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State medical board licensing: Challenges for telemedicine
By Christina Thielst
The pressures to reduce healthcare costs and improve access have never been greater. Everything from the Affordable Care Act to the "Silver Tsunami" of aging baby boomers requires a transformation of the healthcare delivery system. While telemedicine and other virtual forms of medical care are quickly being recognized as powerful solutions to these challenges, barriers to more widespread adoption remain. One of these is the long and complex process of obtaining licensure for physicians in the various states where patients are located.
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AAEM Insurance Program Open Enrollment: Group Personal Excess and Umbrella Liability Policy
The next enrollment period for the Group Personal Excess and Umbrella Liability Policy is under way! This benefit is available to all members of AAEM. The policy provides additional protection above and beyond what is covered by your current auto, homeowners and/or watercraft & recreational vehicle insurance and is underwritten by Crum & Forster Specialty Insurance Company (“A” Rated).
New Medicare ACO to be unveiled soon
The government's top health insurer has announced that providers could get a first look at a new type of Medicare accountable care organization this month. It has been modeled closely after a controversial managed care program and includes new waivers for skilled nursing facilities. While nursing homes aren't likely to be transforming their operations en masse under an ACO model anytime soon, experts say they need to be trending that way and advise them to keep a close eye on new developments.
Collaborating to identify West Virginia Medicaid patients who visit emergency rooms
Healthcare is, undoubtedly, an area in which intersector projects have the potential to make a significant impact. A few weeks ago, a public-private partnership to identify and provide help for at-risk Medicaid patients was announced in West Virginia. The Department of Health and Human Resources (DHHR) and the non-profitPartners in Health Network are teaming together to identify Medicaid patients who visit emergency rooms. Their goals is to deliver preventative care to these patients, allaying the need for future emergency room visits. The hope is that the partnership will improve care for Medicaid patients and ultimately cut down on healthcare costs.
Effects of weather and heliophysical conditions on emergency ambulance calls for elevated arterial blood pressure
International Journal of Environmental Research and Public Health
We hypothesized that weather and space weather conditions were associated with the exacerbation of essential hypertension. The study was conducted during 2009-2010 in the city of Kaunas, Lithuania. We analyzed 13,475 cards from emergency ambulance calls (EACs), in which the conditions for the emergency calls were made coded I.10-I.15.
A randomized trial comparing didactics, demonstration, and simulation for teaching teamwork to medical residents
Annals of the American Thoracic Society
Among incoming internal medicine interns, teamwork training by expert demonstration resulted in similar teamwork behavior to participation in high-fidelity simulation and was more effective than traditional didactics. Clinical performance was largely independent of teamwork behavior and did not differ between training modalities.
Social media in the emergency medicine residency curriculum: Social media responses to the residents' perspective article
Annals of Emergency Medicine
In July to August 2014, Annals of Emergency Medicine continued a collaboration with an academic Web site, Academic Life in Emergency Medicine (ALiEM), to host an online discussion session featuring the 2014 Annals Residents' Perspective article "Integration of Social Media in Emergency Medicine Residency Curriculum" by Scott et al. The objective was to describe a 14-day worldwide clinician dialogue about evidence, opinions, and early relevant innovations revolving around the featured article and made possible by the immediacy of social media technologies.
Beware of ICD-10 shortcuts: The case against crosswalking
By Charlotte Bohnett
ICD-10 is inherently more sophisticated and specific than ICD-9, but that doesn't necessarily mean it's more complicated. So, why are healthcare professionals pulling their hair out over the mandatory transition to these new codes? Because learning ICD-10 is like learning a new language. If we were going into this with a clean slate — like a newborn babe — perhaps it wouldn't be so tough to learn the language.
The opioid-free ED: Coming soon to a hospital near you
Medscape (free login required)
The time has come to seriously explore the use of nonopioid analgesia for managing pain in the emergency department, said experts speaking at the American Academy of Emergency Medicine 21st Annual Scientific Assembly in Austin, Texas. "Relying on opioids as the primary analgesics for moderate to severe pain is inadequate, unsafe, and costly," said Sergey Motov, M.D., from Maimonides Medical Center in Brooklyn, New York.
A snapshot of physician readiness for ICD-10
Health Data Management
Claims clearinghouse Navicure recently polled 350 physician practice administrators, billing managers, billers and coders about their practices’ readiness for ICD-10 and found a curious disconnect. While 82 percent of respondents are optimistic about being ready by Oct. 1, only 21 percent believe their practice is currently on track to meet the deadline. Here are other results.
Healthcare jobs boost American middle class
The healthcare industry provides a ray of hope for middle-class workers seeking well-paying jobs with opportunities for advancement, the New York Times reports, though not all workers may benefit from this trend.
Although the hospital sector has struggled to create new jobs in recent years, the latest data indicates hiring has returned to a brisk pace, with demand particularly high for nonclinical positions such as community health workers and medical assistants, FierceHealthcare has reported.
End-of-life care documents cause confusion among emergency physicians, prehospital care providers
Emergency care providers vary in their understanding of a type of medical order intended to communicate seriously ill patients' choices for life-sustaining treatments, according to a pair of studies in the March Journal of Patient Safety. The journal is published by Wolters Kluwer. The studies show "significant confusion" among emergency physicians and prehospital care providers in interpreting the universal end-of-life care documents, called Physicians Orders for Life Sustaining Treatment (POLST).
Physician compensation in the value-based era
We will have to do a major change in the next two or three years. We are waiting for the carriers to move toward value in our region. At that point we will have to redo our compensation system. For primary care, without a doubt, there will be some money for panel size, some money for seeing the patients or RVUs, some part for quality, value, some part for customer service, and then we reward citizenship as an organization. For the specialists, that is tougher.
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