MOCEP General

Membership Meeting

MAY 5, 2016

SPRINGFIELD

President’s Update

Douglas Char, MD, FACEP

Mission & Vision

MOCEP’s mission is to support the highest quality emergency medicine care and to serve as advocates for our patients, our members and our specialty.

MOCEP aspires to be the leading advocate for high quality emergency care for all people in the state of Missouri.

Our Goals

Serve as advocates for Emergency Medicine Physicians in the state of Missouri

Act as a contact organization for the public when questions arise about Emergency Medicine

Protect and promote access to emergency medical services for the citizens of the state of Missouri

Offer members beneficial resources and educational opportunities

MOCEP Executive

Director

Executive Director:

Sarah Luebbert, APRPh: 573-636-2144Email: sarah@mocep.org

Association Management:

Missouri State Medical Association113 Madison Street, P.O. Box 1028Jefferson City, MO 65102Ph: 573-636-5151

Communications

Committee

Jonathan Heidt, MD, FACEPEvan Schwarz, MD, FACEP

Accomplished

Updated website, now mobile friendly

Changed security on website, no loner need to use password to access articles from weekly emails

Now have advertising on the website (sold our first advertisment recently)

Continue to have job fair

Twitter account now has 147 followers

On Instagram

Facebook profile continues to increase

Google Analytics

January 1-December 31, 2015

Google Analytics

January 1-April 30, 2015 January 1-April 30, 2016

The Future Continue to sell advertising

Will need to review the job fair from the website. Contract is up soon and if we want out, we may need to give 3 or 6 months notice

May try to place more education on the website. We may be able to place pre-recorded lectures on the website. This could serve a few goals. Increase new and innovative lectures for the membership

Increase faculty development and recruitment from academic centers as we'd probably be using their lectures. Could definitely include lectures by community physicians.

The Future

Review how using things such as Slack have worked and if want to incorporate that into our committee structures to be more efficient

Discussing with Dan Theodoro about community outreach to membership.

Membership

Committee

Brad Barth, MD, FACEP Tim Koboldt, MD

Membership CommitteeGoals

2015 Obtain membership list and addresses

Map membership and identify areas of paucity

2016 Reach out to KC/St. Joe area groups

Consider Emeritus or Retired Status for Membership?

Create letter for lapsed members

Other Ideas?

EMS Committee

Lynthia B. Andrews Bowman, DO, MHA, FACEP

EMS Goals/Outcomes

Continue work with EMS stakeholders and federal partners to address DEA regulations, applications, interpretation and enforcement of DEA regulations. Outcome: Ongoing. The regulations are needing legislators in the house to co-

sign the legislation and then the need for senate co-signors as the legislation progresses.

Continue to work with EMS stakeholders on drug shortages on state and national level. Outcome: Continue to address drug shortages on local and national level.

Address need for medical directors from emergency medicine physicians. Outcome: Increased numbers of emergency trained physicians to lead EMS

services and provide needed education resources. Physicians to act as EMS Regional Medical Directors.

EMS Goals/Outcomes

Continue to assist EMS with revisions of TCD regulations and guidelines. Outcome: Updated treatment guidelines, revision of CME requirements for

emergency boarded physicians.

Establish liaisons to be expert emergency medicine resource for EMS Regional Medical Directors.

Grants & Awards

Committee

Ted McMurry, MD, FACEPMike Szewczyk, MD, FACEP

Grants & Awards

Awards Program Several changes to the awards this year

RR Hannas Award revamped to honor a practicing emergency physician in Missouri and an emergency medicine resident from one of the Missouri emergency medicine programs.

Physicians and residents are nominated by other physicians, nominations are reviewed by the Awards and Grants Committee and approved by the MOCEP Board of Directors.

Recipients receive a certificate and prize.

Grant Program Less active than in the past. Feel this is due to a lack of communication to the residents,

program directors and staff.

Will work this year to improve/increase communication

Legislative Affairs

Committee

Christine Sullivan, MD, FACEP

Legislative Affairs

The Legislative Affairs Committee would like to congratulate MoCEP chapter for bringing forth 4 resolutions and co-sponsoring an additional resolution at the ACEP 2015 Councillor meeting, all of which were adopted! Special thanks to Dr. Thomas Pinson and the board for their efforts in drafting the resolutions.

