Jan. 15, 2014

Save the Date!
FCEP Board Conference Call
Feb. 6-10, 2014 Ohio ACEP, FCEP, FEMF Board Review Course
Feb. 11, 2014 FCEP Board Conference Call
Feb. 12, 2014 FEMF Board Meeting
Feb. 19, 2014 FCEP Committee Meetings
March 4, 2014 First day of Legislative Session
March 10-13, 2014 Emergency Medicine Days
March 11, 2014 FCEP Board of Directors Meeting
April 8, 2014 FCEP Board Conference Call
May 7, 2014 FCEP Committee Meeting
May 8, 2014 FCEP Board Meeting at FCEP
May 18-21, 2014 ACEP Leadership and Advocacy Conference
June 10, 2014 FCEP Board Conference Call
June 16, 2014 FCEP Board Conference Call
July 17-20, 2014 ClinCon
Aug. 7-10, 2014 Symposium by the Sea
Aug. 7, 2014 FCEP Board of Directors Meeting

Medicaid managed care ready to move forward
The Florida Agency for Health Care Administration recently said it has received federal approval of a plan to start rolling out a new statewide Medicaid managed-care system in May. The federal Centers for Medicare & Medicaid Services approved a schedule that shows the state will move forward with the system incrementally in different regions of the state. The implementation will start May 1 in three regions that include 37 counties across most of North Florida and parts of north-central Florida. It would move into additional regions June 1, July 1 and Aug. 1. AHCA has already gone through a similar process to shift seniors who need long term care into Medicaid managed-care plans. The long-term care changes began last year and will move into their final regions March 1. But the rollout starting in May will affect a far-broader group of Medicaid beneficiaries. When the process is finished, AHCA said 83 percent of the state's 3.5 million Medicaid beneficiaries are expected to be enrolled in managed-care plans for acute care. Lawmakers and Gov. Rick Scott in 2011 approved a long-debated proposal to create the statewide managed-care system.More

Telemedicine is on a roll
As the Daily Dose noted, Florida Rep. Travis Cummings announced plans to file a telemedicine bill – albeit one that would leave the negotiation of compensation for telemedicine visits up to the providers and insurers. A FierceHealthIT article says this development is more proof of telemedicine's momentum across the country. While 13 states still haven't proposed any sort of telemedicine legislation, "significant groundwork has been laid" since last year. In fact, a recent Research and Markets report predicted an 18.5 percent growth rate in the global telemedicine market through 2018. More

Side effects of synthetic marijuana blamed for thousands of ED visits
The Hospitalist
A report outlining the alarming side effects of synthetic marijuana use in young adults acts as a call to attention for hospitalists, as thousands of patients per year are exposed to the chemicals found in the cannabinoid. The report from the federal Substance Abuse and Mental Health Services Administration shows that synthetic marijuana was responsible for 11,400 ED visits in one year, with brain and kidney damage, hallucinations and violent behavior among the severe reactions found in users.More

Delirium: What are the options?
MedPage Today
Each year, over 7 million patients present with delirium in hospital settings, and nearly half of those have persistent delirium at discharge, according to data from the American Delirium Society. But the real numbers may be much higher: As many as 2 in 3 patients with delirium may not be recognized as delirious by healthcare professionals, in part because of a lack of validated tools for properly managing delirious patients, or possibly because some practitioners don't recognize the condition when they see it. More

Study: Assaults at schools send 90,000 children to ER each year
HealthDay News
Children and teenagers who are assaulted at school account for nearly 90,000 emergency-room visits in the United States each year, new research finds. Although school shootings garner much attention, it was rare for children ages 5 to 19 to be injured by guns on campus, according to the study. Forty percent of injuries were bruises and scratches, and few injuries overall required hospitalization after a trip to the ER.More

8 things to know about CMS' emergency preparedness rule
Becker's Hospital Review
Natural and man-made disasters have ravaged the United States, and the world, extensively during the past decade, and they have put hospitals' emergency preparedness to the test. Hospitals and health systems have been on the frontlines to handle them all, but the federal government is looking to ensure all healthcare facilities are prepared to meet any possible future challenges.More

Should medical school be shortened to 3 years? Some programs try fast tracking
The Washington Post
The chance to finish medical school early is attracting increased attention from students burdened with six-figure education loans. Some medical school administrators and policymakers see three-year programs as a way to produce physicians faster as the new healthcare law funnels millions of previously uninsured patients into the medical system. More

Study: Going to the ER for a mental health crisis may be a thing of the past
Emergency rooms are for more than treating chest pains or closing wounds. The ER is also a place where people go for mental health emergencies, such as suicidal thoughts, an anxiety attack, or the urge to self-harm. The ER is still the go-to place for these behavioral health crises, but it doesn't have to be, researchers say.More