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lifeline
APRIL 2015
a forum for emergency physicians in california
CMS 2015
Core Measures
"PQRS" Updates
Page 8
TABLE OF CONTENTS |
4
Come to California
ACEP’s 26TH Annual
Legislative Leadership
Conference
8
CMS 2015
Core Measures
“PQRS”
Update
4
PRESIDENT’S MESSAGE
8
CMS 2015 Core Measures
"PQRS" Update
14 ADVOCACY UPDATE
LEGISLATION REVIEW:
How California ACEP
Tracks Legislation
16 ANNOUNCEMENTS
17 UPCOMING MEETINGS & DEADLINES
18 CAREER OPPORTUNITIES
California ACEP
Board of Directors &
Lifeline Editors Roster
2014-15 Board of Directors
Michael Osmundson, MD, MBA, FACEP, President
Marc Futernick, MD, FACEP, President-Elect
Lawrence Stock, MD, FACEP, Vice President
Aimee Moulin, MD, FACEP, Treasurer
Chi Perlroth, MD, FACEP, Secretary
Thomas J. Sugarman, MD, FACEP, Immediate Past President
John O. Anis, MD, FACEP, Member-At-Large
Vikant Gulati, MD
Kevin Jones, DO
Jeffrey Leinen, MD, FACEP
Stephen Liu, MD, FACEP
John Ludlow, MD, CAL/EMRA Representative
Cameron McClure, MD, FACEP
Valerie Norton, MD, FACEP
Mark Notash, MD
Maria Raven, MD, MPH, FACEP
Vivian Reyes, MD, FACEP
Eric Snyder, MD, FACEP
Advocacy Fellowship
Aimee Moulin, MD, FACEP, Director
Carrieann Drenten, MD, Advocacy Fellow
Lifeline Medical Editor
Richard Obler, MD, FACEP, Medical Editor
Lifeline Staff Editors
Elena Lopez-Gusman, Executive Director
Ryan P. Adame, MPA, Deputy Executive Director
Lucia Romo, Education Coordinator
Kelsey McQuaid, MPA, Government Affairs Associate
Nathalie Nguyen, MA, Program Associate
APRIL 2015
Index of Advertisers
Anaheim Regional Medical Center
Page 18
CMA Health Leadership Academy
Page 7
EGO
Page 6
EMMA
Page 15
Emergency Physicians Management
Page 18
Front Line Emergency Care Specialists
Page 18
Mission Viejo Emergency Medical Associates
Page 18
Northridge Hospital Medical Center
Page 18
Pinnacle HealthCare
Page 18
St. John’s Emergency Medical Specialists
Page 18
TeamHealth
Page 18
Tri-City Emergency Medical Group
Page 18
WELCOME new members!
Alvin Cardona
Rafael Balbona Chavez, MD
Rafael Balbona Chavez, MD
So Eun Choi
Randall De Leon
Valerie C Huckaby, MD
Jennifer Kristjansson, MD
Brian A Lentz
Sarah E Massatt
Larissa Morsky
Lindsey C Spiegelman
Jacob Szmuilowicz
Esther Zarecki
Danica Zold
100% GROUPS
Central Coast Emergency Physicians
Loma Linda Emergency Physicians
Tri-City Emergency Medical Group
Emergent Medical Associates
Napa Valley Emergency Medical Group
Emergency Medicine Specialists of
Orange County
Newport Emergency Medical Group, Inc
at Hoag Hospital
University of California, Irvine Medical
Center Emergency Physicians
Front Line Emergency Care Specialists
Pacific Emergency Providers, APC
APRIL 2015 | 3
PRESIDENT’S MESSAGE |
By Michael Osmundson,
MD, MBA, FACEP
Come to California
ACEP’s 26TH Annual
Legislative Leadership
Conference
Now in its 26th year, the Legislative Leadership Conference (LLC) is an important and influential event for
emergency physicians and residents of all stripes to attend. Located in Sacramento, just steps from the
State Capitol, 100 emergency physicians, both seasoned veterans and those just embarking in a career in
emergency medicine, will join California ACEP for a day full of advocacy training, interesting policy discussions
and lobbying California’s policy makers on behalf of emergency physicians and patients.
4 | LIFELINE a forum for emergency physicians in california
T
he lobbying that California ACEP members do each year at
LLC on behalf of emergency medicine is truly impactful. Last
year, California ACEP welcomed Governor Brown, who spoke at
length about the role of special interests in politics. The Governor also
discussed the current state of healthcare in California, including the
implementation of the Affordable Care Act and Medi-Cal rates.
This unique and fun conference is FREE. Additionally, California ACEP
sponsors one resident from each residency in California to attend both
the LLC on Tuesday, April 21st and the California ACEP Board Meeting
on Wednesday, April 22nd. This residency sponsorship is first-come,
first-served. Please contact Kelsey McQuaid at the Chapter office
after registering for LLC to qualify for the sponsorship and to arrange
overnight lodging in Sacramento.
While this year’s program is still being finalized, I'm happy to announce
that Insurance Commissioner Dave Jones has agreed to speak, and he
will no doubt be joined by other influential presenters continuing in
the rich tradition of LLC speakers past.
Past program speakers include the California State Lieutenant
Governor, Speaker of the Assembly, Senate President pro Tempore,
ranking members of the Senate and Assembly Health Committees and
state agency heads appointed by the Governor.
