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EM Days 2015 Hotel Information
Hotel Duval, Tallahassee, Florida
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Pediatric General Assessment
Presented by Shiva Kalidindi, M.D., MPH, MS(Ed), FAAP
Available until Feb. 28, 2015
Target Audience: EMS Professionals
Offered FREE of charge with CME.
For details and registration, click here.
EMERGENCY MEDICINE IN THE NEWS — AROUND FLORIDA
Tampa-area hospitals face $151M cut
Health News Florida
Hillsborough County hospitals are scheduled to lose more than $151 million a year in funds for care of the uninsured beginning June 30, according to a report released. The scheduled changes to two revenue streams “represent a tremendous loss of federal funding to the county and pose a significant risk,” warns the report by the Community Justice Project, part of Florida Legal Services.
Statewide, the coming annual loss will be $2.1 billion, estimates co-author Charlotte Cassel.
“There is a huge cut looming,” she said.
FDOH urges Florida residents to get vaccinated against measles
The Florida Department of Health said it is working with other state and federal officials to monitor individuals who may have been exposed to measles cases across the state. Four cases of measles have been identified and reported among travelers in the past two weeks with unknown or no measles vaccinations who visited Florida, health officials said. Two cases involved international travelers.
Florida leads HealthCare.Gov sign-ups
U.S. News & World Report (opinion)
When the U.S. Department of Health and Human Services released health care sign-ups for all ZIP codes using HealthCare.Gov, a strange trend emerged — some conservative states whose governments have fought the law at every turn are signing up the most Americans.
Florida was the standout for enrollment, signing up more than 1.2 million people for 2015 coverage. Although historically Florida has been a swing state in presidential elections, its local government is home of potential Republican candidates for the presidency: Jeb Bush, the state's former governor, and Sen. Marco Rubio.
5th Annual National Hospital Disaster Planning, Preparations and Response Symposium: An All-Hazards Approach
Friday, Feb. 13, 2015
This symposium is jointly sponsored by Jackson Health System and the University of Miami Miller School of Medicine. Click here to learn more.
FCEP COMMITTEE MEETINGS — FEB. 18, 2015
FEP Board Room
500 Winderley Place
Maitland, FL 32751
10:00am Medical Economics
11:30am Government Affairs (Working lunch)
1:00pm Professional Development
2:00pm Pediatric EMS
3:00pm Education and Academic Affairs
2015 EDPMA Solutions Summit Agenda Highlights
Join us at the Omni Plantation, Amelia Island, Florida, April 26-29, 2015! The Emergency Department Practice Management Association's Solutions Summit is the premier conference for those in the business of emergency medicine.
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EMERGENCY MEDICINE IN THE NEWS — NATIONAL
EMRA Awards and Leadership Opportunities
EMRA has numerous leadership opportunities and awards for medical students and residents – even EM faculty! The spring is laden with options for involvement, with one cohesive deadline of Feb. 15.
EMRA awards almost $80,000 annually in awards and travel scholarships to residents and medical students — and we want members in your state to apply for these funds! Attached is a jpg image to help you promote these awards in your communications.
MEDICAL STUDENT COUNCIL:
Know stellar medical students looking to match into Emergency Medicine? Encourage them to apply for this prestigious committee!
COMMITTEE & DIVISION VICE CHAIRS:
EMRA is looking for its next batch of leaders to guide our workgroups. This is a two-year commitment, with one year spent as Vice Chair and then succession to Chair.
Biden calls for hospitals to 'double down' on patient safety
Vice President Joe Biden called for increased focus on error and infection reduction in the healthcare industry and more government incentives to facilitate them, according to Kaiser Health News.
Historically, Biden said at this weekend's Patient Safety, Science and Technology Summit in Irvine, California, the healthcare system has not placed enough emphasis on the connection between patient safety and overall quality, but added that recent efforts to reduce readmissions and cut hospital-acquired infections indicate progress.
Study shows effectiveness of simple, low-cost tobacco interventions in ERs
People don't go to hospital emergency departments to quit smoking. But with nearly half of the U.S. population visiting one each year as a patient or with a patient, and staying there an average of four hours, an ED waiting room offers an ideal setting to reach smokers who want to quit. In a recent study conducted by health psychologist Edwin Boudreaux, Ph.D., and colleagues from the National Alliance of Research Associates Programs, more than one-third of current tobacco users approached about their tobacco use by undergraduate pre-health student volunteers while in an emergency department left with a referral to their state's free Quitline tobacco cessation treatment programs.
The HAC no one wants to talk about
Health Leaders Media
In large hospitals, a program to reduce delirium in ICU patients, chiefly by reducing the amount of unneeded sedation, has cut rates of the condition in half. Soon it will be implemented in 60 more selected hospitals.
What serious hospital-acquired condition affects 25 percent of patients over age 70 and up to 82 percent of patients in the ICU?
