Nov. 27, 2013

Save the date!
Dec. 17, 2013 FCEP Board Conference Call
Jan. 14, 2014 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

Minnesota hospitals train to prevent, react to violence
Star Tribune
A Hennepin County Medical Center employee looked for escape routes as the man bearing a gun stood above him. He considered spraying the fire extinguisher as a distraction, so co-workers could flee. Maybe he could race to the door before the gunman fired. The recent episode was only an exercise, and the gunman was only firing balls of paint. But the "active-shooter" drill was just the latest example of the way hospitals and clinics are preparing themselves to prevent and respond to violence that is increasingly common for health care providers.More

Insurers restricting choice of doctors and hospitals to keep costs down
The Washington Post
As Americans have begun shopping for health plans on the insurance exchanges, they are discovering that insurers are restricting their choice of doctors and hospitals in order to keep costs low, and that many of the plans exclude top-rated hospitals. The Obama administration made it a priority to keep down the cost of insurance on the exchanges, the online marketplaces that are central to the Affordable Care Act. But one way that insurers have been able to offer lower rates is by creating networks that are far smaller than what most Americans are accustomed to.More

Age, a traumatic etiology, fever predict admission for limp
Most children presenting to the emergency department with a limp have a traumatic etiology, and in most cases, a thorough history and physical examination coupled with radiographs are sufficient for diagnosis, a retrospective study of cases at a tertiary care pediatric emergency department showed. More

AMA, medical societies fight mass physician cancellations to Medicare Advantage Plans
Medical Economics
Medical groups are fighting back following mass cancellations of physicians in Medicare Advantage Plans in at least 11 states. The American Medical Association, with 81 other medical groups including the American College of Physicians and American Osteopathic Association, said the terminations were "without cause," and called on Marilyn Tavenner, administrator of the Centers for Medicare and Medicaid Services to address the "lack of Medicare Advantage sponsor transparency on network adequacy." More

Mail order meds tied to fewer ER visits
MedPage Today
Diabetic adults using a mail order pharmacy had significantly fewer emergency department visits than those filling prescriptions at retail drugstores, researchers found. Among patients younger than 65, use of a mail order pharmacy was associated with significantly fewer overall emergency department visits, preventable emergency department visits, and serum creatinine laboratory monitoring tests following the initiation of angiotensin-converting enzyme inhibitor or angiotensin receptor blocker therapy compared with using a local pharmacy. More

Increasing capacity may not solve congestion issues
Becker's Hospital Review
Increasing service capacity may actually increase congestion as a result of increased resource availability, according to a working paper from Harvard Business School. Researchers examined effects of an improvement of ultrasound wait times in an emergency department. The intervention removed steps in the ultrasound process caregivers perceived as "wasteful." More

Study: Rapid influenza test in ED can lead to better care
When patients in the ED are diagnosed with influenza by means of a rapid test, they get fewer unnecessary antibiotics, are prescribed antiviral medications more frequently and have fewer additional lab tests compared with patients diagnosed with influenza without testing, according to a study. Published Nov. 13 on the website of the Journal of the Pediatrics Infectious Diseases Society, the findings suggest diagnosing influenza with a rapid diagnostic test leads to more appropriate, specific and efficient care.More

High costs cause healthcare access problems for Americans
EHR Intelligence
In a poll with few surprises, the latest Commonwealth Fund international survey crowns the United States with the dubious honor of being the most expensive country for healthcare. More Americans experience problems accessing basic healthcare due to the cost of services than residents of 10 other countries including Canada, France, the U.K. and the Netherlands. More

Spicy snack foods sending children to the ER
Fox News
The manufacturers of Flamin' Hot Cheetos may jokingly tout their product as being "dangerously cheesy," but some doctors argue that the slogan may not be an exaggeration. Pediatricians are warning parents of the dangers of extremely spicy snacks — such as Cheetos and other chips — claiming these foods are sending numerous children to the emergency room each year.More

7 considerations for payer contracting in healthcare reform era
By Tonda Terrell
So far, most of the discussions about healthcare reform seem to highlight the transformations that will occur in the delivery of patient care and provider accountability. But it's also important to understand how provider and health insurance carrier contractual relationships will be impacted. Although initially geared toward Medicare beneficiaries, many health plans now offered by commercial insurers are based on the accountable care organization reimbursement model. More

Technology and medicine: Applying Google Glass in the medical field
By Rosemary Sparacio
Every day, new strides in technology make headlines in all kinds of areas. Nowhere is it is more prevalent or exciting than in the medical field. And one of the most talked about new tech "gadgets" to come onto the scene and into the consciousness of just about everyone who follows the news is Google Glass. Proponents see the potential for the device's use over a wide range of medical applications, from cutting down the time a physician has to do paperwork — thus giving the physician more time to focus on the patient's problem — to assisting in surgery.More