Transcutaneous oxygen monitoring of hyperbaric problem wound referrals
February 4, 2015
Presented by Dick Clarke, CHT (Certified Hyperbaric Technologist), President, National Board of Diving and Hyperbaric Medical Technology
About this webinarDiabetic foot ulcers represent a common indication for hyperbaric oxygen (HBO) therapy. Broad acceptance currently exists by those in a position to refer such patients as well as by those who purchase health care. Despite this, its use has recently been called into question. A large retrospective analysis published in a highly regarded medical journal failed to demonstrate any healing improvement, nor any reduction in extremity amputation rates, the two very outcomes purported to be enhanced by HBO therapy. Also included in these research findings was an inference that lengthy, costly and medically unnecessary courses of HBO therapy are commonplace.
In this era of health care cost containment and demands for better evidence (proof) of clinical effectiveness, the above referenced research has gained some notoriety. While 'line item' costs are high, it is argued that incorporation of HBO within standard management serves to reduce overall health care expenditures. Of course, this assumes that wounds are healed, limb amputation rates reduced, and resultant quality of life enhanced. As noted, however, there exists a compelling argument to the contrary. In the absence of better supportive evidence of improved patient outcomes, referrals may diminish, reimbursement policies may be reconsidered and the long term viability of hyperbaric medicine threatened.
Webinar participants will be exposed to a key evaluation and case management tool, one that when used algorithmically contributes to improved patient outcomes and a reduced financial burden on the health care delivery system. The tool in question is transcutaneous oximetry. This diagnostic screening process was largely absent in the above study's patient population. Where employed, it identifies reversible local hypoxia. This confirmation of the physiologic capacity to respond locally to systemically delivered oxygen guides selection of clinically appropriate hyperbaric candidates. In such patients, its subsequent application will indicate adequacy of hyperbaric treatment pressure and guide determination of therapeutic endpoint. The sum of all of this is the provision of HBO therapy that has been demonstrated as medically necessary, with higher expectations of improved clinical outcomes, and delivered in a more financially responsible manner.
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Effective April 18, 2018
This Privacy Notice does not apply to third-party websites to which Radiometer Sites may link.
Types of Information We Collect Online
The types of Personal Data that we may collect while you use the Radiometer Sites are described in this section and include both information that you provide to us and information that we collect automatically when you use the Radiometer Sites.
Information You Provide
You do not have to register for a service or program to receive much of the information available through Radiometer Sites. However, some of our content is available only to registered or identified users and will require you to set up a profile or provide specific information about yourself in order to provide you the service.
Personal Data You Provide When Visiting Radiometer Sites
Radiometer collects Personal Data that you provide on Radiometer Sites, for example, when purchasing a product, to receive marketing products and information, contact Radiometer customer service, or respond to Radiometer questionnaires or surveys. This could include:
- Contact Information such as your name, address, phone number, or email address
- Registration Information such as your username and password
- Remuneration information when you provide a service to Radiometer in your capacity as a healthcare professional
- Employment, education and other background information when you inquire about employment with Radiometer
- Payment information (such as banking information, payment card number, expiration date, delivery address, and billing address)
- Content you may provide (for example, when you complete our Online Contact Form or submit other information).
Personal Data You Share During Other Interactions with Radiometer
You may contact Radiometer to ask questions, discuss your concerns, or report issues regarding our products. If you communicate with or request information from Radiometer, you may be prompted to provide your contact information as well as any Personal Data that is relevant to your request.
Information That May Be Collected Automatically
When you use the Radiometer Sites, we also may collect certain usage and device information automatically as described below.
We may record the Internet Protocol (“IP”) address of your computer or other electronic device when you visit the Radiometer Sites. An IP address identifies the electronic device you use to access the Sites, which allows us to maintain communication with your computer as you move about Radiometer Sites and to customize content.
