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 | [email protected] 180 Via Verde Suite 100 | San Dimas, California 91773 6 | LIFELINE a forum for emergency physicians in california May 29 - 31, 2015 LE IL A Bct E AVA D A ra with R te in G d P an V IP U portunities to meet Mukherjee, M.D! op artha Exclusive and Siddh Gladwell lm co al M • 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 [email protected] 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 [email protected] 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 [email protected]; 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 SUN MON TUES WED THURS FRI SAT 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 MAY 2015 SUN MON TUES WED THURS MAY 2015 FRI SAT 1 2 3rd – 6th ACEP Legislative & Advocacy Conference Washington, DC 3 4 5 6 7 8 9 12th @ 9:00 am Reimbursement Committee Conference Call 10 11 12 13 14 15 16 Government Affairs Committee Conference Call 17 18 19 20 21 22 23 14th @ 10:00 am Practice Management Committee Conference Call 24 25 26 27 28 29 30 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 MON TUES WED THURS FRI SAT 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 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, [email protected], or call us at 714-999-5112. Please call 831-422-5198 ext.234 or more information or email your resume to [email protected]. 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 [email protected]. 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 [email protected]. 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 [email protected]. 18 | LIFELINE a forum for emergency physicians in california Forward CV to Teresa Riesgo email: [email protected] 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 [email protected] 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 [email protected] 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 [email protected] or give us a call at (916) 325-5455. e? s r u o c S L 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: [email protected] 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: [email protected] A Work Safe Environment Steve Bristow, EMTP 3140 Aldridge Way, El Dorado Hills, CA 95762 Phone: (925) 708-5377 Email: [email protected] 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: [email protected] 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: [email protected] 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: [email protected] 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: [email protected] 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: [email protected] 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: [email protected] 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: [email protected] Web: www.medicambulance.net Napa Valley College Gregory Rose, EMS Co-Director 2277 Napa Highway, Napa CA 94558 Phone: (707) 256-4596 Email: [email protected] 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: [email protected] 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: [email protected] 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: [email protected] 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: [email protected] 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: [email protected] 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: [email protected] 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: [email protected] 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: [email protected] 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: [email protected] for more information. lifeline California Chapter, American College of Emergency Physicians 1121 L Street, Suite 407 Sacramento, CA 95814 ANNUAL ASSEMBLY PRSRT STD US POSTAGE PAID CPS 2015 JUNE 12 LOS ANGELES UNIVERSAL CITY
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