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NEWS FROM VACEP AND VIRGINIA NEWS FROM AROUND THE INDUSTRY



NEWS FROM VACEP AND VIRGINIA

Mark Your Calendar!


Feb. 6-9, 2015
VACEP's 2015 Annual Conference at the Homestead!
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SAVE THE DATE!
White Coats on Call — Jan. 27, 2015



Annual visit of EM physicians to Capitol Hill Richmond
Photo dated from 2013

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Don't miss our featured speaker! — VACEP's Annual Meeting Feb. 7

Senator Creigh Deeds will address VACEP’s Annual Meeting at lunch on Saturday, Feb. 7, 2015.

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Current ACEP Members in Virginia Chapter
Click here to see a report, which shows the members from your chapter who have applied and been approved for fellow status. Their FACEP designation will be effective on Oct. 27, 2014, the date of the convocation at ACEP14.
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UPCOMING EVENTS
Event Date More Information
ACEP Council Meeting
Oct. 25-26 More Information
ACEP14
Oct. 26-29 More Information
VACEP/UVA Reception during ACEP14
Oct. 27 More Information
Pennsylvania Chapter, ACEP, EM Oral Board Review Course
Nov. 3 More Information
International Trauma Life Support, International Trauma Conference
Nov. 4-7 More Information
The Virginia EMS Symposium
Nov. 5-9 More Information
International Trauma Life Support Combined Provider Re-Certification, EMS Symposium
Nov. 6 More Information
OMD Training
Nov. 6-7 More Information
VACEP Board of Directors Meeting
Dec. 12 10 a.m.-3 p.m., VACEP Office
VACEP White Coats on Call
Jan. 27, 2015 Richmond, Virginia
VACEP Hot Topics
Feb. 6-9, 2015 Omni Homestead Resort


NEWS FROM AROUND THE INDUSTRY


ACEP's EM Benefit and Compensation Reports
ACEP is happy to provide you with the most up-to-date information about emergency physician compensation and benefits – comprehensive statistics you can use when making sure your practice is efficient and profitable. To gather this data, we’ve partnered with Daniel Stern & Associates to conduct annual emergency medicine compensation and benefit surveys.
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ACEP Past President Richard V. Aghababian, MD, FACEP, 1948-2014
ACEP is sad to report that Past President Richard V. Aghababian, M.D., FACEP, died Wednesday at age 66. Dr. Aghababian is the founding chair of the UMASS Medical School Department of Emergency Medicine and served as ACEP President from 1994-95. Look for an article about Dr. Aghababian in the November ACEP Now.
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Healthcare resources for suspected Ebola cases
ACEP
While countries from around the world join forces to support African communities in combating this outbreak, we want to be sure our own nation is prepared since Ebola has been diagnosed in the United States. Although ASPR, NIH, CDC and other federal agencies are working with private industry to move experimental therapies and vaccines into the earliest clinical trials, standard treatment for EVD remains supportive therapy. Early identification of Ebola cases is critical to mounting an effective response.
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Electronic Death Registration System (EDRS)
Commonwealth of Virginia Department of Health
David H. Trump, MD, MPH, MPA — Chief Deputy Commissioner for Public Health & Preparedness — writes: For the past three years, the Virginia Department of Health’s Division of Vital Records (DVR) and Office of Information Management and Health IT worked diligently to add a module for the electronic filing of death records to the Virginia Vital Events and Screening Tracking System. I am happy to announce that the new module will go live on Nov. 1, 2014.
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Ebola Virus Update
Commonwealth of Virginia Department of Health
Marissa J. Levine, M.D., MPH, FAAFP — State Health Commissioner writes: I am providing you with a update on Ebola Virus Disease (EVD) and will continue to do so regularly as needed over the coming weeks. The safety of all health care providers and keeping the healthcare community and the public informed are our top priorities. EVD is a rapidly evolving issue as evidenced by a significant milestone in the Ebola outbreak being reached this week.
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Acute Neurologic Illness with Focal Limb Weakness of Unknown Etiology in Children
Commonwealth of Virginia Department of Health
On Sept. 26, 2014, the Centers for Disease Control and Prevention (CDC) announced via a CDC Health Advisory that that they are working with the Colorado Department of Public Health and Environment and Children’s Hospital Colorado to investigate a cluster of nine pediatric patients hospitalized with acute neurological ill ness of undetermined etiology. The illnesses have occurred since Aug. 1, 2014 and are coincident with an increase of respiratory illnesses among children.
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Meet the next MSV president William C. Reha, MD, MBA
MSV
William C. Reha, M.D., M.B.A., a board certified urologic surgeon in Woodbridge, Virginia, will be inaugurated as the new president of the Medical Society of Virginia (MSV) on Oct. 25, at the Annual Meeting. Join us at the Williamsburg Lodge in Williamsburg to welcome Dr. Reha, who currently serves as president-elect of MSV and who previously served as speaker of the MSV House of Delegates.