Cookies and Other Tracking Technologies
We also collect information about your use of Radiometer Sites through tracking technologies such as cookies and web beacons. A “cookie” is a unique numeric code that is transferred to your computer to track your interests and preferences and to recognize you as a return visitor. A “Web beacon” is a transparent graphic image placed on a Web site, e-mail or advertisement that enables the monitoring of things such as user activity and site traffic. These technologies help remember your preferences and allow us to bring you the content and features that are likely to be of greatest interest to you on the basis of “clickstream” data that shows your previous activities on Radiometer Sites.
We utilize Google Display Advertising (such as Retargeting with Google Analytics, Google Display Network Impression Reporting, DoubleClick Campaign Manager integration, and Google Analytics Demographics and Interest Reporting) to (1) show you our ads on other websites based on your prior visits to Radiometer Sites, and (2) better understand our ad impressions and use of ad services. In connection with the Google Analytics Demographics and Interest Reporting service, we may use data from Google's interest-based advertising or third-party audience data (such as age, gender and interests) with Google Analytics to understand and improve our marketing campaigns and Site content.
Some of our online advertising takes place through Google Display Advertising. As part of this program, we use Google Analytics features such as Retargeting. In connection with that feature and others offered by ad networks, we and the operators of ad networks, including Google, may use third-party cookies (such as the DoubleClick cookie) – and in some cases first-party cookies (such as the Google Analytics cookie) – to inform, optimize and serve ads across the Internet, based on a user's past visits to Radiometer Sites. We also may show you ads from some of our affiliated companies when you visit Radiometer Sites.
You can opt out of Google Ads by visiting http://www.google.com/ads/preferences. If you do not want your data used by Google Analytics, you can install the Google Analytics opt-out browser add-on at the Google Analytics opt-out page.
This Radiometer Site is not designed to respond to "do not track" signals received from browsers.
To learn more about cookies and other tracking technologies, including how to disable them, please visit http://www.allaboutcookies.org/. Please note that some cookies are essential to the functioning of our Sites and deleting or disabling them will reduce the site’s functionality.
Some Radiometer Sites are available either as mobile applications or mobile sites that you can use on your mobile device. If you use a mobile device to access and use the Radiometer Sites, we may collect the following mobile-specific information in addition to the other information described above: device or advertising ID, device type, hardware type, media access control (“MAC”) address, international mobile equipment identity (“IMEI”), the version of your mobile operating system, the platform used to access or download the Radiometer Site (e.g., Apple, Google, Amazon, Windows), location information and usage information about your device and your use of the Radiometer Sites.
Information Collected from Other Sources
We may combine information about you from a visit to one Radiometer Site with information about you from visits to other Radiometer Sites. We may also combine information about you that is collected through the Radiometer Sites with information that we have collected offline, as well as with information provided to us by third parties.
How We Use Your Information
We use your Personal Data to provide you the product and services you request, communicate with you, improve your experience on the Radiometer Sites, generally improve our products and services and for other internal business purposes. These uses may also include the recording, organization, structuring, storage, adaptation or alteration, retrieval, consultation, use, disclosure by transmission, dissemination or otherwise making available, alignment or combination, restriction, erasure or destruction of Personal Data. The Personal Data we collect about you may be stored for five years following the most recent interaction we have had with you, after which point it will be archived only for so long as reasonably necessary for the purposes set out above, in accordance with applicable laws.
Providing Product and Services You Request
If you choose to purchase a product or receive our services, we use the Personal Data that you provide through Radiometer Sites to manage your orders and invoices, to process payments, to respond to your questions, provide you the services you request and offer an optimal customer experience.
You may also receive marketing information from Radiometer and related affiliates, such as offers regarding Radiometer related products or services, invitations to participate in surveys about our products, or notifications about special promotions. In such cases, we will use your contact and other Personal Data to send you marketing information.
Customized User Experiences
Business and Product Improvement
In order to discover new facts that could help Radiometer better understand customer needs and help improve, develop, and evaluate product, services, materials, and programs. Radiometer analyzes the information that you have provided. For these purposes Radiometer does not use information that can directly identify you.
Site Analytics and Improvement
We may use the information that you provide and the information we collect automatically about your use of the Radiometer Sites to monitor user traffic patterns and preferences for site improvement, analytics and optimization.
