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Emergency Medicine Without Borders 2009 ACEP Report Card Released “The problem with Emergency Medicine in Washington State is not in the trenches where outstanding medicine is practiced. The problem reflected in the C grade, is one of systems that require political and economic solutions that involves everyone in the state.” |
In This Issue
Emergency Medicine Without Borders 2009 ACEP Report Card Released Physician CMS Enrollment Update Medicaid Publishes Final Rule on ED Co-Payments for Non Emergency Visits Health Advisory for King County: Influenza Activity and Antiviral Drug Resistance Governor Gregoire to Address WSMA at Legislative Summit – January 26Basic Health Plan (BHP) Enrollment Trim Begins New CMS Rule Affects Contracted Interpretations For Diagnostic Tests |
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Physician CMS Enrollment Update |
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Medicaid Publishes Final Rule on ED Co-Payments for Non Emergency Visits |
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CMS Releases 2009 PQRI Measure Specifications; Nine EM Measures Included The 2009 PQRI consists of 153 quality measures and 7 measures groups. Nine may be reported as “emergency medicine” measures: |
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| ED Call Coverage Task Force Representatives WSMA President and WA-ACEP Board Member, Cindy Markus, MD will chair the task force on the ED call coverage crisis. Other WSMA representatives are Drs: Dean Martz, Stuart Freed, Kit Baldwin, Steve Murray, and Nick Rajacich. WSHA representatives are: Mike Wilson, CEO of Sacred Heart in Spokane; Johnese Spisso, VP of Medical Affairs, UW Medical Center and Harborview; Dr. Mike Newcomb, CMO at Franciscan Health System; Cindy Mayo, CEO, Providence Centralia Hospital; and Mark Benedum - CEO, Highline Medical Center. The objective of this task force is to review the issues of how limited on-call coverage is placing disproportionate burdens on some communities, and problems of local call coverage, and to seek consensus recommendations on how best to respond – with policy recommendations back to both associations. Back to Top |
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Health Advisory for King County: Influenza Activity and Antiviral Drug Resistance Influenza activity locally and nationally is at a low level, which is typical for this time of year. Flu season typically peaks in January or later and has been in February or March in 11 of the past 20 seasons. Most influenza viruses identified and characterized this season are well-matched to the current vaccine. However, it is too early to determine which influenza virus type or subtype will predominate this season. Vaccination efforts should continue during December and throughout the influenza season, which can persist into spring. |
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| Governor Gregoire to Address WSMA at Legislative Summit – January 26 Governor Gregoire is confirmed to speak at the WSMA Legislative Summit on Monday, January 26 at the Red Lion Hotel in Olympia. To register to attend, go to www.wsma.org. The cost is free for all WSMA members. The Summit will begin with comments from the governor, including what’s in store for health care this legislative session as she outlines the state’s severe budget situation and budget cuts that could impact health care. After the governor, national communications consultant, Pat Clark, will work with the highly regarded former house speaker, Denny Heck, to demonstrate the best way to communicate our messages with legislators. It will be an informative, engaging session. |
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| Basic Health Plan (BHP) Enrollment Trim Begins The state has begun to cut BHP enrollment. The Health Care Authority (HCA) plans to reduce enrollment by 7,700 from the current 105,000 over the next seven months, part of the governor’s effort to cut the shortfall in the final six months of the current state budget. "After December 5, for every two people that drop off, we will only fill one," said Steve Hill, HCA director, in recent press coverage. The reduction is said to save $6.7 million between now and June 30, 2009. Back to Top |
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New CMS Rule Affects Contracted Interpretations For Diagnostic Tests |
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| U.S. Emergency Rooms Find Ways To Fix What Ails Them Hospital emergency rooms are characterized by long waits, patients spending hours or days on beds in ER hallways and shortages of specialists willing to see emergency patients. The cause of the nation's ER overcrowding is obvious: Too many patients and not enough ER capacity. Today, the emergency department has essentially become the front door to most hospitals. About 50% of hospital admissions, excluding obstetrical services, now come from the ER, up from 36% in 1996, according to a Centers for Disease Control and Prevention report. According to the CDC, the average patient will wait about an hour to see an ER doctor, up from 38 minu!tes a decade ago.Some hospitals are finding ways to make their emergency rooms more efficient while maintaining safety: • Hospitals such as Cooper Hospital-University Medical Center in Camden, N.J., are forming "fast-track" areas in their emergency departments to more quickly treat patients with minor illnesses and injuries, such as small cuts or ankle sprains. Often, these areas are staffed by physician assistants or nurse practitioners, leaving the doctors to treat more serious problems. • Hospitals such as Dublin (Ohio) Methodist Hospital are using computerized physician ordering systems to speed patients' ability to get blood tests and other diagnostic tests. All patient records are computerized, making it easier for nurses and doctors to check on a patient's status; all tests can be ordered electronically, which can reduce delays, says Dave Boehmer, the ER medical director. • Scripps Mercy Hospital in San Diego and Chula Vista has installed a computerized tracking system to help better monitor patients and available bed space to reduce the time patients wait for an in-patient bed. The hospital has also added a second triage area and put a full-time phlebotomist in the emergency department to speed blood testing. • Hudson Valley Hospital Center in Westchester, N.Y., has implemented what it calls a "no-wait" ER by letting its triage nurse start caring for the patient by ordering tests and moving the patient registration to the bedside via portable computers. Back to Top |