Summary of Resolutions:

ACEP refine the current policy statement defining urgent care centers to protect patients by ensuring accurate consumer information, provider qualifications, resources available, and costs are available to guide patients when seeking care. Additionally, the resolution requested that ACEP work with CMMS and related hospital and regulatory organizations to determine appropriate credentialing standards for these facilities to ensure public awareness regarding services available when presenting to such care facilities.

CME burden in that board certification attests to appropriate knowledge in emergency medicine and that the State of Missouri through its Time Critical Diagnosis (TCD) initiative mandating 8 hours of CME for 3 diagnoses only will diminish education in other clinical areas important to our practice. The resolution requested that ACEP work with organizations (such as American Hospital Association and American Heart Association) to understand the comprehensive knowledge base of board certified/eligible EM physicians.

Legislative Affairs

Summary of Resolutions (cont’d):

That ACEP develop a policy statement to address current regulations regarding minimal arbitrary procedural numbers for credentialing and work with organizations such as TJC, CMMS, and the American Hospital Association to recommend appropriate credentialing standards for EM physicians. As an example, many EM physicians (particularly in small and/or rural hospitals) may be required to perform 5 central lines a year but may remain competent in this skill without having the opportunity to place that arbitrary number of lines.

That ACEP issue a statement declaring that EM physicians should be reimbursed for ultrasound performance and interpretation as part of EM care in the ED and support efforts to reduce payment denials.

A co-sponsored resolution to increase the number of EMRA Council representatives from 4 to 8 members. In 1992 EMRA was given 4 seats on the Council when it had 2,500 members and currently has over 6,500 members in addition to several thousand medical student and alumni members. As this organization represents the “future” of EM we should encourage early active participation of EMRA members.

Education &

Programming

Committee

Christopher Sampson, MD, FACEP

Accomplishments

MOCEP Reception at ACEP National meeting was well attended

Growth of Advocacy Day in January at Missouri State Capitol Building

MOCEP annual meeting to be held in conjunction with the Tom Steele Symposium

Addition of Missouri to SEC ACEP Conference with MOCEP faculty (Drs. Sampson and Koboldt) giving presentations at meeting

2016 Advocacy Day

Objective for Coming Year

MOCEP reception to continue at ACEP national meeting

Advocacy Day to continue in 2017 Save the date: January 25, 2017

MOCEP annual meeting, need to decide when/where to hold the event for 2017 Options: MSMA Annual Convention (March 31-April 2, Kansas City); Tom Steele Symposium (April 2017,

Springfield); SEC ACEP

Possible online educational opportunities

Possible city receptions

ITLS Committee

ITLS UpdateWe have statewide regional coverage.

Active Training centers in: Springfield Bolivar Farmington St. Louis Hannibal Osage Beach St. Joseph KC Columbia

Offers ITLS Course, Pediatric ITLS, ITLS Access, ITLS Military

Students Trained in ITLS

201365 courses693 students

201471 courses596 students

201599 courses931 students

ITLS Update New ITLS 8th edition book out now. Includes latest research. Addressing backboards, TXA, bleeding control,

Capnography, needle decompression.

Web Site itrauma.org now has You tube channel, and video and written policy statements.

New ITLS Instructor course: Missouri Piloted this

How MOCEP can help:Missouri trauma regs only require flight crew have trauma training, most audit ATLS. There are no regs that specify training for trauma for ground EMS providers. ITLS is custom made for out of hospital providers. We need local medical directors to promote, require, all their providers to have this valuable training. ITLS is a program developed originally by ACEP. As ambulance providers try cut costs, they may prioritize what they offer. WE need MOCEP's help in working this program into all of the ambulance services. Probably a large number of medical directors in MO are ACEP? They can have a direct impact on what course their services should have. The competitor has a course called PHTLS which is endorsed by American College of Surgeons. Our Course, ITLS is endorsed by ACEP. As we do more courses, we will improve trauma care and the knowledge of MO EMS Providers.

Finance Committee

Robert Poirier, MD, FACEP

Balance Sheet

Income and

Budget Sheet

PAC Committee

Brian Robb, DO, FACEP

What is our EMPAC ?ARTICLE I

Name and Definition

The name of this organization is the “Missouri Emergency Medicine Political Action Committee,” hereinafter sometimes referred to as “Missouri EMPAC.” It is a voluntary, non-profit, unincorporated Committee of individual emergency physicians and others, and is not affiliated with any political party.