Legal Basis for Processing
Under European data protection laws, Radiometer must have a legal basis to process your Personal Data. The legal basis that applies in a particular instance will depend on for which of the specific purposes described above Radiometer is processing your Personal Data:
- In certain cases, Radiometer may ask for your consent to collect and process your Personal Data. Should you choose to provide your consent, you may later withdraw your consent by contacting us as described in the “Your Privacy Choices” section. Please note that the withdrawal of consent will not affect processing which has already occurred.
- In other instances, the processing of your Personal Data may be necessary in order to comply with an applicable law or regulation or for the performance of a contract to which you are subject. You may not be able to opt-out of this processing, or your choice to opt-out may impact our ability to perform a contractual obligation otherwise owed to you.
- In still other instances, Radiometer may process your Personal Data based on Radiometer’s legitimate interests in communicating with you about our products and services, and about scientific research and educational opportunities. You have the right to opt-out of all such processing of your Personal Data. You may do so by contacting us as described in the “Your Privacy Choices” section.
Information We Share
We only share your Personal Data with third parties as described below. We do not sell or rent Personal Data to third parties for their own marketing purposes.
Third-Party Advertising and Online Behavioral Advertising
You may be provided with online advertisements of Radiometer products and services on third-party websites and mobile services that are tailored to you, for example, on the basis of information that you provide to Radiometer or a third-party website you are visiting, or of your browsing activity, purchases, or interests. These types of tailored online advertisements may come through several sources, such as the following:
- We may share with our advertising service providers your non-identifying information that we have obtained from cookies and other tracking technologies on our Radiometer Web sites.
- Some Web browsers may transmit “do-not-track” signals to Web sites with which the browser communicates. As of April 18, 2018 of this Privacy Notice, an industry standard has not yet been established on how to respond to these signals. Therefore, Radiometer does not currently respond to these signals. As discussed above, you can opt-out from advertisers that use your browsing history to deliver online behavioral advertisements by visiting adchoices.
Affiliates, Vendors and Suppliers
We have relationships with suppliers and affiliated companies, who help us operate our business and for whom it may be necessary to have access to your Personal Data in the course of providing services to Radiometer. We will not authorize these parties to use your Personal Data for any purpose that is not related to Radiometer and its related affiliates business operation, and we do not share Personal Data from countries that require consent, unless appropriate consent has been obtained in advance to sharing with related affiliates. We require them to handle your Personal Data collected in accordance with this Privacy Notice.
We may partner with other companies to provide you with content or services on a joint or “co-branded” basis. At a cobranded site, you will see both the Radiometer logo and the logo of the co-branding partner displayed on your screen. You should read the individual privacy policies of our co-branding partners, as they may differ in some respects from ours. Reading these policies will help you to make an informed decision about whether to provide your information to a given site.
If you contact Radiometer regarding your experience in using one of our products, we may use the information that you provide in submitting reports to the designated government regulatory authority, as required of us by law.
Legal Rights and Obligations
In certain limited circumstances, Radiometer may need to disclose your Personal Data in order to comply with a legal obligation or demand, such as to comply with reporting obligations to our governing regulatory authorities regarding the safety of our products, or in connection with the sale or transfer of one of our product lines or divisions, which includes the services provided through one or more of the Radiometer Sites. In such instances, we will take measures to protect your Personal Data to the extent possible. We also reserve the right to use Personal Data to investigate and prosecute users who violate our rules or who engage in behavior that is illegal or harmful to others or to others’ property.
Change in Organization
In the event Radiometer decides to reorganize or divest our business through sale, merger, or acquisition, Radiometer may share Personal Data about you with actual or prospective purchasers. We will require any actual or prospective purchasers to treat this Personal Data in a manner consistent with this notice.
Radiometer does not knowingly collect or use any Personal Data directly from children on Radiometer Sites (Radiometer defines as “children” as minors younger than 18). We do not knowingly allow children to order our products, to communicate with us, or to use any of our online services. If you are a parent and become aware that your child has provided us with information, please contact us using one of the methods specified below, and we will work with you to address this issue.
