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Thank you to those who attended FCEP’s 31st annual Emergency Medicine Days in Tallahassee, FL! Groups of physicians, residents and medical students visited over 50 legislators on Tuesday, educating them on key issues affecting emergency medicine and patient safety. Read our talking points for legislators here.
On Monday, we welcomed the following special guests:
Thank you to Dr. Damian Caraballo and Toni Large for planning another successful event, and to our generous sponsors for their support:
- "ACHA and PPE Initiatives" by Antraneise Jackson, MPH; AHC Administrator for Clinical Compliance Monitoring, Bureau of Medicaid Quality, Agency for Health Care Administration
- "Current Issues Affecting Physicians: Expansion of Scope of Practice, Opioids and More" by Ronald Frederic Giffler, MD, JD, FCAP; Florida Medical Association
- "Physician E-prescribing and What You Need to Know Upon License Renewal" by Claudia Kemp, JD; Executive Director for the Florida Board of Medicine
- "General Update on Opioids" by Ute Gazioch; Director of Substance Abuse and Mental Health at FL Department of Children & Families
- "FHA Legislative Priorities" by Crystal Stickle; President of the Florida Hospital Association
Stay tuned for more legislative updates as we move through 2020 Session.
- PLATINUM: Duva-Sawko, EMPros, Envision, TeamHealth
- GOLD: Bradford Cederberg, P.A., EPCF, Gottlieb, Excelis Medical Associates
- SILVER: Emergency Resources Group, FAEMSMD, Lee Health
HB 831 (2019): Electronic Prescribing is now effective. The bill requires prescribers in Florida to generate and transmit all prescriptions electronically upon licensure renewal or by July 1, 2021, whichever is earlier.
Fortunately, physicians can apply for a waiver that exempts them from this requirement (not to exceed 1 year) due to "technology limitations that are not reasonably within the control of the practitioner, or another exceptional circumstance demonstrated by the practitioners." This waiver may be useful if the EHR technology provided by your hospital/ED does not have the ability to e-prescribe, and upgrading the technology by your license renewal date is beyond your control as an emergency physician.
Learn more about the new e-prescribing requirements on the Florida Board of Medicine's website. To apply for a waiver, log in to your MQA Online Services portal and follow these steps.
By Toni Large, FCEP Lobbyist
See which bills received successful passage in the following committees of reference last week:
Bill analyses are also included. Learn More
- Senate Health Policy
- House Health Quality
- House Health Care Appropriations
- House Health Market Reform
- Senate Infrastructure & Security
Save $50 when you register for our payment reform conference with code EMRIS20! (Not applicable for resident registration, which is already discounted)
"This conference targets EM group leadership and hospital executives, but there is much to be gained by members at any stage of their career. There is an extremely high ROI on this conference; it is truly time well spent." – Dr. Jordan Celeste, FCEP Board Member
EM Reimbursement & Innovation Summit
February 27-28, 2020
EMLRC in Orlando, FL
Approved for AMA PRA Category I Credits™ and nursing CEUs
Learn more in our updated brochure or online at fcep.org/em-summit. Online registration closes February 20!
The Florida Board of Medicine will host their next meeting on February 7 at the Holiday Inn at Disney Springs. The Board will be discussing the mental health history questions on medical licensure applications, and whether or not changes should be adopted. This is a high priority item for FCEP, as we are advocating for changes that are consistent with recommendations from the Federation of State Medical Boards (FSMB).
FSMB concluded that open-ended questions regarding mental illness discourage physicians from seeking treatment for mental health issues. Further, such questions may create hardships in being licensed even when the mental illness did not impair the physician's medical judgment or ability to provide competent care. As a result, the FSMB adopted the following language for its application, which provides protections to patients while also protecting the wellbeing of physicians: "Are you currently suffering from any condition for which you are not being appropriately treated that impairs your judgment or that would otherwise adversely affect your ability to practice medicine in a competent, ethical and professional manner?"
The Board will be accepting public comments at this meeting. If you are able to attend, please do and express your support for the removal of intrusive mental health questions.
Find more information and Feb. 7's agenda here.
The News Service of Florida Staff
|Coronavirus Has Not Been Found in Florida
As of Jan. 27, the coronavirus had not been found in any people who have traveled to Florida recently from the area of China where an outbreak of the respiratory illness began, Gov. Ron DeSantis said Monday. All the tests were conducted through the Florida Department of Health and sent to the federal Centers for Disease Control and Prevention in Atlanta.
As of Monday, the CDC website said five cases of the illness had been found in the United States, 32 people had tested negative and 73 results were pending. The states with confirmed cases were California, Illinois, Washington and Arizona. The CDC noted on its website it is closely monitoring the outbreak, first identified in the city of Wuhan in Hubei Province, China. People traveling to the U.S. on direct and connecting flights from Wuhan are now being diverted to five locations for screening: Atlanta, Chicago, Los Angeles, New York City and San Francisco.
The News Service of Florida Staff
|Hepatitis A Cases Continue to Mount
Jan. 27: Florida had 41 newly reported hepatitis A cases last week, bringing the total number of cases to 142 in 2020, according to the state Department of Health. Duval County led the state in the number of cases in the new year with 19, as of Saturday. It was followed by Volusia and Polk counties with 12 and 11 cases, respectively. The state had a major outbreak last year, when it totaled 3,266 cases. That compares, for example, to a total of 123 cases in 2015 and 122 cases in 2016. As the state continues to battle the virus, 2,523 first doses of hepatitis A vaccine were administered to adults from Jan. 19 to Saturday. Of those vaccinations, 1,161 were administered by county health departments, according to Department of Health data.
