From: 'Ohio Chapter
<oh.chapter@acep.org>
Sent: Thursday, August 11,
2011 3:19 PM
To: OH Asst Laura Lehman
Subject: Chapter News
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Summer 2011
From the President
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Paul Austin talks with Ohio's EM Residents |
was
included in each attendee's materials. He is a North Carolina EM physician
and entertained the group with his down home rendition of ER tales and
tribulations. By the way, the book is a very good read. My copy quickly made
the rounds of many in my family.
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Dr. Austin's book cover - Something for the
Pain |
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Dr. Austin and President Tom Lukens |
.jpg)
By way
of introduction, I hail from the Cleveland area (Lakewood) and have been
associated with MetroHealth Medical Center in Cleveland for the past 25 years
as a full time EM physician. I have had a truly rewarding career there and
enjoy the academic aspects of my position as much as the patient care. I have
been fortunate to serve on several national committees along the way and gained
experience with and a closer view of our professional organization. I am
looking forward to being a part of the Ohio chapter’s growth and continuing
with our productive output in the future. Three new board members were
elected in June: John Queen, MD from Cleveland; Michael McCrea, MD from
Toledo; and EM Resident representative Mary Werick, MD (Cleveland).
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John Queen, MD |
Michael McCrea, MD |
Mary Werick, MD |
Board
members re-elected to three year terms were Paul Culler, MD, FACEP; C.C.
Halloran, MD, FACEP; John Lyman, MD, FACEP; and Michael Smith, MD, FACEP. The
new and re-elected Board members join the following Board members and
Officers in service on the chapter Board of Directors: Thomas W. Lukens, MD,
PhD, FACEP (President); Robert I. Broida, MD, FACEP (Treasurer); Gary R.
Katz, MD, MBA, FACEP (Immediate Past-President); Eileen F. Baker, MD, FACEP;
James M. Horn, MD, FACEP; Catherine A. Marco, MD, FACEP; John A. Russ, III,
MD, RDMS, FACEP; and Thomas A. Tallman, DO, FACEP. Dr. Mike Smith was
selected to become president-elect; Dr. Bob Broida continues as treasurer;
and Dr. Mike McCrea was selected by the board as secretary. We appreciate
their commitment to our chapter.
In the
coming years many changes in national and state regulations affecting health
care and the practice of Emergency medicine will be debated, some
implemented. They may have profound influences on our profession. ACOs
(Accountable Care Organizations) are analogous to medical home-like provider
organizations with incorporation of quality and performance indicators. These
will be given more definition and ACEP is pushing for better acknowledgement
of the role of EM in their structure. IPABs (Independent Payment Management
Boards) were developed in law, to start in 2015, to make specific proposals
to bring the net growth in Medicare spending back to target levels if
spending is determined to exceed these levels, They continue to be controversial
and with much disagreement about their use and where they belong in the
healthcare arena. National ACEP is actively lobbying, with other medical
groups, for their elimination as currently formulated. The Medicare physician
fee scale (Medicare Sustainable Growth Rate (SGR) formula) still isn’t fixed.
At the
state level, narcotics use is being regulated in response to the “pill
factories” in our state and the notable death rate observed in chronic opiate
users. Abortion limiting legislation is being introduced. Our much advocated
“Access to Care” legislation, which would raise the legal standard in
deciding physician liability in emergency and disaster situations, is slowly
progressing in the statehouse.
The
future is exciting for emergency medicine, nationally and in Ohio, but
fraught with many challenges. We need to stay involved with the elected
leaders in Ohio as well as Washington and the legislative process in order to
have input in the changes that are surely coming to our chosen profession. I
encourage everyone to be active with contributions of your time, money, and
expertise to our specialty organizations, Ohio and National ACEP, so that we
can continue to treat and care for all our patients.
Stay in
Touch!
Tom
The 2011 Bill Hall Award and the
Emergency Physician of the Year Award
Ohio
ACEP proudly recognized Thomas A. Tallman, DO, FACEP with the Bill
Hall Award for Service to the Chapter at the Annual Member Meeting June
7, 2011. Dr. Thomas Tallman was honored for his selfless giving of time and
enthusiasm for patient care. As an Ohio ACEP Board member, he has made
chapter involvement and leadership a priority. He has served as faculty on
the joint Michigan-Ohio Chapters’ Midwest Winter Symposium. He also
participated as the Ohio ACEP representative to the Ohio Medical Coordination
Committee.
Ohio ACEP congratulates Michelle M. Blanda, MD, FACEP with the EM
Physician of the Year Award. Dr. Blanda was honored as a transformative
leader who leads by example, has a tenacious drive, is receptive to the input
of her colleagues, and celebrates the success of those under her tutelage.
