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December 2015

President's Letter

ACEP Wellness Week Jan. 24-30

As emergency physicians, we care for others.  Too often, though, we don’t care enough for ourselves or for our colleagues.  We frequently educate our patients on the benefits of a healthy lifestyle while we skimp on nutrition, forego exercise, and sleep less than we should.  Burnout is prevalent in our specialty, but it is not discussed or addressed to the extent it deserves.

I am pleased to share with you that ACEP is placing more emphasis on these issues and on the wellness of those of us who practice emergency medicine.  This is one of my personal priorities a Chapter President and as a medical director, friend, and colleague of emergency clinicians.

January 24 – 30, 2016 will be the first Emergency Medicine Wellness Week for ACEP.  During the week, members and others will be invited to make a pledge to lead a healthier lifestyle.  You will be given suggestions of various activities to start or changes to make in your life.   They will include selections related to physical heath, emotional wellbeing, connections with others, and career engagement.  Additionally, medical directors and administrators will be encouraged to support and encourage their clinicians and find ways to contribute to increased wellness and improved working environments for those they manage.  WA ACEP will participate in Wellness Week, and I encourage each of you to make a pledge to take better care of yourself and your colleagues.

Wellness Week only lasts a few days, but it is my desire that it will be a catalyst for our members to implement long-term habit changes that will bring better health, happiness, and satisfaction to their careers and to their lives.  I also look forward to Wellness Week becoming a lasting tradition for ACEP and for our Chapter.

I am excited for Wellness Week and the positive impact it can have on emergency physicians, caregivers, and their families.  Stay tuned for more information.  If you have suggestions for how better to promote wellness within our Chapter, please let me know. 

Have a safe holiday season, and here’s to a happy and healthy 2016!

John Matheson, MD FACEP
WA ACEP Chapter President

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Rescue Emergency Medicine: Join the 911 Legislative Network Today!

Why?  It’s FREE, and what you don’t know can hurt you and your patients.  But you aren’t politically minded?  EXACTLY!  Wouldn’t you rather have control over the direction of health care, emergency medicine practice, and resources for your patients?  You really DO want to know what those rascals are up to, and jump in where needed (or at least be informed).  And if you ARE politically minded, this will be the most efficient way to keep abreast of politics as they relate to health care and emergency medicine.

It’s Easy:  All you have to do is sign up (takes less than a minute at the following web address: ), then alerts, put together by our professional ACEP Staff in DC, are pushed to you via e-mail.  Tons of information is boiled down into quick updates to keep you informed, and to save you time.  If you want more involvement, you will be instructed on exactly what to do to be effective. 

What is it?
It is a network of more than 1,900 ACEP and EMRA who are already participating in the 911 Legislative Network, acting as resources and health care issue experts for federal legislators to maximize the voice of emergency medicine in the federal legislative process. The 911 Network was formed in 1998 to encourage members to cultivate long-term relationships with federal legislators, convey ACEP's legislative and regulatory priorities-in an effective manner, and affect the final outcome of federal legislation important to the specialty of emergency medicine.

The 911 Network is effective and important to the practice of emergency medicine:

  • 911 Network Members are the first line of defense and are valued experts in Washington, DC when critical federal legislation is considered;
  • Recently, 911 Network Members have advocated on a host of issues that impact emergency medicine including the successful repeal of the Medicare Sustainable Growth Rate (SGR) formula, repeal of the Independent Payment Advisory Board (IPAB) created in the ACA, mental health legislation, Graduate Medical Education (GME) reform, funding for emergency medicine research and trauma care, and medical liability reform including legislation to provide liability protections for EMTALA related care and safe harbor legislation, to name a few;
  • The 911 Network “Weekly Update” is sent to all Network Members by email every week that Congress is in session to provide a summary of the latest legislative and political issues impacting emergency care.

There are several ways that ACEP communicates with the 911 Network Members:

Weekly Update: Sent by email weekly when both the House and Senate are in session to inform you of the latest legislative, political and regulatory issues and activities.

Action Alerts: Sent by email requesting you contact your Representative or Senators about a specific issue or vote. A link to the Advocacy Action Center is provided where you will find sample letters and talking points that can be sent directly to your legislators with a click of a button.

Call Alerts: We provide an (800) number that you can use to call your Representative's or Senators' offices. Often the message is as simple as, "I live in Representative X's district and would like him or her to support bill # xxx".

Delivery of NEMPAC Contributions: Some NEMPAC contributions are delivered directly by 911 Network members who reside in the legislators’ districts.

ED visits: We also encourage 911 Network members to invite their legislators to tour their emergency department. This provides the legislator and their staff the opportunity to witness, first-hand, the operations of an ED and to meet their constituents. We provide assistance in setting up the visit.

