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August 6, 2025 19 mins

Specialized wound care has emerged as both a clinical necessity and financial opportunity for rural hospitals struggling with staffing shortages and patient retention. This eye-opening conversation with Joe Eberwein of Corstrata reveals how virtual wound care models are transforming outcomes for facilities that often "hold their breath" when admitting complex wound patients.

Rural hospitals face a perfect storm of challenges: limited access to wound specialists, knowledge gaps in evidence-based treatments, and alarming out-migration patterns. The data paints a stark picture - only 45% of wound-related ER patients stay local compared to 65-70% for other conditions. Without specialized expertise, these facilities experience longer lengths of stay, more complications, and potential pressure injuries, creating a cascade of negative clinical and financial outcomes.

Ready to explore how virtual wound care could transform outcomes at your facility? Visit corstrata.com to learn more about implementing specialized wound care services in your rural setting, or watch the full webinar at shplc.com/webinars.

Virtual wound care models offer rural hospitals a clinically urgent and financially strategic solution to address specialized care gaps while improving patient outcomes and retaining revenue within communities.

• Rural hospitals often "hold their breath" when admitting wound patients due to lack of specialized expertise
• Without wound care specialists, hospitals experience longer lengths of stay, complications, and higher readmission rates 
• Only 45% of wound-related ER patients remain at rural facilities vs. 65-70% for other conditions
• Virtual wound care provides on-demand access to board-certified specialists through telemedicine
• Case study: Alaska hospital avoided medevacking a patient 500 miles away, retaining $2000/day in revenue
• Typical rural hospitals could gain $400,000-$500,000 in net revenue by implementing virtual wound care
• Benefits include improved documentation, legal defensibility, survey readiness, and quality metrics
• No capital investment required as system integrates with existing telemedicine equipment
• Patients and families avoid emotional and financial burden of transfers to distant facilities

For more information on implementing virtual wound care in rural settings, visit corstrata.com or watch the full webinar at shplc.com/webinars.

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Episode Transcript

Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
Welcome to Beyond the Stethoscope, Vital
Conversations with SHP, wherewe're breaking down insights
from a recent webinar hosted byCorstrada and Strategic
Healthcare Partners.
Today we're focusing on a topicthat's both clinically urgent
and financially strategic forrural hospitals, and that's
specifically wound care and howvirtual models can change the
game.
Joe Eberwein returns to themicrophone to help fill in some

(00:23):
additional details since thewebinar that we hosted a few
weeks ago.
Speaking of the webinar, whileyou can enjoy this Q&A without
having heard it, we willreference some things from the
webinar directly, so head to ourwebsite to watch the full
webinar at shpcom slash webinars.
Welcome back to the podcast,Joe.
We're glad that you were ableto join Jason and I today.

Speaker 2 (00:46):
Great to be with you today and looking forward to the
conversation.

Speaker 3 (00:50):
Absolutely, joe.
Yeah, appreciate the time andthat was a great webinar, which,
for folks that go on ourpodcast archive page, it was
June of this year, 2025.
We're recording this a monthlater, joe, why don't you catch
us up Anything worthy in thislast month that may impact some
of the listeners?

Speaker 2 (01:10):
Yeah, it's been a busy month and I think there are
a number of new developments inthe rural health space,
particularly around the passingof the OBBA, or the Big
Beautiful Bill, which does havesignificant impact to rural
health from the standpoint ofMedicaid cuts and programmatic

(01:33):
changes in Medicaid related to anumber of different things
eligibility, ongoing eligibilityand, interestingly,
simultaneously, the provisionfor a $50 billion rural health
fund which rural systems can tapinto.

(01:55):
So some consider it to be goodnews, some consider it to be
challenges with respect toMedicaid reimbursement.
So we'll see how it all shakesout.
But what's really interestingis and this came out of the
webinar that we did with SHPthere are opportunities for

(02:15):
expanding service lines withinrural communities related to
wound and ostomy care.

