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FCEP NEWS



FCEP’s 2015 Legislative Priorities

Fair Payment
APRN Expanded Scope of Practice
Florida Medicaid Savings
Baker Act
Graduate Medical Education

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Registration EXTENDED until March 6 at 9 a.m.

Emergency Medicine Days is FCEP’s premier advocacy event.

  • Identify the key legislative issues affecting emergency medicine
  • Meet with Florida legislators
  • Help provide patients with better access to quality care
  • Earn CME


  • CLICK HERE TO REGISTER!


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    REGISTRATION NOW OPEN!


    CLICK HERE TO REGISTER!


    Learn to recognize the signs of this type of modern-day slavery, and have the means to respond

    This FREE, one-day program is designed for the continuum of emergency medicine providers.

    Approximately thirty percent of human trafficking victims will encounter an Emergency Medicine (EM) professional during their time of enslavement, unfortunately none of them are freed as a result of their encounter. Emergency medicine professionals play a key role in recognizing the signs that a patient is being victimized by human trafficking and are afforded a unique window of opportunity by which to offer help. This comprehensive educational program will focus on the pre-hospital and hospital encounters in an effort to elevate the knowledge base of EM professionals, allowing for proper identification and subsequent intervention. Providing EM professionals with the tools to understand the wide-ranging problem of trafficking, including when and how to act, can lead to the freedom of many of those currently enslaved. Learn more.

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    WHO
    EMTs | Paramedics | Nurses | Physicians

    WHAT
    5 cutting-edge webinars, hosted through ReadyTalk,
    specially designed to train and educate EMS professionals
    on how to identify and respond to the latest infectious diseases.
    Presented from February to June, 2015.

    WHEN
    If you weren’t able to attend the live session,
    the recording of the session will be available until March 24, 2015.
    Feel free to review the FAQs on the registration site
    or email cdhountal@emlrc.org with any questions or concerns.
    To register, click here.

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    Pediatric Seizures
    Presented by Todd Wylie, M.D.
    Launch Date: March 17 at 1 p.m. ET
    Target Audience: EMS Professionals
    Offered FREE of charge with CME.
    For details and registration, click here.

    Pediatric Resuscitation: Before You Hit the ER Doors
    Presented by Presented by John Misdary, M.D.
    This webinar will be available to view until March 17,
    however, registration is still required for CME purposes.




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    SAVE THE DATES






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    EMERGENCY MEDICINE IN THE NEWS — AROUND FLORIDA


    ACEP Committee Interest 2015-16
    Committee interest for FY 2015-16 is now open. Various ACEP publications will outline the process for members and information is also on the ACEP website. Members interested in serving on a committee, and who are not currently serving on a national committee, must submit a completed committee interest form and CV by May 18, 2015.

    The CV and any letters of support from the chapter can be attached to the online form (preferred), emailed to me at mfletcher@acep.org, or mailed to me at ACEP headquarters. Chapter input is invaluable to this process. If you have personal knowledge of the level of commitment and talent exhibited by the interested member, please consider submitting a letter of support.

    The online application form is found here. After completion of the form, you should receive an acknowledgement that your committee interest form has been submitted. If you do not receive this message, please contact me by email or phone.

    The committee selection process will occur in mid-June and applicants will be notified by the end of July. Members chosen to serve on committees will serve a minimum of one year, beginning with the committee’s organizational meeting held during the annual meeting in Chicago, Oct. 27-30, 2014. (Funding is not provided to attend the organizational meeting.)

    PLEASE NOTE: Current committee members DO NOT need to complete a committee interest form. Current committee members will soon receive the annual committee evaluation form and will have the opportunity to indicate their preference for next year.

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    FCEP Councilor Positions Available for the Upcoming ACEP Council
    Interested members wishing to be considered as an FCEP Councilor for the ACEP Council are encouraged to submit letter (email) of interest. The council will meet at the ACEP Scientific Assembly in Boston, Oct. 26 – 29, 2015. There are currently 9 two-year slots available.

    Per FCEP Bylaws:
    Candidates must meet the following criteria:
      1. Member of Chapter for at least two years prior to nomination.
      2. Active involvement in Chapter as evidenced by committee membership and/or attendance at
      the meetings of the Board of Directors.
      3. Plans to attend Councilor meetings for two-year
      term. Councilors will be elected for two-year term with term beginning immediately upon
      election.

