D&Y’s Post

https://lnkd.in/dPv2sRPr Emergency medicine PAs are seeing greater autonomy and becoming an important component to fast track Urgent Care and Emergency Departments nationwide.

When it comes to unexpected situations (yes, even during the Holidays), Dr. Samuel Herman, internal medicine physician at Hoag Health Center Dove Canyon, wants to empower patients with knowledge, so they know how to seek the care they need. So when should you go to Primary Care versus Urgent Care versus the Emergency Room? Primary Care – This is for annual exams, follow-up visits, non-emergent care and same-day sick appointments. Urgent Care – The urgent care is well suited for unexpected illnesses and injuries, and they are open in the evenings and during the weekends. The urgent care team is a great resource to handle non-emergent issues. Emergency Room – The emergency room should be used when you are experiencing life-threatening or disabling events such as a heart attack, stroke, head trauma, severe chest pains, severe abdominal pain, obvious broken bones or loss of function to your limbs. Nurse Advice Line – If you are in doubt, many patients have access to a 24×7 nurse triage line with skilled experts who can provide advice. If a patient visits the Hoag ER or Hoag Urgent Care, Dr. Herman always recommends they follow-up with their PCP. If their PCP is with Hoag Medical Group, the doctor will also have access to their medical record. #EmpoweredbyHoag

#ABC’s of Being a #student in Emergency Medicine #Always……. • Introduce yourself to the Consultants, resident(s) and staff in the ED • Team up with senior residents (2 nd and 3rd year EM) • Have the senior residents and attendings check out your patients plan of care • Obtain your patient/bed assignments • Be nice to patients and their family members EVEN if they are not so nice to you • IMMEDIATELY advise the attending if a patient complains about their care or other problems #Be_sure_to…… • Follow-up on the patients that you have seen until they are discharged from the ED • Talk with the EM residents if you are interested in higher acuity patients (ICU, trauma, full arrest, etc.) • Get with the nursing staff for simple procedures (IV’s, foley catheters, blood collection) • Ask for help! Never put yourself or the patient at risk because you are in over your head #Communicate….. • Your history should be thorough and detailed BUT your presentation should be short and precise #EmResidents #Studentsinemergencymedicine #emdocs #IndianEM #SocietyofEmergencyMedicineIndia #SAEM #Emcon2024 #emergencymedicalservices #emergencypreparedness

Thanks again Dr. Adelman. Notice how the supplemental payments melt away as the hospitals and practices get smaller and are more basic in services. The situation for financing gets worse 1. For those distant from state and federal government centers 2. For those most vulnerable 3. For those with fewer administrators, health professionals and other team members to help communicate and raise awareness of the design flaws 4. For those on the front lines delivering care, especially to populations left behind by the worst financial designs 5. As levels of county workforce go lower. Practices, hospitals, team members, access, and workforce levels are shaped lowest by the worst paying public and private health insurance plans such as the ones expanded or that weakest employers are forced to choose. One of many major failures of the past 41 years across Medicare, Medicaid, HCFA, CMS leadership (and Congress and those who advise and shape CMS) is the failure to understand that the patchworks 1. are never enough to fix financial flaws 2. are politically held hostage 3. reflect the total failure of a solid foundation for a financial design Rural and smaller hospital patches are also not enough The Health Resources and Services Administration is a patchwork of programs that involve tens of billions that are no match for the CMS1.4 trillion a year voted 1. In favor of those given the most lines of revenue and highest payments 2. In favor of those embedded into regulatory capture 3. In favor of those protected by budget neutrality that effectively prevents redistribution or any move to better access or health equity aided by the most powerful lobbies that would prevent any cuts to improve the distribution of funding, basic health access, or care for most Americans most behind. The training incentives in HRSA are the result of the financial design and may set up higher turnover rates - a cost and loss of $300,000 per primary care physician departing where needed. The Community Health Center grants are costly in application and pay so little that centers are constantly seeking additional funding. This distracts them from a total focus on basic health access, integration, coordination, most team members, best team members and long term continuity in the same specialty with the same team members with the same patients and learning in the context of the same community and resources. Instability in CHC funding drives off those with experience and is seen across the fewer basic health access practices nationwide that dare to serve populations with concentrations of the worst health plans despite RBRVS and other inequities. The design shapes and maintains deficits of health access health care workforce health equity hospital and ER capacity OB capacity primary care and basic health access workforce and delivery team members. Designs divide the nation into warring camps that all desperately need reform, but fight against one another for the scraps.