She was selected for demonstrating an exemplary pattern of administrative and
clinical excellence.
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Dr. Tallman and President Lukens |
Dr. Blanda with Dr. Gary Katz |
.JPG)
The Ohio ACEP Residents’ Assembly
and Annual Member Meeting
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Dr. Steve Stack and Dr. Kevin Klauer |
The Ohio
ACEP Residents’ Assembly and Annual Member Meeting were held June 7, 2011 at
the Doubletree Hotel in Worthington/Columbus, Ohio. The event was filled with
many networking and education opportunities.
FACULTY! The Residents’ Assembly program gave emergency medicine
residents an opportunity to meet with experienced regional and national
experts. Residents also had the opportunity to meet with a number of
physicians and representatives from various areas of the state and country
that had positions available. Ohio ACEP would like to thank the following
Residents’ Assembly panelists and speakers: James Augustine, MD,
FACEP; Paul Austin,
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Drs. Broida, Lukens, and Seaberg |
MD,
FACEP; Thomas Carter, DO, FACEP; Gary Katz, MD, MBA, FACEP; Kevin
Klauer, DO, EJD, FACEP; Michael Nauss, MD; David Seaberg,
MD, CPE, FACEP; Steven Stack, MD, FACEP and Thomas Syzek, MD,
FACEP.
DIGNATARIES! During the Annual Meeting program the ACEP
President-Elect David Seaberg, MD, CPE, FACEP gave a National ACEP
Update. Steven Stack, MD, FACEP, Secretary, American Medical
Association presented Advocacy and the EM Physician; Leadership in
Organized Medicine.
ELECTIONS! In
addition to the Board elections (see President’s letter above), Councillors
were also elected at the meeting. Newly and re-elected individuals on the
2011 Ohio ACEP Council delegation included: Eileen F. Baker, MD, FACEP
(Bowling Green); Thomas E. Carter, DO, FACEP (Portsmouth); Christian Chisholm
(C.C.) Halloran, MD, FACEP (Cleveland); Mary Hancock, MD, FACEP (Elyria);
Gary R. Katz, MD, MBA, FACEP (Dublin); Kevin M. Klauer, DO, EJD, FACEP
(Canton); Sara Laskey, MD (Shaker Heights); Thomas W. Lukens, MD, PhD, FACEP
(Cleveland); John L. Lyman, MD, FACEP (Dayton); Catherine A. Marco, MD, FACEP
(Toledo); Daniel R. Martin, MD, FACEP (Westerville); Michael D. Smith, MD,
FACEP (Brecksville); and Thomas A. Tallman, DO, FACEP (Shaker Heights).
All the members of the 2011 Leadership Development Academy Class were named
as Alternate Councillors to the 2011 delegation: Purva Grover, MD; Venkatesh
Kambhampati, MD; Gerald Maloney, Jr., DO, FACEP; Michael McCrea, Mohamad
Moussa, MD; MD; Michael Nauss, MD; Sarah Orlousky, MD; and Matthew Sanders,
DO. Bradley Raetzke, MD was also named as an Alternate Councillor.
Throughout the event the exhibit hall was crowded with exhibitors and
attendees were encouraged to spend time with them throughout the day. The
conference would not have been possible without the support of the exhibitors
and Ohio ACEP appreciates their involvement.
Planning will begin soon for next year’s events!
“Pill Mill” Bill Becomes Law
Representative
David Burke, a registered pharmacist and Dr. Terry Johnson were joint
sponsors of House Bill 93. The primary objective of HB 93 is to provide tools
for combating the prescription drug abuse epidemic in Ohio, and particularly
Southeastern Ohio. This legislation specifically takes aim at certain pain
management clinics, dubbed “pill mills” that inappropriately dispense large
quantities of controlled substances.
For
statistics about accidental deaths from controlled substance overdose
(primarily pain medication), please see the Ohio Department of Health
Prescription Drug Abuse Task Force website.
The
legislation sets licensure requirements for pain management clinics, and
requires that all of these facilities be physician owned.
Governor
Kasich has also made the regulation of “pill mills” and the problem of
prescription drug abuse a top priority of his administration and signed the
bill into law on May 20, 2011.
The
legislation prohibits a prescriber from doing either of the following:
- In any thirty-day period,
personally furnishing to all patients, taken as a whole, controlled
substances in an amount that exceeds a total of 2500 dosage units;
- In any seventy-two-hour
period, personally furnishing to or for a patient an amount of a
controlled substance that exceeds the amount necessary for the patient's
use in a seventy-two-hour period.
A
provision that is concerning to Ohio ACEP is a section that establishes an
Ohio Automated Rx Reporting System (OARRS) reporting mandate for prescribers
who personally furnish a controlled substance or other dangerous drug
specified by the Pharmacy Board.
