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Advanced risk-based surgical site management to reduce complications and readmissions


The second year of the Affordable Care Act marks the beginning of penalties given to hospitals for readmitting Medicare patients for potentially avoidable complications in an effort to pay hospitals for quality of care, rather than quantity of patients admitted. We will discuss the clinical options to treat high-risk cardiothoracic patients and the advanced clinical options that drive impactful clinical results and produce substantial economic benefits that disrupt convention therapy.


  • Discuss the impact of the new requirements of the Affordable Care Act for infections, complications, readmissions, and patient satisfaction.
  • Review the inherent risk of multiple concomitant comorbidities in high-risk patients and new treatment options versus conventional treatment.
  • Describe clinical cases that illustrate successful application of negative pressure to high-risk, closed incisions.


Daniel Engelman, MD, FACS
Director, Cardiac Surgical Critical Care Unit
Cardiac Surgeon
Baystate Medical Center
Assistant Professor of Surgery,
Tufts University School of Medicine
Assistant Professor of Surgery,
UCONN School of Medicine

Dave Brett, BS, BS, MS
Science & Technology Manager
Smith & Nephew

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