The program will start at 9:30 am and continue through the morning
with an array of speakers and advocacy trainings. Attendees will break
for a one hour lunch, provided by California ACEP, to meet with peers
prior to participating in lobbying meetings at the Capitol. California
ACEP will arrange legislative meetings on your behalf and will provide
you with a morning of education on important legislation and training
to develop the lobbying skills necessary to partake in the afternoon
meetings.
Following an afternoon of lobbying at the Capitol, attendees are
invited to participate in a free California ACEP hosted reception* in the
Capitol Room at Café Bernardo, conveniently located near the Capitol.
We hope you will join us in our 26th year advocating on behalf of
emergency medicine at the State Capitol! For more information, or to
register, visit www.californiaacep.org, or contact Kelsey McQuaid in the
Chapter office at (916) 325-5455.
*If you are unable to attend the entire lobby day, but are interested in
joining your colleagues for our free evening reception, be sure to visit
our website www.californiaacep.org and register for the reception
only. We look forward to seeing you at California ACEP’s 26th Annual
Legislative Leadership Conference!! n
APRIL 2015 | 5
LEGISLATIVE
LEADERSHIP
CALIFORNIA
ACEP
APRIL 21
JUNE 12
SACRAMENTO
LOS ANGELES
UNIVERSAL CITY
Clinically trained team
Billing management services
All of our clients are references
Reimbursement coding by registered nurses
C O N TA C T
Andrea Brault M.D., MMM, FACEP
(877)346-2211, ext. 278 | andrea@emergencygroupsoffice.com
180 Via Verde Suite 100 | San Dimas, California 91773
6 | LIFELINE a forum for emergency physicians in california
May 29 - 31, 2015
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V IP U portunities to meet Mukherjee, M.D!
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Exclusive
and Siddh
Gladwell
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•
Hollywood, CA
CMS 2015 Core
Measures “PQRS”
Update
By Mike Gertz, MD & Valerie Norton, MD
CMS recently released its final rule for the 2015 Medicare
Physician fee schedule and how its two provider-based
quality reporting programs, Physician Quality Reporting
System(PQRS) and the Value-based Modifier (VM) will be
used to calculate a group's payment under Medicare for
the 2017 calendar year - data reported on in 2015 will be
used to calculate your payments in the calendar year 2017.
Quality reporting has become increasingly more onerous,
and the details of each program more complicated. These
are mandated programs built into the Affordable Care Act
(ACA). As such, this article will focus on PQRS and a future
issue will cover the VM in greater detail.
8 | LIFELINE a forum for emergency physicians in california
N
ew in 2015 is that there will no
longer be a 1% incentive to
participate in PQRS, but instead,
only stiff penalties. For groups
of less than 100 and more than 10 eligible
providers (EPs), failure to participate in PQRS
will result in a 2% reduction in Medicare
payments for the 2017 calendar year under
traditional PQRS. Unfortunately, failure to
comply with PQRS would also result in a
penalty from VBM, resulting in an additional
4% penalty. Not only are the penalties
growing, but the burden of reporting has
increased significantly.
In 2015, the requirement for reporting has
increased from a minimum of three quality
measures to nine quality measures across
three distinct domains, including one “cross
cutting” measure. Cross cutting measures are
those that CMS has defined as filling critical
gaps across specialties. For our specialty,
screening for high blood pressure and
documenting follow up (PQRS #317) will count
toward our cross cutting measure. QM 317 is
the only available measure for Emergency
Medicine at this time and it is mandatory that
we report to avoid the penalty.
QM 317 is looking to report the percentage
of patients who were screened for high blood
pressure AND have a recommended followup plan documented, if the blood pressure is
pre-hypertensive or hypertensive. This is to be
reported for all Medicare patients that are 18
years or older.
To make matters worse, four of the 50 quality
measures retired were from the Emergency
Medicine cluster, EKG for syncope, aspirin
for AMI, empiric antibiotics for CAP, and vital
signs for CAP. We are left with exactly nine
measures we may be able to report on, but
many of them are unlikely to apply to elderly
Medicare patients, which will inevitably leave
most groups short of satisfying the PQRS
requirements. For groups failing to report
the full nine measures in three domains, CMS
will implement the measures applicability
validation (MAV) process, which is an audit
of a group’s claims to determine whether
the group was able to report on additional
measures. If they are determined to have
reported on the appropriate measures
according to the MAV cluster algorithm,
they will be given a pass and meet the
requirements for PQRS. We anticipate that
most groups will be subject to a MAV in 2015.
2. If the patient is discharged home and
the final documented reading in the ED
is ≥120 mm Hg Systolic or ≥80 mm Hg
Diastolic, document a follow-up plan in
the provider note specifically related to the
BP reading, i.e. “Patient referred to PCP for
BP management”.
Many of the requirements under PQRS can be
achieved or avoided through an alternative
reporting method, as legislated by the ACA.
Implementation of a qualified clinical data
registry (QCDR) that allows reporting of data
on ALL patients, not just Medicare patients,
is an acceptable option to PQRS reporting,
according to CMS. As such, ACEP is launching
the Clinical Emergency Data Registry (CEDR)
for emergency medicine in 2015.
3. If the patient has an active diagnosis of
hypertension that is being treated, make
sure to include that in the Clinical Impression
because this represents a qualified exclusion.
Quality reporting demands will continue
to expand and to have greater penalties.
ACEP is working with CMS to develop more
meaningful quality measures and methods
of reporting that are less burdensome. ACEP
continues to study the impact of quality
measures on the specialty and to consider
alternative reimbursement strategies in an
ever-evolving healthcare market.
