,,iv  #aae? ,,congress  #b;d ,session   
,h4 ,,res4 #aacc  ,,9 ,,! ,,h\se ,,(    
,,repres5tatives  ,octob] #bf1 #bjah,mr4
 ,emm] 7= himself1 ,mrs4 ,h&el1 ,mr4    
,woodall1 & ,mr4 ,poliqu97 submitt$ !   
foll[+ resolution2 :i* 0 ref]r$ to !    
,committee on ,en]gy & ,comm]ce         
,,resolution  ,express+ support = !     
designation ( ! ?ird ,?ursday 9 ,novemb]
 z ,national ,pressure ,ulc]_/,injury   
,prev5tion ,day & promot+ enhanc$ c>e   
coord9ation & prev5tion res\rces to     
r$uce ! developm5t ( pressure           
ulc]s_/injuries4  ,:]eas                
hospital-acquir$ pressure               
ulc]s_/injuries are a significant       
problem t cause h>m 9 t]ms ( morbidity1 
mortality1 & co/ = ,am]icans cov]$ ?r\gh
 ,m$ic>e or ,m$icaid1 ^? cov]$ by       
private comm]cial heal? insurance1 & !  
un9sur$2 ,:]eas ! preval5ce & impact (  
pressure ulc]s_/injuries & _! associat$ 
complications & exp5ses kill ov] #fj1jjj
 pati5ts p] ye> :ile impact+ ov]        
#b1jjj1jjj ,am]icans2 ,:]eas ^!         

complications co/ ! ,unit$ ,/ates at    
lea/ #i1jjj1jjj1jjj to #aa1jjj1jjj1jjj  
p] ye> bas$ on data f ! ,c5t]s = ,m$ic>e
  ,m$icaid ,s]vices 7,,cms7 & ! ,ag5cy =
 ,heal?c>e ,rese>* & ,quality1 &        
economi/s project t ?is issue c\ld      
surpass #be1jjj1jjj1jjj by #bjbj2 ,:]eas
 ! physiologic process describ+ pressure
 ulc]_/injury =mation is n completely   
und]/ood1 & !re are multiple factors t  
contribute to _! developm5t includ+     
decreas$ mobility1 moi/ure1 nutrition   
deficits1 friction1 ob/ruct$ lymph fl[1 
dehydration1 & impair$ tissue p]fusion2 
,:]eas ^! complications may be          
indicative ( ! end ( life or organ      
failure2 ,:]eas pressure ulc]s_/injuries
 may develop despite ! c>egiv]'s dilig5t
 use ( curr5tly kn[n & accessible       
prev5tion me?ods2 ,:]eas !re is adequate
 evid5ce t multiple factors are involv$ 
9 ! =mation ( a pressure ulc]_/injury t 
require additional rese>* to effectively
 und]/& ! protocols necess>y to relieve 
! pressure ulc]_/injury burd5 to !      

pati5t1 heal? c>e provid]1 & gov]nm5t2  
,:]eas in=mation provid$ by ! ,,cms     
,(fice ( ,ent]prise ,data & ,analytics 9
 ,octob] #bjag id5tifi$ t               
hospital-acquir$ pressure ulc]_/injury  
incid5ce rates h increas$ by #eh4d p]c5t
 betwe5 ! fir/ qu>t] ( #bjaf & ! fir/   
qu>t] ( #bjag2 ,:]eas ! data demon/rate 
a ne$ to "w toge!r to det]m9e h[ we c   
improve our ,nation's heal? c>e outcomes
 by r$uc+ ! occurr5ce ( pressure        
ulc]s_/injuries & _! significant        
morbidity & mortality consequ5ces2      
,:]eas ! t]m pressure ulc] has be5      
widely kn[n z pressure injury1 decubitus
 ulc]1 b$sore1 pressure induc$ sk9      
damage1 sk9 failure1 & pressure sore2   
,:]eas !re are approximately #ag1jjj    
additional lawsuits ea* ye> z a result (
 pressure ulc]s_/injuries2 ,:]eas       
pressure ulc]s_/injuries are "o ( ! five
 mo/ preval5t h>ms exp]i5c$ by pati5ts2 
,:]eas 9 long-t]m acute c>e sett+s1     
#bh4b p]c5t ( pati5ts h pressure        
ulc]s_/injuries2 ,:]eas 9 nurs+ homes & 

rehabilitation c5t]s1 approximately #aa 
p]c5t ( pati5ts h docum5t$ pressure     
ulc]s_/injuries2 ,:]eas = hospital      
sett+s1 #d4e p]c5t ( ,m$ic>e b5efici>ies
 develop hospital-acquir$ pressure      
ulc]s_/injuries2 ,:]eas m ?an #a_/c (   
vet]ans ) a sp9al cord injury report    
pressure ulc]s_/injuries ea* ye>1 & ^?  
vet]ans face m ?an #gj1jjj 9 inpati5t   
co/s comp>$ to ^? )\t2 ,:]eas pati5ts ) 
hospital-acquir$ pressure               
ulc]s_/injuries increase _! l5g? ( /ay f
 #d4i to #aa4f days1 add+ additional    
heal? c>e co/s2 ,:]eas ^! pati5ts are m 
likely to be dis*>g$ to an ext5d$ c>e   
facility r ?an home1 & readmitt$ to a   
hospital2 ,:]eas ! pa?ology ( pressure  
ulc]_/injury =mation indicates multiple 
contribut+ factors2 & ,:]eas effect+    
positive *ange 9 ! prev5tion & managem5t
 ( pati5ts w require multiple areas (   
focus includ+ ! public1 pati5ts1 heal?  
c>e pr(essionals1 provid]s1 & gov]nm5t3 
,n[1 !re=e1 be x  ,t ! ,h\se (          
,repres5tatives-- 7#a7 affirms t        

pressure ulc]s_/injuries & _! result+   
co/s 9 human suff]+ & /ra9 on ! heal?   
c>e sy/em require a coord9at$ & sy/emic 
plan to address2  7#b7 supports !       
designation ( ,national ,pressure       
,ulc]_/,injury ,prev5tion ,day2  7#c7   
enc\rages ! ,secret>y ( ! ,dep>tm5t (   
,heal? & ,human ,s]vices 7,,hhs7 to     
review curr5t pressure ulc]_/injury     
prev5tion & managem5t protocols &       
develop a plan to use pe]-review$ sci5ce
 to te/1 revise1 & cont9ually r$uce     
pressure ulc]_/injury developm5t2  7#d7 
enc\rages ! ,secret>y ( ,,hhs to ho/ a  
,f$]al int]ag5cy conf]5ce ) academia1   
indu/ry /akehold]s1 heal? c>e provid]s1 
community c>egiv]s1 pati5ts1 families1  
pati5t & vet]an advocacy gr\ps1 & o!r   
/akehold]s to publicly review & discuss 
! /ate ( pressure ulc]_/injury prev5tion
 rese>*1 protocols1 scope & magnitude ( 
! problem1 & relat$ topics ea* ye>2     
7#e7 enc\rages ! ,c5t]s = ,m$ic>e       
,m$icaid ,s]vices 7,,cms7 to review its 
au?orities & programs to r$uce pressure 

ulc]s_/injuries1 includ+ focus on e>ly  
detection & prev5tion2 &  7#f7 enc\rages
 ,,hhs to coord9ate ) ! ,dep>tm5t (     
,vet]ans ,affairs & ,/ate heal? ag5cies 
& bo>ds to deliv] be/ practices on !    
prev5tion & r$uction ( pressure         
injury_/ulc] rates4