“Today, MSV is called to meet an increasing diversity of physician needs,” Dr. Reha said. “I am honored by the opportunity to serve as MSV’s president and look forward to working with our leadership and staff to ensure that MSV is seen as relevant, progressive and indispensable to physicians, regardless of their age, specialty or practice environment.”

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When the tiny hospital can't survive: Free-standing EDs with primary care seen as new rural model
Modern Healthcare
When Stewart-Webster Hospital in Richland, Georgia, closed its doors early last year, anxiety spread rapidly throughout the rural town of 1,500 residents. The critical-access hospital — one of the town's largest employers that had been around for more than six decades — could no longer overcome the financial problems that many rural facilities face: high unemployment in the community, high rates of uninsured and underinsured patients, and declining reimbursements from government payers.
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Physician Payments Sunshine Act: Media coverage of the open payments data release
Policy and Medicine
CMS launched Open Payments recently. Instead of stories entitled “Find Out How Much Your Doctor Makes From Industry!” the media surrounding the release has for the most part focused on the deficiencies in the roll out of the system. Essentially, the physician-level information in the database has too many holes for news outlets to use in a meaningful way. The data covers 5 months (August-December 2013), and more than half of the payments are “de-identified,” meaning that the connection between manufacturers and particular doctors is missing for now. Furthermore, the database was unusably slow the first day, and even now is far from user friendly.
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NCCEP's Fall Conference
You're invited to attend the NC College of Emergency Physicians’ fall conference, “Excellence in Emergency Medicine: Update in Trauma and Emergency Care,” which will be held Nov. 3–6, 2014, at the beautiful Omni Grove Park Inn in Asheville, North Carolina. Online registration for this year’s conference is available here!

In addition to earning CME credit, participants have the opportunity for plenty of down time and relaxing activities, including golf, spa treatments, listening to jazz music in the Great Hall, and dining in one of the resort’s many dining areas.

