Mother Nature in Missouri has shown us what she is capable of with the weather so far this year, providing us with warmth one day and bitter cold the next, and always keeping us guessing what will be next. Unfortunately, Mother Nature isn’t the only one providing us with surprises, the insurance companies, Anthem in particular, are also surprising us with announcements that drastically impact your profession and patients. Hopefully MOCEP’s efforts at fighting back are surprising the insurance companies!
Article by Katie Rebillot, DO, reprinted with permission from EM Resident magazine
She was constantly in the emergency department for alcohol and drug intoxication. Staff dreaded her because she was usually inebriated and asking for pain medication. She came alone without friends or family, so it was unknown if this woman had a support network. She didn’t appear homeless or disheveled, but frequently smelled of rum and usually had empty Percocet bottles with her. You could see the elated feeling of sweet release from reality on her face as she drifted off to dreams after getting her intravenous morphine. This charade continued for 2 years, and every time she arrived, there was whispered gossip speculating on how much alcohol and pills she had taken that time.
The rate of alcohol-related visits to U.S. emergency departments (ED) increased by nearly 50 percent between 2006 and 2014, especially among females and drinkers who are middle-aged or older, according to a new study conducted by researchers at the National Institute on Alcohol Abuse and Alcoholism (NIAAA), part of the National Institutes of Health. The study findings are available online in the journal Alcoholism: Clinical and Experimental Research.
The American Medical Association recently released the 2018 AMA Economic Impact Study that shows the extent to which physicians drive the national and state economies and support their local communities. Offering a clear picture of the vast network of local jobs and local investments that physicians support, the study’s findings include:
by Harry J. Monroe, Jr.
ACEP Director, Chapter and State Relations
Two years after the nearly miraculous successful retreat by the British army from Dunkirk, Prime Minister Winston Churchill remarked on the first actual British victory of the war by declaring, “Now this is not the end. It is not even the beginning of the end. But it is, perhaps, the end of the beginning.”
ACEP is gearing up to accredit geriatric emergency departments. The Geriatric Emergency Department Accreditation Program will be accepting applications after the first of the year. There will be 3 levels of accreditation ranging from a minimal commitment to better elder care to a comprehensive well-rounded robust program. Accreditation shows your patients, your institution and your payers that your ED is ready to provide care to seniors and is a quality program that meets the high standards of the American College of Emergency Physicians. Find out more.
The following policy statements and PREPs were approved by the ACEP Board of Directors at their October 2017 meeting.
Medical Transport Advertising, Marketing, and Brokering – revised
Clinical Emergency Data Registry Quality Measures – new
Mechanical Ventilation – new
Hospital Disaster Physician Privileging – revised
Unsolicited Medical Personnel Volunteering at Disaster Scenes – revised
Sub-dissociative Dose Ketamine for Analgesia – new
Writing Admission and Transition Orders – revised
The Clinical Practice of Emergency Medical Services Medicine – new
The Role of the Physician Medical Director in EMS Leadership – new
State Medical Board Peer Review – new
Pediatric Medication Safety in the Emergency Department – new
Distracted and Impaired Driving – revised
Sub-dissociative Dose Ketamine – new
Writing Admission and Transition Orders – new
As the weather turns colder in Missouri, your MOCEP board and office would like to wish you a safe and happy holiday season! However, even though we are looking forward to spending the upcoming holidays with our family and friends, your colleagues at MOCEP are also anxiously watching the approaching winter storm in Jefferson City (also known as the new legislative session). Several topics have caught our attention this year, most notably the never ending saga of the “avoidable ED visit.”
MOCEP is in the process of improving our website by adding an online directory viewable to members only. You should have received an email from the website system explaining that your password had been reset. Please use this new password provided to log in to the MOCEP.org site and update your profile. You can add your photo, subspecialty and additional information.