This year the federal government unveiled the Emergency Care Coordination Center (known as the E-triple-C), an office within the Department of Health and Human Services designed to act as a coordinating focal point for emergency care in the United States. When EPM found out that there was a practicing EP, Mark Handrigan, at the helm of this fledgling division, we wondered if emergency physicians would finally have a strong representative voice in the federal government. Here’s what Dr. Handrigan had to say. 
The Health Care Reform Run-Down

President Obama has outlined eight principles that he expects Congress to achieve for health care reform. They all boil down to covering 46 million more people while spending less money overall and improving quality. Oh, and he wants it all done by mid September. Obama’s current public service announcements have focused on “insurance reform,” as opposed to health care reform, but make no mistake, no matter how you frame it, meaningful health care reform – with substantial cost containment – is still the goal. EPM examined the nine bills currently under consideration in the House and Senate.
Dear Boss,
I have been called by a couple of PMDs recently who said they don’t like talking to our mid-level providers who are caring for their patients in the ED. We have a busy ED and our MLPs see about 40% of our patients and although their admission rate is low, they definitely admit a few patients and have interaction with numerous attendings and consultants each day. How should I handle this?
Just as you were getting comfortable with Facebook, detailing every moment of your life through status updates and photos, Twitter came to town. If you don’t already know, Twitter is a “micro-blogging” social media site which allows users to “tweet”– or post – short status updates. Thousands of docs have signed up, raising an interesting risk management question: Can my tweets come back to bite me?
News & Analysis 

Once again the venerable AMA HOD (House of Delegates) convened in mid-June in Chicago for its Annual Meeting. Medical societies from every state and territory were represented, as was nearly every conceivable medical specialty. There were also medical students, residents and fellows, and young and old physicians. Emergency physicians were well represented by ACEP’s 4 delegates,  4 alternate delegates and by AAEM’s representative. There are also some 60 additional emergency physicians and Medical Students involved in the Emergency Medicine Section Council who also represent other entities in the AMA, such as state societies, residents and fellows, young physicians, and organized medical staffs.Once again there were a potpourri of resolutions to be considered, some of them noteworthy and broadly applicable but many of them narrowly focused on pet causes. The hottest topics dealt with healthcare reform and the proposed “public option” insurance plan, tort reform, and various CMS funding issues.
STAT! EMERGENCY MEDICINE BY THE NUMBERS
 
235 emergency physicians responded to EPM’s quality care survey
Here’s what you had to say...

Who Defines Quality Care?

Like it or not, no health care reform will be successful without physicians taking personal responsibility for over-testing
Director's Corner
 
You may think that your hospital and departmental rulebooks don’t apply to you, but nothing could be further from the truth.
Cover Story//Geriatric Emergency Medicine
Options narrowing when “admitting for placement” 

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