Another is the lack of standardized treatment protocols within HHAs and the wide variance in physician treatment patterns. While many nurses are extremely knowledgeable about wound care, they are often unsuccessful in convincing physicians to order less frequent dressing changes or other potential cost-reducing approaches. While many nurses are extremely knowledgeable about wound care, they are often unsuccessful in convincing physicians to order less frequent dressing changes or other potential cost-reducing approaches. However, there are viable solutions. Agencies must standardize product usage and lower costs almost simultaneously.
Standardization happens with clearly identified treatment protocols for specific patients.
It also occurs when clinicians select from a product formulary. However, wise agency personnel will go beyond simply limiting product selection and conduct a needs analysis that identifies its wound care population and the specific needs of these patients. Only then will the formulary be patient-focused with emphasis on outcomes, rather than being solely product driven. Lastly, HHAs can lower costs with smart negotiation tactics and purchasing decisions. Shop carefully for a supplier who understands your needs, can offer best prices obtained from the manufacturer, and provide the patient appropriate supplies after discharge.