Introduction to the American College of Emergency Physicians Presented by: Insert Name: Insert Date:
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Transcript of Introduction to the American College of Emergency Physicians Presented by: Insert Name: Insert Date:
Introduction to the American College of Emergency Physicians
Presented by:Insert Name:Insert Date:
Your Questions Answered: Today’s Agenda Why does ACEP Matter? What are the issues ACEP is working on? How is ACEP making an impact? How does ACEP decide where to focus its efforts? What is ACEP doing to make it easier for me to
practice EM and provide the highest quality care for my patients?
How is ACEP advancing my career? What is the value of my membership?
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ACEP’s Mission Statement
The American College of Emergency Physicians promotes the highest quality of emergency care and is the leading advocate for emergency physicians, their patients, and the public.
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Why Does ACEP Matter?
The health care landscape is changing. ACEP has been, and continues to be, involved in
shaping the future of Emergency Medicine.
– Health care reform and regulatory implementation– Letters to CMS and other high-level agencies– Residency slots and GME re-distribution– Loan forgiveness options
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Future income
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CMS= Centers for Medicare and Medicaid Services
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CMS= Centers for Medicare and Medicaid Services
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Uninsured
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Coverage Rates by Type of Insurance
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CMS-Physician fee Schedule 2014
Physician Fee ScheduleCY 2014 Physician Fee Schedule Final Rule with Comment PeriodThe CY 2014 PFS final rule with comment period was placed on display at the Federal Register on November 27, 2013. In addition to policies affecting the calculation of payment rates, this final rule identifies potentially misvalued codes, adds procedures to the telehealth list, modifies the telehealth originating site definitions, finalizes a policy for chronic care management services for CY 2015, applying therapy caps to outpatient therapy services furnished by CAHs, requires the compliance with state law as a condition of payment for services furnished incident to physician and other practitioner services. This final rule includes discussions and policy regarding revising the MEI based on MEI TAP recommendations, budget neutrality for the chiropractic services demonstration, physician value-based payment modifier and the physician feedback reporting program, and updating the Ambulance Fee Schedule regulations, Clinical Lab Fee Schedule, physician compare website, physician quality reporting system, electronic prescribing (ERX) incentive program, and Medicare shared savings program.
Average Annual Worker and Employer Contributions to Premiums and Total Premiums for Family Coverage,
1999-2010
* Estimate is statistically different from estimate for the previous year shown (p<.05).
Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 1999-2010.
$5,791
$6,438*
$7,061*
$8,003*
$9,068*
$9,950*
$10,880*
$11,480*
$12,106*
$12,680*
$13,375*
$13,770*
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ACA passed 2010
Why Does ACEP Matter?-- Health Care Reform
The Health Care Reform law -- ACEP worked hard to get specific items included:
• Prudent layperson language extended to group plans• No more “prior approval” needed• Expansion of research opportunities• Regionalization projects
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ACA being challenged in USSC
Why Does ACEP Matter?-- Health Care Reform
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Why Does ACEP Matter?-- Health Care Reform
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Under the new federal rules, patients also can still pick their
primary doctors or pediatricians, and prior approval requirements
for emergency care will be prohibited
Why Does ACEP Matter?-- Health Care Reform
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Why Does ACEP Matter?-- Health Care Reform
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Why Does ACEP Matter?-- Letters to Regulatory Agencies
Anesthesia guidelines revised (Jan. 2011) Quality measures (PQRI) Accountable care organizations Value-based purchasing Demonstrate the specialty's value Preserve EM practice models
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Why Does ACEP Matter?-- Residency Slot Redistribution
At least 75% of the redistributed residency positions must go to primary care or general surgery.
It is even more imperative that CMS provide as many of the remaining slots to EM residency programs to meet the expected increase in ED visits.
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Why Does ACEP Matter?-- Loan Forgiveness Options
ACEP understands the incredible burden of debt incurred to become residency trained in EM and support the idea of loan forgiveness if graduates are willing to work in underserved areas.