Speaker 3 (02:21):
So super excited to talk about that as well wound
and ostomy care, so superexcited to talk about that as
well.
Yeah, you and Mike and, forthose that aren't aware, Mike
Scribner, our principal, is whoconducted the webinar in tandem
with Joe you guys did a greatjob defending on clinical care
gaps and then the financialburden out, migration patterns,
things of the like and youmentioned as we go back and

(02:41):
recap the webinar I recallduring that time you mentioned a
lot of the challenges that therural hospitals face, in
particular staff shortages,wound care, specialist shortages
and the negative impact thathas on evidence-based medicine
and other clinical care gaps.
Given all that perfect stormand the impact that has, how do

(03:03):
those clinical care gaps impactthese rural hospitals
financially?

Speaker 2 (03:09):
Yes, great question.
And what we hear from ourcustomers is, you know, to put
it quite candidly, they holdtheir breath when they admit a
wound patient because they don'thave the internal expertise to
really manage that careeffectively.
They're not always utilizingthe latest evidence-based, you

(03:32):
know, advanced wound dressings,for instance, and so they do the
best they can.
That often leads tocomplications with the wound,
longer length of stay, sometimesdevelopment of pressure
injuries, which are, you know, anegative impact on quality
metrics, and then just reallythe potential readmissions.

(03:57):
But I would say probably thelength of stay is the biggest
issue that we hear.

Speaker 3 (04:04):
Fantastic.
And then during that time youand Mike also hit on sort of the
service line cascading impactthat such things can have, right
.
So out-migration patterns andwhy those come about or the
perception that a hospital mayhave because of such things,
touch on that, if you will, fromwhat you've seen or what you

(04:27):
spoke of during the webinar, interms of those gaps and the
negative out-migration you knowpatterns and such that you guys
spoke of.

Speaker 2 (04:35):
Yeah so Mike did a really good job and I think the
webinar is really worth tuninginto.
Related to some of the dataaround out migration, I think
everyone was kind of surprisedwhen we dug into the data, just
the number of cases that wereleaving the rural community, and
we all know that once a patientstarts receiving care outside

(04:58):
of the community it's reallydifficult to get them back.
So out migration migration is abig, a big issue and a lot, of,
a lot of non retention, evenfrom the ED.
That was one stat that Mikementioned.
That was was pretty compellingas well.
You know, what we're seeing isthat the nurse at the bedside

(05:22):
typically is not experienced inwound care.
So if there is a complex wound,whether that be a lower
extremity ulcer or pressureulcer or diuretic foot ulcer,
they're typically not extremelyknowledgeable about caring for
those, and so it does cause fora lot more dress-up changes.

(05:44):
Really, as you said, kind of acascading effect to not only
clinical quality outcomes butalso the financial outcomes of
just having to manage a patientthat they're really not equipped
to manage.
And that's where Courseratacomes in.
We can rather than being a newhire, if you will, for a

(06:06):
resource that they typicallycannot find anyway in rural,
which is wound ostomy nurses.
We can be a consume as neededand more of a variable cost, but
with high clinical andfinancial outcomes.

Speaker 1 (06:23):
So go into maybe some more detail about that.
How does Core Strata help closethat gap?
What does that model actuallylook like in practice?

Speaker 2 (06:33):
Right.
So imagine that a patient isadmitted and that patient does
have a complex chronic wound.
Currently the facility isadmitting the patient doing a
wound.
Certified nurse wasparticipating in that skin

(07:01):
integrity assessment,identifying potential pressure
injuries on admission, lookingfor other issues with skin
integrity or potential woundsreally a comprehensive
assessment but then also reallylooking at what is the best care
plan for that patient and whatis going to optimize clinical

(07:25):
outcomes while really trying toreduce length of stay or
optimize length of stay for thatpatient.
So it's all virtual.
It is a true telemedicine visitwith one of our board-certified
nurses and whoever isadministering care at the
bedside in the rural facility.
Did that kind of paint thepicture, aaron?

Speaker 1 (07:47):
Yeah, very useful.
So you're not having to staffup for something that you might
never really see a whole lot of,but when you do see them, it
costs you a lot of money.
So it sounds like it fills in.
Yeah, that's great see them.

