As we (finally) see signs of movement from “volume” to “value”-based care, what are some key markers that we should use to determine quality in the high-risk diabetic foot?
- Ulcer-free days: for the patient in diabetic foot remission, this key indicator for the highest risk patient might be helpful.
- Hospital-free days
- Time to Closure: While important, perhaps it is surpassed by 1 and 2
- Time to wound closure surgery: split thickness skin graft, delayed primary closure and rotational/free flaps might be more important here to move people toward “wound simplification”
- Activity profile: perhaps time standing, steps, walking (barefoot/shod) will become increasingly important as our wearables become increasingly ubiquitous.
- Time of / time to independent movement at home (see #5)
There are just a few. Please let us know what you think!