How do we incorporate the blood pressure
measure into our everyday practice? Ask your
billing company to help you with verbiage
in your medical record that will demonstrate
that you are complying with the spirit and the
letter of the measure.
Emergency Groups Office recommends the
following strategy for a patient with blood
pressure greater than 120/80:
CMS still has an ECG measure that we must
comply with, which is that all patients over 40
with non-traumatic chest pain should have
an ECG.
QM 54: 12-Lead ECG Performed
for Non-Traumatic Chest Pain
How to avoid reporting of non-performance
of the Quality Measure:
1. Make sure to document that an EKG was
ordered (preferably with interpretation) for
all non-traumatic chest pain patients 40
years or older.
2. If not performed for medical or patient
reasons, document it.
Be sure to discuss documentation
expectations that are unique to your group’s
EMR and practice setting with all of your
providers. California ACEP will continue to keep
you updated as new information becomes
available about the Clinical Emergency Data
Registry. n
QM 317: Screening for HBP &
Follow-Up Documentation
How to avoid reporting of non-performance
of the Quality Measure:
1. Make sure the blood pressure reading is
interpreted in your medical record or that
you include a statement such as “normal
VS” in the provider documentation that
your billing company receives. If the
patient refuses, document it.
APRIL 2015 | 9
presents
Friday June 12 2015
Hilton
Los Angeles >> Universal City
Program Chair
Joshua Hui, MD, MSCR, FACEP
Program co-Chair
Jorge Fernandez, MD
FOR MORE INFORMATION AND TO REGISTER, PLEASE VISIT:
WWW.CALIFORNIAACEP.ORG/EVENTS
REGISTRATION:
ACEP MEMBERS $130 > RESIDENTS & MEDICAL STUDENTS $50 > NON-MEMBERS $160
ADVANCED ULTRASOUND TRACK $50 > ADDITIONAL FEE
Thursday June 11 2015
Optional Pre-Conference Lecture >> Free, does not require conference registration
TIME
3:30 - 5:30 pm
TITLE
ER/LA Opioid REMS: Achieving Safe Use While Improving Patient Care in the Emergency Department
*approved for AMA PRA Category 1 Credit(s)™tm.
Friday June 12 2015
welcome >> sierra, Salon aB, press room
TIME
TITLE
SPEAKER
7:00 - 8:15am
8:15 - 8:20am
8:20 - 8:25am
8:25 - 8:55am
Registration & Continental Breakfast
Welcome & Introduction
Michael P. Trainor Memorial Lecture Introduction
Michael P. Trainor Memorial Lecture: Leader, Manager,
Joshua Hui, MD, MSCR, FACEP
Ms. Barbara Trainor, Honorary Member
Jay A. Kaplan, MD, FACEP, ACEP President-Elect
Team-Player, healer - The Roles We Play Every Day in Healthcare
Community Physician Track >> sierra, Salon C
TIME
TITLE
SPEAKER
9:00 - 9:25am
9:25 - 9:50am
9:50 - 10:15am
10:15 - 10:25am
10:25 - 10:50am
10:50 - 11:15am
11:15 - 11:35am
11:30 - 12:00pm
12:00 - 12:35pm
12:35 - 12:50pm
12:50 - 1:00pm
1:00 - 2:30pm
2:30 - 2:40am
2:40 - 3:30pm
ekg: Pearls for your practice
delivery emergencies
management of intracranial Hemorrhage in the ed
Break >> visit exhibits
Future of Resuscitation
No More Saline: Are Balanced Solutions Really Better?
What's new with TPA?
walking exhibitor luncheon
President's message
awards ceremony
Break >> visit exhibits
LLSA Review 2015
Break >> visit exhibits
LLSA Review 2015
Fredrick Abrahamian, DO, FACEP, FIDSA
Pamela Dyne, MD, FACEP
Kama Gulama, MD
Zach Shinar, MD
Christopher Tainter, MD, RDMS
Taku Taira, MD
Marc Futernick, MD, FACEP
Chi Perlroth, MD, FACEP
Luis Lovato, MD, FACEP
Luis Lovato, MD, FACEP
risk management track >> hiro > Carlo Reyes, MD, jd, facep, faap, track chair
TIME
TITLE
SPEAKER
9:00 - 9:30am
9:30 - 10:30am
10:30 - 10:45am
10:45 - 11:30am
11:30 - 12:00pm
12:00 - 12:35pm
12:35 - 12:50pm
12:50 - 1:00pm
1:00 - 2:00pm
2:00 - 2:10pm
2:10 - 3:30pm
Risk Management: Pediatric Emergency Medicine Pearls
compliance
Break >> visit exhibits
EMTALA Update
walking exhibitor luncheon
President's message
awards ceremony
Break >> visit exhibits
High Risk Emergency Medicine, Case Reviews
Break >> visit exhibits
Mock Trial/Witness Proparation
Carlo Reyes, MD, JD, FACEP, FAAP
Damaris L. Medina, ESQ.
