This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Pasternak, N. S. Articles by Hensley, B. J. Search for Related Content Social Bookmarking                         What's this?

From Chaos to Consistency: The Implementation of Wound Treatment TIERS in Home Care

Lou Ann L. Rau, RN, BSN

Brenda J. Hensley, RN, MSN, ET

The advent of the Prospective Payment System challenged Johns Hopkins Home Care Group (JHHCG) to develop a more effective way to care for patients with wounds while creating quality patient outcomes. A work group was organized to standardize the wound care procedures and products throughout the agency. This group facilitated the development of wound care pathways and TIERS. The pathway outlines the content for each skilled visit, and the TIERS produced initial dressing recommendations and suggested dressing change frequency based on wound condition. Although the TIERS were developed for pressure ulcers, venous status ulcers, and surgical wounds, only the surgical pathways and TIERS are discussed in detail in this article. Extensive inservice education was provided to all clinical staff members in conjunction with the implementation of this innovative approach to wound care. The development of the wound TEIRS and pathways has dramatically changed JHHCG's traditional approach to wound care.

Key Words: wound care • pathways • TIERS • home care • PPS

Home Health Care Management & Practice, Vol. 15, No. 4, 314-324 (2003)
DOI: 10.1177/1084822303015004007


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				L. M. Garner Wound Care, Prospective Payment System, and the Wound Ostomy Continence Nurse Home Health Care Management Practice, June 1, 2003; 15(4): 325 - 329. [Abstract] [PDF]