"EMTALA is an unfunded mandate" has become an emergency medicine mantra. But it's only partly true. EMTALA is unfunded ONLY for physicians (professional fees). The government funds hospitals' & health systems' EMTALA obligations to treat uninsured and underinsured patients with Tens of Billions of extra dollars annually. Sources of extra hospital & health system funding to cover the costs of treating uninsured and underinsured patients: 1) Hospital Outpatient Facility Fees; 2) Disproportionate Share Hospital (DSH) Allotments; 3) Upper Payment Limit Supplements; 4) Uncompensated Care Pools; 5) 340B Drug Pricing. More details via the Emergency Medicine Workforce Newsletter: https://lnkd.in/eSsmqWvn #emergencymedicine American College of Emergency Physicians American Academy of Emergency Medicine (AAEM) American Academy of Emergency Nurse Practitioners (AAENP) Society of Emergency Medicine Physician Assistants (SEMPA) Society of Physician Entrepreneurs Emergency Medicine Residents' Association (EMRA)

Attention Society of Emergency Medicine Physician Assistants (SEMPA) followers. We have a new LinkedIn page! Follow us here for the latest SEMPA updates!

ICEP’s winter CE conference in Peoria is better than ever. Emergency Medicine Update is a multifaceted educational program with something for every emergency care provider and beyond. Our conference is open to all physicians, nurses, PAs, EMS providers, residents and medical students. Key conference topics include: • Buprenorphine in the Emergency Department • Best Practices in Evaluation of Invasive Bacterial Illness in Febrile Young Infants with COVID-19 • EMS System Design • The Top 10 EM Articles of 2023 Plus! Simulation Skills Workshops on Agitated Elderly People and Post-Partum Hemorrhage Learn more: https://lnkd.in/erRrnDdP.

Used by primary healthcare professionals in many Emergency Departments, the eyePressure device aids in the triage of eye injuries and disease. It provides a revolutionary, yet simple means to assess patients with high eye pressure.    High eye pressure can be an indication of serious eye diseases such as Glaucoma, a leading cause of blindness and early detection is crucial. Cue the eyePressure – a low cost, single-use device making IOP assessment easy in Emergency Departments and in primary health settings.   The handheld, lightweight device allows GPs, nurses, nurse practitioners, medical ancillary staff and more to quickly and easily assess whether a patient's eye pressure may be cause for concern.   Learn more about the eyePressure by contacting enquiries@ingeneus.com.au #eyepressure #emergencydepartments #emergencymedicine #primarycare #urgentcare

Emergency departments are often overcrowded and under-supported, a reality that even the physicians working in these settings are now publicly highlighting. They are speaking out about the inhumanity and injustice faced by vulnerable patients. The causes are complex and multifactorial, but even more frustrating is that solutions are hindered by a reimbursement and regulatory system that stifles competition and innovation in emergency medicine. Public officials often ignore how large hospitals control the rules for building a care system. Despite the clear injustice within hospitals, the system remains resistant to change. As a result, we see critically ill patients left on stretchers in hallways and public areas of hospital-owned emergency departments for hours, sometimes days. Is this how we want to treat our frailest patients? I certainly don't think so. WHAT ARE YOUR THOUGHTS? ▶️ https://lnkd.in/erYZPxG5

Why do I enjoy being an Emergency Medicine Physician Recruiter for TECHealth, An Emergency Services Company? I get to reconnect physicians to the reason they chose their profession—to care for patients, not “beat the clock.” In the field of emergency medicine where stringent time metrics often dictate care, it's easy for physicians to lose sight of why they chose to become an emergency medicine physician. While these metrics are designed to increase productivity, they frequently lead to physician burnout by shifting the focus away from patient interaction and towards keeping up with the clock. By creating an environment where physicians can go the extra mile, listen, engage, and educate patients, physicians are able to practice medicine in a way that aligns with their original motivations and values. The outcome? 1. A more fulfilling practice environment for doctors. 2. Better care for patients. If you’re an ABEM physician who feels that the emphasis on metrics overshadows the reason you chose this profession, let’s connect. I’d love to help you reconnect with the reason you entered the profession. #EmergencyMedicine #ERdoc #EMdoc #ABEM #Burnout #TECHealth