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PAWSIC
Post-Acute Wound & Skin Integrity Council
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Issue No. 05 • May 2026
We Are PAWSIC
A call to reflect, and to act • Together, we are better
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From the President's Desk
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We Are PAWSIC: A Call to Reflect, and to Act
Jeanine Maguire, PhD, MPT, CWS • Founding President
Dear PAWSIC Family,
Every so often, it is worth pausing, not to catch our breath, but to look up. To truly see what we have built together. This is that moment.
PAWSIC is not a place, a logo, or a membership number. PAWSIC is each of you. And right now, every one of you is part of something that is quietly becoming extraordinary.
We moved to a free membership model because we believe cost should never stand between a professional and the knowledge they need. With a premium tier of just $12.50 per month, we have kept the lights on, and look what has happened since. In only five months, we are approaching nearly double our 2025 membership. Not a small increment. Not modest growth. We are multiplying.
And the growth is not just in numbers. It is in depth, in reach, in the courage to try new things.
What We Have Built Together
📱
Digital Media Committee
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University Partnerships
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"Healing By Design" Podcast
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Add to that: a front-cover feature in WoundSource (in print, in your hands, free), stellar presentations at WoundCON, SAWC, RISE Phila, APPACN, and the WCET-NSWOCC Joint Conference (Canada), a transformed exhibit hall presence shaped by our member volunteers, a fully redesigned website with our very first MERCH page, seamless electronic voting by Shayne, an expanded Advisory Board, and ROOT, a fully donated internal digital platform guided by Dahlia, Marylee, and Jen, increasing transparency and collaboration across every layer of our organization. Special thanks to ROOT owners Ryan Wallace and Edward Maguire.
What is Immediately Ahead
Jen, Therese, and Max are launching our podcast, Healing By Design. Dahlia is launching our chat forums. Partnerships that align with our mission and advance our vision continue to grow. The pace of meaningful change is not slowing, it is building.
How is all of this happening, driven almost entirely by volunteers? I have asked myself that question. I keep arriving at the same answer: we have the right people, at the right time, around the right cause.
Every person I know in this organization is purpose-driven. You do not show up for a title or a line on a resume. You show up because this work fills something in you, because you know that you are building something that matters. Something that will outlast any single conference, any single year, any single role. The PAWSIC legacy is yours. You are writing it right now.
"Thank you, from the bottom of my heart. Together, we truly are better. And we are doing it."
Your Call to Action
Share your "Why PAWSIC." Post on LinkedIn, Facebook, Instagram, TikTok, wherever your voice lives. Post from home, at a conference, in a classroom. Tell the world why this work matters to you. There are no wrong answers. There is only your truth.
Use the theme #WhyPAWSIC. Tag PAWSIC. Tag Dahlia. Tag Jeanine. Let us flood every feed with our collective "why."
With deep gratitude and awe,
Jeanine Maguire, PhD, MPT, CWS
President, Post-Acute Wound & Skin Integrity Council
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🤝
Now Forming
The Consultant SIG
Visibility • Sustainability • Community
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Cultivating a Collaborative Network for Post-Acute Consultants
The Consultant SIG will cultivate a collaborative support network that elevates the operational success and clinical impact of post-acute skin health consultants. Through structured professional development, peer troubleshooting, and a defined directory of expertise, the SIG will empower consultants to:
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Improve business sustainability
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Drive systemic improvements in wound and skin care
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Empower success through community
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This initiative aligns with PAWSIC's broader mission of advancing wound care and skin health in the post-acute space.
Meet the Co-Chairs
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Dr. Julie Britton, DNP
Co-Chair, Consultant SIG
Brings over 35 years of expertise to the post-acute and long-term care sectors as a board-certified Gerontological Clinical Nurse Specialist. Currently serving as the Chief Clinical Officer designate at Prestige Healthcare Management, she holds influential leadership roles including Chair of the Nurse Executive Council and member of the AHCA Regulatory and Survey Committee.