    Should a Councilor resign or be elected to office that is a designated Councilor, then the remaining Councilors will elect an Alternate Councilor to fill the unexpired term. If there are no Alternate Councilors available to be seated, then the Executive Committee shall have the right to name Alternate Councilors to be seated or designated as Councilors.

    Please email bbrunner@emlrc.org no later than April 15, 2015.

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    Medicaid fight could cost Florida's hospitals $1.3B
    Bay News 9
    For the last two years, Florida's Republican lawmakers have been saying "no" to Medicaid, warning it could cost too much. But now Washington is fighting back, cutting money the state already depends on. It's causing a budget crisis that could doom the Republican agenda in Tallahassee. Chad Riese is one of the one million Floridians who would have finally received coverage under Medicaid expansion, but that expansion hasn't happened because Republican leaders refused. Riese, who has epilepsy, doesn't have permanent health insurance because he can't afford it.
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    Florida ER wait times
    WJAX-TV
    Some emergency room patients wait almost an hour before seeing a doctor. Action News investigated wait times at local emergency rooms and found one local hospital with an average wait that's twice the Florida and national average. Jacksonville has a lot of hospitals with a dozen local emergency rooms treat thousands of families every day. We searched the database of information from the Centers for Medicare and Medicaid Services and found, the average ER wait time for Florida is 23 minutes, one minute faster than the national average.
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    2015 EDPMA Solutions Summit Agenda Highlights
    EDPMA
    Join us at the Omni Plantation, Amelia Island, Florida, April 26-29, 2015! The Emergency Department Practice Management Association's Solutions Summit is the premier conference for those in the business of emergency medicine.
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    MISS AN ISSUE OF THE FCEP EMNEWS?
    Click here
    to visit The FCEP EMnews archive page.