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What are the issues that ACEP is working on?The Perfect Storm: Health Care Braces for a Crisis
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Operational Costs Nurse Shortage Technology On-call Liability Inflation
On-Call Specialty Physician Shortage
InpatientBed Shortage
Revenue Medicaid / Medicare Managed care Uncompensated care Stock market
Balanced BudgetAct of 1997
EMTALA
ED Volume Increases
ForeignNationals EMERGENCY
DEPARTMENT
AmbulanceDiversion
What are the issues that ACEP is working on?-- EMTALA
In America,We regard healthcare as a FUNDAMENTAL RIGHT
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But we fund healthcare AS A PRIVILEGE
Worse, we do so in a “free enterprise system”
What are the issues that ACEP is working on?-- EMTALA
26Source: American Medical Association
SpecialtyPhysicians Affected
Average Bad Debtfrom EMTALA
Emergency Med 100% $138,300General Surgery 76% $25,600Anesthesiology 69% $16,500OB\GYN 52% $4,100Radiology 47% $22,000Internal Medicine 34% $7,000Gen \ Family Prac 31% $4,700Pediatrics 23% $2,400Pathology 13% $3,400Psychiatry 11% $1,200Other Specialties 5% $4,500All Physicians 42% $12,300
What are the issues that ACEP is working on?-- ED as the Safety Net
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Changing perceptions in D.C.
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What is your guess?
What is the value of access to care 24 - 7 - 365
Protected under Federal law
And without any guaranteed reimbursement?
What are the issues that ACEP is working on?-- Value of Emergency Medicine
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What are the issues that ACEP is working on?-- Perception of “Unnecessary Visits”
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What are the issues that ACEP is working on?-- Perception of “Unnecessary Visits”
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What are the issues that ACEP is working on?-- Crowding & Diversion
ED crowding has become a “national epidemic, says the Institutes of Medicine.
An ambulance is diverted away from a crowded ED approximately once every minute nationwide.
ED patients have faced increasingly long average wait times and ED visit lengths over the past decade. – Especially for those with the most acute illnesses.
In 2006, the average wait time = 37 minutes.Recommended maximum = 15 minutes.
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What are the issues that ACEP is working on?-- Reimbursement
Even if you belong to ACEP for no other reason than to support reimbursement efforts, your membership has more than paid for itselfACEP has the only EM representative on the RUC
ACEP filed compliance disputes against Anthem/Wellpoint and Humana to stop bundling separately billable services in the ED E/M codes.
After California prohibited balance billing, ACEP rapidly created model legislation for states to fight balance billing prohibition laws. The fiscal impact to you = about 30% of revenue comes from balance billing charges for non-contracted payers.
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What are the issues that ACEP is working on?-- Reimbursement
Replace the flawed Medicare payment formula Enact stable, annual physician payment updates
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What are the issues that ACEP is working on?-- On-Call Issues
On-call specialty shortage resources on www.acep.org
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What are the issues that ACEP is working on?-- Medical Liability Reform
Specifically addresses the unique environment of the emergency department.
ACEP is working with a coalition of on-call specialty societies to achieve this goal.
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HR 157 -- Health Care Safety Net Enhancement Act Would amend the Public Health Service Act to deem ED
physicians as Public Health Service employees for purposes of lawsuits stemming from EMTALA-related services.
What more can ACEP due to make an Impact?..........NEMPAC
A voluntary, non-profit, unincorporated association operating as a separate segregated fund of ACEP.
Empowered to solicit, directly or indirectly, and accept voluntary personal contributions from ACEP members.
Makes expenditures in connection with the election of candidates for federal office.
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How does ACEP’s PAC rank?
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How can ACEP members make an impact? Join the 911 Network The 911 Network goes into action when there are
critical bills pending and support is needed.
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How else is ACEP Making an Impact?-- EM Action Fund EMAF
What is the EM Action Fund?– A collective body that can pool limited resources and work to impact health care
reform's regulatory implementation.– Designed to allow our specialty to speak with one voice and one message
Why should you get involved?– The 2010 health care reform law could force you to make a choice – become a
hospital employee or end your practice. – Proposed regulatory changes could reduce your reimbursements by 20 to 40%.
