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Should healthcare providers pay attention to the Seventh Circuit's new definition of 'referral'? — Part 1
The National Law Review
The Seventh Circuit Court of Appeals, in the case of United States v. Patel, just expanded the definition of “referring” under the federal Anti-Kickback Statute (“Statute”). In light of this case, health care providers should again review any arrangements with their peers and colleagues, as previous arrangements may now be considered illegal under the Statute. The Statute is a criminal statute that prohibits the exchange (or offer to exchange), of anything of value, in an effort to induce (or reward) the referral of federal health care program business.
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AAEM NEWS


AAEM Oral Board Review Course — Limited Spots Remain!
Join us in Las Vegas from April 15-16 or in Los Angeles from April 18-19 for the highly recommended Oral Board Review Course! NEW hands-on simulation practice. Be confident on exam day — prepare with the experts for the new format. Learn more and register, here.
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MEMC-GREAT 2015 — Registration Now Open!
Join us in Rome, Italy from Sept. 5-9, 2015, for the Mediterranean Emergency Medicine Congress in conjunction with the Italian GREAT Network Congress. Register for the congress, submit an abstract, and book your hotel! Look for more details to be announced soon. Register today!
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PRODUCT SHOWCASE
  Merck Manual/AAEM Video Project

Help create “How-To” videos of >100 common procedures. These will be made available for free around the world in multiple languages on Merck Manuals websites and apps.

CLICK HERE to learn more.
 


New Online CME in AAEM's Online Learning Library
Superb, AAEM-quality educational content with AMA PRA Category 1 Credits™ available. Online learning optimized for your convenience. Get started today with the 2014 Scientific Assembly or 2014 Written Board Review Course. Look for information about the 2015 Scientific Assembly coming soon!
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View the MOC Member-Survey Results
In February 2015, AAEM sent a message to our members with a survey regarding the Maintenance of Certification process. Those results are now available online. View the survey results.
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Hospital-Based Emergency Departments: Background and Policy Considerations
Read the Congressional Research Service Report. Click here.
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ADVOCACY NEWS


Senators reject push to restore Medicaid funding
The Hill
Senators recently rejected an amendment that backed restoring more than a trillion dollars to Medicaid. Senators voted 47-53 on the proposal, introduced by Sen. Ron Wyden (D-Ore.). Sen. Susan Collins (R-Maine) broke rank and voted with Democrats. The amendment would have rolled back more than $1.2 trillion in cuts to Medicaid.
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How following the standard of care can get you sued
Medscape (free login required)
Many doctors believe that following the standard of care in treating patients is ironclad protection against a lawsuit for medical malpractice. Not so, as a recent Medscape article by an emergency physician and attorney pointed out. "Although guidelines may help guide diagnosis and treatment of disease, their use is not limited to clinical purposes," the author wrote. "Guidelines may also be used by insurance companies to approve or deny payment. The nuances in the underlying purpose of guidelines highlight the importance of examining the intent of guidelines before offering them as evidence in a medical malpractice case."
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What are the legal concerns in a HIPAA risk assessment?
Health IT Security
No healthcare organization wants to find itself in legal trouble when it comes to conducting a HIPAA risk assessment. Facilities must ensure that they are adhering to all federal requirements, as well as any state or local laws. That way, the covered entity remains HIPAA compliant and they can prove that they are working to keep sensitive patient data secure.
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Should healthcare providers pay attention to the Seventh Circuit's new definition of 'referral'? — Part 2
The National Law Review
The interpretation of the Statute in Patel is somewhat distinct from other courts that have reviewed the issue. In United States v. Miles, for example, the Fifth Circuit reversed a conviction where a home health group paid a bonus to a local public relations firm for each Medicare patient that signed up as a result of the PR firm’s efforts.
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RECENT STUDIES


Diagnostic influence of routine point-of-care pocket-size ultrasound examinations performed by medical residents
Journal of Ultrasound in Medicine
By implementing pocket-size ultrasound examinations that took less than 11 minutes to the usual care, we corrected, verified, or added important diagnoses in more than 1 of 3 emergency medical admissions. Point-of-care examinations with a pocket-size imaging device increased medical residents' diagnostic accuracy and capability.
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Patient-centered, culturally sensitive healthcare
Medscape (free login required)
In recent years, there have been increasing national calls for patient-centered, culturally sensitive healthcare (PC-CSHC). The impetus for these calls include (a) the reality that healthcare providers are increasingly having to provide healthcare to a more culturally diverse patient population without the necessary training to do so effectively, (b) the growing evidence that culturally insensitive healthcare is a major contributor to the costly health disparities that plague our nation, and (c) the fact that racial/ethnic minorities and individuals with low household incomes are more likely than their non-Hispanic white and higher-income counterparts to experience culturally insensitive healthcare and dissatisfaction with healthcare — healthcare experiences that have been linked to poorer health outcomes.
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NATIONAL NEWS


