This message was sent to ##Email##
We are sad to announce that after 33 years of service to the Emergency Medicine Learning & Resource Center (EMLRC) and the Florida College of Emergency Physicians (FCEP), Beth Brunner, MBA, CAE has resigned as CEO/Executive Director for family reasons.
Ms. Brunner tirelessly advocated for emergency care providers and the patients they serve by forming sustainable partnerships with local, state and national organizations. Under her leadership, FCEP has grown into a vibrant organization with substantial influence and credibility. We wish her the best in her future endeavors and look forward to honoring her legacy by continuing her work.
Niala Ramoutar has been named Interim CEO as the Board of Directors begin their search for Ms. Brunner's successor.
On Tuesday, Jan. 28, FCEP members met with over 50 legislators in Tallahassee to express FCEP's positions on key bills and health care issues. We already know that one meeting made a huge difference.
On the evening of Jan. 29, Representative Mariano filed an amendment to her original bill, HB 1103: Electronic Prescribing, which added back in exceptions to mandatory e-prescribing. The amendment specifically states that prescribers may issue written prescriptions to "patients of a hospital emergency department" (lines 23-34). The Health and Human Services Committee voted to approve the amendment without objection on Jan. 30. Great work!
Help us continue fighting for pro-emergency care legislation by donating to FCEP's political action committees. Donate Now
At the end of this month, expert leaders from across the country will share the latest updates in healthcare delivery and payment reform at the EM Reimbursement & Innovation Summit. Will you be joining us?
EM Reimbursement & Innovation Summit
February 27-28, 2020
EMLRC in Orlando, FL
Approved for AMA PRA Category I Credits™ and nursing CEUs
Save $50 with code EMRIS20
See the full schedule and register now at fcep.org/em-summit. Online registration closes February 20.
- "CMS Proposed Changes and Potential Impacts" by Jason Adler, MD, FACEP, FAAEM
- "Anti-Trust Concerns: The Noerr-Pennington Doctrine & Physician Advocacy" by Ed Gaines, III, JD, CCP
- "Disruptions in the ED: Innovations to Improve Healthcare" by Jennifer Wiler, MD, MBA, FACEP
- "Care Coordination: How to Secure Funding for Patient-Centered Initiatives" by David Seaberg, MD, CPE, FACEP
There's no better time to contribute to EMpulse Magazine: every article now receives its own webpage on fcep.org so you can easily share your work online, and every print advertisement now comes with a specified number of complimentary banner ads on article pages, extending your company's reach in the digital sphere — for free.
Next Issue: EMpulse Spring 2020
In-mailboxes: April 6-20, 2020
Ad Insertion Orders Due: Feb. 21
'Intent to Submit' Article Due: March 2
View Full Call for Content
- View our Media Kit for pricing, deadlines and the order form
The battle in Tallahassee regarding independent practice for nurse practitioners and physician assistants rages on, and we need the entire physician community ready to take action.
Our Position Statement: The Florida College of Emergency Physicians (FCEP) believes nurse practitioners and physician assistants lack the training and experience to practice independently at the level necessary to provide safe, quality care, and should remain under the supervision of a physician. FCEP agrees with the Florida Medical Association (FMA) in that "patients' best interests are optimally served when they are treated in a physician-led, team-based model of care."
Please read the following email from FMA's CEO Tim Stapleton, which provides great talking points on this issue. FCEP looks forward to collaborating with the FMA on combating this unsafe policy.
By Ellen Gabler at The New York Times
Two bills that would expand a pharmacist's scope of practice for specific conditions (SB 714/HB 389) are moving through Florida Session, but an alarming report from The New York Times suggests that pharmacists are already overwhelmed with workplace-imposed requirements — to the point where medication errors are increasing, and pharmacists themselves are crying for help.
"I am a danger to the public working for CVS," one pharmacist wrote in an anonymous letter to the Texas State Board of Pharmacy in April.
"The amount of busywork we must do while verifying prescriptions is absolutely dangerous," another wrote to the Pennsylvania board in February. "Mistakes are going to be made and the patients are going to be the ones suffering."
"We are afraid to speak up and lose our jobs," one pharmacist wrote anonymously last year in response to a survey by the Missouri Board of Pharmacy. "PLEASE HELP."
Of the nearly 1,000 pharmacists who took (Missouri's) survey, 60% said they "agree" or "strongly agree" that they "feel pressured or intimidated to meet standards or metrics that may interfere with safe patient care." About 60% of respondents worked for retail chains, as opposed to hospitals or independent pharmacies.
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.
Become a sponsor or exhibitor at FCEP's annual meeting and conference:
Symposium by the Sea
August 6-9, 2020
Wyndham Grand Clearwater Beach (new venue!)
View Prospectus Now
By Harry Monroe at ACEP
The Associated Press and numerous other outlets are running stories on a newly released report from the Centers for Disease Control and Prevention showing that expected lifespans rose in 2018. A baby born in that year is expected to live approximately 78 years, 8 months. The slight improvement is the result of decreased mortality from cancer and slight improvements in mortality from drug overdoses.
Along with the information from the CDC, The Washington Post is also reporting information from The Commonwealth Fund pointing out that U.S. lifespans remain well below those of other similar countries. The opioid epidemic, high suicide rates, and obesity seem largely to blame for higher mortality in the U.S. The suicide rate in the United States is nearly double that in the United Kingdom and is higher than that in all other "wealthy nations."