Your Privacy Choices
You have the right to see and get a copy of Personal Data about you that we maintain as well as to ask us to make corrections to inaccurate or incomplete Personal Data about you.
You have the right to receive data you have provided to us in a machine-readable format and to transmit that data to another controller.
You may also request the erasure of your Personal Data or the restriction of its processing, or object to the processing of Personal Data about you.
To seek access to Personal Data about you, to file a concern, complaint, or request for correction, or to opt-out of particular programs, please:
- contact our Legal & Compliance team by clicking on the “Contact Us” link on the Radiometer Site you are using (please add “Privacy” in the headline)
- contact us by using the Radiometer contact information on the Radiometer mobile application you are using
- contact us by emailing us at email@example.com.
You may also send a letter to the following address:
Radiometer Medical ApS Attn: Legal & Compliance (Privacy)
For more information about your privacy rights, or if you are not able to resolve a problem directly with us and wish to make a compliant, contact your local data protection authority, if applicable.
In all communications to Radiometer, please include your email address, the website address, mobile application, and/or the specific Radiometer product to which you provided Personal Data (e.g., www.radiometer.com), and a detailed explanation of your request. If you would like to delete, amend, or correct your Personal Data and are contacting us by email, please put “Deletion Request” or “Amendment/Correction Request” in the subject line of the email. We will respond to all reasonable requests in a timely manner and may need to further confirm your identity in order to process certain requests.
Radiometer maintains reasonable technical, administrative and physical controls to secure any Personal Data collected through the Radiometer Sites. However, there is always some risk that an unauthorized third party could intercept an Internet transmission, or that someone will find a way to thwart our security systems. We urge you to exercise caution when transmitting Personal Data over the Internet, especially your financial-related information. Radiometer cannot guarantee that unauthorized third parties will not gain access to your Personal Data; therefore, when submitting Personal Data to Radiometer Sites, you must weigh both the benefits and the risks.
Third Party Sites and Social Media Plug-ins
Accessing Our Sites Globally
This site is owned and operated by Radiometer in Denmark, but the information you provide will be accessible to our affiliates, vendors, and suppliers in other countries in accordance with this policy. Furthermore, if you are visiting this site from a country other than Denmark, your communication with us will necessarily result in the transfer of information across international borders. The level of legal protection for Personal Data is not the same in all countries; however, we will take the security measures described in this Privacy Notice in an effort to keep your information secure. By using this site, you understand that your Personal Data may be stored and processed in the United States and in any country to which we may transfer your information in the course of our business operations.
Notice to California Residents
Subject to certain limits under California Civil Code § 1798.83, California residents may ask us to provide them with (i) a list of certain categories of Personal Data that we have disclosed to third parties for their direct marketing purposes during the immediately preceding calendar year, and (ii) the identity of those third parties. To make this request, California residents may contact us at firstname.lastname@example.org.
Privacy and Security
You recognize and agree that when submitting your personally identifiable information to Radiometer websites, while Radiometer has safeguards in place to prevent unauthorized access or interception, there is no absolute guarantee of security. IN THE UNLIKELY EVENT OF AN INTERCEPTION OR UNAUTHORIZED ACCESS DESPITE OUR EFFORTS, RADIOMETER SHALL NOT BE RESPONSIBLE FOR SUCH INTERCEPTIONS OR UNAUTHORIZED ACCESS, OR ANY DIRECT, INDIRECT, SPECIAL, INCIDENTAL, OR CONSEQUENTIAL DAMAGES (INCLUDING LOST PROFITS) SUFFERED BY A CUSTOMER OR USER, EVEN IF RADIOMETER HAS PREVIOUSLY BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES, RADIOMETER DOES NOT WARRANT, EITHER EXPRESSLY OR IMPLIED, THAT THE INFORMATION PROVIDED BY ANY CUSTOMER SHALL BE FREE FROM INTERCEPTION OR UNAUTHORIZED ACCESS, AND DOES NOT PROVIDE ANY IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. EACH CUSTOMER IS RESPONSIBLE FOR MAINTAINING THE CONFIDENTIALITY OF HIS OR HER OWN PASSWORD.
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