We are aware of reports of hospital surveyors possibly mentioning that ED physicians are not able to properly evaluate and clear patients with potential psychiatric emergencies. If surveyors are doing this, we believe this is wrong, and any interpretation of emergency physicians committing an EMTALA violation by clearing these patients, to also be incorrect. We are working with the Missouri Hospital Association to rectify this issue. Attached is a letter that the Missouri Hospital Association recently sent to CMS about this issue. We plan to continue to work with the MHA and MSMA on this issue.
A lawmaker behind the ‘prudent layperson’ standard has been pressing HHS, DOL, and CMS for progress reports on what he deems to be the insurer’s ‘likely’ violations of federal law.
- Up to 24% of ED patients are there for “plainly non-emergency conditions,” the Anthem attorneys wrote, citing research by Truven Health Analytics.
- Hospitals have increased charges for ED visits by 113% in the past seven years, increasing costs for private payers, Anthem added, citing the Health Care Cost Institute.
- The “inflated ED charges” have cost American taxpayers at least $11 billion over a decade through the Medicare program, the Anthem attorneys wrote, citing the Center for Public Integrity.
There are three referenda on the November ballot regarding medical marijuana. Other medical organizations are taking official positions on these prior to the election. Please let us know what you think.
Here is a link to learn more about the three.
Most people today understand that emergency physicians are medical specialists, according to a new survey by Morning Consult,[i] which was conducted as part of the 50th anniversary of the American College of Emergency Physicians (ACEP). This wasn’t true 50 years ago, before the development of specialty began. Nearly 80 percent of those who had been patients in the past year indicated they trust emergency physicians and were satisfied with care they provided.
“One in three Americans seek emergency care each year, and ACEP is the organization that charted a path forward to create the specialty of emergency medicine, setting standards and developing the criteria for board certification,” said Paul Kivela, MD, MBA, FACEP, president of ACEP. “Back in the 1960’s, before there were emergency departments, you were likely taken to a room in a hospital in a hearse, because that was only vehicle in which people could lie flat. We’ve come a long way, and we owe so much to our early leaders who had the foresight and wisdom to shape this specialty that people’s lives today depend on. I think ACEP’s founders would be amazed at how progress has been made.”
Dr. Kivela said ACEP was celebrating all year with a culmination at the organization’s annual meeting in San Diego in October. ACEP has created a 50th Anniversary video and a special edition look at the history of emergency medicine, Medicine’s Front Line. Dr. Kivela urged the public to show support by:
Go to http://www.emergencycareforyou.org/thankyou/ and thank an emergency physician.
- Learning the warning signs of a medical emergency in adults: https://tinyurl.com/yaqsw9t5
Learning the warning signs of a medical emergency in children: https://tinyurl.com/y9335f26
Learning when to call 911 and what to do until help arrives: https://bit.ly/2nnxWJd
- Helping a child get prepared for a disaster emergency by playing Disaster Hero. www.EmergencyCareforYou.org
- Print out and give the Top ER Tips to a parent.
- Signing up to get new Doc Blogs and the latest health and safety tips and from ACEP’s public website EmergencyCareforYou.org
- Following and “liking” ACEP on its Facebook Fan page. https://www.facebook.com/ACEPFan/
- Following ACEP on Twitter @EmergencyDocs.
“Emergency physicians are the only physicians available all day, all night, all year,” said Dr. Kivela. “For 50 years, ACEP has been the champion for emergency medicine and emergency patients, and this will continue to for next 50 years.”
The following organizations are the sponsors of ACEP’s 50th anniversary.
- Schumacher Clinical Partners
- Emergency Medicine Residents’ Association (EMRA)
- Envision Physician Services
- FUJIFILM SonoSite
- Hagan Barron Intermediaries
- Janssen Pharmaceutical Companies of Johnson & Johnson
- MultiView, Inc.
- United States Army Medicine
ACEP is the national medical specialty society representing emergency medicine. ACEP is committed to advancing emergency care through continuing education, research and public education. Headquartered in Dallas, Texas, ACEP has 53 chapters representing each state, as well as Puerto Rico and the District of Columbia. A Government Services Chapter represents emergency physicians employed by military branches and other government agencies.
Please consider attending the SAEM Great Plains Regional Conference on September 21-22, 2018, at Washington University School of Medicine in St. Louis. The theme is “Emergency Care Across the Spectrum” with a goal of bringing together the various providers of emergency care (physicians, nurses, paramedics, nurse practitioners, physicians assistants, etc) into one forum with clinical didactics, quality improvement project presentations, emergency care research presentations, and 2 hands-on skills labs. Visit our website at http://emed.wustl.edu/saem/ for more information, to register, and to submit your abstracts or didactic proposal ideas (deadline extended to Aug 17th for abstracts/didactics).
You do not need to be an SAEM to register and attend this conference. The SAEM site will ask you to create a logon and password before you reach the registration page.
Ultrasound Pre-course (hands-on lab) – T3: Trauma, Tubes, and Tricuspid: A crash course in FAST, first trimester pregnancy, ultrasound guided procedures, and advanced cardiac applications. Awards 4 hours of CME, Cost is $250 for attending physicians and $100 for all others.
OB simulation Pre-course (hands-on lab) – High Risk Obstetrics and Neonatal Resuscitations (topics include breech delivery, shoulder dystocia, emergent caesarean, fetal distress and neonatal resuscitation) Awards 3 hours of CME, Cost is $200 for attending physicians and $75 for all others.
The main conference offers up to 10 hours of CME. Cost is $150 for attending physicians, $100 for residents/nurse practitioners/physician assistants, $75 for students, $75 for nurses/paramedics
Clinical didactics in emergency care. Topics are still being added but already submitted examples are: Dealing with the opioid crisis in the ED, LVAD in the ED, Expanding role of APPs in Emergency Care, Central Line Confirmation, and many more.