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Therese Laub
Co-Chair, Consultant SIG
Has dedicated nearly 30 years of expertise to elevating wound care delivery throughout the post-acute sector. Through her work with Cicerone Consultants, she assists providers, agencies, and organizations in bridging the gap between clinical best practices, regulatory compliance, and real-world workflows. A seasoned specialist in clinical operations, she focuses on translating complex standards into sustainable, bedside-focused care.
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Jeanine Maguire serves as the executive team liaison.
2026 Initiatives
"PAWSIC is currently assembling a visionary founding core to ensure a high-impact launch for this essential initiative. Once this leadership team is finalized, we will establish a strategic roadmap focused on member value. This includes implementing a rigorous vetting process for our new consultant directory and launching monthly community meet-ups that pair networking with expert-led training."
"We are both so excited to build this collaborative space where mission-driven consultants can share expertise, elevate standards, support each other's journey, and ultimately, strengthen their impact."
Julie Britton, DNP and Therese Laub, Co-Chairs
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★ Patient Voice Advocate
Dr. McKenzie
Consultant SIG Founding Member • Author
Dr. McKenzie is volunteering her time as one of the founders for the Consultant SIG. A long-time advocate for the patient voice, she has just published her book, Wound Care for the Caregiver.
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Why PAWSIC
"Wound care is my passion. I joined PAWSIC to be a part of a wound care community that includes everyone from clinicians and patients to educators and industry professionals. PAWSIC is a strong voice in the field; I want to be a part of that voice and contribute where I can."
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Elevating Our Impact
Patient Voice at SAWC • A growing presence at APPACN
Our recent conference season has been a testament to the power of collaboration. The momentum we built at APPACN and SAWC was not just about showing up; it was about a collective effort to refine our message and professionalize our outreach.
Learning and Evolving
At APPACN, Karen Kennedy and Isaac Zralii led a deep-dive evaluation and debrief. By taking a hard look at what resonated and where we could improve, they provided the blueprint that allowed us to significantly raise our presence by the time we reached SAWC. This feedback loop is now being codified into our new Digital Media Conference Kit, ensuring that every PAWSIC presence is backed by data-driven strategies.
Expert Insights at SAWC
The energy at SAWC was bolstered not only by the incredible turnout of our members but also by the specialized expertise of Max Bierhup and Sarah Check. Their professional backgrounds in digital media provided us with invaluable feedback on how to better engage our audience in a digital-first world.
The Road Ahead
Building on these successes, we are working with Dahlia and our newly formed Digital Media Committee to standardize these wins. We are developing a professional checklist designed to empower any PAWSIC member. Whether you are at a local workshop or a global summit, you will have the tools and guidance to represent our mission with excellence.
📢 Shape Our 2026 Calendar
Where should PAWSIC be next? Local gathering, national convention, or global symposium, we want to hear your ideas. Email [email protected].
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★ New This Month
Skin Failure Resources: Annotated Bibliography and Commentary
International interest is growing in our Skin Failure advocacy work. As we continue forward, we are adding additional resources to our Skin Failure page. Introducing the new Annotated Bibliography and Commentary by John La Puma, MD, alongside the growing library of content, the Clinical Assessment Guide, and presentations.
Download →
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PAWSIC's Assessment-Action Blueprint aligns precisely with the RISE endowment's mission to measurably improve clinical outcomes in Pennsylvania long-term care facilities, and it gives participating facilities an evidence-based framework they can actually put into practice.
Dr. Nicole Osevala
Chief, Division of Geriatric Medicine Penn State University College of Medicine
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With more than a decade of helping clinicians manage chronic and other hard-to-heal wounds, MIMEDX has been dedicated to advancing wound care, burn, and surgical recovery across healthcare settings.
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MIMEDX supports clinicians across sites of care with a broad range of services, including reimbursement and coverage guidance, product access, education, patient information, and clinical application support.
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Learn more about MIMEDX →
We thank MIMEDX for their support of our mission to advance wound care and skin health across the continuum.