Carlo Reyes, MD, JD, FACEP, FAAP
Marc Futernick, MD, FACEP
Chi Perlroth, MD, FACEP
Carlo Reyes, MD, JD, FACEP, FAAP
James Schaeffer, ESQ and
Carlo Reyes, MD, JD, FACEP, FAAP
pediatric emergency medicine track >> sierra b > Maureen McCollough, MD, FACEP, Track chair
TIME
TITLE
SPEAKER
9:00 - 9:30am
9:30 - 10:00am
Carpe Patientem: Pediatric Status Epilepticus in 2015
Medicolegal Pearls for Peds EM
10:00 - 10:15am
10:15 - 10:40am
10:40 - 11:05am
11:05 - 11:30am
11:30 - 12:00pm
12:00 - 12:35pm
12:35 - 12:50pm
12:50 - 1:00pm
1:00 - 1:30pm
1:30 - 2:00pm
2:00 - 2:15pm
2:15 - 2:40pm
2:40 - 3:05pm
3:05 - 3:30pm
Timothy Horeczko, MD, MSCR, FACEP, FAAP
Carlo Reyes, MD, JD, FACEP, FAAP and
Maureen McCollough, MD, FACEP
Break >> visit exhibits
One Pill Killers: Pediatric Toxins
Pediatric Sports Injuries
The Neonate
walking exhibitor luncheon
President's message
awards ceremony
Break >> visit exhibits
Instant Adrenaline: Resuscitation of the Dying Child
Pediatric Airway: Tips & Traits
Break >> visit exhibits
Pediatric Rashes
Sneeze and Wheeze: What's new in respiratory illness in children
Nuts & Bolts of Male Pediatric Genitourinery Emergencies
Allyson Kreshak, MD, FACEP
Liza Kearl, MD, FAAP, FACEP
Ilene Claudius, MD, FACEP, FAAP
Marc Futernick, MD, FACEP
Chi Perlroth, MD, FACEP
Matthew Murray, MD
Madhu Hardasmalani, MD
Genevieve Santillanes, MD, FACEP
Emily Rose, MD, FAAP, FAAEM, FACEP
Solomon Behar, MD
advanced ultrasound Track >> sierra, Salon d > alan chiem, md, track chair \ daniel weingrow, do, track co-chair
TIME
TOPIC SCENARIOS >> SKILL ROTATION SESSION > GROUPS A & B
SPEAKER
9:00 - 9:15am
9:15 - 9:30am
9:30 - 9:45am
9:45 - 10:00am
10:00 - 10:20am
10:20 - 10:40am
10:40 - 10:55am
10:55 - 11:10am
11:10 - 11:30am
e-fast pearls & pitfalls >> a) lecture b) lab
e-fast pearls & pitfalls >> a) lab b) lecture
aorta/renal ultrasound >> A) lecture b) lab
aorta/renal ultrasound >> a) lab b) lecture
ultrasound in shock >> a) lecture b) lab
ultrasound in shock >> a) lab b) lecture
procedural ultrasound >> a) lecture b) lab
procedural ultrasound >> a) lab b) lecture
a/b) identify the pathology & manage the patient
with ultrasonography
walking exhibitor luncheon
President's message
awards ceremony
Break >> visit exhibits
e-fast pearls & pitfalls >> a) lecture b) lab
e-fast pearls & pitfalls >> a) lab b) lecture
aorta/renal ultrasound >> A) lecture b) lab
aorta/renal ultrasound >> a) lab b) lecture
ultrasound in shock >> a) lecture b) lab
ultrasound in shock >> a) lab b) lecture
procedural ultrasound >> a) lecture b) lab
procedural ultrasound >> a) lab b) lecture
a/b) identify the pathology & manage the patient
with ultrasonography
Alan Chiem, MD / Faculty
Faculty / Alan Chiem, MD
Tarina Kang, MD, FACEP / Faculty
Faculty / Tarina Kang, MD, FACEP
Daniel Weingrow, DO / Faculty
Faculty / Daniel Weingrow, DO
Ricky Amii, MD / Faculty
Faculty / Ricky Amii, MD
John Christian Fox, MD, RDMS, FACEP
11:30 - 12:00pm
12:00 - 12:35pm
12:35 - 12:50pm
12:50 - 1:00pm
1:00 - 1:15pm
1:15 - 1:30pm
1:30 - 1:45pm
1:45 - 2:00pm
2:00 - 2:20pm
2:20 - 2:40pm
2:40 - 2:55pm
2:55 - 3:10pm
3:10 - 3:30pm
Marc Futernick, MD, FACEP
Chi Perlroth, MD, FACEP
Alan Chiem, MD / Faculty
Faculty / Alan Chiem, MD
Tarina Kang, MD, FACEP / Faculty
Faculty / Tarina Kang, MD, FACEP
Daniel Weingrow, DO / Faculty
Faculty / Daniel Weingrow, DO
Ricky Amii, MD / Faculty
Faculty / Ricky Amii, MD
John Christian Fox, MD, RDMS, FACEP
additional faculty involved in track:
Pablo Aguilera, MD / Virag Shah, MD
Tze Lyn Stephanie Tseeng, MD
policy track >> club until 10:30am
TIME
TITLE
9:00 - 9:55am
Anatomy of a Disaster Response: The Ebola Virus in West Africa Matthew Waxman, MD, FACEP and
Lawrence Stock, MD, FACEP
EDIe Project
Maureen McCollough, MD, FACEP
Break >> visit exhibits
walking exhibitor luncheon
President's message
Marc Futernick, MD, FACEP
awards ceremony
Chi Perlroth, MD, FACEP
9:55 - 10:20am
10:20 - 10:30am
11:30 - 12:00pm
12:00 - 12:35pm
12:35 - 12:50pm
SPEAKER
simulation track >> mandarin ab, Salon 6A-B, Plaza Suite > david barnes, md, facep , track chair \ joshua hui, md, MSCR, facep
TIME
TITLE
SPEAKER
9:00 - 9:20am
9:20 - 9:40am
9:40 - 10:00am
10:00 - 10:20am
10:20 - 10:40am
10:40 - 11:00am
11:00 - 11:20am
11:30 - 12:00pm
12:00 - 12:35pm
12:35 - 12:50pm
1:00 - 2:15pm
2:15 - 2:30pm
2:30 - 3:30pm
Sim Challenge Introduction
case 1
case 2
case 3
Break >> visit exhibits
case 4
case 5
walking exhibitor luncheon
President's message
awards ceremony
final rounds
Break >> visit exhibits
final rounds and awards
scenario faculty and judges:
David Barnes, MD, FACEP, Joshua Hui,
MD, MSCR, FACEPJorge Fernandez,
MD, Ian Julie, MD, Leslie Oyama, MD,
Marc Futernick, MD, FACEP
Chi Perlroth, MD, FACEP
medical student track >> club after 10:30am > tomer begaz, md, facep, track chair
TIME
TITLE
SPEAKER
10:30 - 11:30am
How to shine on your sub-I
How to choose the right residency
What are PD's really looking for?
