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The Florida Medical Association (FMA) held its annual meeting last weekend in Orlando, FL. Congratulations to the following FCEP members for being elected to leadership positions:
|Updates from the 2019 FMA Annual Meeting
FCEP was also represented in FMA's second House of Delegates Annual Meeting. To quote past-president & delegate Dr. Michael Lozano, it's "great to see early career FCEP members participating in organized medicine," pictured below.
- Dr. Ashley Booth-Norse: Vice Speaker of the House
- Dr. Sanjay Pattani: Board of Governors
- Dr. Jayant Rao: Board of Governors
Thank you to all members who attended FMA's Annual Meeting! More information on resolutions passed will follow.
Have you booked your hotel rooms yet for Life After Residency Retreat? Our discounted rate with Sirata Beach Resort expires on Tuesday, Aug. 20!
Life After Residency Retreat: Thriving Beyond Medicine
September 19-20, 2019
Sirata Beach Resort
St. Pete Beach, FL
Discounted hotel rates start at $139 for traditional queen, $159 for studio and $169 for king one-bed suite. Make sure to mention the group name when reserving: Emergency Medicine Life After Residency Workshop.
Call 1-800-344-5999 to reserve or fill out a hotel order form here.
Register Now for Life After Residency Retreat 2019
The number of hepatitis A cases continues to rise in Florida. Last Wednesday, state Surgeon General Scott Rivkees issued the following recommendations for emergency care providers:
FCEP is seeking clarification on these recommendations for immunizing high-risk populations. In the meantime, hospitals, emergency physicians and EMS agencies should work with their local county health departments on solutions.
- EMS providers are encouraged to vaccinate high-risk individuals through paramedic programs
- Emergency departments are encouraged to screen for Hepatitis A and vaccinate high-risk individuals upon discharge
- Immediately report Hepatitis A cases to Florida DOH
According to The News Service of Florida, 68 new cases were reported to state health officials last week. The largest number of new cases was in Pinellas county (7), followed by Volusia and Brevard counties (6 each), and Pasco county (5). Pasco continues to have the most reported cases (373).
As of Saturday, 10 counties (Dixie, Calhoun, Bradford, Gadsden, Gulf, Highlands Holmes, Lafayette, Jefferson and Union) did not have any reported hepatitis A cases, while Suwannee county reported its first case.
ICYMI: The DOH has launched a Hepatitis A information page here: FloridaHealth.gov/hepa
By Project Opioid
Hope for the Opioid Crisis
August 20, 2019
8:30-10:00 am, with a naloxone training session immediately following
First Presbyterian Church in Orlando
106 East Church St., Orlando, FL 32801
Audience: Central Florida business and faith leaders interested in making a difference in the opioid crisis
Special guests: Florida Gov. Ron DeSantis and First Lady Casey DeSantis
View Flyer | Register Now
FCEP is on Project Opioid’s leadership team. Project Opioid was created as a community response to the rise of opioid use disorder (OUD) and resulting deaths in Central Florida. Opioid addiction is a complex problem that requires complex, community solutions. Learn more at projectopioid.org.
The EMS report cards for VF witnessed cardiac arrest survival are in, and the results are dismal. Many large U.S. cities average less than 10%. Yet, there is hope: Seattle and King County, WA report over 60% survival — among the highest in the world. Why is this? What can your community do to improve?
The Florida Resuscitation Academy teaches high-performance CPR to EMS personnel, hospitalists and local health care providers through a free, one-day training program. This course will transform the way you think about and manages cardiac arrests. View Agenda Here
There are three upcoming sessions in Florida:
- Highlands County: August 15
- Monroe County: August 16
- Walton County: August 21
Contact Brittany Myers at email@example.com or 386-462-1551 x105 for more information.
As experts in the business of emergency medicine, we hope that you are interested in presenting at the 2020 Solutions Summit in Nashville, Tennessee on May 3-6, 2020 or at an upcoming EDPMA Workshop.
If interested, please complete and submit an application by September 13, 2019.
The application asks what areas of interest you might be willing to address if your topic is not chosen. The conference and workshop planning committees have identified the topics below as topics of interest:
The Emergency Department Practice Management Association (EDPMA) is one of the nation's largest professional physician trade associations focused on the delivery of high-quality, cost-effective care in the emergency department. EDPMA's membership includes emergency medicine physician groups as well as billing, coding and other professional support organizations that assist healthcare providers in our nation's emergency departments.
