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Medical Student Mentor Program

The Florida College of Emergency Physicians has recently developed a Medical Student Mentor Program as a resource for students considering specializing in Emergency Medicine, with the goal of improving professional success and increasing interest in emergency medicine as a whole. In order to provide mentors to our medical students, we need to build a database of mentors who would be willing to share their experiences and insights. If you would like to find out more about the mentor program, click here to download a description and application, or email info@fcep.org.

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2014 Emergency Medicine "Life After Residency" Workshop

Tuesday, Sept. 30 - Wednesday, Oct. 1

Embassy Suites Orlando- Downtown
191 East Pine Street
Orlando, Florida 32801
Located next to Lake Eola and a short walk to Orlando nightlife.

Make your reservations today!
The reservation deadline for the group rate has passed, but you can still contact the hotel at 1-800-809-9708 to reserve a room.

The “Life After Residency" event is sponsored by the Florida College of Emergency Physicians (FCEP) and is open to all emergency medicine residency programs. For more information, including the workshop topics that will be covered, CLICK HERE.

Confirm your participation in the 2014 Emergency Medicine Life After Residency workshop by contacting your residency program coordinator.

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Emergency Care of Stroke Patients 2014:
Defining the State of the Art and the Science


November 13-14, 2014
Orlando, FL

All providers involved with acute care as well as hospital managers and administrators will benefit from this dynamic program that provides a comprehensive overview of best practices in acute stroke care. To view the brochure for this event, click here.

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Florida Councillors Prepare for ACEP Council Meeting in Chicago — Oct. 25-26
With over 1500 members, the Florida College of Emergency Physicians will have a contingency of 15 councillors and 4 alternates attending this year's ACEP Council meeting. Once the resolutions are released – around September 23 – your councillors will be reviewing the proposals with the FCEP Board.
    FCEP Councillors:
    Andrew Bern, M.D., FACEP
    AshleyBooth-Norse, M.D., FACEP
    Dagan Dalton, M.D., FACEP
    Mylissa Graber, M.D., FACEP
    Kelly Gray-Eurom, M.D., FACEP
    Larry Hobbs, M.D., FACEP
    Steve Kailes, M.D., FACEP
    Mike Lozano, M.D., FACEP
    Kristin McCabe-Kline, M.D., FACEP
    Ernest Page, M.D., FACEP
    Sanjay Pattani, M.D., FACEP
    Tracy Sanson, M.D., FACEP
    Joel Stern, M.D., FACEP, FAAEM
    Adrian Tyndall, M.D., FACEP
    Kendall Webb, M.D.

    Alternates:
    Damian Caraballo, M.D.
    Cliff Findeiss, M.D.
    Jay Rao, M.D., FACEP
    Danyelle Redden, M.D., MPH
The Council meeting is open to all, so if you are in Chicago for SA, please feel free to stop by the Council meeting.

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EMERGENCY MEDICINE IN THE NEWS


Emergency Medicine wins ruling for PIP
Thanks to Bradford Cederberg PA, emergency medicine has won two very significant rulings from the Circuit Court in Seminole County sitting in its appellate capacity. The appellate rulings are the first of their kind in the state of Florida. In affirming the trial court, the appellate court held that you cannot apply a provider of emergency services and care’s bill toward an elected deductible in a PIP matter. This is a monumental ruling in favor of Emergency Physicians whose bills are routinely applied toward patients’ deductibles in the PIP setting, despite a mandatory $5000.00 reserve for providers of emergency services and care for payment of these charges. Auto insurers have basically ignored Florida’s PIP laws promulgated for the benefit of Emergency Providers and have routinely ignored the mandatory $5000.00 reserve and applied ED physician invoices to PIP auto deductibles. Thousands of claims have been filed on behalf of ED physicians against auto insurance companies for the past several years and after initially setting the matter and paying the claim, carriers united and took a hard line stance on this issue against ED physicians, despite more than 20 rulings in a three county area in favor of ED physicians on this issue.

Emergency Physicians must submit their bills within 30 days of a MVA (date insurer knew of the claim) to avoid having the deductible applied to their bill. If the Emergency Physician bills after that initial 30 day period, then the ED physician loses the protection of the statute and stands in line like all other providers. The PIP deductible in those instances can be applied toward their bill. These appellate decisions are being circulated around the state to others fighting on behalf of ED physicians in the PIP arena.

Rutledge M. Bradford
Board Certified Civil Trial Lawyer

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Study: ER visits up after Medicaid expansion
The Associated Press via Health News Florida
Many people newly insured by Medicaid under the federal healthcare law are seeking treatment in hospital emergency rooms, one of the most expensive medical settings, a study concludes. The analysis by the Colorado Hospital Association provides a real-time glimpse at how the nation’s newest social program is working. It also found indications that newly insured Medicaid patients admitted to hospitals may be sicker than patients previously covered under the same program, which serves more than 60 million low-income and disabled people.
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Medicare Speaks 2014, in Panama City on Nov. 5-6, 2014

Learn what’s trending now in Medicare.

First Coast Service Options (First Coast), the Medicare administrative contract (MAC) for Florida, Puerto Rico and U.S. Virgin Islands, invites you to join our signature education event: Medicare Speaks 2014.

This event is for Part A and B Medicare providers and their billing and compliance representatives. You will benefit from data-driven content based on the latest Medicare changes that you need to know to bill Medicare the right way, the first time.

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13 most common healthcare-associated infections
Becker's Infection Control & Clinical Quality
Healthcare-associated infections are a consistent issue for both hospital patients and healthcare providers. While no single U.S. surveillance system can provide estimates of the prevalence of healthcare-associated infections across acute-care patient populations, a recent multistate prevalence survey published by The New England Journal of Medicine reveals important insight for healthcare providers in their efforts to combat infections. Across 183 hospitals and 11,282 patients, 452 patients had one or more healthcare-associated infections. The following list ranks the most common healthcare-associated infections from highest prevalence to least.
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Analysts say telemedicine can cut costs, boost productivity by reducing doctor visits
Bloomberg BNA
An increasing number of employers are looking to offer telemedicine—non-emergency healthcare treatment accessed from a remote location, such as the workplace, via electronic means—as an alternative to time-consuming employee doctor visits, according to new analysis from Towers Watson. The New York City-based consulting firm said in an Aug. 11 statement that telemedicine, also referred to as telehealth, could potentially deliver upwards of $6 billion per year in healthcare savings to U.S. companies.
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CDC releases new statement on sepsis, calls for more education, action
September is Sepsis Awareness Month. The CDC released a statement pointing out that sepsis affects more than a million Americans each year and kills up to half of them. And many American's haven't even heard of it. Read the statement.
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Researchers develop tool to tell if tremors are real or a ruse by drug-seeking addicts
Health Canal
The most common clinical sign of withdrawal is tremor, especially in the hands and arms. But judging tremor severity is harder than it sounds; it requires considerable medical expertise and even experienced doctors’ estimates can vary widely. To assist physicians in determining the severity of a patients withdrawal, researchers from the University of Toronto have developed the world’s first app to measure tremor strength, providing objective guidance to direct treatment decisions. The app also shows promise in making solid predictions about whether the tremor is real or fake.
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US startups get OK for smartphone-based heart tracking
Fox News
For a growing U.S. aging population, tracking heart health via a smartphone can mean the difference between life and death. Recently, two Silicon Valley startups received a green-light from the U.S. Food and Drug Administration for mobile applications that monitor patients from home, a step forward for a nascent digital health industry that has pressed for more clarity from the agency on regulations.
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Smart technology tracks hospital patients
Fox News
A child checks in to have a cyst removed at Rush University Medical Center in Chicago, and the admissions clerk gives her a disposable ID bracelet loaded with her identification, her date of admission and her physician’s name and contact number. Her worried parents get bracelets with smart tracking technology embedded in them, too. The hospital uses this smartcard ID technology to ensure that only authorized family members remain in the surgical and post-operative areas, and that intruders don’t interfere with the work of healthcare professionals. Across the country, hospitals and healthcare organizations are adding smartcard technology to their IT mix.
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Rates of major obstetrical complications vary almost fivefold among US hospitals
Health Affairs
Of the approximately four million women who give birth each year in the United States, nearly 13 percent experience one or more major complications. But the extent to which the rates of major obstetrical complications vary across hospitals in the United States is unknown. Researchers used multivariable logistic regression models to examine the variation in obstetrical complication outcomes across U.S. hospitals among a large, nationally representative sample of more than 750,000 obstetrical deliveries in 2010. They found that 22.55 percent of patients delivering vaginally at low-performing hospitals experienced major complications, compared to 10.42 percent of similar patients delivering vaginally at high-performing hospitals.
