Evan Schwarz, MD, Washington University emergency medicine physician at Barnes-Jewish Hospital, discusses best practices for treating opioid overdoses in the emergency department.
For several years MOCEP has been actively working with the Missouri State Medical Association, Missouri Hospital Association and other medical groups, to create a plan to address the opioid crisis in Missouri. Now that a majority of Missouri cities and counties have signed on to the St. Louis County Prescription Drug Monitoring Program we need to make sure physicians are signing up to participate in the program. Below is a video with Sam Page, MD, discussing the value of this new program.
An Opioid Toolkit has also been developed by the Missouri Hospital Association which includes strategies to reduce opioid misuse.
Brent Ruoff, MD, was selected to receive one of two Missouri College of Emergency Physicians’ (MOCEP) R.R. Hannas Physician of the Year Awards. He received a double nomination from his peers, Gary Gaddis, MD, and Evan Schwarz, MD, at Washington University School of Medicine in St. Louis. The award will be presented to Dr. Ruoff at the MOCEP Annual Membership Meeting on May 4, 2017, in Springfield, Mo.
WASHINGTON, Nov. 15, 2016 — The American College of Emergency Physicians today responded to Cigna Insurance Company’s multi-million dollar ad campaign starring famous “TV doctors” with a video of its own, starring real-life emergency physicians.
Emergency physicians had the rug pulled out from under them recently through federal regulations that all but removed the option of a payment floor for out-of-network services provided in the emergency department.
In a final rule issued jointly by the Centers for Medicare and Medicaid Services (CMS), the Department of Labor, and the Department of the Treasury to clarify the rules of Grandfathered Plans, Preexisting Condition Exclusions, Lifetime and Annual Limits, Rescissions, Dependent Coverage, Appeals, and Patient Protections Under the Affordable Care Act, no specific language was included to require a transparent minimum payment level for such services despite five years of negotiations between regulators and providers.
What was finalized is a guideline referred to as the “greatest of three,” which says out-of-network services provided in the emergency department should be reimbursed at the level of the greatest of the following: 1) the plan’s median in-network amount, 2) the amount the plan ordinarily pays for out-of-network services, and 3) the amount paid by Medicare. According to a recent Kaiser Health News article, physicians had wanted the payment standard for the first two “to be ‘usual and customary charges,’ adjusted for geographic variations, using a transparent, independent claims database such as that provided by the nonprofit group Fair Health.”
This year we have 8 open board of directors positions. Please use the link below to see the list of candidates. We would also like to thank Michael Szewczyk for almost 30 years of service to MOCEP!
This is a pre-conference for the 2016 Dr. Tom Steele Emergency Care Symposium. This conference will consist of a morning session and an afternoon session with a 1 hour lunch break between sessions. Lunch will not be provided. Topics will include both FAST and RUSH exams as well as pelvic and cardiac sessions. The target audience for this conference is physicians caring for critically ill patients.
Registration fee includes electronic access to syllabus materials and an electronic certificate of attendance.
Register online at www.onlineregistrationcenter.com/ultrasound2016
This conference is limited to 20 participants, early registration is encouraged.
Registration by Friday, April 29, 2016 is encouraged. A $25 processing fee will be deducted from all cancellation requests made before Friday, April 29, 2016. No refunds will be made thereafter. If Mercy cancels the symposium a full refund will be issued. The liability of Mercy is limited to the symposium fee. Mercy will not be responsible for any losses incurred by registrants including, but not limited to, airline cancellation charges or hotel deposits. Layered clothing is recommended to allow for room temperature variations. For registration information, please contact Mercy Talent Development and Optimization at (417) 820-3005. For specific program content information, please contact SPRG_TDO@Mercy.net.
Emergency Physicians….Our decisions do drive value in the healthcare system!
Brian J. Robb, D.O., FACEP, FACOEP, MBA
I recently completed an MBA program from the Kelley Business School, Business of Medicine at Indiana University. As part of the program I found a class on Value analysis in healthcare to be of particular interest for Emergency Medicine. Emergency physicians have an important and vital impact on new revenue models from volume-based services to value-based services and we should be aware of the direct and indirect contributions we make to the value created by the decisions we make that impacts revenue. Hopefully, this project will allow the individual physician or the medical director of an emergency department to have a better understanding of the physician metrics we should measure to assist with driving value created by our decision making in the emergency departments and healthcare organizations we work.
Emergency Physician Decision Making
Value Analysis Project
I have chosen an ambitious value analysis project which may demonstrate great value in the cost of healthcare during these very chaotic, disruptive healthcare times. It is a new perspective of value analysis in the healthcare supply chain to determine the true value created by the decisions made by emergency physicians that are direct drivers of healthcare costs. Originally, my plan was to analyze several components of the emergency physician’s decisions in the critical transition of unscheduled, episodic care evaluated and treated in the emergency departments across the United States. Due to the limited timeframe of my project I will define the background and scope of my value analysis project and how unique this analysis is for healthcare systems to understand and expand new models of value, not just a rigorous analysis of the cost structure in the emergency department. I want to emphasize value, not just cost in the emergency medicine service line. A different method to present value analysis in the care coordination that has become increasingly more important in the emergency department setting. I will give some background on the role emergency physicians play in the emergency department, general overview of value analysis in the healthcare supply chain and the reasons why it is increasingly more important to look at all types of value analysis. Continue Reading