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The role of maintenance of certification programs in governance and professionalism
For many physicians, the recent controversy surrounding maintenance of certification (MOC) has been a sentinel event, especially with respect to self-regulation and governance. In recent years, physicians have been saddled with added regulatory burden after burden, compelled by numerous regulatory authorities, such as the Centers for Medicare & Medicaid Services, The Joint Commission, and state authorities. These new requirements have substantially increased the administrative obligations of physicians; however, many of these obligations are unrelated to patient care, teaching or research.
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Showcase Your Research at MEMC-GREAT 2015 — Deadline May 31!
Call for Abstracts and CPC Competition Submissions — Join us in Rome, Italy from Sept. 5-9, 2015, for the Mediterranean Emergency Medicine Congress in conjunction with the Italian GREAT Network Congress. Register for the congress, submit an abstract and book your hotel! Look for more details to be announced soon. Learn more and register today!
Help create “How-To” videos of >100 common procedures. These will be made available for free around the world in multiple languages on Merck Manuals websites and apps.
CLICK HERE to learn more.
Registration Now Open! — AAEM Fall Oral Board Review Course
Join us for the highly recommended Oral Board Review Course! NEW hands-on simulation practice. Be confident on exam day — prepare with the experts for the new format. Learn more and register.
Prepare for Written Boards with AAEM — Register Today!
Join us in Orlando Aug. 18-21! Up to 27 lecture hours of intense review of EM board materials, taught by experienced emergency medicine faculty. This course is a comprehensive review of emergency medicine for all emergency physicians and is ideal for exam-takers or for physicians seeking quality review materials. Learn more!
NEW: 2nd Edition of the Written Board Review Book
This comprehensive text will help prepare you for: Emergency medicine qualifying exam (formerly the “written boards”), Emergency medicine annual resident in-service exam, and the ConCert Exam. It includes over 200 color images, 225 question practice in-service examination, and 24 chapters written by experts in the field. Special member pricing, order today!
EMresource.org — 50% Off Sale!
Until May 31 get 50% off two great EM pocket references Quick Essentials: Emergency Medicine 1-minute Consult and A to Z Pocket Emergency Pharmacopoeia & ABX Guide.
Click here for sale prices (while supplies last)
Long Term Care Insurance Takes the Uncertainty Out of Retirement
To help educate AAEM members about long-term care solutions, we are partnering with ACSIA Partners LLC, one of the nation's premier experts in long-term care planning. ACSIA Partners has developed a comprehensive educational program to provide you with all the information you need to determine which type of long-term care solution is appropriate for you.
What CMS envisions for physician quality reporting programs
By Christina Thielst
Data-driven and value-based decision making is here to stay, and the Centers for Medicare and Medicaid Services has been one of the drivers of this change in healthcare. The new CMS Physician Quality Reporting Programs Strategic Vision will help them to evolve, making better use of data collected and adding value for their stakeholders. The Strategic Vision describes how CMS will build upon current successes in quality measurement and public reporting, and it presents a future state for their programs to strive toward over the next several years.
Gender wage gap in academic medical education hasn't narrowed
The existence of wage gaps between genders in some occupations, from environmentalism to the White House to science academia, continues to be a hot-button topic.
Medium- and lower-wage positions get the most attention but a new paper in The American Journal of Medicine says directors of internal medicine residency programs are also paid different based on gender. And that is despite the increased percentage of women faculty in U.S. academic medicine, and that is regardless of region, program type, academic rank, general internal medicine specialty, age, or years of experience. The gap has not narrowed in the last five years.
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Hospitals mull multiple models for value-based payments
Jim Landman, director of healthcare finance policy, perspectives and analysis at the Healthcare Financial Management Association in Westchester, Illinois, predicts that we will indeed see a time when fee-for-service is significantly reduced. "In finance, most people are jazzed up about the potential for value-based payment to make a better healthcare system," he said.
Radiology report turnaround time: Effect on resident education
Residents are exposed to fewer ED studies after the implementation of a required 1-hour TAT. Overall, the current residents do not feel this decreased exposure to Emergency room studies affects their education. However, residents in training before and after this requirement feel their education has been significantly affected. Faculty perceives that the required TAT negatively affects their ability to teach, as well as the quality of resident education.
Impact of accreditation training for residents on sonographic quality in gynecologic emergencies
Journal of Ultrasound in Medicine
An accreditation training process including facilitated feedback from a local opinion leader improved the quality of sonographic examinations performed by Ob/Gyn residents in women presenting to a gynecologic emergency department.
Fewer emergency dept. visits vs. right care at right time
Health Leaders Media
An increase in emergency room visits doesn't mean a healthcare system is failing. Rather, policy makers are focused on the wrong thing, says the American College of Emergency Physicians.
A report from the American College of Emergency Physicians disputes the need to focus on reducing emergency department visits. A short online survey that captured the opinions of 2,009 emergency physicians (a 9 percent response rate of its membership) showed that ED physicians had seen increases in ED traffic over last year.
A hospital's experiment leads to better patient flow and care
Medscape (free login required)
A recent article in the American Journal of Medical Quality describes the Patient Flow Management Center (PFMC) at the three-hospital, 935-bed Thomas Jefferson University Hospitals system in Philadelphia, Pennsylvania, which resulted in improvements in rates of emergency department (ED) walkouts, ED and post-anesthesia care unit (PACU) boarding, ambulance diversion, and average elapsed time from ED door to hospital bed.
Care and outcomes of patients with in-hospital stroke
Compared with those with community-onset stroke, patients with in-hospital stroke had delays in investigations and treatment, suggesting a need for a standardized approach to the recognition and management of in-hospital stroke, with the aim of ensuring access to rapid acute stroke care.
Predictive analytics, Twitter big data forecast asthma ED use
Health IT Analytics
Social media has always been about capitalizing on what’s trending, and for healthcare big data scientists, those top-ten tweets and hashtags may now help to save lives. Researchers at the University of Arizona are using predictive analytics algorithms to scan Twitter for mentions of asthma-related events that may drive patients to their local emergency departments in an effort to forecast utilization and help providers improve chronic disease management for these patients.
Frequent users of emergency care more than twice as likely to die or be admitted
Frequent users of emergency care are more than twice as likely as infrequent users to die, be admitted to hospital, or require other outpatient treatment, concludes an analysis of the available evidence, published online in Emergency Medicine Journal. The available evidence suggests that frequent users account for up to one in 12 patients seeking emergency department care, and for around one in four of all visits.
Survey: Many providers want ICD-10 to just go away
By Scott E. Rupp
ICD-10 has been regularly stealing healthcare headlines for about two years and intermittently for years prior. Before that, the news centered around electronic health records, 5010 and meaningful use, of course. As an industry we’ve moved beyond each of those, except for the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD), a medical classification list by the World Health Organization (WHO).
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