- Advocacy (State & Federal)
- Coding and Compliance
- Freestanding Emergency Centers (FSEC)
- Physician Reimbursement
- Prudent Layperson (PLP) Standard
- Alternative Payment Models (APMs)
- Artificial Intelligence (AI) in Emergency Medicine
- Disruptors in the Industry and Emergency Medicine's Response
- Challenges Facing Rural ED's
- Revenue Cycle Management Best Practices
- Unfair Payment Practices by Health Plans
- Innovative Solutions to Problems Facing the Industry
- Behavioral Health
- Medicare & Medicaid
Please share this information with coworkers and industry colleagues you think would be great speakers on issues facing the business of emergency medicine.
By Dr. Vidor Friedman, ACEP President
ACEP President Dr. Vidor Friedman's commentary, "When mass shootings occur, don't forget the caregivers," was published by Modern Healthcare over the weekend.
"There will come a time when a physician confronts situations well outside the bounds of the usual practice patterns and there is no one-size-fits-all response to these tragedies. That is when it is most important to trust instincts, abilities, and most of all, each other."
Novartis Pharmaceuticals Corporation is hosting a live, educational broadcast on sickle cell disease on September 5. Join us at the live event or watch online.
Clinical and Patient Perspectives on Sickle Cell Disease
Thursday, Sept. 5, 2019 at 6:00 pm EST
Ruth's Chris Steakhouse
610 Orlando Ave., Winter Park, FL 32789
Hosted by: Novartis Pharmaceuticals Corporation
Leading experts in sickle cell disease will discuss the history, pathophysiology and complexities of SCD, and patients will share their journeys managing this disease. Featured speakers include Ifeyinwa Osunkwo, MD, MPH, James Eckman, MD and Alexis Thompson, MD, MPH. View Flyer
Register to Attend or Watch Online
ACEP Now's new feature, "FACEPs in the Crowd," highlights our FACEP members' non-medical lives. Do you have an interesting hobby outside of the ED that deserves to be featured? Contact firstname.lastname@example.org.
Find all Preliminary Round photos here and Championship photos here. Download any photo for free! Special thanks to photographer Louis Mallory who shot all Preliminary Round photos and most Championship photos.
Save the Dates: CLINCON 2020 will be held August 8-11, 2020 at the DoubleTree by Hilton-Universal in Orlando, FL
Subscribe to Florida PEDReady's weekly newsbrief, the PE2ARL: Pediatric Emergency Education, Advances, Resources & Literature. Brush up on your pediatric emergency education in just 10 minutes a week!
Subscribe to the PEDReady PE2ARL Here
FCEP members must opt-in to receive updates
Interested in contributing? Contact Dr. Phyllis Hendry at email@example.com for more information.
Per HB 851 passed in Florida's 2019 Legislative Session, all healthcare providers must complete 1-hour of CME on human trafficking as part of their existing hours. EMLRC has an online course that satisfies this requirement.
Human Trafficking and Emergency Medicine
By Danyelle Redden, MD, MPH, FACEP
$20 | 2.0 hours of CME
Accredited by ACCME, FBON, FEMS
Take it Now
Implementing Warm Hand-Offs Between EDs & Treatment Providers for Patients with Opioid Use Disorder
By Aaron Wohl, MD, FACEP; Mark Stavros, MD, FACEP; Nancy McConnell, MSW, MCAP, CRPS-A; Chief Judge Frederick J. Lauten
Produced in collaboration with FADAA
1.5 hours | 1.5 CME
Accredited by ACCME | FBON | FEMS | FPA | CAPCE
Audience: Anyone (if you do not have a license #, type in n/a)
Free & available until November 30, 2019
Patients suffering from opioid use disorder (OUD) present unique and unprecedented challenges to emergency care providers, who are on the front lines of this national opioid epidemic. This webinar discusses misconceptions about treatment and the disease itself; introduces the concept of warm hand-offs between EDs and treatment providers; reviews legal issues surrounding opioid overdose cases; and talks about the important role of peer specialists in recovery.
UPCOMING FCEP & EMLRC EVENTS
|SEPT. 19-20, 2019
||Life After Residency Retreat | Learn More
||St. Pete Beach
|OCT. 22-24, 2019
||EMS Advisory Council & Constituent Group Meetings | Learn More
|JAN. 27-29, 2020
||Emergency Medicine Days
To see the full calendar, click here.