In regard to all of this, a state relations panel is being developed for the Leadership & Advocacy Conference (LAC) that will look at social determinants of health in the context of the emergency department. Learn more about LAC here.
By Addiction Policy Forum
On Jan. 29, the House of Representatives overwhelmingly passed S. 3201, the Temporary Reauthorization and Study of the Emergency Scheduling of Fentanyl Analogues Act, which extends the temporary classification of fentanyl analogs as a Schedule I substance under the Controlled Substances Act (CDA) for 15-months.
S. 3201 passed unanimously in the Senate on Jan. 16. The bill will now be sent to the president to be signed into law.
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.
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
|FEB. 27-28, 2020
||Emergency Medicine Reimbursement & Innovation Summit | Learn More
|JULY 8-11, 2020
||CLINCON 2020 | Learn More
|AUG. 6-9, 2020
||Symposium by the Sea 2020 | Learn More
To see the full calendar, click here.
South Florida Sun Sentinel
The national Centers for Disease Control and Prevention and the Florida Department of Health provided guidance and personal visits to local health providers and hospital systems on how to screen for 2019 Novel Coronavirus, where to send virus samples, how to isolate patients while waiting for test results, and how to keep nurses and doctors safe if a patient tests positive. The efforts come as people have begun to panic over flu symptoms, convinced they have coronavirus, even though they haven't been anywhere near Wuhan, where the virus originated and is spreading rapidly. So far, six of the eight people in the U.S. who are confirmed to have the virus had traveled to Wuhan, and one is the spouse of someone who did.
The Associated Press via MPR
Dr. Rose Marie Leslie, a family physician at the University of Minnesota, is fighting misleading and false information around a virus outbreak with the very tool used to spread much of it: social media. Leslie turned to TikTok, a platform popular with teens, to share her videos offering facts about the respiratory virus originating in China, which has so far sickened nearly 10,000 people.
The coronavirus outbreak spreading in China could expose vulnerabilities in the U.S. health care system if transmission became widespread here, experts warn. Among the challenges the U.S. could face in a coronavirus outbreak are health care workforce and medical supply shortages, a lack of hospital beds if the disease symptoms prove severe, and a financial strain on health departments that have seen waning support from the federal government over the years.
Already this flu season (which generally begins in the U.S. in October and peaks during winter months), the Centers for Disease Control and Prevention estimates that more than 15 million people in the U.S. have gotten sick with flu. More than 150,000 Americans have been hospitalized, and more than 8,000 people have died from their infection. And, this isn't even a particularly bad flu year.
Medscape (free login required)
Patients who were physically restrained in the emergency department (ED) said they experienced a sense of dehumanization, loss of freedom and personal dignity, and even mistreatment, researchers found. They interviewed 25 individuals from diverse socioeconomic backgrounds who had presented to the ED in an agitated state and were restrained. Most subjects reported "harmful experiences of restraint use and care provision," a range of "diverse and complex person contacts" behind their visits to the ED, and challenges resolving their adverse restraint experiences, with ongoing negative consequences that continued to affect their well-being.
A behavioral health-virtual patient navigation program did not significantly decrease hospitalizations among patients who presented to the emergency department with a behavioral health crisis or need. Although the program was not significantly beneficial, there was an 8% reduction in hospital admission rate for those who used the telehealth program compared with traditional care.
Diagnosing lung emergencies caused by vaping can be a challenge because symptoms can look like pneumonia or go unrecognized, according to a new case report. The vaping illness known as EVALI (electronic cigarette- or vaping-associated lung injury) has so far killed nearly 60 people in the United States. More than 2,600 have been hospitalized. "Electronic cigarettes and vaping products are sending thousands of smokers, especially teens, to emergency departments," said lead author Dr. Kaitlyn Works, an emergency medicine physician with Vanderbilt University Medical Center in Nashville, Tennessee.
Virtual assistants don't yet live up to their considerable potential when it comes to providing users with reliable and relevant information on medical emergencies, according to a new study from University of Alberta researchers. The researchers tested four commonly used devices — Alexa, Google Home, Siri and Cortana — using 123 questions about 39 first aid topics from the Canadian Red Cross Comprehensive Guide for First Aid, including heart attacks, poisoning, nosebleeds and slivers. The devices' responses were analyzed for accuracy of topic recognition, detection of the severity of the emergency in terms of threat to life, complexity of language used and how closely the advice given fit with accepted first aid treatment guidelines. Google Home performed the best, recognizing topics with 98% accuracy and providing advice congruent with guidelines 56% of the time.
Anthony P. Kontos, Ph.D., writes, "Patients often see a pediatrician or emergency department physician first after a concussion and are usually sent home with the following advice: take an immediate break from physical and cognitive activity (i.e., rest completely) and/or gradually ease back into normal activity as symptoms tolerate and seek further care if symptoms persist or worsen. Our recent findings suggest that this approach, which reflects current consensus, may need to also include advice to seek early care from a concussion specialty clinic. At the University of Pittsburgh Medical Center (UPMC) Sports Medicine Concussion Program, we have spent the last 20 years developing and evolving an evidence-based model for concussion care. Our approach is predicated on a clinical profiles model based on a comprehensive assessment and clinical evaluation involving a multidisciplinary team and targeted, active treatments that provide precision care for each patient and each injury."
A recent study by the American Journal of Emergency Medicine found that as avocados increased in popularity over the last 20 years, so do the number of knife injuries from avocado preparation. People give them a deep cut while trying to remove the pit from an avocado. But that's not all.
7701 Las Colinas Ridge, Ste. 800, Irving, TX 75063