Washington ACEP News

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April 22-24, 2015
Bell Harbor Conference Center
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Opioid Overdose Summit
May 5, 2015
Ellensburg, WA

Viewpoint: Fighting Psychiatric Boarding through Induced Crisis
By WA-ACEP President Enrique Enguidanos, MD, FACEP; and WA-ACEP Secretary/Treasurer Nathan Schlicher, MD, JD, FACEP - Emergency Medicine News Feb 2015


ACEP Develops Measles Fact Sheet, Resource Page
The United States has experienced a record number of measles cases (Rubeola) in 2014 (more than 600 patients), which is the greatest number in more than 14 years. This virus represents a challenge to Emergency Medicine because it is highly infectious and has been rarely seen in Emergency Departments in the recent past. ACEP developed a Fact Sheet about this disease for a review of its presentation, clinical course and implications for your Emergency Department. Visit acep.org/measles for more information and for new resources added as needed.


WA-ACEP Past President Christopher Kang, MD, FACEP co-authors Ebola article, Ebola Virus Outbreak 2014: Clinical Review for Emergency Physicians.


Single Bed Certification: New Emergency Rule Effective Dec. 26
Read the Washington State Hospital Association Dec. 16 Bulletin for Practical Guidance for Hospitals


Second Choosing Wisely List
ACEP released its second list for the ABIM Foundation's Choosing Wisely campaign.

emergency entrance

The campaign encourages medical specialty societies to create lists of five tests and procedures that may not be cost effective in some situations and should prompt discussion with patients in order to both educate them and gain their agreement regarding avoidance of such tests and procedures.

"As emergency physicians, we are committed to reducing health care costs while at the same time continuing to fulfill our commitments to provide the best, most efficient emergency care to millions of Americans," said Michael J. Gerardi, MD, FACEP, president of the American College of Emergency Physicians.

A useful Powerpoint presentation detailing ACEP's second Choosing Wisely list was created and can be shared with EM practitioners.

Ebola Resources
Visit ACEP's Healthcare Resources for Suspected Ebola Cases for up-to-date information, including screening criteria and case definitions.

WA-ACEP President Enrique Enguidanos, MD, FACEP co-authors Annals of Emergency Medicine article
Patient Satisfaction Surveys and Quality of Care: An Information Paper


WA-ACEP Board Member Darin Neven, MD, co-authors Important Care Coordination Article
Cost Effective: Emergency Department Care Coordination with a Regional Hospital Information System
Sean M. Murphy, PHD and Darin Neven, MS, MD



Washington dropped to 35th place in the nation with a D+ in the American College of Emergency Physicians (ACEP) America's Emergency Care Environment: A State-by-State Report Card released January 16. In 2009, the state ranked 19th in the nation with a C. While our State ranks in the top 10 in the categories of Public Health and Injury Prevention, and Quality and Patient Safety, Washington received failing grades in three out of five categories. emergency entrance

  • Access to Emergency Care - F
  • Quality & Patient Safety Environment - B
  • Medical Liability Environment - F
  • Public Health and Injury Prevention - A
  • Disaster Preparedness – F

Overall: D+

Since 2009, our State did improve its overall ranking in the category of Access to Emergency Care. Washington still received a failing grade in this category, in part because of a severe lack of resources and inpatient capacity for mental health patients. The state also has some of the lowest levels in the nation of staffed inpatient and intensive care unit beds. To improve our grade, Washington must make greater investments in hospital infrastructure and mental health care, according to the Report Card. Read more.

The Report Card evaluates conditions under which emergency care is being delivered. The Report Card does not measure the quality of care provided by hospitals and emergency providers. For more information, please visit the links below:

What you can do to help Emergency Medicine in Washington State:

  • Send the WA-ACEP Press Release to your local media outlets. Please contact the WA-ACEP office if you need media information.
  • Use the talking points to draft a Letter to the Editor for your local newspaper. Please coordinate this effort with the WA-ACEP office.
  • Contact your State House and Senate Members. Reference the talking points "Solutions" in your message.

The College announced at the annual meeting that it has joined the Choosing Wisely campaign. ACEP released its list of five tests and procedures that may not be cost effective in some situations and should prompt discussion with patients in order to both educate them and gain their agreement regarding avoidance of such tests and procedures, when appropriate. Learn more. View the WA-ACEP Choosing Wisely Powerpoint Presentation for more information.


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