Florida's premier EMS/fire conference will be held July 8-11, 2020 at the DoubleTree by Hilton-Universal in Orlando, FL. We're switching things up this year! Check out our new opportunities for sponsors and exhibitors:
View Prospectus Now
- Vendor Product Showcases on the Exhibit Floor (free opportunity! Limited spots available; application required)
- More exhibit booths & 8 vehicle spaces
- ALL vendors included in Exhibit Hall Game (text-only; upgrade to include your company logo!)
- Extended dedicated exhibit hours (non-competing with CE program)
- Lunch inside the Exhibit Hall
- New Job Fair for students and emergency professionals
- Keynote Presentation Sponsorship (multiple opportunities available!)
Contact Melissa Keahey at firstname.lastname@example.org for more information.
ACEP is accepting nominations for the 2020 ACEP Leadership & Excellence Awards, which annually honors members distinguishing themselves for leadership and excellence in emergency medicine. All members are eligible to submit nominations in one or more award categories by March 1. Get more information at www.acep.org/leadership-awards.
Know an outstanding educator? Nominations are open for National Emergency Medicine Faculty Teaching Award, Junior Faculty Teaching Award, and Bedside Teaching Award. All educator award nominations are due April 15. Learn more at www.acep.org/teachingaward.
The ACEP Nominating Committee is accepting individual and component body recommendations for the ACEP Board of Directors. Submit applications to email@example.com by March 16. To view the qualifications needed to apply, go to www.acep.org/board-nominations.
Florida PEDReady produces an enewsletter called the PEARL for EMS agencies, emergency departments and any other healthcare providers. Can you spare 10 minutes a week to brush up on pediatric education? Subscribe Now!
UPCOMING FCEP & EMLRC EVENTS
|JAN. 27-29, 2020
||Emergency Medicine Days | Learn More
||Hotel Duval in Tallahassee
|FEB. 27-28, 2020
||Emergency Medicine Reimbursement & Innovation Summit | Learn More
To see the full calendar, click here.
Managed Healthcare Executive
Emergency departments across the U.S. are burdened by crowding conditions on a daily basis. Many departments are experiencing unusually high growth in volume each year, compounded by unwavering ripple effects of hospital closures nationwide. Crowding of the emergency department can often adversely affect health outcomes for patients and even contribute to patient readmissions, creating a vicious cycle for an already troubling crowding problem. This has made it that much more imperative that hospitals identify solutions to ease crowding in their emergency departments.
Some communities have already issued warnings of increased emergency room (ER) wait times in the upcoming months, a routine phenomenon during the height of the winter season. Congruently, one among many complaints that patients have nationally about the state of modern healthcare is ER wait-times. With nearly a 50% increase in the number of ER visits in the last 20 years, this is likely a plausible public perception. However, what may not be well known to the public are the complex algorithms and protocols that drive patient flow and care in the emergency room. It is these intricacies that ultimately determine the entire patient care experience, including wait times.
A new study led by fellows at the USC Schaeffer Center shows mental health-related emergency department (ED) visits have increased substantially since 2009, a trend driven by large increases in adolescent and young adult visits to the emergency room for behavioral health-related diagnoses. The study showed that for patients between 10 and 25 years old, annual growth rates for behavioral health-related visits were double those of older age groups.
The findings of a recent study indicated that an EHR-based intervention could have implications for opioid prescribing and could be used to help combat the opioid epidemic. Juan Carlos Montoy, MD, Ph.D., and a team of investigators sought to determine whether and the extend that changes in default settings in the EHR were associated with opioid prescriptions for patients leaving the emergency department. The team collected data and found that a lower EHR default setting was associated with a lower number of prescribed pills.
Medical devices such as pacemakers, insulin pumps or heart monitors provide vital monitoring, but they can get in the way. The newest healthcare wearables, on the other hand, are so thin and flexible that patients might even forget that they're wearing them at all.
It's a quandary facing many busy emergency departments (EDs) across the country: how to treat young patients who require emergency care and a brief stay, while reserving limited inpatient beds for the most acute cases. In winter, when respiratory cases compound the rising patient census, limited resources are stretched even thinner. In one urban ED that sees approximately 12,000 pediatric patients a year, a team of emergency medicine physicians devised a model that would optimize resources, reduce length of stay dramatically and increase patient satisfaction.
American Osteopathic Association via EurekAlert
A survey assessing Americans' health-related behaviors and attitudes found 71% rate their overall health and wellness as good (54%) or excellent (17%). The Whole-Person Health Poll was conducted online by The Harris Poll on behalf of the American Osteopathic Association. Americans were asked what health services they would like to have better access to (i.e., geographically close and/or more affordable). More than a third (39%) said dental care, while (33%) said primary care or a family physician. Nearly a quarter (24%) want better access to emergency care, while 21% said psychology/psychiatry, and 19% said specialty care (e.g., oncology, gastroenterology, cardiology).
By Lisa Mulcahy
Smart pills are highly promising, yet controversial, new developments that have many intriguing potential applications. They are drugs containing tiny sensors that monitor a patient's condition internally or target certain treatments. For example, researchers from Columbia University report they've developed a smart pill for metastatic triple-negative breast cancer patients that recognizes a specific protein made by cancer cells and delivers medication specifically to combat that protein.
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