Who is on the EM Action Fund Board?– EMRA, ACEP, AAEM, ACOEP, SAEM– Physician groups , companies, individual emergency physicians
www.acep.org/EMActionFund44
How does ACEP decide what to do?-- Democratic Representation
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How does ACEP decide what to do?-- Resolutions & Council Meeting
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CouncilBoard of Director
s
How does ACEP decide what to do?-- The Board of Directors
Jay A. Kaplan, MD, FACEPPresident-Elect
Rebecca B. Parker, MD, FACEPChair of the Board
Alexander Rosenau, DO, FACEPImmediate Past President
Paul D. Kivela,, MD, FACEPVice President
John J. Rogers, MD, FACEPSecretary-Treasurer
Stephen Anderson, MD, FACEPJames J. Augustine, MD, FACEP
Vidor Friedman, MD, FACEPJon Mark Hirshon, MD, FACEP
Hans R. House, MD, FACEPWilliam Jaquis, MD, FACEP
Debra G. Perina, MD, FACEP
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Michael J. Gerardi, MD, FAAP, FACEPPresident
How does ACEP decide what to do?-- Actions Become Policy
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Council
How does ACEP decide what to do?-- The “Alphabet Soup” of EM
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First EM physician to become AMAleader
Steven J. Stack, MD, FACEPChair-Elect, Board of Trustee
In addition to advocacy, what is ACEP
doing to make it easier for me to practice emergency medicine and provide the highest quality care for my patients?
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Advocacy is OK, but I just want to be a Great Doc…
What is ACEP doing for me?-- Educational Opportunities
Scientific Assembly– Oct. 15-18, 2011 in San Francisco, CA
Leadership and Advocacy Conference Teaching Fellowship EMBRS Workshop
– Emergency Medicine Basic Research Skills Advanced Pediatric Emergency Medicine Assembly ED Directors Academy
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What is ACEP doing for me?-- Educational Opportunities
Annals of Emergency Medicine– The most respected & influential journal in EM– One of the top 100 scientific journals– Dr. Mike Callaham, Editor in Chief, encourages
residents are to get involved by writing articlesfor the “Resident’s Perspective” section
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What is ACEP doing for me?-- Educational Opportunities
LLSA Resource Center (www.acep.org/LLSA) – Four current reading lists (2009, 2010, 2011, 2012) in
one document– List of LLSA prep resources developed by ACEP chapters
ACEP Members also have FREE ACCESS to:– All LLSA articles for the 2009 -- 2012 reading lists– LLSA article summaries, originally published in Critical
Decisions in Emergency Medicine
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What is ACEP doing for me?-- ACEP Bookstore
Resident discounts on all items Even bigger discounts on group
purchases New mobile products available PEER VIII- JUST OUT!
–Remains the gold standard for residents’ annual in-training exam and the board certification qualifying exam.
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What is ACEP doing for me?-- Practice Resources
Clinical Policies Policy Statements Reimbursement
FAQs Contracts and
Job Searching Free webinars
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What is ACEP doing for me when I’m sued? -- Medical-Legal Support Litigation Stress Counseling Standard of Care Review Panel Online Resources
– “So You Have Been Sued!”– Litigation Stress – a Primer– Medical-Legal policy compendium
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The Cost of Med-Mal
What is ACEP doing for me?-- Ethics
ACEP Code of Ethics regularly reviewed for updates
Reaffirmation Statement for use during litigation
Formal ethics complaint process
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What is ACEP doing for me?-- Personalized Service
One call provides personal assistance on– Reimbursement and billing– Contracts and salaries– Practice management issues– Wellness resources– CME tracking and requirements– Litigation and ethics concerns
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What is ACEP doing for me?-- Research Support
EMF Research Grants Research Forum
– Annual in conjunction with SA Emergency Medicine
Basic Research Skills (EMBRS) Workshop
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October 27-28, 2014 in Chicago, ILwww.acep.org/rf
How does ACEP support my career?-- Work/Life Balance
Wellness Resources on ACEP.org– Under Practice Resources, select Wellness
Hagan Insurance Benefits (see acepinsurance.com)– Guaranteed Issue Life and Disability; Disability Income
Protection; Long Term Care– Term Life, Health, Liability, Home, Auto and Travel
