GCEP Physicians “Doctor of the Day” 2014 Legislative Session

EPEPIICC The Magazine of the Georgia College of Emergency Physicians SUMMER 2014 GCEP Physicians “Doctor of the Day” 2014 Legislative Session In this issue: • Leadership: Engaging Members, Developing Leaders • Injuries and Issues Surrounding the Use of Conductive Energy Devices Table of Contents 1 From the President 9 Emory Emergency Medicine 22 Ultrasound Every Doctor is a Leader Update Echo Made Easy: Part 2 John J. Rogers, MD, FACEP Phillip Shayne, MD, FACEP Karim Ali, MD 3 Financial Ramifications 10 MAG Protects Physician, 24 Risk Management for Physician Practices of Patients During Legislative Cardiomyopathy ACA Deductibles: Getting Session Michael J. Bono, MD, FACEP Paid for “Affordable Care” Kevin S. Little, PC 14 Clinical 27 Medical Ethics Hyperventilation Associated Another Kind of “Difficult” 5 From the President Elect Electrolyte Abnormalities Patient Legislative Week at the Michael J. Allen, DO, MAJ, Richard L. Elliott, MD, PhD Capitol MC, FS and Larry Mellick, Matt Lyon, MD, FACEP MD, MS, FAAP, FACEP 29 Financial Help Me! I’m Behind With 6 Leadership 16 Clinical My Retirement Engaging Members, Injuries and Issues Setu Mazumdar, MD, FACEP Developing Leaders Surrounding the Use of John Sy, DO, MS, FACEP Conductive Energy Devices (TASERS) 33 Reimbursement Update Michael J. Allen, DO, MAJ, DW “Chip” Pettigrew, MD 7 ACEP: Candidates for Office MC, FS and Larry Mellick, and ACEP Awards MD, MS, FAAP, FACEP 8 Emergency Medicine 20 EKG Residency Update: Irregular Wide Complex Georgia Regents University Tachycardia Richard Gordon, MD, FACEP Stephen A. Shiver, MD, FACEP On the Cover: GCEP physicians volunteer to spend a day during the legislative session working in the Capitol’s medical aid station, where they tend to illnesses and injuries of all kinds. Top, middle: Jay Smith, MD; middle, middle: Sean Lowe, MD; and bottom right, middle: Matt Keadey, MD and bottom left, middle: Rich Lassiter, MD. OFFICERS BOARD OF DIRECTORS EDITOR President Jeffrey Linzer, Sr., MD, FACEP Matthew Keadey, MD, FACEP John Rogers, MD, FACEP [email protected] [email protected] [email protected] Sarah R. Mack, MD, FACEP President-Elect [email protected] We welcome your comments or sugges- Matt Lyon, MD, FACEP Angela Mattke, MD, FACEP tions for future articles. Call or write at: [email protected] [email protected] Secretary/Treasurer Georgia College of Emergency Physicians Sylvan Waller, MD, FACEP Matthew Keadey, MD, FACEP 6134 Poplar Bluff Circle, Suite 101 [email protected] Jay Smith, MD Norcross, GA 30092 (770) 613-0932 • Fax (305) 422-3327 Immediate Past President Stephen Shiver, MD, FACEP Matthew J. Watson, MD, FACEP [email protected] [email protected] Michael Blaivas, MD, FACEP [email protected] Executive Director John Sy, DO, FACEP Tara M. Morrison, CAE [email protected] [email protected] Every Doctor is a Leader – The GCEP Leadership Initiative John J. Rogers, MD, CPE, FACS, FACEP Like it or not, every one of us is a leader. Physicians traditionally are looked upon as having unique knowledge, skill, judgment, and wisdom. We have chosen a career that places the interests of others above themselves. Together these make us natural leaders in the eyes of those around us. At home, if we have children, they will naturally look to us for leadership. At work, our patients look to us for advice, guidance and help in leading them down the path to well- ness. The other members of our EM team, advanced practice providers, nurses, and others look to us for leadership and direction as well. Increasingly hospital administrators look to us for leadership, as do other members of the medical staff. Many of us have leadership positions outside of the home or work, on local school boards, civic associations, and churches. Yet many of us find ourselves ill prepared as leaders. However leadership skills can be learned and developed. Recognizing our natural role as leaders, and that we as a Chapter John J. Rogers, MD, FACEP need to develop our own leaders, GCEP has initiated several projects that will address the [email protected] need for leadership education and provide opportunities to participate, develop, and exer- cise leadership skills. Together they form what I will call the GCEP Leadership Initiative. Dr. Rogers is president of GCEP. Dr. John Sy, a GCEP Board member from Savannah, has developed the GCEP Leadership Fellowship. Our first class will begin their yearlong program this June. It will consist of discussions on leadership skills, elements of bad and good leadership, media training, advocacy training and participation in GCEP Board meetings and advocacy events. Through the efforts of Dr. Bob Risch and Dr. Rob Higgins, GCEP began its Leaders and Directors Conference a few years ago. This