Abstract presentations of clinical research or quality improvement projects in emergency care.
2 Keynote speakers – Dr. Steven Bird, President of SAEM and Dr. Brian Zink, author of Anyone, Anything, Anytime
Medical Student SIMWars competition
Social Event and Dinner at the St. Louis Zoo on September 21st.
Breakfast and Lunch provided on September 22nd.
Registration scholarships are available on a competitive basis for students, nurses, paramedics, and residents. (Deadline September 1, 2018).
SAEM members and non-members are all welcome to attend.
For more information:
Conference Chair: Stacey House, MD, PhD (firstname.lastname@example.org)
Conference Administrator: Lisa Hayes (email@example.com)
Please see below regarding a meeting that the MHA had with Dr. Randall Williams, director of DHHS. This is in regard to hospitals whose TCD certification is set to expire.
Dr. Williams said the DHSS will not regard a TCD center’s current designation to have lapsed if the center has a pending application on file with the department. The duration of the designation will be considered to be extended until the facility has been assessed for compliance with TCD standards.
1) SAEM Great Plains Regional Conference in Saint Louis
2) Total Tox Course in Chicago, Illinois
SAEM Great Plains Regional Conference in Saint Louis
Theme: Emergency Care Across the Spectrum
Location: Eric P Newman Education Center at Washington University
Dates: September 21-22, 2018
Registration for main conference:
Faculty/Attending Physician $150
Medical Students: $75
Includes 10 hours CME, social event with dinner at the St. Louis Zoo Friday evening, breakfast/lunch on Saturday
Ultrasound Pre-course – Trauma, tubes, and Tricuspid: A crash course in FAST, first trimester pregnancy, ultrasound guided procedures, and advanced cardiac applications
Faculty/Attending Physician $250
Includes 4 hours of CME (including 1 trauma and 1 cardiac)
OB simulation Pre-course – High Risk Obstetrics and Neonatal Resuscitation
Faculty/Attending Physician $200
Includes 3 hours of CME
Clinical Didactic/Research Abstract/QI Abstract Deadline – August 1st
Total Tox Course
ACMT’s Total Tox Course is a comprehensive review of the scope of emergency toxicology and will include cutting-edge interventions and management options for poisoned patients. Prominent experts in medical toxicology and emergency medicine will lead the course.
The 3-day course (register for 1 day, 2 days, or all 3) will focus on medical toxicology topics of interest to emergency providers, including toxicological issues of current clinical and public health importance. Attendees will be presented with state-of-the-art updates on the evaluation and initial management of poisoning and exposure to medications, drugs of abuse, chemical terrorism, and environmental toxins.
ACMT’s Total Tox Course includes all topics in the 2016 Model of the Clinical Practice of Emergency Medicine Category 17, Toxicologic Disorders, as well as items from other categories with toxicologic overlap. Numeric locations with the 2016 Model for the topics are listed for the learner’s reference.
A couple of weeks ago Governor Parson signed the $28 billion state budget. At this time a list of line item vetoes was released including a veto of the $153,546 to support the TCD system within the Department of Health and Senior Services (DHSS).
Since the time of this veto many organizations, including MOCEP, have written letters and contacted the governor’s office asking them to restore these funds back into the budget. The importance of the TCD system and the impact this line item veto would have on the state emergency response system have been explained during the communications.
At this time, DHSS has not released information on the impact this will have on the existing designated TCD facilities or EMS transport protocols. There is a budget hearing on Tuesday, July 17, and MOCEP will have representation present to monitor discussions.
As soon as we hear more information we will be sure to provide it to you.
To the ACEP Council:
It has been a little more than a week since my resignation as President-Elect. Thought the circumstances and my motivation were clear, but speculation persists.
My decision was based on what I thought best, not only for the College but for our specialty. Over the past several months I was aware of many things, among them editorials, postings on social media, and conversations during CORD, SAEM and LAC. Understood that more than one Resolution was forthcoming this fall and that a contingent of past presidents were dismayed that I was even nominated.
The College sensed this controversy may become a crisis, and that others were using my background to further fragment our specialty. It was also felt that this would escalate heading into our 50th Anniversary and continue throughout my term. The controversy was not about any of my actions, words, or service on the Board. It was about my lack of board certification in EM, which is something neither I nor anyone else can change.
As the deadline for appointing an interim PE was approaching, it was necessary for me to make a decision no later than the June Board meeting. To me the best option was for me to step aside, so the College and specialty could then spend their time, energy and resources on addressing the truly important issues facing us, rather than arguing over the legitimacy of my presidency.
My deep wish is for everyone to set aside their swords, their sharp and stinging words. To realize we are siblings in the EM family, and allies in a common cause: to provide the best care possible to patients, to advance the science of our craft, and to improve the lives of those who practice it. Every EM organization has a special niche and purpose, and holds my highest regards. We can do more as a specialty by working collaboratively, with mutual respect and kindness, than by divisiveness and further fragmentation.
On Wednesday, the House Energy and Commerce Health Subcommittee marked-up its latest draft to reauthorize the Pandemic and All-Hazards Preparedness Act (PAHPA). Development of the bill has been led by Reps. Susan Brooks (R-IN) and Anna Eshoo (D-CA). The amended bill was approved by voice vote and we expect the full Energy and Commerce Committee to consider the legislation next month. While the bill does emphasize regionalization of emergency services, ACEP continues to work with lawmakers to ensure two other ACEP priorities – allowing military trauma teams to provide services at civilian trauma centers and providing liability protections for Good Samaritans who volunteer during a federally-declared disaster – are included in the bill before it is presented to the full House for a vote.
To view the subcommittee mark-up, go to: