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FCEP NEWS


CALL FOR FCEP COMMITTEE MEMBERS
Participation on an FCEP Committee is an essential part of our program activity. Committees help us with important initiatives such as setting our legislative and regulatory priorities. They also help us to identify clinical issues affecting patients and our members.

I encourage you to consider serving on an FCEP Committee. It is a great way to learn about how others are dealing with hospital ED issues and to help FCEP remain strong in so many areas.

Committees typically meet quarterly, in conjunction with FCEP Board meetings:

DATES AND LOCATIONS:
Feb. 18, 2015 — FCEP Offices, Orlando
May 20, 2015 — FCEP Offices, Orlando
Aug. 6, 2015 — Symposium by the Sea, Amelia Island

Please use these links to connect to the Committee Interest Form and view the Committee Objectives.

Sincerely,

Ashley Booth-Norse, M.D. FACEP
President

Note to our members currently participating on committees: We ask that you please also submit a committee interest form to renew your committee membership.

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SAVE THE DATE!


EM Days 2015 Hotel Information
Hotel Duval, Tallahassee, Florida
Group rate: $215/night
Hotel Reservation Deadline: Feb. 10, 2015
Reservation Link: Book your group rate: EM Days 2015 >>

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EMERGENCY MEDICINE IN THE NEWS — AROUND FLORIDA


Legislative delegation meetings
FCEP encourages members to participate in their local legislative delegation meetings. These sessions provide a great opportunity for FCEP members to learn about their individual legislator’s priorities as well as to contribute to the discussion. FCEP would be happy to provide talking points on our 2015 legislative priorities.

Click here to see the 2014-2015 Legislative Delegation Meeting Schedule.

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Interoperability program comes to Florida health system
Health IT Security
As hospitals and healthcare systems continue to implement new technologies, it is likely just a matter of time before interoperability is a hurdle they must overcome as well. Data sharing and the safe transport and exchange of patients’ protected health information (PHI) is a critical step that healthcare organizations need to be able to securely take. Florida’s Memorial Healthcare System knew that it needed to implement a secure interoperability option when it decided to connect with Henderson Behavioral Health. Henderson can now receive confidential emergency room referrals from Memorial. The move was done to more effectively treat patients, save money, and ensure care continuity.
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Florida Hospital Fish Memorial emergency department renovations progressing
The Daytona Beach News-Journal
Florida Hospital Fish Memorial is about two-thirds of the way through a $1.8 million, three-phase renovation of its emergency department that is aimed at reducing wait times and improving patient care efficiency. The work began in the summer. Upgrades to the emergency room lobby, waiting area and bathrooms are complete. This past week, two new triage rooms were opened. A new nurses’ station is expected to open next week, said John Lazarus, the hospital’s emergency department director.
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Report: Charity care cost Florida hospitals $1.4 billion
News-Press.com
Florida's hospitals provided an estimated $1.5 billion in charity care to patients who could not afford treatment in 2012, according to a new report from the Florida Hospital Association. Charity care, which includes free and discounted medical treatment, accounted for most of hospitals' $3.5 billion in spending considered a "community benefit," according to the association.
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5th Annual National Hospital Disaster Planning, Preparations and Response Symposium: An All-Hazards Approach
Friday, Feb. 13, 2015
Miami, Florida
This symposium is jointly sponsored by Jackson Health System and the University of Miami Miller School of Medicine. Click here to learn more.

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EMERGENCY MEDICINE IN THE NEWS — NATIONAL