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North Carolina's statewide telepsychiatry program
NCCPPR
In August 2013, the N.C. Department of Health and Human Services pre-sented a plan to the legislature to implement the statewide telepsychiatry program. Initially, the primary objective of the program is to improve access to telepsychiatry in hospital emergency rooms across the state. The state’s new statewide telepsychiatry initiative launched on Jan. 1, 2014. Of North Carolina’s 108 hospitals, 49 already were providing psychiatry in the emergency room.
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Detailed Emergency Medical Services (EMS) Checklist for Ebola Preparedness
Centers for Disease Control and Prevention
The U.S. Department of Health and Human Services (DHHS) Centers for Disease Control and Prevention (CDC) and Office of the Assistant Secretary for Preparedness and Response (ASPR), in addition to other federal, state, and local partners, aim to increase understanding of Ebola and encourage U.S.-based EMS agencies and systems to prepare for managing patients with Ebola and other infectious diseases. Every EMS agency and system, including those that provide non-emergency and/or inter-facility transport, should ensure that their personnel can detect a person under investigation (PUI) for Ebola, protect themselves so they can safely care for the patient, and respond in a coordinated fashion.
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Evaluating patients for possible Ebola virus disease: Recommendations for healthcare personnel and health officials
Centers for Disease Control and Prevention
The purpose of this HAN Advisory is to remind healthcare personnel and health officials to: (1) increase their vigilance in inquiring about a history of travel to West Africa in the 21 days before illness onset for any patient presenting with fever or other symptoms consistent with Ebola; (2) isolate patients who report a travel history to an Ebola-affected country and who are exhibiting Ebola symptoms in a private room with a private bathroom and implement standard, contact, and droplet precautions (gowns, facemask, eye protection and gloves); and (3) immediately notify the local/state health department.
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Study: When EDs close, mortality risks climb at nearby hospitals
By Karen Zabel
Researchers at University of California San Francisco recently released data demonstrating that when an emergency department closes, the effects can be far-reaching. The study examined 16 million emergency admissions in California between 1999 and 2010. According to the results, patients who were admitted to a hospital in an area where an ED had recently closed had a 5 percent higher chance of dying compared to patients admitted to hospitals that were not located near recently closed EDs.
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New strategies may boost patient compliance
MedPage Today
Healthcare providers are missing lots of opportunities to improve medication adherence, several speakers said at a conference on patient engagement sponsored by MedCity Media. Nick Katopodis, an executive at StoneArch, a Minneapolis-based medical marketing firm, said at a panel discussion that one missed opportunity he often sees is that providers fail to point out to patients that their medication adherence affects not only them but also their caregivers. "Sometimes the patient is more concerned about you as a caregiver," Katopodis said.
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Mental Illness Awareness Week puts spotlight on treatment
By Jessica Taylor
A judge in Alexandria, Virginia, recently found a cab driver not guilty of shooting a police officer in the head during an attack last year. The judge stated that the cab driver, Kashif Bashir, did not understand what he was doing when he shot the officer in the head. Bashir had long suffered from paranoid schizophrenia, and the court determined he was insane at the time of the shooting. This illness and many others are being put into spotlight during Mental Illness Awareness Week. The first full week of October was established by Congress in 1990 as MIAW in recognition of the National Alliance on Mental Illness' efforts to raise mental illness awareness.
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Hospital infections with C. difficile level off
HealthLeaders Media
The incidence of the potentially deadly bacterial infection known as Clostridium difficile doubled in hospitals between 2001 and 2010, researchers report, and leveled off between 2008 and 2010. C. difficile is a hospital-acquired infection linked to 14,000 deaths a year. According to the Centers for Disease Control and Prevention, the main cause is the overuse of antibiotics. Using hospital discharge data on about 2.2 million people, average age 75, the scientists found that about a third had a principal diagnosis of C. difficile infection. Two thirds had other primary diagnoses. Incidence increased to 8.2 per thousand in 2008, the peak year, from 4.5 per thousand in 2001. It then decreased slightly though 2010.
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Mental health drugs: High risk for adverse events
Healthcare Professionals Network
Prescription medications for mental health diagnoses (e.g. antidepressants, antipsychotics and mood stabilizers) consume approximately 25 percent of commercial health insurers’ pharmacy budgets and almost 35 percent of public payers’ pharmacy spending. In 2011, an estimated 26.8 million U.S. adults — more than 11 percent — took prescription medications for mental illness. A new study in the September 2014 issue of JAMA Psychiatry reports American emergency departments (ED) see patients who take these medications often. What are they seeing? Adverse drug events (ADE).
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Lessons healthcare workers can learn from Ebola crisis in Dallas
Joan Spitrey
As many are aware, the first travel-associated case of Ebola in the United States was confirmed on Sept. 30. The CDC and other key government officials have converged on the Dallas metropolitan area as contacts are identified and educated on signs and symptoms of the disease. As the story unfolded, hospital officials confirmed that the patient had told a hospital nurse of his recent travel from Liberia before being released from the hospital. It appears a few lessons can be learned from this situation. Unfortunately, in healthcare, lessons often come at a cost — human lives.
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ED visits for drug-related suicide attempts on rise
Psychiatric News
Two new reports from the Substance Abuse and Mental Health Services Administration (SAMHSA) suggest that suicide attempts are increasing — particularly among certain age groups — and that a substantial number of these events are associated with prescription and over-the-counter drugs. SAMHSA’s Drug Abuse Warning Network (DAWN), a public surveillance system that monitors drug-related emergency department (ED) hospital visits, conducted a comparative analysis on the number of visits to an ED for drug-related suicide attempts from 2005 to 2011.
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VACEP eNews
CONTACT VACEP:
2924 Emerywood Parkway, Suite 202, Richmond, VA 23294
804.297.3171

Bob Ramsey, CAE, VACEP Executive Director

J. David Barrick, CEMSO, BS, NREMT-P, ITLS State Administrative Coordinator

Annette Roberts, EMT-B, VACEP Operations Manager/ITLS Co-Coordinator

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