A systemic approach to identifying, managing, and eliminating pressure wounds across the care continuum.
THE FLAW IN THE STANDARD TURNING SCHEDULE
The fundamental flaw in current prevention is fighting an invisible enemy with a blind, two-hour turning schedule. The human eye cannot detect deep tissue ischemia before the skin breaks. By the time an injury is visible, the damage is already staged. We must shift to making the invisible visible through continuous pressure sensing at the bedside, paired with the exact right surface — engineered foam, dynamic air, or advanced immersion — to engineer pressure out of existence.
A blind two-hour turning schedule asks nurses to heave heavy patients without knowing whether interface pressure was actually relieved. Published work found more than 95% of repositioning turns left elevated sacral pressure in place.
The human eye cannot detect deep tissue ischemia before the skin breaks. By the time an injury is visible, the damage is already staged.
Pressure injuries are exposed through two distinct CMS mechanisms. They are frequently confused. They carry different timelines and different consequences.
Rail A
Rail B
Hospital-acquired pressure ulcers feed PSI 03 inside the CMS PSI 90 composite, a HAC Reduction Program measure. This is live today — it does not wait for 2027.
Hospitals in the worst-performing HACRP quartile lose 1% of ALL Medicare fee-for-service payments — not just the case that caused it.
THE MARGIN TOLL
| Metric | Present on Admission (POA) | Hospital-Acquired (HAPI) |
|---|---|---|
| Reimbursement | Acts as a CC/MCC — increases the DRG payout | Excluded from DRG severity assignment — no additional payment |
| Treatment Cost | Funded within the adjusted DRG | $75,000–$150,000 per patient for stage 3, 4, or unstageable |
| Length of Stay | Anticipated and compensated | 57% longer stay and a 22% higher 30-day readmission rate |
| Quality Penalties | No penalty exposure | Feeds PSI 03 inside the CMS PSI 90 composite — a HACRP measure |
YOU CANNOT ELIMINATE WHAT YOU CANNOT SEE
To stop pressure wounds we have to stop guessing. The only true prevention system a hospital has is a nurse. We deploy continuous pressure sensing so the clinician sees exactly where the pressure is — protecting the patient's skin and the clinician's back at the same time.
Monitors deliver data; a procedure delivers outcomes. The system projects a live, color-coded map of interface pressure at the bedside. The procedure ends only when the nurse validates on screen that pressure is actually offloaded.
Clinicians can visualize and document existing risk on admission, securing the 24-hour POA window. The same visibility proves whether a $30,000 specialty bed or a $50 positioning wedge is doing anything at all.
Continuous pressure-sensing interface
Clinical image pending
MATCHING OBJECTIVE PRESSURE DATA TO EXACT PATIENT REQUIREMENTS
Multi-zoned static foam redistributes baseline contact pressure for low-to-moderate risk patients without requiring powered pumps.
Low air loss with alternating pressure for patients requiring moisture management and active cyclic pressure relief.
Fluid immersion simulation recalculates immersion more than 100 times a second to preserve capillary blood flow when manual turning is contraindicated.
THE CLOSED LOOP
Place the WellSense VŪ Pad over standard beds for every at-risk patient. Clinicians get a live visual audit of positioning and medical-device friction — not a checkbox every two hours.
If a patient cannot be turned, or the map stays red despite micro-movements, that is an objective trigger to escalate onto the right surface.
Pressure is intercepted while the epidermis is still intact. Nothing reaches stage 2, so nothing enters the CMS eCQM extraction as a hospital-acquired injury.
Protects the hospital's bottom line by mitigating the $75,000 to $150,000 per-patient treatment cost for severe injuries. Proactively shields the facility's margin from catastrophic CMS quality penalties and the 1% Medicare payment reduction applied to the worst-performing HACRP quartile.
ELIMINATING THE DIAGNOSTIC GAP IN REAL-WORLD SETTINGS
REDUCTION IN PRESSURE INJURY RISK
Johns Hopkins Meta-Analysis.
A meta-analysis of monitoring devices used to support pressure injury prevention found an 88% reduction in the risk of developing a pressure injury.
OF HIGH-RISK SCI VETERANS SPARED
James A. Haley VA Hospital (VISN 8).
Among high-risk spinal cord injury veterans, 90% avoided new pressure injuries after pressure visualization was brought to the bedside.
HAPIs ACROSS 7,014 PATIENT DAYS
Methodist Dallas Medical Center.
Dynamic physiologic skin monitoring eliminated hospital-acquired pressure ulcers over 7,014 patient days, down from 16 the prior year.
Also published: Henry Ford Hospital medical ICU, 94% reduction in pressure ulcer incidence · University of Kansas Burnett Burn Center, 95% reduction (27 injuries down to 1).
ADDED COST PER SCI PRESSURE INJURY
VA data show that the presence of a pressure injury raised healthcare costs by $77,587 per veteran with spinal cord injury — the population where manual turning is most often contraindicated.
PROSPECTIVE RANDOMIZED CONTROLLED TRIAL
In stage III and IV pressure ulcers requiring surgical flap closure, fluid immersion simulation paired with ClimateCare matched air-fluidized therapy — flap failure fell to 16% and complications to 0%.
CONTINUOUS IMMERSION RECALCULATION
The surface recalculates immersion more than 100 times per second to hold capillary blood flow, protecting tissue in patients who cannot be repositioned on schedule.
JEFF GUPTILL
jeff@mountainamericanmedical.comPROCUREMENT
VA FSS Contract 36F79726D0084 · UEI NB8SWKB14RS4
Mountain American Medical Technology | Ryan & Jeff Guptill