    EMERGENCY MEDICINE IN THE NEWS — NATIONAL


    End-of-life care documents cause confusion among emergency phsyicians, prehospital care providers
    News-Medical
    Emergency care providers vary in their understanding of a type of medical order intended to communicate seriously ill patients' choices for life-sustaining treatments, according to a pair of studies in the March Journal of Patient Safety. The journal is published by Wolters Kluwer. The studies show "significant confusion" among emergency physicians and prehospital care providers in interpreting the universal end-of-life care documents, called Physicians Orders for Life Sustaining Treatment (POLST).
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    Hospital readmission an issue in bronchiectasis, COPD
    Lung Disease News
    Hospital readmission for patients with bronchiectasis and COPD is a major problem. In fact, one out of every eleven patients with COPD is readmitted to the hospital only 30 days after discharge. A recent report from the Division of Population Health at the Centers for Disease Control and Prevention (CDC), published in Chest Journal, indicates that although 21 percent of COPD and bronchiectasis patients are readmitted to the hospital within 30 days of discharge, 7 percent of patients are readmitted with COPD or bronchiectasis as the primary diagnosis and 18 percent with COPD or bronchiectasis as any diagnosis.
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    Use of CT for adult fall patients is rising in the emergency department
    2 minute medicine
    Given the accessibility, speed of scanning, and sensitivity for traumatic injury of computed tomography (CT) imaging, this modality has continued to rise in popularity in the evaluation of patients in the emergency department (ED). With the increasing elderly population in the United States and the concordant increase in incidence of fall-related injuries, an understanding of CT utilization trends is important given the role of imaging in health care costs and policy.
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    The opioid-free ED: Coming soon to a hospital near you
    Medscape (free login required)
    The time has come to seriously explore the use of nonopioid analgesia for managing pain in the emergency department, said experts speaking at the American Academy of Emergency Medicine 21st Annual Scientific Assembly in Austin, Texas. "Relying on opioids as the primary analgesics for moderate to severe pain is inadequate, unsafe, and costly," said Sergey Motov, M.D., from Maimonides Medical Center in Brooklyn, New York.
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    CDC: Seasonal flu vaccine even less effective than thought
    HealthDay News
    This year's flu vaccine is even more disappointing than previously reported, showing just 18 percent effectiveness against the dominant H3N2 strain of flu, U.S. health officials reported. That's a drop from the 23 percent protection level estimated for the flu shot earlier in the season, said experts at the U.S. Centers for Disease Control and Prevention. The situation for children was even worse. The CDC panel pegged the effectiveness of the injected vaccine for kids aged 2 to 8 to be just 15 percent.
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    HCA discloses suit alleging unnecessary procedures, false billing claims
    The Wall Street Journal
    HCA Holdings Inc. disclosed a lawsuit had been filed in Florida alleging the hospital operator subjected patients to medically unnecessary, invasive and high-risk cardiology procedures for years and then submitted false medical claims for federal reimbursement. The suit, made public Monday, was filed in February 2012 in U.S. District Court in Miami by Christopher Gentile, then professional liability claims director for a subsidiary of HCA in Tennessee, and singles out two HCA hospitals: Lawnwood Regional Medical Center & Heart Institute in Fort Pierce, Florida and Regional Medical Center Bayonet Point in Hudson, Florida.
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    Variation in clinical practice guidelines for febrile infants
    HealthDay News via Medical Xpress
    Emergency department clinical practice guideline (CPG) recommendations contribute to observed practice variation in febrile infants, according to a study published online Feb. 13 in the Journal of Hospital Medicine. Paul L. Aronson, M.D., from the Yale School of Medicine in New Haven, Connecticut, and colleagues examined the correlation between pediatric emergency department CPGs and laboratory testing, hospitalization, ceftriaxone use, and costs for febrile infants in 33 hospitals in the Pediatric Health Information System.
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    Nearly half a million Americans suffered from Clostridium difficile infections in a single year
    Centers for Disease Control and Prevention
    Clostridium difficile caused almost half a million infections among patients in the United States in a single year, according to a study released today by the Centers for Disease Control and Prevention. Approximately 29,000 patients died within 30 days of the initial diagnosis of C. difficile. Of those, about 15,000 deaths were estimated to be directly attributable to C. difficile infections, making C. difficile a very important cause of infectious disease death in the United States. More than 80 percent of the deaths associated with C. difficile occurred among Americans aged 65 years or older. C. difficile causes an inflammation of the colon and deadly diarrhea.
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    Study finds respiratory viruses most common cause of pneumonia in children
    Infection Control Today
    Respiratory viruses, not bacterial infections, are the most commonly detected causes of community-acquired pneumonia in children, according to new research released Feb. 26 in the New England Journal of Medicine. The multicenter Etiology of Pneumonia in the Community study was a prospective, population-based study of community-acquired pneumonia hospitalizations among children in the United States that sought to address critical gaps in the knowledge about pneumonia. The study showed that the burden of pneumonia-related hospitalization is highest among children younger than 5 years of age.
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    CDC, federal partners develop improved method for attributing foodborne illness
    Centers for Disease Control and Prevention
    The Centers for Disease Control and Prevention, the U.S. Food and Drug Administration and the USDA's Food Safety and Inspection Service have developed an improved method for analyzing outbreak data to determine which foods are responsible for illnesses related to four major foodborne bacteria. On Feb. 24, the three agencies released a report on the new method. The report, titled "Foodborne Illness Source Attribution Estimates for Salmonella, Escherichia coli O157 (E. coli O157), Listeria monocytogenes (Lm), and Campylobacter using Outbreak Surveillance Data," was produced by the Interagency Food Safety Analytics Collaboration.
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    Healthcare jobs boost American middle class
    FierceHealthcare
    The healthcare industry provides a ray of hope for middle-class workers seeking well-paying jobs with opportunities for advancement, the New York Times reports, though not all workers may benefit from this trend. Although the hospital sector has struggled to create new jobs in recent years, the latest data indicates hiring has returned to a brisk pace, with demand particularly high for nonclinical positions such as community health workers and medical assistants, FierceHealthcare has reported.
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    States improve response to measles outbreaks
    MedPage Today
    In 2008, it took doctors at an Arizona hospital 3 days to diagnose measles in a European patient who was admitted with respiratory problems and a rash. By the time the outbreak was contained, 14 people statewide had developed measles and more than 7,000 healthcare workers and patients had been exposed. The state's ability to respond to a measles outbreak has improved. Last week, Arizona State Health Director Will Humble took to his blog to announce that the most recent measles outbreak, which came to Arizona in December via Disneyland, was "winding down" with a total of seven cases.
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    FCEP EMnews

    Colby Horton, Vice President of Publishing, 469.420.2601
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    Jessica Taylor, Senior Medical Editor, 202.684.7169  
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