walking exhibitor luncheon
President's message
awards ceremony
Program Director Discussion Panel: Ask the Experts!
Break >> visit exhibits
Low Stress Mock Residency Interviews
Residency Fair
Tomer Begaz, MD, FACEP
11:30 - 12:00pm
12:00 - 12:35pm
12:35 - 12:50pm
1:00 - 1:50pm
1:50 - 2:00pm
2:00 - 2:50pm
2:50 - 3:30pm
Marc Futernick, MD, FACEP
Chi Perlroth, MD, FACEP
Tomer Begaz, MD, FACEP
Tomer Begaz, MD, FACEP
Tomer Begaz, MD, FACEP
hosted closing reception >> foyer & sierra, Salon a > 3:30 - 5:00pm
This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of
the American College of Emergency Physicians and California ACEP. The American College of Emergency Physicians is accredited by the Accreditation Council for Continuing Medical Education to
provide continuing medical education for physicians.
The American College of Emergency Physicians designates this live activity for a maximum of 5.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the
extent of their participation in the activity.
Approved by the American College of Emergency Physicians for a maximum of 5.50 hour(s) of ACEP Category I credit.
ADVOCACY UPDATE |
LEGISLATION REVIEW:
How California ACEP
Tracks Legislation
By Elena Lopez-Gusman & Kelsey McQuaid, MPA
It’s that time of year again! California ACEP
staff, committee members, and board
of directors have reviewed legislation
and taken positions on legislation.
The legislation review process is time
consuming, but crucial for ensuring
emergency physicians are heard and their
practice defended in the State Capitol.
Each year, California ACEP reviews the approximately 2,000 bills
introduced to find those of concern to emergency physicians. As in
past years, over 2,000 bills were introduced between the Assembly
and Senate. The Senate introduced 793 bills, the fewest bills
introduced in the first year of session since 1989. By contrast, the
Assembly introduced 1,504 bills, the most in the first year of session
since 2009.
California ACEP’s bill review process starts with the
Government Affairs staff. Staff reviews introduced
bills throughout January and February and flags all
bills of interest. After reviewing bills individually,
staff cross references their recommendations
14 | LIFELINE a forum for emergency physicians in california
to create a final staff recommendation to the Government Affairs
Committee (GAC), in addition to the Reimbursement and Practice
Management Committees which act as GAC subcommittees for the
purpose of legislation review.
Three subcommittees review a portion of the staff recommendations,
approximately 45 bills each, in early March. The subcommittees
review their assigned bills, discuss the staff recommendations,
provide additional input on bills, and offer changes to the
staff recommendations. All three subcommittees send their
recommendations to GAC.
One week after the subcommittees meet, GAC members have the
responsibility of reviewing all subcommittee recommendations for the
132 bills and choose to accept the subcommittee recommendations
or offer a different recommendation. Once GAC has vetted all of the
bills and given their recommendations, the Chapter Board of Directors
has the important role of voting on the final position on all of the
tracked bills.
This legislative session should be an interesting one. The majority of
lawmakers in the 2015-16 session, 72 out of 120, will have 2 or fewer
years of experience at the state-level. As the year progresses we will
find out more about which legislators are allies to emergency medicine
and which are not.
2015 should be a very exciting year in the legislature and California
ACEP staff, committees, and the Board of Directors will be closely
watching what happens. Should you have any questions about our
advocacy efforts or if you would like to bring a bill to the Chapter
for possible action, please contact us at info@californiaacep.org or
call 916.325.5455. n
The process described above is just the beginning of the legislative
review process for California ACEP. Throughout the year staff
watches for amendments to bills the Chapter has taken a position
on and tracks hundreds of “spot bills”, bills that are introduced as
placeholders to be amended substantially later in the year. Spot
bills can result in substantive legislation later in the year and staff
watches closely for anything that will affect emergency medicine.
The Board reevaluates our position on legislation throughout the
year as amendments are adopted.
It’s still early in the legislative session, but there are already some
legislative battles developing that may be of interest to Chapter
members. Some issue areas of interest are mandatory vaccines for
school children, prohibitions on electronic cigarettes, and mental
health reform.