Speaker 2 (07:58):
It costs you a lot of money so that it sounds like it
fills in.
Yeah that's great.
Yeah, you hit the nail on thehead.
And really some of ourcustomers they may have maybe
five wound patients a month.
Some months they may have 10,some they have five.
Well, they don't have to try toworry about the staffing of
that kind of the fluctuation andcensus.

Speaker 3 (08:18):
They just call on us as they need you mentioned too,
joe, during the webinar, or youand mike, did you got into the
numbers?
Maybe we can just kind of closeon this point.
Uh, you had a case in alaska,for example, or hospital alaska,
I'm sorry where being able tomanage those patients locally
versus the transfer of costs.

(08:38):
And then you guys talked about,of course, the retention rates
within your community and thepotential net revenue impact I
want to say was close to half amillion dollars on kind of a
typical rural hospital point.
Elaborate further on how thatis.
It's the particular alaskahospital and those retention

(08:59):
numbers a little bit right.

Speaker 2 (09:01):
So we do work in all 50 states and one pretty
dramatic case in alaska was apatient with a pressure injury.
The hospital was looking forresources.
They did not have internalresources that really could
manage this complex wound.
They were consideringmedevacking that patient 500

(09:24):
miles to the next higher acuityhospital.
But they reached out to us andour nurse did an assessment, was
able to come up with with atreatment plan that they felt
comfortable with administeringin the facility and they were
able to keep that patient.
So it was about almost $2,000 aday in revenue retention, but

(09:47):
also that patient remained inthe community.
It's a critical access hospitalso we helped transition to a
swing bed and really helpedmaximize that patient's clinical
and financial outcomes.
Again, somewhat of a dramaticcase, but we hear it all the
time across the country.

Speaker 3 (10:09):
No, but you had a good point, as you and Mike
talked about, with theout-migration patterns, I
believe, in particular for woundcare was a lot less of a
retention rate than many othermedical conditions as far as
retaining those patients withinthe county versus the
out-migration to other areas,and as well as that potential

(10:34):
net gain even though it's lowvolume to your point, the low
cost equaling that $400,000 or$500,000 net revenue impact of
retaining such a patient loadwas a lot more eye-catching than
I think even we anticipated.

Speaker 2 (10:52):
I agree, there's elaborate data points.

Speaker 3 (10:55):
I think that you and Mike discussed on that bottom
line just from the out-migrationpatterns, if nothing else, and
you know I think we talkedthrough too as well the sort of
startup pro forma, if you will,that many CFOs if you're
listening have to go through.
Well, there isn't the upfrontcapital cost to Joe's point,
there is the net revenue,potential retainment that you're

(11:17):
losing, so kind of a win-win,even if you think there's a low
volume service such as this.
With all that said, joe, anywrap-up points around how you
and Mike sort of painted thewhole picture from both the
clinical and financial sidebehind such a service.

Speaker 2 (11:32):
Yeah, I totally agree with you that the data was much
more compelling than we eventhought it could be.
You know, I think you mentionedthe whole ER out migration and
the data indicated that onlyabout 45% of patients with
WUD-related ER visits wereretained, compared to 65, 65 to

(11:55):
70% for other conditions.
And then when you add in theloss follow up care, you know it
was a significant exposure butalso a significant opportunity
and the return on investment.
As you mentioned, it's almostno capital investment to engage
with Core Strata because we havea very streamlined workflow.

(12:18):
We tap into whatever equipmentthe facility is currently using
for telemedicine ordocumentation, and so really the
true cost is just that variablecomponent on having access to a
board-certified woundspecialist seven days a week.

Speaker 1 (12:39):
And I have to imagine more than just the financial
benefit to an organization.
There has to be patientsatisfaction increased too,
because they're not having totransfer or their wound actually
starts to heal, you know, andoverall better patient outcomes.
So I think there's definitely anon-fiduciary benefit to this

(13:00):
kind of service.

Speaker 2 (13:02):
It's a great point, aaron, and so a couple of points
on that.
I think just the standpoint ofthe patient and family being
able to remain in the community.
I mean in that one Alaskaexample that patient's family
was gonna have to travel 500miles to be with that patient,
that's just almost criminal.