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RISE: A Statewide Partnership in Pennsylvania
Penn State College of Medicine • Harry Albertman Endowment • Healiant
PAWSIC is collaborating with the Penn State College of Medicine Division of Geriatric Medicine, sponsored through the division's Harry Albertman Endowment, and Healiant, a certified continuing education provider, to bring PAWSIC's Assessment-Action Blueprint for Transforming Post-Acute Wound Prevention and Care to nursing homes across Pennsylvania. This collaboration represents a significant step forward in PAWSIC's mission to elevate clinical standards in wound care and skin health, and to support the clinicians who deliver that care every day.
Through this collaboration, participating facilities gain free access during a sponsored timeframe to a structured, quality improvement curriculum developed and delivered by PAWSIC wound experts. The program combines facility self-assessment tools, a systems approach to quality improvement, and evidence-based team strategies for the best patient-centered outcomes.
Learn More →
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🏭 PAWSIC Online Store
Cool Gear for a Great Cause
Represent our community with official PAWSIC merchandise. Proceeds from every purchase act as a donation to support our ongoing advocacy and education efforts. Our gear makes the perfect gift for staff and colleagues who demonstrate clinical excellence in wound care and skin health.
Shop the Store →
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Regulatory Roundup
April through early May 2026 • Federal action you need to know
April through early May brought a flurry of federal action: final rules, major proposals, and budget blueprints that carry significance for wound care and skin health providers.
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Skin Substitute Reimbursement Overhaul: Full Impact Now Being Felt
The CY2026 Physician Fee Schedule reform, effective January 1, reclassified most CTPs to a flat incident-to supply rate of approximately $127/cm², cutting estimated Medicare spending on skin substitutes by nearly $19.6 billion (roughly 90 percent). The spring reality: mobile wound providers are exiting the market, physician-office CTP use has dropped sharply, and patients are migrating to hospital-based outpatient wound centers. Volume is coming your way; make sure your formulary governance, acquisition cost alignment, and care pathways are ready.
On compliance: CMS's Fraud Defense Operations Center stopped nearly $185 million in improper skin substitute payments in 2025. Wound care is a declared enforcement priority. If you bill Medicare for CTPs or advanced wound therapies, assume your utilization is under review. Documentation of medical necessity must be specific and contemporaneous.
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OASIS-E2 Is Live (April 1, 2026)
CMS retired the legacy iQIES data entry system for home health assessments dated April 1 and beyond, replacing it with OASIS-E2. The April 2026 HHQRP quarterly data refresh is now live, and the revised HHCAHPS survey began sampling this month.
Wound care impact: Many home health patients present with chronic wounds. OASIS-E2 updates coding conventions and submission formats; errors in wound-related items affect quality scores, star ratings, and VBP reimbursement. If your HHA partners have not updated workflows and training, they are already behind.
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Prior Authorization for Drugs: Proposed Rule (April 10, 2026)
CMS released CMS-0062-P, extending electronic prior authorization requirements to prescription drugs across Medicare Advantage, Medicaid, CHIP, and ACA plans. Key proposals: urgent PA decisions within 24 hours, standard within 72 hours, mandatory FHIR-based electronic PA workflows, and public reporting of approval and denial rates. Comments due June 15, 2026.
Wound care impact: Wound patients with diabetes, vascular disease, and immunosuppression frequently face PA delays for systemic antibiotics, biologics, and adjunctive agents. If finalized, this rule would meaningfully reduce that burden. Consider submitting comments with real-world examples of PA delays affecting wound-related drug access.
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RAPID Coverage Pathway for Breakthrough Devices (April 23, 2026)
CMS and FDA announced the RAPID Coverage Pathway to accelerate Medicare coverage for FDA Breakthrough-designated medical devices, targeting the multi-year gap between FDA clearance and Medicare payment that has stalled innovation access.
Wound care impact: Historically, items have waited years for coverage decisions. RAPID could shorten that runway significantly for evidence-backed technologies. Programs engaged in device trials or early adoption should monitor this pathway closely.
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Medicaid Provider Tax Loophole Closed (Effective April 3, 2026)
A final rule now bars states from imposing higher tax rates on Medicaid MCOs than on non-Medicaid business, eliminating a financing mechanism that generated more than $24 billion annually in federal Medicaid matching funds for states. Phase-out timelines run through state FY2027 to FY2028 depending on waiver age.