Recommendations for point-of-care ultrasound in peds ER
HealthDay News via Medical Xpress
Pediatric emergency medicine (PEM) physicians should be trained in point-of-care ultrasonography, according to a policy statement published online March 30 in Pediatrics. Point-of-care ultrasonography is increasingly being used to facilitate accurate and timely diagnoses and guide procedures. With this in mind, Jennifer R. Marin, M.D., from the American Academy of Pediatrics' Committee on Pediatric Emergency Medicine, and colleagues developed recommendations for use of point-of-care ultrasonography among PEM physicians caring for patients in the emergency department.
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97 percent of ED physicians order unnecessary imaging tests
Health Leaders Media
The fact that nine out of 10 emergency physicians admit to ordering medically unnecessary tests indicates that existing protocols and safeguards to prevent overuse clearly aren't working, survey results suggests. Nearly all of the 435 emergency physicians in a recent survey admitted to ordering too many diagnostic tests, but said they did so out of fear of error, uncertainty, and non-medical reasons.
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Preventing domestic violence one step at a time
By Jessica Taylor
Vice President Joe Biden spoke at the National Conference on Health and Domestic Violence on Friday, and he stated that domestic violence is a public health epidemic. Biden made attendees — including doctors, nurses, social workers, etc. — aware that even though we've come a long way in the fight against domestic violence, we have to keep making sure we're working harder than ever for prevention and intervention. Of course, it takes a little bit of time to recognize domestic violence, and it's important for healthcare professionals to know the signs.
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Telemedicine doesn't speed stroke evaluations
FierceHealthIT
Assessment for stroke took slightly longer using robotic telepresence, but this option still could be effective when the hospital has no vascular neurologist on site, according to research published at Telemedicine and e-Health. The study compared the assessments of 98 patients evaluated using robotic telepresence with 98 whose care was supervised by a vascular neurologist in house at the Mayo Clinic Hospital in Phoenix. The subjects were identified from a stroke alert database.
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Study: Mobile app can facilitate surgery resident reviews
iHealthBeat
A smartphone-based system can effectively simplify and facilitate the assessment of general surgery residents' performance, according to a study published in the Journal of Surgical Education, Health Data Management reports.
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Odds of reversing ICU patients' preferences to forgo life-sustaining care vary, study finds
Medical Xpress
Intensive care units across the United States vary widely in how they manage the care of patients who have set preexisting limits on life-sustaining therapies, such as authorizing do-not-resuscitate (DNR) orders and prohibiting interventions such as feeding tubes or dialysis, according to new research from the Perelman School of Medicine at the University of Pennsylvania. Their work is published in the current issue of JAMA Internal Medicine.
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Influenza B viruses accounted for the largest proportion of circulating flu viruses in recent weeks
Infection Control Today
According to the recent FluView report from the Centers for Disease Control and Prevention, influenza activity continues to decrease, but remains elevated in the United States. While H3N2 viruses have been most common this season, influenza B viruses accounted for the largest proportion of circulating viruses in recent weeks. This week, influenza B viruses accounted for 67 percent of all influenza viruses reported and were predominant in 7 of 10 U.S. regions.
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ER visits for ischemic stroke, TIA down over past decade
HealthDay News via DoctorsLounge
Fewer people are being treated in U.S. emergency departments for ischemic stroke or transient ischemic attack, which experts read as a sign that current stroke prevention methods are working. Such visits declined 35 percent for adults 18 and older, and 51 percent for those 55 to 74, according to a March data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).
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TRENDING ARTICLES
Missed last week's issue? See which articles your colleagues read most.

    Emergency medicine resident: What it's like to lose a patient (The Blaze (opinion contribution))
For med students who didn't match, it's a SOAP opera (MedPage Today)
Malpractice fears spurring most ER docs to order unnecessary tests (HealthDay News via U.S. News & World Report)
Bedside rounds versus board rounds in an emergency department (The Clinical Teacher)
Patients don't always pick ER closest to home (HealthDay News via MPR)

Don't be left behind. Click here to see what else you missed.


 



AAEM Insights
Colby Horton, Executive Vice President of Publishing, 469.420.2601
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Jessica Taylor, Senior Medical Editor, 202.684.7169   
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