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| New Pharmaceutical Guidelines Physicians' relationships with industry, pharmaceutical companies in particular, have gotten a lot of attention and scrutiny this year. State and federal government officials, as well as industry representatives, are increasingly clamping down on improper financial exchanges. The Pharmaceutical Research and Manufacturers Association, which represents the country's top pharmaceutical research and biotech companies, adopted a voluntary code that goes into effect next week which lays out what reps should not do—give non-educational items as gifts, take doctors out for meals, and so on. On the flip side, the AMA has ethical guidelines for physicians (also voluntary) outlining what types of gifts physicians should refuse. There are relationships far more nefarious than gift exchanges that still need to be addressed, including payments for articles in medical journals that endorse a particular therapy or drug. Just last week Sen. Charles Grassley, R-IA, sent letters to pharmaceutical company Wyeth as part of an investigation into the company's involvement in medical ghost writing. These issues are a ticking public relations time-bomb for physicians. In an era of growing transparency and consumerism, each revelation about a handful of physicians profiting from industry ties erodes the public's trust in all physicians. |
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| WELCOME NEW WA/ACEP MEMBERS | |||||||||||
| New Members Anthony A. Ferroggiaro, MD, FACEP – Spokane James C. Kussy, MD – Granite Falls Daniel P. McImail, MD – Tacoma Matthew D. Otto, MD – Tacoma Allan H. Rappaport, MD, JD - Seattle John P. Short, MD – Olympia Back to Top |
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| CALENDAR OF EVENTS | |||||||||||
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Mason General Hospital Emergency Physicians is seeking a partner to join 7 full-time board certified emergency physicians. We are a completely democratic group that staffs a single critical access hospital in Shelton. Excellent contract with paid medical liability insurance. ED Volume approximately 22K/yr. Physician staffing of 34 hours daily. You will be a partner from day one and paid the same as the rest of the group on an hourly rate. We are at the base of the Olympic Peninsula about 20 minutes north of Olympia. Send your CV to Dean Gushee, MD (dgushee@masongeneral.com) or call 360-427-6791. Needed-a physician to work at Pasco Worker Care, an Occ Med Clinic providing care to injured workers.This is a full time job with competitive salary and benefits. No weekends, nights or major holidays. Experience in EM preferred. Send a resume to drted@yakimaworkercare.com. Magnificent North Olympic Peninsula of WA State: Emergency Physician Openings. Waterfront or mountain side living, driving distance to Seattle, ferry boat ride to Victoria, BC! Excellent full and part time opportunities now available in our stable, cohesive and collegial group of practitioners. Offering: private, stable, single hospital democratic group, equally shared night/weekends, excellent pay/benefits, flexible scheduling, no buy-in, equal partnership, 12 hours shifts with mid-level support, 27k annual volume in expanding dept, Level 3 Trauma Center. We are located at the foot of the Olympic National Park on the bluffs overlooking the Strait of Juan de Fuca, providing magnificent views everywhere you look! Port Angeles is in the rain shadow of the Olympic Mountains with wonderful out door activities and a wide range of community attractions. It is the site of Olympic National Park (a World Heritage Site) and a beautiful salt water location with easy access to Seattle and Victoria, B.C. Email or send CV to: James Wallace, MD c/o Nancy Buckner, Physician Recruiter, Olympic Medical Center, 939 Caroline Street, Port Angeles, WA 908362, 360 417 7231, nbuckner@olympicmedical.org or James Wallace, 360-417-3281, Jwallace@olympicmedical.org. Wenatchee Emergency Physicians is seeking BC/BE emergency physicians for full time employment and partnership. We see 30k patients per year at Central Washington Hospital, a level III trauma and regional referral center. In addition we are expanding to staff a new ED under construction at the Wenatchee Valley Hospital (attached to the Wenatchee Valley Medical Center). We offer superb recreational opportunities, excellent physician and nursing staff, a growing community, and affordable housing. Contact Tom Ettinger MD FACEP morsno@charter.net 509-679-9708, Scott Stroming MD FACEP stroming@nwi.net 509-679-3635, or one of our partners at Central Washington Hospital 509-665-6163. Eastern Washington - Full Time Opportunity. Samaritan Hospital, Moses Lake, has an annual patient volume of 13,000. The shifts are 12 hrs. with 10 hrs. of PA/NP coverage. The physician will see an average of 1.25 patients per hour with 12% admission rate. Trauma Capabilities and Resources: Samaritan Healthcare serves a 