A child is treated in a US emergency department every three minutes for a toy-related injury
Medical Xpress
'Tis the season for toys. Children are writing lists full of them, and parents are standing in lines (or tapping on computers) trying to find them. Playing with toys this season or any other is an important way for children to develop, learn, and explore. But anyone planning to buy new toys, or anyone with toys already at home, should know that many toys pose an injury risk to children.
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Breaking the cycle of crisis for frequent emergency room users
KQED News
Federal officials say the sickest 5 percent of Americans rack up more than half of all healthcare costs. They often have chronic health conditions as well as high rates of emergency room visits and hospitalizations. A San Diego program is attempting to teach these “high utilizers” how to navigate the health care system, break the cycle of crises and manage their own conditions.
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Patients at emergency departments regarded as 'symptoms'
Health Canal
The healthcare work of providing care at Emergency departments is medicalized and result-driven. As a consequence of this, patients are regarded as “symptoms,” and are shunted around the department as “production units.” These are the conclusions of a thesis presented at the Sahlgrenska Academy. What is central for Swedish Emergency departments are short waiting times, efficient care processes and a balanced budget. The healthcare work is dominated by a medical perspective. This gives limited opportunities to satisfy the individual care needs of the patients.
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CDC: Emergency departments saw record visits in 2011
FierceHealthcare
Emergency departments across the country saw a record number of patients in 2011, with more than 136 million people visiting, and experts only expect the demand to increase, according to data from the Centers for Disease Control and Prevention. Current projections have ED visits around 140 million, with about a 2.9 percent increase in patients every year, according to the data, but many hospitals haven't expanded to cope with the growth. "Given that our nation's population is aging, and emergency departments have a critical role as the front line of responding to disasters and infectious disease outbreaks in America ... we need to prepare for increased numbers of patients," Michael Gerardi, M.D., president of the American College of Emergency Physicians, said in an announcement.
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Study: Children who break bones are rarely splinted properly
The Baltimore Sun
Hundreds of thousands of times each year in the United States, a kid heads to the emergency room with a fracture. But new research from University of Maryland School of Medicine shows that the injury is almost never splinted properly. A whopping 93 percent of the splints that are used to immobilize fractured limbs temporarily are not put on correctly, according to the study of pediatric patients in the Baltimore area.
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US healthcare for seniors ranked poorly compared to 10 other countries
Forbes
During the month of November, Kaiser Health News reported that “more hospitals are receiving penalties than bonuses in the second year of Medicare’s quality incentive program, and the average penalty is steeper than it was last year.” Kaiser wasn’t the only troubling news that appeared recently for Americans who are 65 and older and rely on Medicare for their healthcare coverage. In a report issued recently, The Commonwealth Fund found that the U.S. ranked poorly compared to 10 other countries on key indicators for those who are 65 and older. It’s an important and valuable comparison for 3 reasons.
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Coordinated emergency response speeds care to heart attack patients
Medical Xpress
An ambitious, coordinated emergency response effort modeled after a program that began at Duke Medicine to speed up heart attack care has now been applied to more than 23,000 patients in regions across the United States — and it appears to have saved lives. Duke Medicine and other North Carolina leaders joined the American Heart Association in leading the broad-reaching national demonstration project, which was called Mission: Lifeline STEMI ACCELERATOR.
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Transforming decision support and reporting
HealthLeaders Media
New technology is enabling easier access to information, creating collaborative care team interaction and improved clinical outcomes. The next generation of decision-support technology leverages natural language processing (NLP) and continues to evolve by scouring unstructured text and presenting evidence-based medicine to providers in new, accessible and interesting ways.
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Improving performance in a hospital setting
Association for Talent Development
Crew resource management (CRM) is an established management style that promotes teamwork, improved communications, increased situational awareness, problem solving, decision making and risk mitigation through the combined use of many independent methods. The ultimate goal is performance improvement. In most cases, CRM is implemented to reduce human errors. An undefined number of healthcare facilities have implemented CRM to promote safety, increase quality of care and prevent the loss of resources due to human error. Yet, relatively little was known about the effect on performance improvement.
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Survey: Cost trumps health for many Americans
By Scott E. Rupp
As "Obamacare" is entering its second year of implementation, and open enrollment is currently upon us, Healthline — a provider of intelligent health information and technology solutions — has released the results from a new survey showcasing consumer's thoughts about the Patient Protection and Affordable Care Act (ACA) and health insurance. Conducted ahead of the 2015 open enrollment, the survey shows health insurance issues, including factors impacting health plan selection, satisfaction with current plan options, consumer understanding of the ACA, perceived impact of the ACA and overall thoughts about the U.S. health insurance system.
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NPs, PAs use more diagnostic imaging compared to physicians
HealthDay News via MPR
Advanced practice clinicians (APCs) use more imaging than primary care physicians (PCPs), according to a study published online Nov. 24 in JAMA Internal Medicine. Danny R. Hughes, Ph.D., from the Harvey L. Neiman Health Policy Institute in Reston, Virginia, and colleagues compared the use of diagnostic imaging ordered by APCs (specifically, nurse practitioners and physician assistants) versus PCPs following office-based encounters. Data were obtained from 2010 to 2011 Medicare claims for a 5 percent sample of beneficiaries.
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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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