Southern California
JOB OPPORTUNITIES
•
Excellent Opportunities for
Emergency Physicians
• Very Competitive Compensation
• Hospitals include Arcadia Methodist &
Glendale Memorial (Top heart programs).
• Available practice settings in the Greater
Los Angeles area.
Contact Debbie Corn for more information
(909) 634-3172 or email CV to dcorn@emmamd.com
APRIL 2015 | 15
CEMAF
Donors
ANNOUNCEMENTS |
The California Emergency Medicine Advocacy Fund
(CEMAF) has transformed California ACEP’s advocacy efforts from primarily legislative to robust
efforts in the legislative, regulatory, legal, and
through the Emergency Medical Political Action
Committee, political arenas. Few, if any, organization
of our size can boast of an advocacy program like California
ACEP’s; a program that has helped block Medi-Cal provider
rate cuts, stop the $100 million raid on the Maddy EMS
Fund, and fight for ED overcrowding solutions – and that’s
just the last year! The efforts could not be sustained without the generous support from the groups listed below,
some of whom have donated as much as $0.25 per chart to
ensure that California ACEP can fight for emergency medicine. Thank you to our 2013-14 contributors (in al-
phabetical order):
• Alvarado Emergency Medical Associates
• Antelope Valley Emergency Medical Associates
• Beach Emergency Medical Associates
• Berkeley Emergency Medical Group
• CEP America
• Chino Emergency Medical Associates
• Culver City Emergency Medical Group
• EMP Management Group
• Grossmont Emergency Medical Group
• Hollywood Presbyterian Emergency Medical
Associates
• Mills Peninsula Emergency Medical Group
• Montclair Emergency Medical Associates
• Napa Valley Emergency Medical Group
• Orange County Emergency Medical Associates
• Pacific Emergency Providers
• Pacifica Emergency Medical Associates
• Riverside Emergency Physicians
• San Dimas Emergency Medical Associates
• San Francisco Emergency Medical Associates, Inc.
• Sherman Oaks Emergency Medical Associates
• South Coast Emergency Medical Group, Inc.
• Tarzana Emergency Medical Associates
• Valley Emergency Medical Associates
• Valley Emergency Physicians
• Valley Presbyterian Medical Associates
• West Hills Emergency Medical Associates
16 | LIFELINE a forum for emergency physicians in california
The Board of Directors election will be held April 1st through
April 15th, online at www.californiaacep.org. Eligible members will be
notified via e-mail; only Active, Honorary, and Life members, who have
been members since at least January 1, 2015 are eligible.
CALIFORNIA ACEP SPONSORED CONFERENCES
• Legislative Leadership Conference, April 21, 2015
(Sacramento, CA)
• Annual Assembly 2015, June 12, 2015
(Hilton Los Angeles/Universal City)
ENDURING MATERIALS - ONLINE CME
SonoSim®* Enduring Materials - Computer Software (Modules)
Info: (310) 315-2828
www.sonosim.com
• SonoSim® Ultrasound Training Solution Aorta/IVC: Core Clinical Module
• SonoSim® Ultrasound Training Solution Bladder: Core Clinical Module
• SonoSim® Ultrasound Training Solution FAST Protocol: Core Clinical Module
• SonoSim® Ultrasound Training Solution Fundamentals of Ultrasound: Core Clinical Module
• SonoSim® Ultrasound Training Solution Intestinal/Biliary: Core Clinical Module
• SonoSim® Ultrasound Training Solution Musculoskeletal: Core Clinical Module
• SonoSim® Ultrasound Training Solution Ocular: Core Clinical Module
• SonoSim® Ultrasound Training Solution Rapid Ultrasound in Shock: Core Clinical Module
• SonoSim® Ultrasound Training Solution Soft Tissue: Core Clinical Module
• SonoSim® Ultrasound Training Solution Vascular Access: Core Clinical Module
*Approved for AMA PRA Category I CreditsTM
| CALIFORNIA ACEP UPCOMING MEETINGS & DEADLINES
For more information on upcoming meetings, please e-mail us at info@californiaacep.org; unless otherwise noted,
all meetings are held via conference call.
APRIL 2015
APRIL 2015
1st – 15th
Chapter Board of Directors Election & CAL/EMRA
Representative Election
Online
8th @ 1:00 pm
Member Services Committee
Conference Call
9th @ 3:00 pm
CAL/EMRA Representatives
Conference Call
14th
CMA Legislative Advocacy Day
Sacramento, CA
21st @ 9:00 am
California ACEP Legislative Leadership Conference
CSAC Conference Center, Sacramento, CA
22nd @ 10:00 am
Board of Directors Meeting
CSAC Conference Center, Sacramento, CA
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ACEP Legislative & Advocacy Conference
Washington, DC
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Reimbursement Committee
Conference Call
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Conference Call
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14th @ 10:00 am
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Conference Call
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22nd @ 10:00 am
28th @ 10:00 am
Member Services Committee
Conference Call
JUNE 2015
31
JUNE 2015
SUN
11th
Board of Directors Meeting
Hilton Los Angeles/Universal City
12th
Annual Assembly 2015 Conference
Hilton Los Angeles/Universal City
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APRIL 2015 | 17
CAREER OPPORTUNITIES |
ANAHEIM, CALIFORNIA: Anaheim Regional Medical Center’s
well established ED Physician group has an immediate part time
/ full time opportunity for a Board Certified or Board eligible
Emergency Physician. We have a busy, high acuity department
with 44,000 annual visits; we have a "state of the art" Critical
Care Center with computerized tracking system and physician
order entry. Shifts are 9-10 hours long with double coverage
during peak hours. We offer a competitive salary based on
productivity and paid malpractice.