(13:22):
But then also just theprotection of the hospital as
far as documentation, legaldefensibility, survey, readiness
, quality metrics, all of thoseplay into it as well.
That are maybe less, you know,financial metrics but certainly

(13:44):
much higher quality metrics.

Speaker 1 (13:47):
That's great, joe.
I know we're coming right up ontime.
Thank you so much for joiningus yet again behind our
microphones here, and thank youfor helping with that webinar a
few weeks ago.
I do want to remind ourlisteners the webinar is
available on our website,shplccom slash webinars, and you

(14:09):
can watch the full webinar.
There's some great slides.
Mike and Joe spent close to anhour breaking it down.
So, joe, thank you for joiningus.

Speaker 2 (14:21):
Thank you so much, aaron.
You know I think Mike and I areboth somewhat data geeks and I
think we would love to reallyexplore with persons listening
whether there may be someopportunities to explore
expansion of wound care programsin the rural setting.

Speaker 1 (14:42):
If someone wanted to reach out to you, joe, how would
they do that?

Speaker 2 (14:46):
Sure.
So Corsstradacom is easy toremember the website and has a
lot of information.
We've recently done a lot ofinformation.
We've recently done a lot ofblog posts on how to really
maximize wound care in the ruralsetting, and there's a lot of
ways to get in touch through ourwebsite, corseradacom.

Speaker 1 (15:08):
Corseradacom.
Okay, we'll also have a link inour show notes for those that
are interested in learning more.
And with that, jason, you wantto land this plane.

Speaker 3 (15:18):
Yeah, thanks again everybody for listening to us
and for Joe for taking the timeagain to webinar now.
Recap of the webinar.
Appreciate the time and listenout for us next time as we recap
and preview future events.
With that.
Hope everybody have a wonderfulday.
Future events With that.

Speaker 1 (15:32):
I hope everybody have a wonderful day, and that's it
for this episode of Beyond theStethoscope Vital Conversations
with SHP.
I'm Aaron Henry.

Speaker 3 (15:42):
I'm Jason Crosby, still talking to the mic as if
it was my full-time job.

Speaker 1 (15:51):
This podcast is a production of Strategic
Healthcare Partners, wherehealthcare meets data and still
somehow ends up in a podcast.
Our executive producers areMike.

Speaker 3 (15:56):
Skrimner and John Crew, who keep this train on the
tracks even when Aaron and Itry to derail it.

Speaker 1 (16:01):
We're doing our best.
Speaking of doing our best, oureditor, nyla Weave, deserves an
award for turning our verbalchaos into something somewhat
coherent Kudos for sure.

Speaker 3 (16:13):
Let's also give a shout out to our social media.
It's handled by Jeremy Millerat boost by design, so if you
liked it, give him some applause.
If not, let's blame Aaron.

Speaker 1 (16:21):
It wouldn't be the first time our transcription is
by a robot, but it's beenlightly massaged into readable
English by your two hosts, oh,for whom are supposedly human
debatable and if you really likethe transcription, dig through
our podcast archive or check outour services at shplccom slash
podcast.

Speaker 3 (16:40):
Go ahead, click around, have some fun while
you're at it.
We'll wait for you.

Speaker 1 (16:44):
And also come find us on social media.
We're on Facebook and LinkedIn.
You can send us a question,leave a comment, troll us a
little bit or, more importantly,tell Jason that his dad jokes
need some work.
That one stings a little bit.

Speaker 3 (16:58):
Thanks for hanging with us everybody.
We'll be back soon in yourfeeds.

Speaker 1 (17:02):
Assuming no one pulls the plug, or trips over it, for
that matter.
But until then, stay curious,stay healthy and keep asking the
vital questions, maybe stayhydrated.

Speaker 3 (17:13):
Just a thought.
Bye y'all.

Speaker 1 (17:20):
So, Jason, I just got a text message here.
My friend's bakery just burneddown.

Speaker 3 (17:26):
Oh man.

Speaker 1 (17:27):
Yeah, his business is toast oh.

Speaker 3 (17:31):
Ha, ha, ha oh.
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