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Text Version   RSS   Subscribe   Unsubscribe   Archive   Media Kit   February 12, 2015



 
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In case you missed it ...
Life-Saving Emergency Procedures using cadavers was presented at the Homestead prior to VACEP’s Annual Meeting. Physicians practiced intubation, central line placement, cricothyrotomy, needle decompression, chest tube placement, joint aspiration, arterial vessel ligation, lateral cathotomy, humeral; & tibial I/O placement and thoracotomies. The next Cadaver Workshop will be offered Feb.5, 2016 at the Homestead.


UVA’s Dr. Mark Sochor (right) led the Cadaver Workshop and practices a procedure with Dr. Brian Anderson with the help of Dr. Bruce Lo (left) while Dr. Julie Mullen looks on.

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NEWS FROM VACEP AND VIRGINIA


New Officer's Elected to lead VACEP

From left to right: (1) Drs. Jake O’Shea (Immediate Past President), Mark Sochor (President), Bruce Lo (President-Elect), Brian Dawson (Secretary). Missing from photo: Scott Hickey (Treasurer). (2) VACEP President Dr. Mark Sochor (left) accepts the VACEP Presidential Gavel from Dr. Jake O’Shea.


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Thank you for 'leading a major chapter transition!'

Thank You banner acknowledges Dr. Jake O’Shea and the Board of Directors for leading the association’s transition from an office in Williamsburg to moving into the Medical Society of Virginia’s Richmond building.


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During the 2015 Annual Meeting ...

From left to right: (1) Twenty-one exhibitors shared their products and services with the physicians. (2) President O'Shea visits at the Valley Emergency Physicians Booth


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CONNECTING YOU WITH VIRGINIA EMERGENCY MEDICINE OPENINGS!
Visit EM Career Central this to find your next job in emergency medicine.


PEND issues update
On Sunday, Feb. 8, 2015, the House and Senate released their respective amendments to the Governor's budget. As you may remember, we did request again that the PEND program be eliminated. Senator Watkins wanted to put it in on the Senate side and Dr. Stolle did the same on the House. We also requested that they put in language starting a stakeholders group to look at best practices and strategies for addressing the issue of super-utlizers in the ED, based on the work that Washington State has been able to accomplish. I am pleased to report that the Senate budget included both of our amendments, which I have included below. As you can see, the proposed cost of the elimination of the PEND program has increased significantly from the $430,000 it was purported to cost last year. I am trying to track down the answer to the change through DMAS, but my suspicion is that they are including the MCO cases that are pended and then paid the "ER Triage Fee" of $22.06 in that number. Anthem has been lobbying hard against our amendments this year, which is a change from years past. In years past it wasn't quite so public. Perhaps we have scared them sufficiently at this point that we could be successful.

The House included no amendments to eliminate PEND or to look at the potential cost savings of best practices for super utilizers, which is disappointing but not unexpected. We have a limited amount of time to work on this as session ends in two weeks and there are rumors that they are going to attempt to adjourn a week early. The other factor is that this is Senator Watkins' last year in the Senate- he will not be running for re-election again this fall. That means we are losing our biggest champion in the Senate after this session. We need to be as strategic as possible to really identify how we can eliminate PEND forever. Stay tuned.

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UPCOMING EVENTS

EVENT DATE MORE INFORMATION
Value Based Emergency Medicine Summit March 13, 2015 Baltimore, Maryland


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HOT TOPICS IN THE HEADLINES
2 sides of the physician coin: Burnout and well-being
Medscape (free login required)
The problem of physician burnout has been illuminated by a number of recent studies, including Medscape's 2015 Physician Lifestyle Report, which surveyed approximately 20,000 physicians and asked about severity of burnout, factors contributing to burnout, and its association with a range of other issues, including happiness outside of work, alcohol and marijuana use, and financial status. Burnout is not a new problem, but an emphasis on burnout prevention and physician wellness is a relatively new response.
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Is healthcare spending about to accelerate?
Forbes
Bend a resilient object and it will spring back with a vengeance once released from your grip. Is that what is about to happen to healthcare spending? For years now, experts have been debating ways to “bend the cost curve ” – take the sharp rise in healthcare costs, picture a rapidly ascending line on a XY axis, and slow it down, bend it so it moves horizontally to the X axis. In the last few years, we seem to have bent the curve as we’ve hoped to. Healthcare spending is growing more slowly than it has in decades.
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Too many hospitalized heart failure patients on IV fluids
HealthDay News
Potentially harmful intravenous (IV) fluids are being given to too many patients with severe heart failure, according to a new study published in the Feb. 1 issue of JACC: Heart Failure. In the study, a research team looked at data from 131,430 hospitalizations of severe heart failure patients. All of the patients received IV fluids during their first two days in hospital, and 11 percent were treated with IV fluids in addition to diuretics. Compared to those who received diuretics alone, patients who received diuretics and IV fluids...
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NEWS FROM AROUND THE INDUSTRY


How to stop the next pandemic
U.S. News & World Report
White House Ebola czar Ron Klain made some optimistic comments over the holidays about the world reaching a “pivot point” in dealing with this global health pandemic. But while we have witnessed some progress in Guinea and Liberia, there are still new cases every day. The situation in Sierra Leone has slowed but remains dire, particularly in the west of the country, as noted by the World Health Organization. United Nations Secretary General Ban Ki-moon has said that “Mitigating the consequences of Ebola will demand a coordinated global response comparable to what is being provided to end the outbreak.”
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READ MORE


Medication issues behind 1 in 12 pediatric emergency room visits
Healthcare Professionals Network
At one Canadian children's hospital, medication-related problems accounted for one in 12 emergency department visits over a year. And about two-thirds of those incidents were preventable, the researchers concluded. The findings have been published online Feb. 2 in Pediatrics. The study findings are based on 2,028 children and teenagers — average age 6 — who arrived at a pediatric emergency department in Halifax, Nova Scotia, over the course of a year. Overall, 8 percent were considered to have "medication-related" symptoms.
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Enhancing care of older adults in the emergency department: Old problems and new solutions
Healio
The dramatic increase in the number of older adults in our society is creating greater demand for age-appropriate healthcare services. Because older adults use proportionally more emergency services than any other age group, it is important to address problems and find solutions to emergency care for this vulnerable population. Older adults often need specialized care to meet complex physical and psychological needs in an emergency department (ED).
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How is the measles outbreak affecting the healthcare industry?
By Danielle Wegert
Douglas Coupland once said, "Adventure without risk is Disneyland." However, he clearly wasn’t considering the health risks of high-volume amusement parks, like Disneyland. But, these places are a breeding ground for disease, as was made apparent by the recent measles outbreak stemming from the theme park. The outbreak began in December and, to date, there are 119 confirmed cases in the country.
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MORE HEADLINES FROM AROUND THE INDUSTRY


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