NORTHERN, CALIFORNIA: Physicians need for busy Urgent
Care Clinics. We expanding and looking for experienced EM,
IM, or FP medical providers. Our clinic locations are in King City,
Watsonville, and Los Banos, California. We provide a friendly
environment in family oriented communities. Experience with
Electronic Medical Records (EMR) system is preferred. Bilingual
in Spanish is preferred. We offer a competitive salary and an
excellent benefit package which includes malpractice, medical,
dental and vision insurance, FSA, and 401K.
Interested physicians E-mail your CV and references to vijay4@
aol.com, amit4ten@aol.com, or call us at 714-999-5112.
Please call 831-422-5198 ext.234 or more information or email
your resume to shelley.mcgee@pinnacleweb.com.
CALIFORNIA EMERGENCY PHYSICIANS:
SAN DIEGO, CALIFORNIA: Coastal San Diego emergency
department seeking qualified, board-certified/eligible
emergency medicine physician to join our independent,
democratic group. Location is by the beach in Northern San
Diego with year round outdoor life and outstanding schools.
Tri-City Medical Center Emergency Department is a dynamic
high-acuity department with an excellent specialty callpanel, PGY3&4 Emergency Medicine Residents, and advanced
practice PA's. Practice is designed with quality of life in mind,
including 8 hour shifts with overlap and extensive provider
coverage. Salary potential reaches top 3% nationally. "A"- Rated
malpractice insurance with tail coverage provided.
1. NEWPORT SPECIALTY TUSTIN, CA – New ED, Remodeled,
great potential, guarantee & incentive
2. LOS ANGELES DOWNTOWN – ABEM, ABOEM or eligible
w/experience, STEMI Stroke non-trauma center, 40hr MD
coverage 20hr PA/NP
3. NORTHERN CA – WILLOWS – Critical access, 5000 visits
annual, MRI, CT Critical patient transfer-ambulance on site
Fax CV to (213) 482-0577
LOS ANGELES: Excellent opportunity to work in a highvolume, high acuity Emergency Department with a democratic
group, with a 30 year track record. Level II trauma center, STEMI
center, and Primary Stroke Center. Competitive salary and full
partnership opportunities available. Board Certified/Eligible
applicants, please send your resume to Clayton Kazan, MD,
Director of Emergency Services, St. Francis Medical Center,
Lynwood, California.
Call 310- 900-4534, fax to 310-900-8287 or
e-mail magnummd@hotmail.com.
LOS ANGELES – CULVER CITY: Southern California Hospital at
Culver City Rare opportunity to join a Westside LA ER group.
Group seeks BC/BE emergency physician to work 6-8 shifts
per month. Excellent compensation with malpractice paid.
Nine hour shifts with PA double coverage. 90% nights already
covered! Remodeled ER, Computerized Charting and PACS!
Email CV and references to cclark@epmgt.org.
Phone 951-898-0823.
NORTHRIDGE, CALIFORNIA: Northridge Emergency Medical
Group, a single-contract democratic group and sole provider
of Emergency Services at a Level II Adult and Pediatric Trauma
Center for over 35 years is seeking BC/BE physicians interested
working FT/PT in a suburban full service hospital, offering a
competitive salary and full partnership opportunities. 60K
annual visits, Cerner EMR with scribes provided. Check us out!
Interested?
Please send your resume to
stephen.jones@dignityhealth.org.
18 | LIFELINE a forum for emergency physicians in california
Forward CV to Teresa Riesgo email: triesgo@tcemg.net
phone: 760-439-1963
SOUTHERN CALIFORNIA: Rare opportunity for BC / BE
residency trained Emergency Medicine Physician at Providence
St. John’s Health Center, a prestigious 30,000 visits Level II
community hospital located in Santa Monica, CA 20 blocks
from the beach. Well respected, single contract group for over
20 years. We emphasize quality lifestyle with superb coverage,
8-11 hour shifts, PA’s, scribes and excellent call panel coverage.
We offer Competitive compensation, paid malpractice, 401k,
and a rich benefit package. We are seeking Part/ Full-time
candidates, preferably EPIC proficient.
If interested please email CV to Claudia.Loya@providence.org
SOUTH ORANGE COUNTY, CALIFORNIA: Mission Hospital,
Mission Viejo and Laguna Beach campuses, has full time/
part time positions available for Board Certified Emergency
Physicians. Emergency Department privileges encompass the
perfect work environment balance of either working shifts at
the coastal community Hospital of Laguna or the larger, higher
acuity facility in Mission Viejo. Both facilities have excellent call
panel, Children’s Hospital, Trauma Center, Stroke Center, 24hour Cath Lab, and daily mid-level support. Greatest need is for
nights and weekends.
Interested physicians email your CV to
MaryAnn.Hubbard@stjoe.org
To advertise with Lifeline and to take advantage of our circulation
of over 3,000 readers, including Emergency Physicians, Groups,
and Administrators throughout California who are eager to learn
about what your business has to offer them, please contact us at
info@californiaacep.org or give us a call at (916) 325-5455.