Purpose of EMPAC To promise and strive for the improvement of government by encouraging and

stimulating emergency physicians and others to take a more active and effective part in governmental affairs.

To encourage emergency physicians and others to understand the nature and actions of their government, the important political issues, and the records of officeholders and candidates for office.

To assist emergency physicians and others in organizing themselves for more effective political action and in carrying out their civic responsibilities.

◦ To maintain Missouri EMPAC finances as a separate and segregated fund maintained and administered by the Missouri Chapter of the American College of Emergency Physicians (Missouri Chapter ACEP), and to contribute to political candidates and engage in other activities as deemed appropriate by the Committee.

To perform other functions as necessary or desirable for the attainment of the purposes stated above.

Members of EMPAC

President MoCEP

Immediate Past President MoCEP

Chairman Governmental Affairs Committee

Executive Director of MoCEP

Two At Large Members

How do we compare ?

MSMA $150,313.00

Dentists $113,351.00

Pharmacists $53,615.00

Anesthesia $44,693.00

EMPAC $21,090.00

Source – Missouri Ethics website April 2016

Helmet laws

Seat belt laws

Tort liability issues

Licensing issues – Physicians / Nurses

Prescription drug monitoring

Reimbursement

ACA / Health Exchanges

Time Critical Diagnosis – Stroke / STEMI / Trauma

Missouri Healthnet – Medicaid

Free Standing Emergency Centers

Telehealth / mobile healthcare innovation

Issues Important to MoCEP / EMPAC

Limited in past

Recommendations by Jorgen

“Keeping powder dry” for current and future use

Contribute to legislators who support our goals

Continue to raise funds and monitor need for use

Contributions

MOCEP Member

Involvement

MOCEP Members on ACEP Committees

ACEP Academic Affairs CommitteeBradley Barth, MD, FACEPAlissa Hayes, MD, FACEPJonathan Heidt, MD, FACEPChristopher Sampson, MD, FACEP

EMS CommitteeLynthia Andrews, DO, FACEPCharles Sheppard, MD, FACEP

Quality & Patient SafetyRichard Griffey, MD, MPH, FACEPKamal Gursahani, MD

Membership CommitteeDennis Hughes, DO, FACEPEvan Schwarz, MD, FACEP

Clinical Policy SubcommitteeChristopher Carpenter, MD, FACEPPeter David Panagos, MD, FACEP

Public Health/Injury Prevention CommitteeStephen Liang, MD

Well-Being CommitteeDouglas Char, MD, FACEPDennis Hughes, DO, FACEP

Disaster Preparedness & Response CommitteeJoseph Waeckerle, MD, FACEP

Legislative Update

Jorgen Schlemeier

Legislative Update Two weeks remain in session.

Budget bills have been sent to the Governor Controversial line item was Medicaid. Nearly $400

million additional revenue required to maintain services for eligible encompassed all of the new revenue growth the state received in FY2016

Medicaid Managed Care RFP was released this week

Helmet repeal

PDMP

ER Copay

Tort Update

Nurses

HMO

Step Therapy

Marijuana

TCD – Stroke/STEMI

Transparency

Powdered Alcohol

Executive Director

Report

Sarah Luebbert, APR

MOCEP Board

Elections

Election Results:

The following nominees were elected to seats on the Board of Directors

LYNTHIA ANDREWS, DO, FACEPPlatte, MO

BRIAN J. BAUSANO, MD, FACEPColumbia, MO

LOUIS JAMTGAARD, MDKansas City, MO

GEORGE KOBUROV, MDColumbia, MO

TED MCMURRY, MD, FACEPOzark, MO

THOMAS PINSON, MD, MBA, CPE, FACEPNeosho, MO

CHRISTOPHER SAMPSON, MD, FACEPColumbia, MO

EVAN SCHWARZ, MD, FACEPSt. Louis, MO

ACEP Councilor

Elections

Election Results:

The following nominees were elected to serve as ACEP Councilors

Douglas Char, MD, FACEPSt. Louis

Jonathan Heidt, MD, MHA, FACEPColumbia