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May 2016

President’s Letter

Dear Members:

I am honored to serve as your President this year and follow in the footsteps of great leaders that preceded me.  Thank you for your membership in WA-ACEP and continued leadership in the house of medicine.  This year will be an exciting time in the Chapter with many big events.  We continue to see significant changes in the health care landscape, an entertaining and likely disruptive election cycle, and a period of growth in the college. 

This year we expect that the issue of Balanced Billing and Surprise Coverage Gaps will be at the forefront of the challenges we face in Olympia and WA-ACEP will be actively involved in leading this conversation.  We will continue to highlight based upon the data that we have collected that balanced billing remains a small issue (less than 0.3% of ED visits).  However, the issue of unaffordable deductibles for the average American continues to escalate with the average deductible exceeding their available liquid savings.  As such we continue to advocate for our patients and affordable health care insurance while addressing the challenges of surprise coverage.

As an organization, WA-ACEP will begin identifying our roadmap for sustainability moving forward by doing a formal planning process.  We have seen exponential growth in our work on advocacy in Olympia, expansion of our educational programming including the recently completed highly successful Summit to Sound, and addressing quality programs in concert with other organizations.  As we work to serve you our members, we want to ensure that we are tracking key performance metrics and delivering a solid return on value for your membership.

Thank you again for your membership and leadership.  We as emergency physicians serve at the intersection of all failed public policy, serving those that are in need and sometimes overlooked by the rest of society.  Thank you for that dedication to those in need and for advocating for their needs in your work every day in delivering better care, improving the health delivery system in your community, and leading the house of medicine in large transformative change.  If I can be of any service to you, please do not hesitate to reach out to me.


Nathan Schlicher, MD, JD, FACEP
WA-ACEP President

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Join the WA-ACEP PAC Coffee Club

What is WA-ACEP PAC?

WA-ACEP is the Political Action Committee of the Washington Chapter, American College of Emergency Physicians. The WA-ACEP PAC was created in 2012 to build our voice in Olympia and impact the state’s political climate. This is often best achieved by contributing to candidates whose voting records are supportive to Emergency Medicine issues.

Why Contribute to the WA-ACEP PAC?

WA-ACEP PAC is the only political organization whose sole mission is to support candidates who advocate for Emergency Medicine in Washington State. By providing contributions, the WA-ACEP PAC helps develop strong supporters for Emergency Medicine. PAC donations open doors to legislative offices so we can tell our stories. What does advocating for Emergency Medicine in Washington State mean?

  • Promoting the principles of Emergency Medicine, including access to care and fair billing
  • Working for policies that improve the healthcare environment in Washington State for physicians and patients

Who Can Contribute to WA-ACEP PAC?

Individual members of WA-ACEP may contribute.  Federal law prohibits WA-ACEP PAC from accepting donations from other sources.

Contribute Now

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2016 Annual Meeting Wrap Up

Thank you to the more than 175 emergency medicine providers who joined WA-ACEP for its 2016 Summit to Sound April 27-29 in Seattle. Nationally recognized experts and special guests at the meeting were Drs. Marianne Gausche-Hill, Evie Marcolini and David Talan.

Topics covered included infectious diseases, non-operative management of appendicitis, social media in emergency medicine, controversies in pediatric emergency care, and critical GI bleeds. A special Journal Club session entitled Are We Really Choosing Wisely?  Literature Evidence for Decreasing Radiation was presented by WA-ACEP Resident Liaisons, Dr. Anna Condino and Josh Jacobson.

This year, two pre-conference workshops were offered on Wednesday, April 27.  Participants attended the Advanced Airway Workshop (led by Drs. Steve Mitchell and Tak Watase) or the ultrasound instruction led by Drs. Adeyinka Adedipe, Jeremy Johnson, and Mike Perreault.

WA-ACEP also inducted new board members and officers during Summit to Sound. Nathan Schlicher, MD, JD, FACEP took over the reins as the chapter’s president, succeeding John Matheson, MD, FACEP; Pat Solari, MD, FACEP and Liam Yore, MD, FACEP were named President-Elect and Secretary/Treasurer, respectively.

Board Members elected were: Drs. Cameron Buck (reelected to second term), Jaime Delcampo, Raul Garcia, Jamie Jenkins and Gregg Miller.

WA-ACEP would like to thank the 2016 Summit to Sound Planning Committee for their thoughtful work on the meeting: Drs. Steve Anderson, Enrique Enguidanos, Chris Kang, John Matheson, Steve Mitchell, Pat Solari, Susan Stern (Program Chair), and Ryan Walsh.

Missed the meeting? Participants said they will consider making the following changes to their practices after attending the 2016 Summit to Sound…

“GI Bleed: Blatchford Score before endoscopist.”

“Improve charting.”

“Will consider antibiotics for abscess.”