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for an IT list:
LoREoF okffersinthegfollowing California providers
EM
Allan Hancock College
Mike DeLeo, EMT – Course Coordinator
800 S. College, Santa Maria, CA 93454
Phone: (805) 878-6259
Fax: (805) 922-5446
Email: Mikedeleo52@msn.com
Web: www.hancock.cc.ca.us
American Medical Response (AMR)
Ken Bradford, Operations
841 Latour Court, Ste D, Napa, CA 94558-6259
Phone: (707) 953-5795
Email: ken.bradford2@gmail.com
A Work Safe Environment
Steve Bristow, EMTP
3140 Aldridge Way, El Dorado Hills, CA 95762
Phone: (925) 708-5377
Email: worksafeenvironment@yahoo.com
Web: www.worksafeenvironment.com
California EMS Academy
Nancy Black, RN, Course Coordinator
1170 Foster City Blvd #107, Foster City, CA 94404
Phone: (866) 577-9197
Fax: (650) 701-1968
Email: nancy@caems-academy.com
Web: www.caems-academy.com
Compliance Training
Jason Manning, EMS Course Coordinator
3188 Verde Robles Drive, Camino, CA 95709
Phone: (916) 429-5895
Fax: (916) 256-4301
Email: Kurgan911@comcast.net
CSUS Prehospital Education Program
Derek Parker, Program Director
3000 State University Drive East, Napa Hall, Sacramento, CA
95819-6103
Office: (916) 278-4846
Mobile: (916) 316-7388
Email: dparker@csus.edu
Web: www.cce.csus.edu
ETS – Emergency Training Services
Mike Thomas, Course Coordinator
3050 Paul Sweet Road, Santa Cruz, CA 95065
Phone: (831) 476-8813
Toll-Free: (800) 700-8444
Fax: (831) 477-4914
Email: mthomas@emergencytraining.com
Web: www.emergencytraining.com
Fast Response School of Health Care Education
Lisa Dubnoff, MICP/RN, Paramedic Director
2075 Allston Way, Berkeley, CA 94704
Phone: (510) 809-3646
Fax; (866) 628-5876
Email: ldubnoff@fastresponse.org
Web: www.fastresponse.org
Loma Linda University Medical Center
Lyne Jones, Administrative Assistant
Department of Emergency Medicine
11234 Anderson St., A108, Loma Linda, CA 92354
Phone: (909) 558-4344 x 0
Fax: (909) 558-0102
Email: LJones@ahs.llumc.edu
Web: www.llu.edu
Medic Ambulance
Perry Hookey, EMTP, Education Coordinator
506 Couch Street, Vallejo, CA 94590-2408
Phone: (707) 644-1761
Fax: (707) 644-1784
Email: perry@medicambulance.net
Web: www.medicambulance.net
Napa Valley College
Gregory Rose, EMS Co-Director
2277 Napa Highway, Napa CA 94558
Phone: (707) 256-4596
Email: grose@napavalley.edu
Web: www.winecountrycpr.com
NCTI – National College of Technical Instruction
Lawson E. Stuart, RN, CEN, EMT-P
Lena Rohrabaugh, Course Manager
333 Sunrise Ave Suite 500, Roseville, CA 95661
Phone: (916) 960-6284 x 105
Fax: (916) 960-6296
Email: jlcasa@caltel.com
Web: www.ncti-online.com
Oakland Fire Department
Sheehan Gillis, EMT-P, EMS Coordinator
47 Clay Street, Oakland, CA 74607
Phone: (510) 238-6957
Fax: (510) 238-6959
Email: sean@baycj.com
Web: http://www.oaklandnet.com/fire/
PHI Air Medical, California
Graham Pierce, Course Coordinator
801 D Airport Way, Modesto, CA 95354
Phone: (209) 550-0884
Fax: (209) 550-0885
Email: gpierce@philhelico.com
Web: http://www.phiairmedical.com/
Riggs Ambulance Service
Greg Petersen, EMT-P, Clinical Care Coordinator
100 Riggs Ave, Merced, CA 95340
Phone: (209) 725-7010
Fax: (209) 725-7044
Email: Gregp@riggsambulance.com
Web: www.riggsambulance.com
Rocklin Fire Department
Chris Wade, Firefighter/Paramedic
4060 Rocklin Road, Rocklin, CA 95677
Phone: (916) 625-5311
Fax: (209) 725-7044
Email: Chris.Wade@rocklin.ca.us
Web: www.rocklin.ca.us
Rural Metro Ambulance
Brian Green, EMT-P
1345 Vander Way, San Jose, CA 95112
Phone: (408) 645-7345
Fax: (408) 275-6744
Email: brian.green@rmetro.com
Web: www.rmetro.com
Santa Rosa Junior College Public Safety
Training Center
Bryan Smith, EMT-P, Course Coordinator
5743 Skylane Blvd, Windsor, CA 95492
Phone: (707) 836-2907
Fax: (707) 836-2948
Email: medic9001@comcast.net
Web: www.santarosa.edu
WestMed College
Brian Green, EMT-P
5300 Stevens Creek Blvd., Suite 200, San Jose, CA 95129-1000
Phone: (408) 977-0723
Email: jonesds777@hotmail.com
Web: www.westmedcollege.com
Search for upcoming courses: http://cms.itrauma.org/CourseSearch.aspx
EMREF is a proud sponsor of California ITLS courses.
Please call 916.325.5455 or
E-mail Lucia Romo: lromo@californiaacep.org for more information.
lifeline
California Chapter, American
College of Emergency Physicians
1121 L Street, Suite 407
Sacramento, CA 95814
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2015
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LOS ANGELES
UNIVERSAL CITY