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Board Meeting Summary, June 2018

The Board approved:

  • Minutes:
    • Board Meeting May 19, 2018
    • Board Executive Session May 19, 2018
  • Actions Taken by the Chair of the Board (Fellow Applications)
  • Reaffirmed the policy statement “Emergency Medicine Training, Competency, and Professional Practice Principles.”
  • Revised policy “Financing of Graduate Medical Education in Emergency Medicine.”
  • National EM Excellence in Bedside Teaching Award recipient – first recipient – award was developed in 2017.
  • National EM Faculty Teaching Award Nominees (four recipients)
  • National EM Junior Faculty Teaching Award Nominees (four recipients)
  • Revised policy statement “Resident Training for Practice in Non-Urban Areas.”
  • Clinical policy “Critical Issues in the Evaluation and Management of ED Patients with Suspected Non–ST-Elevation Acute Coronary Syndromes.”
  • Revised policy statement “Disaster Medical Services.”
  • Community Emergency Medicine Excellence Award recipient – first recipient – award was developed in 2017.
  • Revised policy statement “Emergency Physician Contractual Relationships.”
  • Revised policy statement “Interpretation of Imaging Diagnostic Studies with the revised title “Interpretation of Diagnostic Imaging Tests.”
  • New award – Innovative Change in Practice Management – nominees for this award will be accepted in 2019.
  • New policy statement “Prescription Drug Pricing.”
  • Revised policy statement “Delivery of Care to Undocumented Persons.”
  • New policy statement “Access to 9-1-1 Public Safety Centers, Emergency Medical Dispatch, & Public Emergency Aid Training” to replace the policy statement “Public Training in Cardiopulmonary Resuscitation and Public Access Defibrillation” that was rescinded.
  • New policy statement “Patient Autonomy and Shared Decision-Making in Emergency Medical Services & Mobile Integrated Healthcare/Community Paramedicine Programs” to replace three existing policy statements that were rescinded: “Alternate Ambulance Transportation and Destination,” “Medical Direction of Mobile Integrated Healthcare and Community Paramedicine Programs,” and “Refusal of Medical Aid (RMA).”
  • New policy statement “Relationship Between Clinical Capabilities and Medical Equipment in the Practice of Emergency Medical Services.”
  • Fiscal Year 18-19 budget with a contribution to equity of $74,623. The budget does not include a dues increase.
  • Fiscal Year capital expenditure budget of $974,880.
  • Continuing the Bonus Award Program for ACEP Staff (no changes were made to the program).
  • Accepted for information the Governance Task Force final report. Included several recommendations that the Board will discuss at a future meeting.
  • Renaming the Award for Outstanding Contribution in Education to honor a woman leader in emergency medicine. (FYI – it was renamed the “Judith E. Tintinalli Award for Outstanding Contribution in Emergency Medicine” but Paul Kivela has not yet contacted her to let her know.
  • New policy statement “Interpretation of EMTALA in Medical Malpractice Litigation.”
  • New policy statement “Use of Social Media by Emergency Physicians.”
  • Nine projects for section grant funding:
    • Critical Care – Educational Webinar Series for the Career Development of Emergency Medicine/Critical Care Medicine Fellows and Junior Faculty – $4,326
    • Emergency Ultrasound – Update and Conversion of Trauma Ultrasound eBook – $1,500
    • Emergency Ultrasound – SonoCase: A Case-Based Review of High Yield Diagnoses made with Point of Care Ultrasound – $6,120
    • Geriatric Emergency Medicine – iScreenSeniors: An app designed for geriatric self-screening for depression, fall risk and elder abuse – $4,970
    • International Emergency Medicine – ACEP International Ambassador Program Database and Interactive Map – $12,300
    • Medical Humanities - Emergency Medicine Narratives: Emergency Medical Humanities Collection – $3,560
    • Palliative Medicine - Mentoring for Success: Toolkit and Program to Support Early Career Physicians in Emergency and Palliative Care – $1,685
    • Quality Improvement and Patient Safety and Pediatric EM – Acute Post-Resuscitation Debriefing (APRD) in the ED: Needs Assessment and Development of a Checklist and Video Tutorial- $5,820
    • Social Emergency Medicine – Social Emergency Medicine Podcast Series – $9,867
  • Revised joint policy statement with American Academy of Pediatrics and Emergency Nurses Association “Guidelines for Care of Children in the Emergency Department” with the revised title “Pediatric Readiness in the Emergency Department.” The goal is simultaneous publication in the journals of each organization.
  • Revised policy statement “Non-Discrimination and Harassment.”
  • New policy statement “Impact of Climate Change on Public Health and Implications for Emergency Medicine.”
  • Revised criteria for the Social Media Award.
  • New policy statement “Coverage for Patient Home Medication While Under Observation Status.”
  • Alaska Chapter Public Policy Grant Request for $12,500 to address legislation impacting balance billing and out-of-network reimbursement.
  • New policy statement “Appropriate Use Criteria for Handheld/Pocket Ultrasound Devices.”
  • New policy statement “Guideline for Ultrasound Transducer Cleaning and Disinfection.”
  • Event Medicine Section Operational Guidelines
  • Sending a survey to all members on four social issues: firearm safety, immigration, international medical graduates, and social determinants of health (including homelessness).
  • Submitting commendation resolutions to the 2018 Council for Les Kamens and Eugene Richards.
  • Guiding principles for partnered fellowship opportunities at ACEP.
  • Support for the preliminary committee objectives for FY 2018-19.
  • Final negotiation and execution of a 5-year contract with Elsevier to continue as the publisher of Annals.
  • New “Meeting Conduct” policy. It applies to participants, speakers, attendees, and exhibitors and describes behavior that is specifically prohibited at ACEP events and possible consequences to individuals found to be in violation. Acknowledgement of this policy will be incorporated into the meeting registration process for all meetings. Information about how to report alleged incidents will also be developed and provided.
  • Working with HealthStream to participate in the development of a new Care-Based Competency Program that could be offered as an alternative to ACLS and PALS.
  • Moving forward to develop a business plan for layperson training to stop bleeding and render CPR.

The Board also discussed:

  • Anthem litigation. Medical Association of Georgia and EDPMA have agreed to participate.
  • Discussed honoring women leaders in emergency medicine and the potential of: 1) creating an award for innovation in the Leadership and Excellence Awards category in honor or memory of an innovative woman leader in emergency medicine; 2) naming an annual lecture at the Scientific Assembly in honor or memory of a woman leader in emergency medicine (which has been under discussion by the Education Committee). The Board requested the Diversity & Inclusion Task Force to further discuss the names of the awards and develop proposed criteria for the innovation award. The Board requested the Education Committee to provide their recommendation about naming an annual lecture to honor a woman leader or creating a lecture series on innovation.
  • Referred Resolution 47(17) Improving Patient Safety Through Transparency in Medical Malpractice Settlements. Directed the Medical-Legal Committee to investigate the possibility of accessing malpractice data from the National Practitioner Data Bank (NPDB) that might provide teachable information from resolved cases that may help reduce medical errors and improve patient safety.
  • Additional speakers for the Residency Visit Program. The Board requested additional vetting of the proposed speakers and the process for identifying speakers from chapters.
  • Legislative and regulatory next steps for the Greatest-of-Three regulation.
  • Extensive discussion about CEDR current and future success.

 

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