard operating procedures to prepare for the expected influx of infected patients. As a result, wound care services, procedures and surgeries are undergoing considerable change. The Alliance is staying on top of these issues and responding when wound care is threatened. In addition, we will keep you up-to-date on new policies, challenges and opportunities for our community.

Position statement:

Wound Care is an Essential, Not Elective, Service that Prevents Hospital Admissions and ED Visits Among a Fragile Cohort of Patients at High-Risk of COVID-19
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Resources for wound care clinics and providers:

As practitioners across all medical specialties seek options to manage patients following CMS recommendations to halt all non-essential medical and surgical procedures, the Agency is relaxing restrictions around telemedicine and reducing “red tape” that can hinder patient care. Below are resources to understand how these policy modifications can be applied to wound care.


CMS has expanded access to telehealth services, waiving telemedicine restrictions for Medicare beneficiaries. CMS will now reimburse telehealth visits at the same fee-or-service rate as regular, face-to-face evaluation and management (E/M) visits. Additionally, the government will not impose penalties on physicians who use everyday communications technologies such as FaceTime or Skype that are noncompliant with HIPAA during the nationwide pandemic. We have gathered the following resources for our members to use.

CMS Quality Payment Programs

CMS is implementing policy exceptions and extensions for upcoming quality measure reporting and data submission deadlines to “get red tape out of the way” and enable providers and health systems to focus on COVID-19 response.

Three wound care quality measures developed by the Alliance of Wound Care Stakeholders and the US Wound Registry (USWR) are now included on Centers of Medicare and Medicaid Services’ (CMS) Physician Compare website, following a summertime content update that expanded quality performance data on the site. The USWR quality measures selected for Physician Compare reporting are:

  1. “Adequate off-loading of diabetic foot ulcer at each treatment visit.”
  2. “Adequate compression of venous leg ulcers at each treatment visit.”
  3. “Vascular assessment of patients with chronic leg ulcers.”


A new study, “An Economic Evaluation of the Impact, Cost, and Medicare Policy Implications of Chronic Nonhealing Wounds,” published in the International Society For Pharmacoeconomics and Outcomes Research’s Value in Health journal (Jan. 2018) demonstrates the economic impact and full burden of chronic nonhealing wounds in the Medicare population. The study analyzed the Medicare 5% Limited Data Set for CY2014 to determine the cost of chronic wound care for Medicare beneficiaries in aggregate, by wound type, and by setting. Topline findings show that chronic wounds impact nearly 15% of Medicare beneficiaries (8.2 million) at an annual cost to Medicare conservatively estimated at $28.1 to $31.7 billion. Key findings:

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The Alliance led a panel discussion "Harnessing Big Data for Wound Healing Research: Which is More Relevant in the Quest for Evidence - Patient Centered Outcomes or Randomized Trials?" at the 2016 International Society for Pharmacoeconomics and Outcomes Research (ISPOR) meeting in Washington D.C. Panelists included Marcia Nusgart (moderator), Dr. Caroline Fife, Dr. Marissa Carter and AHRQ's Dr. Elise Berliner.
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See the Value of Wound Care research page for insights on innovative trends in  wound care research today,
The Alliance recognized the need to craft a white paper on criteria for conducting methodologically sound randomized controlled clinical trials (RCTs) as well as address the importance and relative strength of non-RCT research in the wound care field. In 2010, the assembled a team of prominent, respected wound care researchers to address this task. The team was called the Panel On Wound Care Evidence Based Research (POWER™) and its ensuing paper, “Consensus Principles for Wound Care Research Obtained Using a Delphi Processwas published in the 2012 May/June edition of Wound Repair and Regeneration.  The paper established a series of principles for all stakeholders involved in clinical or comparative effectiveness research in wound healing.

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