Curriculum & Monitoring Tiers
Turnkey F-Tag Risk Mitigation Tool
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Equip your floor staff with an instant triage matrix aligned with CMS Quality Assurance and Performance Improvement (QAPI) standards
Actionable Training, Not Generic Reading
Built from 10,000 diabetic amputation prevention cases across 40 years of authors’ clinical practice, this curriculum uses 200+ real-world chronological photo sequences paired with compelling patient stories.
This powerful visual training:
- Sharpens Staff Pattern Recognition: Floor nurses instantly spot subtle warning signs.
- Prevents Delays in Care: Eliminates costly, audit-triggering documentation gaps.
- Visualizes Escalation Paths: Shows exactly how minor abnormalities turn limb-threatening.
URGENCY
SYMPTOM
CLICK
GENERAL
Dry and cracked skin around the heel?
Chapter 4
GENERAL
Have Bunions, hammertoes?
Chapter 9
GENERAL
Recurrent Plantar fasciitis or heel spurs in the past
Chapter 9
ATTENTION
Thick yellowish toenails
Chapter 5
ATTENTION
Have thick, yellow, brittle toenails?
Chapter 5
ATTENTION
Using any tobacco products
Chapter 3
ATTENTION
Strokes, heart attacks?
Chapter 3,13
ATTENTION
Symptoms of burning, sharp stabbing, tingling
Chapter 2,14
ATTENTION
Symptoms of numbness in feet?
Chapter 2
ATTENTION
Frequent Ingrown toenails?
Chapter 3,5
ATTENTION
Painless corns?
Chapter 6
ATTENTION
Calluses on feet
Chapter 6
SOON
Symptoms of cramping calf pain when walking
Chapter 3
SOON
Skin blisters between the toes
Chapter 4,8
URGENT
Cramping leg pain while lying in bed and relieve by walking?
Chapter 3
URGENT
Non-blanching redness in the heel, ankles, lower back shoulder
Chapter 15
URGENT
Red swollen foot new finding
Chapter 8
URGENT
Red swollen skin around toenail with drain
Chapter 8
URGENT
Cold and bluish skin of the toe(s)
Chapter 3
URGENT
Swollen toe without skin break
Chapter 4,8
URGENT
Non Blanching redness around heel, side of the foot.
Chapter 15
URGENT
Non Blanching redness around heel, side of the ankle bones
Chapter 15
URGENT
Red skin but cold to touch and redness disappears when elevate the leg
Chapter 3
URGENT
New non-blanchable redness over sacrum
Chapter 15
URGENT
Heel discoloration Suspected deep tissue injury
Chapter 15
URGENT
Heel discoloration Suspected deep tissue injury
Chapter 3,8
URGENT
Rapidly worsening pressure injury
Chapter 16
WARNING
AND DISCLAIMER
The information presented on this website is provided solely for educational purposes and is based on the professional experience of Drs. Han and Giurini in the treatment of thousands of patients. Nothing on this website is intended to constitute, nor should it be interpreted as, medical advice, diagnosis, or treatment. Visitors should always seek the guidance of their own physicians, podiatrists, or qualified healthcare providers regarding any medical condition or concerns. No patient-physician relationship is created by accessing or using this website.
GRAPHIC
CONTENT NOTICE
This website contains graphic clinical images of actual patients.
Viewer discretion is strongly advised.
All photographs have been voluntarily provided by the respective patients for the exclusive purpose of education under the authors’ supervision. Any reproduction, distribution, modification, or unauthorized use of these images—whether in print, digital, or any other form-is strictly prohibited and may constitute a violation of federal copyright law.
COPYRIGHT
NOTICE
© 1996–2025 Diabetes Guardians, LLC. All rights reserved.
All content on this website—including text, images, graphics, audio-visual materials, and educational resources—is the exclusive property of Diabetes Guardians, LLC.
No portion of this website may be copied, reproduced, stored, or transmitted in any form without the prior written consent of Diabetes Guardians, LLC.
- What it is: The Han-Giurini Model™ is a visual, 15-chapter clinical training curriculum for Skilled Nursing Facility (SNF) frontline staff.
- The material: Built on over 10,000 clinical cases, featuring 200+ real-world patient photos from 40 years of medical practice to help staff quickly recognize subtle symptoms.
- The creators: Developed by Dr. Paul Y. Han (City of Hope National) and Dr. John Giurini (Harvard Medical School).
- How to access: Contracted SNFs can scan a QR code at the point of care for instant access.
- Privacy & setup: No apps, logins, registration, or patient Personally Identifiable Information (PII) are required.
- Contact: Inquiries can be sent to Mr. AJ Fleischer at ajfleischer@DG2030.com.