is held every December and has become very popular. It provides presentations pertinent to management of an ED, as well as issues important to emergency medicine. It has attracted national speakers and is becom- ing known as a first class conference regionally and nationally. This year, at the Leaders and Directors Conference, we will begin the GCEP Awards Program. GCEP will award members in different categories for their leadership and accomplishments. This is not only to recognize individuals for their outstanding contri- butions and performance, but also to serve them as examples to others of what can be achieved through excellence in leadership. Award categories and the nomination process will be announced at our Annual Membership meeting and then be available on our website as well. This past year we began formal Committees with membership involvement. Though currently led by GCEP Board members it is our hope that eventually members will rise to assume the role of Chairs of each of these. Committee appointments for 2014-2015 will be announced during the Annual Membership meeting this June at the Coastal Emergency Medicine Conference on Kiawah Island. Committee interest forms will be due by the end of May and can be found on the GCEP website. Our Committees and their general duties are: epic 1 1. Bylaws – Review and update GCEP Bylaws on a 5. Finance – Formulate a budget, manage our invest- bi-annual basis. Develop and then annually update ments, advise the GCEP BOD on opportunities to a GCEP Chapter Manual. Perform a legal audit of save on expenses or increase revenue, and review all GCEP bi-annually. Report annually to the member- contracts. ship. 6. Governmental Affairs – Monitoring legislation/regu- 2. Education & Research – Arrange and direct the lation that may impact emergency medicine, orga- Directors and Leaders Conference and the GCEP nize and improve our advocacy efforts, improve our component of the Coastal Emergency Medicine Legislative Day activities; provide routine updates Conference. Promote the GCEP Regional meetings to our members, work with GEMPAC to identify and advise the GCEP Board on other educational legislators who deserve our support, and work with offerings to meet member needs. GEMPAC to identify our legislative priorities. 3. Electronic Media – Keep up with current trends GCEP needs leaders, will need them in the future, in social media, explore best outreach methods to and we as a College have an obligation to develop our engage membership, monitor the GCEP website and future. There is no doubt that in the future emergency update content as needed. physicians will be increasingly called upon to fulfill leadership roles in their hospitals and on their medical 4. Membership – Grow membership to 801 by June 30, staff. And when the call comes for us to lead, it is our 2015, develop strategies for recruitment and reten- duty to assume them and be capable of meeting these tion, develop the EM Futures program, assess mem- obligations. Participation in the activities that compose ber needs on a bi-annual basis, and report annually the GCEP Leadership Initiative can be a way to begin to to the membership. prepare for the inevitable calls to lead. The Department of Public Health would like to introduce to you GEORGIA RESPONDS! Georgia Responds is the organization representing Georgia’s health and medical volunteer programs with an easy streamlined registration process. Click. Connect . Respond. Click to learn how you can help before and after disasters or health emergencies as well as volunteering with the less fortunate in your own community. Some volunteers provide licensed medical services and administrative support, while others lend their special talents or skills as interpreters, community planners, computer experts and more. Connect to a simple one step registration portal that’s never been easier for one, or for all, of Georgia’s health and medical volunteer programs. Georgia Responds puts programs such as the Georgia Volunteer Health Care Program (GVHCP), the State Emergency Registry of Volunteers in Georgia (SERVGA) and the Medical Reserve Corps (MRC) at your fingertips at www.GeorgiaResponds.org. Care for others by making a difference when the unthinkable happens, or impacts everyday lives by volunteering medical and dental care. Gain career enhancing experience and, if you’re eligible, stay current with valuable continuing education credits, free training, and sovereign immunity during your service. 2 Spring 2014 Financial Ramifications for Physician Practices of ACA Deductibles: Getting Paid for “Affordable Care” Kevin S. Little, PC Absent in the noisy political rhetoric in implementing certain ACA provisions for and against The Patient Protection and and ongoing political wrangling

Load more