The definition of "microhospital" is fuzzy; some people might say a hospital with up to 50 beds would qualify. But generally, they are free-standing buildings that range in size from about 30,000 to 60,000 square feet. Microhospitals stay open 24/7 and typically offer the same services as an emergency department, plus labs, a pharmacy, a full radiology suite and inpatient capabilities. They do not accommodate surgeries. One emergency physician is present and in charge at all times, and other staff can be scheduled as needed.
Walk into any emergency room in the U.S. and you'll hear a regular din of beeping alarms going off from machines connected to patients. But a new study found only a tiny fraction of the alarms signals a condition important enough to require a change in the patient's care. And that creates a problem: the nearly constant din tends to desensitize hospital staff to the sounds, a phenomenon dubbed "alarm fatigue," which can result in real emergencies being missed, researchers warn in The American Journal of Emergency Medicine.
Emergency Medical Services for Children and the American Academy of Pediatrics teamed up with the American College of Emergency Physicians, the Emergency Nurses Association, and many other stakeholder groups to discuss pediatric medication safety in the ED, resulting in numerous strategies for improvement and a set of recommendations.
Physicians who used ultrasound to guide the placement of intravenous lines in young patients had better first-attempt success rates than those who used traditional methods, according to a study published in the July issue of Annals of Emergency Medicine. In the study, children with difficult IV access were randomized to receive either line placement from a team trained in ultrasound-guided IV line placement or traditional IV line placement. More than 85% of ultrasound-guided IV placed lines were successful on first-attempt, compared to less than 50% of traditionally placed lines.
Nearly half of Americans believe it is likely there will be another major mass shooting in the next three months, even though such attacks comprise a small fraction (between 1% annually) of gun-related deaths. Nevertheless, mass shootings linger in the public consciousness, largely because of their scope and often random nature. They have prompted a nationwide re-evaluation in the way doctors, nurses, first responders, hospitals and law enforcement officials prepare for and respond to such events.
By Lisa Mulcahy
Antibiotic-resistant infections create massive challenges for hospitals. There's no doubt you strive to practice scrupulous infection control procedures at your facility — but did you know that sometimes the easiest fixes may be among the most effective ways to protect your patients? Research backs this up — implement these tips immediately to potentially cut your hospital's infection numbers.
There have been few glimmers of hope when it comes to the opioid crisis. But a new report from the Centers for Disease Control and Prevention suggests that many more people are now getting access to the opioid overdose antidote naloxone — and that may have helped slightly reduce the number of opioid-related deaths in 2018. At the same time, there are still areas of the country that aren't getting the naloxone they need.
Rand Corporation via EurekAlert
A California law that limits the size of bills from out-of-network physicians for care delivered in hospitals appears to be protecting patients' financial liability, but has shifted bargaining leverage in favor of insurance plans and had potential unintended consequences such as encouraging more consolidation among physician practice groups, according to a new RAND Corporation study. Implemented in July 2017, the law appears to be successfully protecting patients from surprise medical bills from out-of-network physicians when they have nonemergency care delivered at in-network hospitals. Patients are now only required to pay in-network cost sharing. However, the law has eroded the leverage that smaller physician groups have when negotiating payment contracts with hospitals, speeding consolidation among medical practices and increasing concerns that some types of specialists may refuse to participate in on-call panels, especially for late-night hours.
The frequency and price tags on surprise medical bills for emergency and inpatient services at in-network hospitals is on the rise, according to a study published Monday in JAMA Internal Medicine. The percentage of emergency department visits resulting in a surprise bill jumped from 32.3% in 2010 to 42.8% in 2016 while the increase for inpatient admissions went from 26.3% to 42%. The cost of the bill in both categories nearly doubled in that time period, with the top 10% of ED visits resulting in a bill of more than $1,000, and the top 10% of inpatient visits costing more than $3,000. Patients at some hospitals were far more likely to receive a surprise bill.
Association of Health Care Journalists
Experts on aging are sounding the alarm about another U.S. drug crisis: Too many older adults taking too many medications. This trend is leading to a surge in adverse drug events over the past two decades. The rate of emergency department visits by older adults for ADEs doubled between 2006 and 2014 — a problem as serious as the opioid crisis but whose scope appears to remain virtually invisible to families, patients, policymakers and many clinicians, according to a recent report by the Lown Institute, a nonprofit think tank in Brookline, Massachusetts.
7701 Las Colinas Ridge, Ste. 800, Irving, TX 75063