“Hearing loss recommendations.”

“Consider Lasix more carefully in acute pulmonary edema rather than as a reflex.”

“Incorporate delayed sequence intubation into patient care.”

“Increased mindfulness as to personal and professional goals and structuring time around building what is most important.”

Mark your calendar: The 2017 Summit to Sound will be held April 26-28 at the Bell Harbor in Seattle.

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Nania Recognized During Summit to Sound

Dr. James Nania, MD, FACEP accepted the Nancy Auer Meritorious Award April 28 during the WA-ACEP Summit to Sound meeting. The award recognizes individuals who have gone above and beyond the norm in emergency medicine to improve the quality of patient care and support the efforts of the chapter.

Dr. Nania took his first job at Deaconess Medical Center in Spokane, hoping to blend a career with adventures in the mountains and on the lakes. He remained in practice at Deaconess for 30 years and served as Medical Director of the ED for the last 25. During his tenure, Deaconess opened a Level II Trauma Center, established an emergency hyperbaric program, implemented a Rapid Diagnostic and Treatment Unit, and developed the first “Virtual Bed,” a telemedicine link to rural hospitals.

Dr. Nania worked with the Department of Health to establish a State Trauma System and, more recently, State Cardiac and Stroke Systems.

Previous winners of the Nancy Auer Award are Drs. Marv Wayne, MD, FACEP, FAAEM, FAHA (2015);
Ted Walkley, MD, FAAP, FACEP (2013); and Cindy Markus, MD, FACEP (2012).

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WA-ACEP Leaders Visit the Other Washington

The Washington Chapter sent 17 representatives to the ACEP legislative meeting in Washington, DC May 15-18. Participants attended a dozen meetings with federal legislators to advocate for emergency medicine on subjects such as opioid and EMS issues,  mental health reform and EMTALA.

Many thanks to all the WA-ACEP members who took time out of their schedules to represent the chapter!

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ACEP Sues Feds Over Health Insurer Billing Practices

In a bold, unprecedented move, ACEP is suing the federal government to contest a regulation that impedes emergency physicians from receiving usual and customary payment for out-of-network services. “It’s clear from the recent CMS ruling that, despite our best efforts, the insurance companies have more influence in terms of federal regulation than physicians do,” said ACEP President Dr. Jay Kaplan. "The term ‘health insurance company’ is an oxymoron—they exist just to make profits for the shareholders, not for the health care of our patients." Read more about the legal complaint in ACEP Now.

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WA-ACEP on Social Media

Like us on Facebook and follow us on Twitter!

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CMS Road Trip Tour

The Region 10 office of the Centers for Medicare & Medicaid Services (CMS) is holding a series of provider outreach and listening sessions June 21-23, 2016, in your area. 

Join the CMS staff from the Seattle office who will share information on provider recertification, new CMS initiatives such as the Medicare Quality Payment Program which includes the Incentive Payment System and various Alternate Payment Methods for Part B, updates to hospital payments, rural health clinic billing requirements, and more.  They can also answer your specific questions about policy, billing issues, coverage concerns, and anything else you’d like to ask about.

What: CMS Information and Listening Session for Rural Providers
When: June 21-23, 2016
Where:  Port Townsend, Port Angeles, Forks, Aberdeen, Shelton
See details here.

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Calendar of Events

Pediatric Emergency Medicine 2016
The Sick and Injured Child
September 28, 2016
Courtyard Marriott, Tacoma, WA

Oct. 15-18, 2016
Las Vegas, NV

2016 Emergency Medicine Leadership Summit
Wednesday, Nov. 2, 2016
The Conference Center at Seattle Tacoma International Airport

2017 WA-ACEP Summit to Sound
April 26-28
Bell Harbor Conference Center
Seattle, WA

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Washington ACEP Board

Nathan Schlicher, MD, JD FACEP
John Matheson, MD, FACEP
Past President
Patrick Solari, MD, FACEP
President Elect
Liam Yore, MD, FACEP

Cameron Buck, MD, FACEP
Russ Carlisle, MD, FACEP
Jaime Delcampo, MD, FACEP
Raul Garcia, DO, FACOEP
Jamie Jenkins, MD, FACEP
Catharine Ryan Keay, MD, FACEP
Brian Livingston, MD, FACEP
Gregg Miller, MD, FACEP
Susan Stern, MD
Jennifer L’Hommedieu Stankus, MD, JD, FACEP
Julianna Yu, MD

Stephen Anderson MD FACEP
Past President (Non voting)
Enrique Enguidanos, MD, FACEP
Past President (Non voting)
Christopher Kang MD FACEP
Past President (Non Voting)
Anna Condino, MD
Resident Liaison
Josh Jacobson, DO
Resident Liaison

2001 Sixth Avenue
Suite 2700
Seattle, WA 98121

(206) 441-9762 ext. 3038