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Pain management scores rise moderately, leave room for improvement
FierceHealthcare
With post-surgical pain evaluations tracking closely with overall patient satisfaction scores during hospital stays, pain management at hospitals is improving, but not at the rate industry experts would like. There is an increase in patient satisfaction with pain care in government-owned, for-profit and nonprofit hospitals, but that increase didn't keep pace with other improvements such as satisfaction with overall care, according to an article in Anesthesiology News.
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Heart attack patients stick to polypill
MedPage Today
A series of trials has pinpointed factors that contribute to medication nonadherence, and has shown that a polypill can increase compliance among patients who've had a heart attack, researchers reported. In the FOCUS (Fixed-Dose Combination Drug for Secondary Cardiovascular Prevention) series of studies, post-MI patients who were taking the polypill — a combination of aspirin, a statin and an ACE inhibitor — had significantly greater medication adherence than those taking the three pills separately, according to researchers.
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Grand Junction VA to install ER nurse-call buttons
The Associated Press via Washington Times
Nurse-call buttons will be installed in the Grand Junction Veterans Affairs Medical Center next year in response to an inspector general’s report. The Daily Sentinel reported Sept. 3 that money for the system will be included in a budget proposal by the end of the year. A contractor is expected to be hired by the end of March.
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ER use dropped as Obamacare kept young adults on parents' plans
Forbes
Emergency department use slowed for young adults up to age 26 once they were allowed to stay on their parents’ health plans under the Affordable Care Act, according to new research. A new study from Stanford University researchers published Monday in the September issue of the journal Health Affairs showed young adults ages 19 to 25 had a decrease of 2.7 emergency department (ED) visits per 1,000 people compared to an older group in the same period. Researchers looked at state hospital records from California, New York and Florida from 2009-2011 for their analysis.
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Ebola outbreak spinning out of control
FierceHealthcare
As reports surface that a third American missionary has contracted Ebola while working in Liberia, public health officials said the outbreak is spinning out of control and has now spread to five countries. Thomas Frieden, director of the Centers for Disease Control and Prevention, returned Sept. 1 from a week-long trip to West Africa, one of the areas hardest hit by the outbreak, and told The Washington Post he was shocked by how fast the virus is spreading.
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Apps that find the least busy ER are on the wrong track
By Alan Kelsky
Emergency departments would do well to tell their potential patient population that smartphone apps featuring which neighborhood ER is the least busy are generally a waste of money. For patients with the sniffles, this might be useful information — although it is a waste of money and the ER's time for such a minor ailment. Go to an urgent care center. Public service announcements that all ERs sponsor should carry this message.
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Children's hospital-linked infections fall sharply
The Associated Press
Hospitals are becoming safer for very sick children, according to a new study that found steep declines in dangerous infections sometimes transmitted through treatments in intensive care units. The results from 174 U.S. hospitals in 39 states suggest increasing efforts to improve patient safety and reduce preventable health-care linked infections are working, the study authors said.
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10 technologies changing the future of healthcare
TechRepublic
The healthcare industry will see a 21 percent increase in IT jobs by 2020, according to research by the University of Chicago. Across all healthcare sectors, there is a demand for creative, thoughtful uses of health informatics, mobile technology, cloud systems and digital diagnostics. From digital networks to wearables, the healthcare industry is undergoing massive technological changes. Many of these new inventions have yet to be approved by the FDA, a process that can take up to 10 years. But that's not stopping the research and development of new technologies. Here are 10 types of tech that are changing the course of healthcare.
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TRENDING ARTICLES
Missed last week's issue? See which articles your colleagues read most.

    Stand-alone emergency rooms emerge in Central Florida (Orlando Sentinel)
Freestanding ERs target suburbs, rural panel told (Georgia Health News via Kaiser Health News)
New rules for hydrocodone: What you should know (Forbes)
How tele health promises to advance the Triple Aim (Government Health IT)
Rollins kicks off new health lecture series (Orlando Sentinel)

Don't be left behind. Click here to see what else you missed.
 



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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