Training: To help improve your lobbying skills, political education training through the “School of Political Advocacy” offered each year during the ACEP Scientific Assembly. The school teaches new 911 members the federal legislative process and effective grassroots lobbying techniques. This training will help you communicate more effectively with your legislators. ACEP 911 Network members are also encouraged to attend the annual ACEP Leadership and Advocacy Conference (LAC) held in Washington, D.C. every spring.

There is no reason not to join, and a multitude of reasons why you should.  Do it today.  If we join together as one strong, powerful, intelligent voice, that voice will effectively shape our future.   Do it for you, our specialty, and your patients.

Jennifer L’Hommedieu Stankus, MD, JD, FACEP
WA ACEP Board of Directors
ACEP Medical Legal Committee, immediate past Chair
911 Legislative Network Member

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Transforming Clinical Practice Initiative (TCPI)

ACEP is one of 39 health care organizations selected to participate in the Center for Medicare & Medicaid Innovation’s (CMMI) Transforming Clinical Practice Initiative (TCPI).

As a Transforming Clinical Practice Initiative (TCPI) Support and Alignment Network (SAN), ACEP will support up to 34,000 clinicians to expand their quality improvement capacity, learn from one another, and achieve common goals of improved care, better health and reduced cost. The network will lead quality improvement learning projects to help clinicians reduce costs and improve patient care.

These awards are part of a comprehensive strategy advanced by the Affordable Care Act that enables new levels of coordination, continuity, and integration of care, while transitioning volume-driven systems to value-based, patient-centered, health care services. This award builds on work that ACEP is doing to improve value through projects, such as its Clinical Emergency Data Registry (CEDR), Choosing Wisely initiative and Geriatric Emergency Department Guidelines.

"ACEP is a perfect partner to participate in this critical effort to improve quality and reduce costs for emergency patients," said ACEP Past President Dr. Mike Gerardi. "Emergency physicians are dedicated to providing the best care for their patients, and this grant is designed to improve early identification and treatment of patients with sepsis, reduce hospitalizations and improve emergency care for patients with chest pain, and support clinicians implementing ACEP's Choosing Wisely recommendations."

The project will be co-led by Arjun K. Venkatesh, MD MBA, MHS, of Yale University School of Medicine and Jeremiah D. Schuur, MD, MHS, FACEP, of Brigham and Women's Hospital.

"We are excited and honored to work with ACEP to provide emergency departments and emergency providers with innovative solutions, including toolkits, online continuing medical education, benchmarking data and social media communities to accelerate practice transformation that distinguishes the role of the emergency department in our health care system," said Dr. Schuur. "ACEP has brought together leaders from across emergency medicine into the SAN and will be supported by our new clinical emergency department registry [CEDR]."

ACEP will receive up to $3 million over 4 years to provide technical assistance to help equip clinicians nationwide with tools, information and network support to improve quality of care, increase patients' access to information and spend health care dollars wisely.

"Supporting doctors and other health care professionals change the way they work is critical to improving quality and spending our health care dollars more wisely," said Health and Human Services Secretary Sylvia M. Burwell. "These awards will give patients more of the information they need to make informed decisions about their care and give clinicians access to information and support to improve care coordination and quality outcomes."

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New Online Tool for Sepsis

Deaths from sepsis have decreased, but we can always strive to do better. A new interactive tool from ACEP will help you Detect–Act– Reassess–Titrate to identify sepsis early, start fluids and antibiotics right away, and save more lives.



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Mark Your Calendar! The 2016 Summit to Sound will be April 27-29

A schedule and CME information will be provided in late November.

Lodging Accommodations
A conference room block has been arranged at The Edgewater.

The Edgewater
2411 Alaskan Way, Pier 67 | Seattle, WA 98121
Special conference rate: $219.00 – Waterside Room

Reservations must be made by March 28, 2016 to qualify. Ask for the Washington Chapter ACEP room block. Reservations can be made by calling the hotel directly at (206) 728-7000 or 1-800-624-0670 or by using the WA-ACEP Dedicated Hotel Website.

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Washington ACEP Board

John Matheson, MD, FACEP
Enrique Enguidanos MD, FACEP
Past President
Nathan Schlicher, MD, JD FACEP
President Elect
Patrick Solari, MD, FACEP

Cameron Buck, MD, FACEP
Russ Carlisle, MD, FACEP
Brian Livingston, MD, FACEP
Heather Marshall, MD, FACEP
Steven Mitchell, MD, FACEP
Darin Neven, MD
Susan Stern, MD
Jennifer L'Hommedieu Stankus, MD, JD
Liam Yore, MD, FACEP
Julianna Yu, MD

Stephen Anderson MD FACEP
Past President (Non voting)
Christopher Kang MD FACEP
Past President (Non Voting)
Hayes Wong, MD
Resident Liaison

2001 Sixth Avenue
Suite 2700
Seattle, WA 98121

(206) 441-9762 ext. 3038