Insurance Financial planning resources
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How does ACEP support my career? -- Become a Fellow
Earn a mark of prestigious distinction in your specialty, become a FACEP
Criteria include:– ACEP membership for three years
after graduating residency– Board certification ABEM or AOBEM– Demonstrated leadership in
emergency medicine (chapters,hospitals, committees)
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How does ACEP support my career? -- Networking Opportunities
Sections, Committees & Chapters Conferences
– Leadership and Advocacy– Scientific Assembly- follows Annual council meeting
ACEP’s Official Blog – TheCentralLine.org Social Media
– Facebook.com/ACEPfan– @ACEPnews
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Benefits of Membership: ACEP
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Benefit ACEP Members Non-Members
Annals of Emergency Medicine FREE $226
ACEP News FREE $150
Scientific Assembly registration discount $635 $835
Discounts on all ACEP-sponsored meetings and educational products
Over $500 in savings Not available
E-mail alerts and updates FREE Not available
Members-only Section of the ACEP LLSA Resource Center
Free Online Access to Every LLSA article:
$500 Value
Not available
Professional growth & networking FREE Not available
Discounts on car rentals, insurance, technology and credit cards
$10 up to thousands Not available
Discounts in ACEP’s Bookstore 15% to 40% Not available
Benefits of Membership: EMRA
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2011 Antibiotic Guide, 14th Edition Top Pediatric Clinical Problems, 1st Edition Pediatric Qwic Card, 1st Edition Sepsis Card Airway Card Career Planning Guide for
Emergency Medicine, 2nd Edition EM Resident Magazine Subscription to EM:RAP/EMA Evidenced Based Medicine: (EM Practice, Pediatric EM Practice & EM Guidelines) Critical Decisions in Emergency Medicine
25.95 25.95 12.00 12.00 12.00 29.95 Priceless 360.00
628.00
352.00 $1,457.85
Benefits of Membership: EMRA
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– Liberty Mutual Advantage Program: Save money on car and home insurance
– PEPID: Resident and Student members save 50% on a one-year subscription
– VisualDx (usually $99) available on emra.org for $20– Office Depot: Discounts on more than 6,000 products– Sprint PCS: 10% off phones and service– Nationwide Home Buying Program: Mortgage loans
from SunTrust Mortgage– More Savings & Benefits at
www.emra.org/member_benefits.aspx
Applications can be e-mailed to: academic [email protected]
ACEP National Emergency Medicine Faculty Teaching AwardsNational Emergency
Medicine Faculty
Teaching Award
Recommended for faculty >7 years post-
residency who are ACEP members, Board
certified, hold an academic appointment at
a US allopathic or osteopathic school and
are at the instructor, assistant professor or
associate professor level.
National Emergency
Medicine Junior
Faculty Teaching
Award
Recommended for faculty between 3-7 years post-residency who are ACEP members, Board certified,
hold an academic appointment at a US
allopathic or osteopathic school and are at the
instructor or assistant professor level.
Deadline: April 13, 2015
http://www.acep.org/teachingaward/
ACEP Medical Student Awards
National Medical
Student Award
·This award is intended to
recognize students who
intend to pursue a career in
emergency medicine, and who
have demonstrated outstanding
patient care and involvement in
medical organizations or the
community. ·Up to 10 students selected each
year.
Deadline:
February 13, 2015
http://www.acep.org/msawards/
Medical Student
Professionalism &
Service Award·This award is intended to
recognize students who
excel in compassionate care of
patients, professional behavior,
and service to the community and
or specialty. ·One nominee per medical
school.·Monetary award is decided at the
local level.
Deadline: October 21,
2013-August 4, 2014
ACEP Report Card 2014
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BE VOCAL! Make your opinion heard
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ACEP 14: Chicago-Events
ACEP 14 Kickoff PartyMonday, October 277:30-MidnightNavy Pier-Grand Ballroom
Closing CelebrationWednesday, October 297:00om-11:00pmMuseum of Science and Industry
EMF-Cocktails and Culture ReceptionMonday, October 276:30pm-8:30pm
Research ForumOctober 27-28, 2014McCormick Convention Center
Congratulations! You’ve chosen the best job there is…..but…
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What you should do next
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Q&A
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