A
prescriber will be required to submit the following information:
1.
Prescriber
identification;
2.
Patient
identification;
3.
Date drug was
personally furnished by the prescriber;
4.
Indication of whether
the drug is new or a refill;
5.
Name, strength, and
national drug code of drug furnished;
6.
Quantity of drug
furnished;
7.
Number of days’ supply
of drug furnished; and
8.
Source of payment for
the drug furnished.
The
physician will be required to report this information every time they
personally furnish a patient. The State Board of Pharmacy is charged with
enacting rules for this system of reporting. The State Medical Board also has
rule making authority for the use of OARRS.
Medical Board Proposes Rules to
Implement HB 93
One
provision of HB 93 requires the State Medical Board to adopt rules that
establish standards and procedures to be followed by a physician regarding
the review of patient information available through the OARRS database.
Proposed rule 4731-11-11 was drafted in response to that provision. Ohio ACEP
sent a letter to the Medical
Board on May 19, 2011, outlining initial comments and concerns with the
rules from the emergency medicine perspective.
The rule
was filed with JCARR and had a public hearing on June 24, 2011. Ohio ACEP
noted that the proposed rules do not support sound clinical judgment by a
physician when determining when to access OARRS because the list of
situations that trigger an automatic requirement to check OARRS is
constrictive. The proposed rules constitute, in effect, a mandate. Among
other things, the chapter recommended the State Medical Board encourage
physician usage of OARRS and support educational initiatives for physicians
regarding narcotic prescription practices and reporting processes. Ohio ACEP
applauded the efforts of the Ohio legislature and the medical board to
address prescription drug abuse in Ohio and to eliminate the operation of
'pill mills.' In the face of much testimony pointing to concerns with the
proposed rule, The Ohio State Medical Board has now delayed further
discussion on rule 4731-11-11 until their August meeting.
Ohio ACEP Member Kudos to:
Opeolu
M. Adeoys, MD for being published in Management of Hypertensive Emergencies
in Stroke, a supplement to ACEP News.
James
Augustine, MD for being published in the July 2011 edition of Annals of
Emergency Medicine.
W.
Franklin Peacock IV, MD for being published in Clinical Update:
Managing Hypertensive Emergencies, a supplement to ACEP News.
David F.
Baehren, MD for his continued publication of In the Arena articles in ACEP
News.
Carl J.
Fichtenbaum, MD; Kimberly W. Hart, MA; Carries R. Hecht, MD; Nathan J.
Hudepohl, MD, MPH; Oksana Kozlovskaya, BS; Christopher J. Lindsell, PhD;
Michael S. Lyons, MD; Karina Radonich, BS; Andrew H. Ruffner, MA, LSW; Andrea
P. Sitlinger, BS; Michael D. Smith, MD; Alexander T. Trott, MD; Vicken Y.
Trotten, MD and D. Beth Wayne, BSN for being published in the July
2011 Supplement of Annals of Emergency Medicine.
Kevin
Klauer, DO, FACEP has been nominated for election to the position of Council Vice
Speaker of the American College of Emergency Physicians. The election will be
held Friday, October 14, 2011, during the Council meeting in San Francisco.
Gary R.
Katz, MD, FACEP, will be awarded the Council Horizon Award by the Council
Awards Committee during the Council meeting in October.
Mark
Resanovich, the vice chair of the EMS Board and the chairman of our
EMS/Homeland Security Committee, and Ohio ACEP member Carol Cunningham, MD,
State EMS Medical Director have been selected to participate in the American
Israel Education Foundation U.S. Emergency Services and Homeland Security
Mission to Israel on December 4-9, 2011.
In addition, Dr. Cunningham recently graduated from Harvard’s National
Preparedness Leadership Initiative.
Ohio
Chapter member Richard N. Nelson, MD, FACEP has assumed the office of
President of the American Board of Emergency Medicine (ABEM). Dr. Nelson
currently serves as a Professor and Vice Chair of the Department of Emergency
Medicine at the Ohio State University College of Medicine.
Clinical News
Genes
Play Bigger Role in MI Than Stroke
People whose mother and father have both had a myocardial
infarction are six times more likely to have one than are those without a
parental history, according to a large, population-based study.
Strokes,
on the other hand, do not seem related to genetic predisposition.
Read the entire
article online.
Trauma
Capillary Leak Syndrome Carries High Mortality
Traumatic-induced capillary leak syndrome is the name being
given to a newly described, highly lethal disease process in critically
injured trauma patients. As yet, there is no effective treatment, but some
studies have been conducted to better understand its characteristics, with an
eye toward ultimately finding a way to prevent it.
Read the entire
article online.
