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Preventing Amputations Before They Begin

One in five Medicare patients with diabetes has undiagnosed peripheral artery disease. Most amputations start as a wound that could have been caught first.

5 min read

One in five Medicare beneficiaries with diabetes has undiagnosed peripheral artery disease. Eighty-five percent of amputations start as an untreated diabetic foot ulcer. Together, that makes limb loss one of the most preventable catastrophic outcomes in Medicare care — and one that standard practice usually doesn't catch until infection or ulceration has already set in.

Up to 60–70%
fewer amputations reported in published screening programs
Up to 20–25%
fewer PAD-related admissions reported in screening programs
Meaningful
annual cost avoidance from earlier detection (modeled)

Screening before the wound forms

Zero DFU screens for the vascular problem before it becomes a wound. Every enrolled practice receives rapid ABI/TBI screening for peripheral artery disease, performed in-office. At-risk patients go home with a connected foot-temperature monitor — when the monitor identifies a sustained deviation of 2.2°C or more between feet within its cleared function, its alert reaches the care team through the SYNC-PREVENT™ service, and confirmed risk is routed straight to a wound care or vascular specialist. Podiatrists, who see this population daily, are a core referral partner in the model rather than an afterthought.

PAD and DFU screening routinely surfaces overlapping cardiovascular, renal, and metabolic risk — most of these patients move into the broader SYNC-PREVENT™ service from here.

By supporting consistent data collection and care team communication, the program provides the treating physician and wound care specialist with longitudinal patient data to inform their ongoing clinical assessment between encounters. It also moves the CMS quality measures that carry the most weight for a practice — Acute Hospital Utilization, readmissions, and CAHPS patient experience — with the potential to lift Star ratings. More patients retain independent mobility. The rest is cost avoidance the health system keeps.

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