Wound care impact: Programs with high Medicaid populations face downstream risk. As states lose financing flexibility, coverage tightening and managed care rate pressure are likely. Model your Medicaid exposure now and engage payers proactively.
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This piece is for informational purposes only and does not constitute legal, compliance, or billing advice.
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Booth 716 • Sheraton Dallas
2026 NADONA National Conference
Join PAWSIC at the 2026 NADONA National Conference at the Sheraton Dallas Hotel. Visit us at Booth 716 and connect with directors of nursing and post-acute care leaders from across the country.
Jeanine Maguire, PAWSIC President, will present "The 10-Step Framework to Mitigate Risk of Wounds and Improve Outcomes."
Learn More →
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July 10, 2026 • PAWSIC Partner Event
Summer WoundCON 2026 Lineup Highlights
WoundCON is a PAWSIC partner, featuring a lineup of PAWSIC speakers and a dedicated PAWSIC-WoundCON track. Mark your calendars for this full day of clinical education.
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PAWSIC-WoundCON
The Good, The Bad, and The Runny: Unpacking the Science of Wound Exudate, with Dr. Ira Herman, PhD
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PAWSIC-WoundCON
Into the Fold: Microclimates, Friction, and Pannus Management, with Frank Aviles, PT, CWS, FACCWS, PAWSIC Partner from the Frank & Lizzie Show
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WoundCON
Complex Wounds, Controlled Outcomes: Practice Strategies for Fistula Management, with Angel Sutton, RN, MSN/ED, CWCN, PAWSIC Education Committee Co-Chair
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PAWSIC-WoundCON
Clean Sweep: Advancing Healing Through Wound Hygiene, with Wendy Hooker, BSN, RN, CWS
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WoundCON
Debridement Done Right: A Multidisciplinary Panel on Techniques, Timing and Clinical Decision Making, with Stephanie Woelffel, PT, DPT, CWS (PAWSIC Board), Karen Bauer, DNP, CWS, FAAAWC, and Dr. Jonathan Johnson, MD, MBA, CWSP, FAPWCA
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PAWSIC-WoundCON
Matchmaker, Matchmaker: Pairing Exudate Volume to Dressing Selection, with Therese Laub, LPN, CWS, FACCWS, PAWSIC Consultant SIG Co-Chair
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WoundCON
Bridging the Gap: Strengthening Ostomy Management in Long-Term Care, with Catherine Milne, MSN, APRN, CWOCN-AP, WOCNF, PAWSIC Board, WoundCON Chair, and President of CARS
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PAWSIC-WoundCON
Making the Case for NPWT: Empowering Clinicians in Post-Acute Care, with Julie Rhodovi, MBA, CWCA, LBBH, PAWSIC Executive Board, Alicia Jenkins, RN, CWS, and Dr. Catherine Oliver, MD
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WoundCON: The Healing Intersection
An Integrated Approach to Nutrition, Sleep, Stress, and Mobility, with Jeanine Maguire, PhD, MPT, CWS, FCPP, PAWSIC President, and Dr. Ziad Mirza, MD, MBA, CMD, FACP, CPE, PAWSIC Advisor
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View Full Schedule →
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Save the Date
Fall SAWC
A full PAWSIC Board meeting, exhibit hall booth, member meet-up, and presentation. Please come and meet the board.
More Details Soon →
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🎤 PAWSIC on TikTok
Why PAWSIC? Tell the World.
Check out our PAWSIC TikTok. Now, let's be honest, it is not exactly thrilling yet, but we have started. Special thanks to Mary Martin, our Education Co-Chair, who directed Jeanine's first TikTok debut.
Remember that call to action in Jeanine's letter above? Let us wrap up this month by asking you: Why PAWSIC? Post away on social media and tag us. Or send Dahlia your own 30-second video on Why PAWSIC for us to post. Help us flood our social media, TikTok, and more with important PAWSIC messages.
Email your video today: [email protected]
Visit Our TikTok →
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Special thanks to our platinum sponsors:
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Dahlia Imanbay
AI-Powered Digital Solutions
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