Focus
On: Therapeutic Hypothermia After Cardiac Arrest
“Focus On” is an ongoing series of articles that examine common
complaints that present to the emergency department or highlight new
literature or treatment options.
Learning
objectives for this article include the ability to recognize and treat
uncommon presentations of common pathology and common presentations of rare
pathology so that physicians have exposure to these rare conditions,list the
exclusion criteria for patients who might qualify for therapeutic
hypothermia, recognize the potential complications for patients who have been
cooled, and understand the various devices used in therapeutic cooling and
thier advantages and disadvantages.
After reading the
article, take the CME quiz online.
EMF Chapter Challenge-Join your
Fellow ACEP Chapters!
ACEP
Chapters play a critical role in supporting our emergency physicians’
practice, education, advocacy efforts, and patient care. Chapters also assist
the specialty by expanding the development and growth of their members’
research. Supporting research that enhances our member’s ability to provide
life-saving care is the goal of the One Dollar Chapter Challenge. This simple
program gives Chapters the opportunity to support emergency medicine research
through EMF by donating $1 for each of their members. This $1 per member
would provide EMF with more than $29,000, enough to support both of the
Medical Student Grants and all three of the Resident Research Grants this
year! Although each of these grants is small, vital research often has humble
beginnings. Many of our past grantees have now gone on to receive
multi-million dollar federal and foundation grants for their emergency
medicine research.
Thus far
Connecticut, Georgia, Tennessee, and Massachusetts Chapters have met this
challenge, and the Government Services, New York, and Alabama Chapters have
expressed their intent to do so. We thank them for showing their leadership
in advancing emergency medicine research.
EMF encourages each chapter to consider meeting this challenge. Your support
will give a good start to future emergency medicine researchers and will help
improve patient care for us all. If you have any questions, please do not hesitate
to contact Holly Hull Miori, EMF
Manager, or call (800) 798-1822 x3216.
EMF Announces Nearly $400,000 in
EM Research Funds
The
Emergency Medicine Foundation is pleased to announce nearly $400,000 in
available research funds this year. Grant applications will be available in
mid-August and deadlines for all grants are January 9, 2012. To download an
application, go to the website.
- EMF 2-Year Fellowship,
$150,000
- EMF/EMPSF Patient Safety
Fellowship, $75,000
- EMF Career Development Grant,
$50,000
- EMF Health Policy Grant,
$50,000
- EMF/ENA Foundation Team
Grant, $50,000
- EMF/EMRA Resident Grant,
$5,000 (up to 3 available)
- EMF/SAEM Medical Student
Grant, $2,400 (up to 2 available)
Welcome New Members
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Kenneth
Aaron Berg, MD |
Ameen
M. Jamali |
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Jonathan
Seth Bingham, DO |
Daniel
David Jeltes, MD |
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Matt
Blickendorf |
Benjamin
Kartman, MD |
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Matthew
Bludorn |
Alexander
Paul Keller, MD |
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Brent
Allen Castle, DO |
Caitlin
Marsh Kibbey, MD |
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Ali
Chaudhary, MD |
Erol
Kohli, MD |
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Oriana
Chen, MD |
Josef
Lowe, MD |
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Amanda
C. Cobb |
Jennifer
Ann Maccagnano, DO |
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Andy
B. Coil, DO |
Julian
Macedo, MD |
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Eric
Cummins, MD |
Molly
Malone-Priolelau, DO |
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Gabriel
J. David, MD |
Michael
Marquard, DO |
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Stephanie
M. Dreher |
Christopher
Myers, DO |
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Eric
Einstein |
Bridget
Shannon Nestor-Arjun, DO |
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Steven
L. Ellis, DO |
Nilesh
Patel, MD |
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Laura
Michelle Espy-Bell, MD |
Trent
Peppard, DO |
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Manuela
Ewing, MD |
Michael
Justin Pollock, MD |
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Robert
Charles Ford, III, DO |
Chris
Randolph, DO |
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Mitch
Daniel Hegerhorst, DO |
Tara
Reilly, DO |
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Nathan
J. Holloway, MD |
Rebekah
J. Richards, MD |
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Kurt
Andrew Holt, DO |
Michael
Ruhlin, MD |
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Josh
Honeyman |
Joshua
Warren Sheatsley, DO |
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Emily
M. Hoover |
Janice
Renee Shook, MD |
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Daralee
Rae Hughes, MD |
Laura
K. Stachowicz, DO |
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Daniel
Hurst |
Peter
B. Toth |
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Katie
Calaway Imhof, MD |
Matthew
Joseph White, DO |
Ohio Chapter ACEP
3510 Snouffer Rd #100
Columbus , OH 43235-4299
www.ohacep.org
Copyright © 2009 Ohio
Chapter ACEP. All rights reserved.