Study: Copays don't reduce Medicaid non-urgent ED visits
Health Leaders Media
Data from a 10-year study does not show any increase in the rate of Medicaid patients' visits to doctors' offices. A shortage of primary care physicians willing to accept Medicaid may be a factor.
Slapping copayments on emergency department visits by Medicaid patients seeking non-urgent care does little or nothing to reduce the costly practice, research shows.
Majority of pediatric medication-related visits to emergency department are preventable
2 minute medicine
Medicine-related visits (MRVs) to the emergency department are associated with preventable admissions to the hospital, increased cost, and increased morbidity and mortality in adults. This study sought to characterize the frequency, severity and preventability of MRVs in the emergency department for a pediatric population. During a 1-year period, 8 percent of visits were classified as an MRV by a clinical pharmacist and emergency department attending physician; nearly 2/3 of these visits were considered preventable.
Hospitals work to prevent nurse fatigue
Buddy systems and "flex nurses" are two ways that some hospitals attempt to ease nurses' burden and reduce the likelihood of fatigue, in keeping with recommendations from the American Nurses Association (ANA), according to the Courier-Journal.
The unique danger of fatigue among nurses is due to the relative lack of safeguards against it compared to other professions involving long hours, operating room nurse John Kauchick, R.N., told the Courier-Journal.
Head CT scans may be overused in emergency departments
Medscape (free login required)
Most patients presenting to the emergency department (ED) with syncope or dizziness may not benefit from a computed tomography (CT) scan of the head unless they are older than 60 years, have a focal neurologic deficit, or have a history of recent head trauma, researchers have found.
Myles Mitsunaga, M.D., resident at John A. Burns School of Medicine, University of Hawaii, Honolulu, and Hyo-Chun Yoon, M.D., from the Department of Diagnostic Imaging, Kaiser Foundation Hospital, Honolulu, studied the clinical factors that potentially predict acutely abnormal head CT findings and hospital admission.
Healthcare enrollment appears to be near goal
The New York Times
The Obama administration said that 9.5 million people had signed up to receive health coverage through public marketplaces in 2015, with less than a month to go before the enrollment deadline.
At first glance, the report suggests that the administration has achieved its goal of having 9.1 million people enrolled at the end of this year. But in 2014, more than 15 percent of people who selected health plans in the public marketplaces failed to pay their share of premiums and were therefore not on the rolls at the end of the year. Officials said they thought that similar attrition could occur this year.
Chest pain but MI rule-out? Further noninvasive testing usually unhelpful, says analysis
Medscape (free login required)
Patients admitted to the emergency department with chest pain who are ruled out for an MI are at a low risk for having an MI in the short- and longer-term follow-up even if they receive no further diagnostic testing, according to the results of a new study.
Most important, the analysis showed that compared with the outcomes of individuals who received no further diagnostic tests, noninvasive testing with exercise ECG, myocardial perfusion scintigraphy, and computed tomography coronary angiography (CTCA) did not appear to prevent
Millennials are reshaping healthcare
By Scott E. Rupp
Global consumer collaboration consultancy Communispace recently released a report called, "Healthcare without Borders: How Millennials are Reshaping Health and Wellness," which examines millennial healthcare values and how they will impact businesses across the industry.
The report focuses on several areas of millennials' lives, including technology. Millennials are far more likely than other generations to rely on mobile and online tools to monitor and maintain their health, the report states.
CDC: Flu's grip on US starting to weaken
After a rough start to the flu season, the number of infections seems to have peaked and is even starting to decline in many parts of the nation, federal health officials reported Jan. 29. "We likely reached our highest level of activity and in many parts of the country we are starting to see flu activity decline," said Dr. Michael Jhung, a medical officer in U.S. Centers for Disease Control and Prevention's Influenza Division. Jhung added, however, that flu remains widespread in much of the country.
After heart attacks, most don't get enough statins
In the U.S., less than a third of older heart “event” patients being discharged from the hospital get the recommended high-intensity statins, according to a new study that looked at prescriptions filled.
National guidelines from the American College of Cardiology and American Heart Association say the majority of patients should be on a high-dose statin following a serious heart disease-related event like heart attack or bypass surgery.
Survey: Patient engagement continues to face challenges
By Scott E. Rupp
In the true age of patient engagement — a topic much talked about the last two years, but one now seemingly having gained real traction — providers continue to admit that they are having trouble with meeting the mandates established for them by meaningful use stage 2 requirements. The challenges they face with engaging patients, of course, means they also run the risk of pushing away patients if they fail to meet consumers on their terms. This is a fairly standard industry sentiment and one of the primary takeaways from a recent nationwide survey.
Current flu epidemic highlights need for universal flu vaccine
By Katina Smallwood
This year's influenza season is being considered an epidemic with 46 states reporting widespread flu activity and high number of hospitalizations due to the flu or flu-like viruses. The elderly, children and those with pre-existing medical conditions such as asthma are at highest risk.
There have been 56 reported pediatric deaths due to the flu this season. Health officials are worried that this number will continue to rise because of the ineffectiveness of this year's flu shot.
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