Breaking Down the Silos in Wound Care | Annie Harris, Jeanine Maguire, Melissa Ramdas & Karen Bauer | Healing By Design EP6

In Episode 6 of Healing By Design, hosts Jennifer Bierhup and Therese Laub are joined by Annie Harris, Jeanine Maguire, Melissa Ramdas, and Karen Bauer for a candid conversation about one of the biggest challenges facing wound care today: what happens when patients move between different care settings. Representing perspectives from home health, skilled nursing, mobile wound care, hospital outpatient care, and acute care, the group explores how communication gaps, incomplete orders, limited resources, and disconnected systems can quickly create barriers to effective patient care. The discussion looks at what each setting actually needs from the others and why better wound care depends on understanding what happens before and after the patient reaches you. From medication reconciliation and supply availability to family education, follow up care, documentation, and access to providers, every part of the continuum plays a role. The group also works through a real world scenario involving a patient discharged with a diabetic foot ulcer, incomplete home health orders, no supplies, and a wound center appointment still days away. Each expert shares how they would approach the situation from their own setting and where the system needs to improve. At the center of the conversation is a simple challenge: wound care cannot continue to operate in silos. Better outcomes require communication, collaboration, and systems designed around where the patient goes next. **In this episode:** • Breaking down silos across the continuum of care • Communication between acute care, home health, mobile wound care, skilled nursing, and outpatient wound centers • Why transitions of care are a critical point for wound patients • Medication reconciliation and understanding the full patient picture • Wound care supplies and the realities of different care settings • Standardizing communication and documentation • Using product categories instead of relying solely on specific brands • Managing diabetic foot ulcers after hospital discharge • Family and patient education before transitions • Preventing gaps that can lead to readmissions and amputations • The role of technology and AI in connecting care settings • Why wound care needs greater recognition as a specialty • Building systems around the patient rather than individual care settings Healing By Design is a podcast powered by PAWSIC that explores the people, processes, and perspectives shaping better outcomes across the continuum of care.