75,000 population area with 32,000 in the local area. Patients transferred are sent by ground ambulance to Central Washington Hospital in Wenatchee or by helicopter to Deaconess Medical Center, Sacred Heart Medical Center in Spokane, or Harborview, Seattle. Physical Description of the Emergency Department: 9 rooms and 10 beds. This ED includes a trauma/cardiac room, 2 cardiac bays, a pediatric room, casting room, OB room, 2 minor medical rooms, a mental health room and a room with an undesignated function. Availability of Ancillary Services: Radiology – 24/7, Nighthawk: nights, CT 24/7, Ultra Sound 24/7, MRI off-site, Pharmacy, Pyxis system, Lab, Respiratory Therapy. Brief Description of Community: Moses Lake is the commercial hub of the Columbia Basin in Grant County located at the intersection of Interstate 90 and State Highway 17. The lake, Moses Lake, is the largest, natural body of fresh water in the county, with over 120 miles of shoreline. Due to the large number of lakes, streams and the Columbia River this is a fisherman’s paradise, with trout, salmon, bass, spiny ray and walleye pike plentiful. The area is in the path of the Pacific flyway, goose and duck hunting is a sportsmen attraction. Deer hunting is excellent in nearby Clockum and Blue Mountains which have large elk herds. Winter sports include an outdoor ice skating rink, downhill skiing at several locations within a few hours drive, as well as cross country skiing and snowmobiling. The area provides several golf courses, tennis courts, a family aquatic center with water slides and an Olympic size competitive pool. A large area in nearby sand dunes has been designated for ORV and recreational use. Average annual rainfall is about 8 inches and average snowfall is 15 inches. For more information about this opportunity, please call: Emily Enck (800) 336-8614 x 2115 or email: emily_enck@teamhealth.com Quality of Care. Fairness. Integrity. Professionalism Full Time Opportunity at Kadlec Medical Center in Richland, Washington a 181 bed acute care facility with a 20 bed CCU, a 19 bed intermediate care unit and a 12 bed short stay unit. Hospital has a new open-heart surgery suite, an additional cardiac catheterization lab, and new outpatient imaging center. Summer of 2008, Kadlec will open a new 71.8 million, six story building which will include new operating rooms, a clinical decision unit and a floor of private patient rooms. Emergency Department consists of 26 beds with state of the art equipment including a robust intranet linked to PC’s throughout the ED and hospital and a separate Fast Track. Applications include: MUSE, Micromedex – (Poisondex, drugdex, Emergidex), Web PACS, and internet access, ED includes electronic medical records and Electronic "T" system. Providers care for 48,000 patients annually with 56 hours of physician and mid level coverage. Community offers, excellent school systems, golf courses, wineries, and much more. For more information, please contact: Emily Enck at (800) 336-8614 x 2115 or email: emily_enck@teamhealth.com Seattle: Academic Pediatric Emergency Medicine (Children's Hospital & Regional Medical Center) The Department of Pediatrics at Children's Hospital and Regional Medical Center/University of Washington School of Medicine is recruiting one or more board certified/eligible Pediatric Emergency Medicine Physician(s) (MD or DO required) at the Assistant/Associate Professor/Professor level. Position(s) may be full-time or part-time. Contact Tony Woodward, MD, MBA, Chief, Division of Emergency Medicine, Children's Hospital and Regional Medical Center, Emergency Medicine B-5519, 4800 Sand Point Way, NE , Seattle, WA 98105, 206-987-1371, Fax 206-729-3072, E-mail: Tony.Woodward@seattlechildrens.org Yakima
Regional Medical Center-FT and PT Physician Openings Immediate Full-Time Position for BC/BE EM Physician with Kennewick Emergency Physicians, a Democratic Group staffing a single hospital, 30,000 annual visits with moderate acquity on the banks of the Columbia River. Generous Competitive Package, Guarantee plus Incentive Compensation, Liability Insurance included, Relocation Expenses included, Full Partnership Tract in 18 months, 8-11hour shifts, Double coverage during peak hours, average 12-14 shifts/month with 3 weeks off/quarter built into schedule. Enjoy a peaceful lifestyle in this friendly community of approximately 200,000. Take advantage of hundreds of miles of waterways- fishing, water sports and beautiful sunsets- all near the mountains, over 300 days of sunshine annually, over 40 local wineries. Contact Louis K. Koussa DO, FACEP; 509-521-3396 or 509-627-1798 and email your CV to loukoussa@yahoo.com WANTED:
Emergency physicians for bipolar company. Quark (www.quarkexpeditions.com)
leases Russian Icebreakers for 10 to 25 day voyages to
the polar regions. We are in need of ED physicians willing
to serve as ship’s doctor. On any ship, there at
most 110 passengers and 50 crew members. No dressing
up and no night life except the scenery and animals.
Contact Dr. Dan Zak at zak38@aol.com.
Please let your colleagues know about this as well. To have your job posting included free in future WA/ACEP NewsWatch transmissions, send your information to WA/ACEP |
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We hope you find WA/ACEP NewsWatch informative and useful. If you know of an Emergency Physician who does not receive this newsletter, please share your WA/ACEP NewsWatch with them. WA/ACEP is sensitive to privacy issues with respect to the use of member e-mail information. WA/ACEP does not sell or rent e-mail addresses.The WA/ACEP NewsWatch is your newsletter! Email your contribution and suggestions to Shannon McDonald at smc@wsma.org. Send email address changes to the WA/ACEP Membership Department. |
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