July 2013

2013 Summit to Sound

More than 150 members of the emergency medicine community attended the 2013 Summit to Sound – Northwest Emergency Medicine Assembly (S2S NEMA) held April 24-26 at the Bell Harbor Conference Center in Seattle. Because of the innovation and dedication of the members of the Education Committee, the 2013 S2S NEMA was an overall success and continues to evolve into one of the premiere emergency medicine conferences on the West Coast.

Two ultrasound workshops were well-attended by both nurses and physicians. The first workshop featured a perennial favorite, ultrasound guided vascular access, and now offers a memorandum that attests to training completed that may facilitate future procedures and clinical privileges. The second workshop focused on basic and some advanced thoracic applications.

Leadership and Awards:

The Thursday and Friday luncheons recognized and celebrate the achievements of several dear friends as well as WA ACEP members. Dr. Ted Walkley, MD, FAAP, FACEP (right) received the WA ACEP Nancy Auer Meritorious Achievement Award from Dr. Stephen Marshall, MD, FACEP (left). Dr. Walkley has been an active member of the WA State pediatric emergency medicine community for nearly 30 years. In addition to his service, Dr. Walkley was also one of the founders of the Advanced Pediatric Life Support initiative. Susie Tracy and Tim Layton were the recipients of the Guardian of Emergency Medicine Award for their tireless and dedicated work and advocacy in Olympia and Seattle over the past several years on behalf of WA ACEP(Pictured with Stephen Anderson, MD, FACEP, left). Five colleagues were elected to serve on your Board of Directors. Three members were reelected to serve a second term: Dean Gushee, MD; Steven Mitchell, MD; and Nathan Schlicher, JD, MD, FACEP. Two new members were elected to join the Board of Directors: Cameron Buck, MD and Darin Neven, MD.


Didactic Symposium Sessions:
The Thursday morning session featured several local speakers covering various cardiac emergencies, including management of congestive heart failure, evolving algorithms for ruling out acute cardiac ischemia and risk stratification, and sudden cardiac arrest in young athletes. The Thursday afternoon session focused on several facets of disaster and international medicine, including designing a disaster response team, and updates about the Northwest Healthcare Response Network and overall healthcare system preparedness across WA State. The last presentation of the day was a poignant look at lessons learned from the Haiti Experience by Dr. Paul Auerbach, MD, MS, FACEP, FAWM. The first day concluded with a well-attended reception and multiple raffle awards. The poster display continues to feature research conducted by local institutions and providers. The Friday morning session examined the abdominal black box, including the evaluation, imaging, and complications of bariatric procedures, transplant emergencies, and pediatric abdominal pain. The Friday afternoon session presented updates on emergency medicine issues in WA State, starting with a video by Sen. Nathan Schlicher, JD, MD, FACEP followed by risk assessment for suicidal patients in the ED and management options for managing chronic pain. The conference concluded with the WA ACEP Journal Club objectively assessing the use of medicinal marijuana for the treatment of chronic pain that will also be presented at ACEP13 in October.

Thank you John Matheson, MD, chair of the WA-ACEP Education Committee, for organizing this successful meeting.

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Leadership and Advocacy in Washington, DC

WA/ACEP Delegation outside Maria Cantwell's Office The 2013 ACEP National Leadership and Advocacy Conference (LAC) was held in Washington, DC May 19-22. WA ACEP continued to be recognized for its work on the Seven Best Practices initiative – especially because it featured the leading role of the EM community and the anticipated saving of more than $31 million while still preserving the Prudent Layperson standard, and access to and improved coordination of care.

Record Delegation:
WA ACEP set a new record with 12 members attending the conference and advocating on Capitol Hill for you and several issues of importance to the emergency medicine community. The delegation was led by Past President Stephen Anderson, MD, FACEP. Additional members included: your Chapter Executive Pauline Proulx; Resident Liaison Jonathan Weyand, MD; Immediate Past Resident Liaison Laura Cookman, MD; Liam Yore, MD; The Honorable Nathan Schlicher, JD, MD, FACEP; Past President John Milne, MD, MBA, FACEP; President Elect Enrique Enguidanos, MD, FACEP; and President Christopher Kang, MD, FACEP, FAWM. Three members of the next generation of WA ACEP leaders also attended: Jennifer L’Hommedieu Stankus, JD, MD; Hamad Husainy, DO; and Alison Haddock, MD.

Great Capitol Hill Visits:
Legislative Affairs Committee: Alison Haddock, MD; Hamad Husainy, DO; and Jennifer L’Hommedieu Stankus, JD, MD
The delegation completed visits to the offices of eight Congressional members to discuss three primary issues: expansion of liability protection provided to federal employees under the current Public Health Safety Act to emergency and on-call physicians who provide EMTALA-related services; revision of the current 72 hour admission requirement (including admission time under observation status) for Medicare coverage for transfer to Skilled Nursing Facilities; and the revision or repeal of the Independent Payment Advisory Board. Three additional issues presented included: definitive resolution of the SGR; the escalating mental health crisis; and the preservation of funding for GME. With respect to the latter, the experiences of and comments by two resident physicians on behalf of the University of Washington and both EM residency programs were well-received. Although the WA ACEP delegation visited eight offices and directly met with four Congressional members, including Sen. Maria Cantwell and Representatives Jim McDermott and Dennis Heck, they could not meet with members from the 3rd, 4th, and 5th Congressional districts because no constituent from those districts were present. If you are from one of these districts, please consider attending the 2014 LAC!

National Recognition:
Dr. Stephen Anderson, MD, FACEP is elected Spokesperson of the yearWashington State and the work of WA ACEP on the Seven Best Practices was featured as one of the leading news release items and cited as a “model for the nation”. The Honorable Nathan Schlicher, MD, JD and Alison Haddock, MD lead a discussion on current issues in health care policy with EMRA members and First Time attendees. Finally, Stephen Anderson, MD, FACEP was named the ACEP Spokesperson of the Year. (Right)


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Additional Important Items

  • The RAND Corporation recently completed and released their report on the evolving role of emergency departments in the United States. A summary which was presented to Congressional members during the Capitol Hill visits is that emergency physicians represent only 4% of healthcare providers and account for less than 2% of total health care expenditures, but provide 30% of all outpatient care and account for 50% of all admissions. The contents of this report may provide you important information that you could present to your hospital administration and officials. Copies of the summary and full reports can be obtained from the RAND Corporation Website
  • Your Board of Directors is actively tracking several important issues, including the recent Superior Court ruling on single bed certification for mental health patients, the possible return of a proposal to ban balanced billing, the hopefully continued decline in the number of prescription opioid-related deaths, the impact of the legalization of marijuana, the upcoming implementation of the PPACA, and the release of the 2014 National Report Card on Emergency Medicine. The continued results of the Seven Best Practices initiative are being collated, and the design of the next iteration is underway.

As always, if you have a concern, issue, or comment, please do not hesitate to contact your ED Director and/or the WA ACEP Board of Directors.

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Registration for ACEP13

Registration for ACEP13 (formerly known as ACEP Scientific Assembly) October 14-17 in Seattle starts on June 3rd. ACEP13 will feature several new innovations implemented to improve the overall experience for attendees – including a Kickoff Party and Closing Reception. Unfortunately, because of anticipated future space limitations, ACEP13 is currently scheduled to be the last one hosted in Seattle. However, your attendance at both the educational sessions and the WA ACEP Reception on October 14th could help persuade the ACEP Education Committee to reconsider!

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