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Emergency Medicine Informatics Section Newsletter - July 2017

Emergency Medicine Informatics Connection

Section News: ACEP17 in Washington, DC

Section Meeting Keynote Confirmed!
Donald Rucker, MD, FACEP
Donald Rucker, MD, FACEP
New Coordinator of The Office of the National Coordinator for Health Information Technology (ONC)

Monday, October 30, 2017
12:00 PM - 3:00 PM
Marriott Marquis, Independence Ballroom, Salon C

Dr. Rucker is well-known to ACEP & the Section for Emergency Medicine Informatics. He has deep IT roots in EM and was involved with the section during its formative years when he started a company called DataMedic (which became VitalWorks, now owned by Cerner) which developed an early EDIS called EMstation.

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Top Priorities in Clinical Informatics Education

JT Finnell, MD, MSc, FACEP, FACMI(1)Welcome to the “July edition” of Clinical Informatics education. I'm JT Finnell, one of the CI fellowship program directors. As an informatician, I tend to think in bullets so here are the top priorities in clinical informatics education: 

Fellowship Training: There are now 29 ACGME accredited fellowship programs. These can be found listed on AMIA’s website. I expect we will be over 30 in the upcoming months. Each of these programs typically trains 1 to 3 fellows, so they are fairly small. Last year, in 2016, there were 34 positions offered across 18 accredited programs. 

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EMI Website Improvements

Ben Slovis, MD

At the beginning of November 2016, the ACEP Emergency Medicine Informatics section began revising the section website for the benefit of its membership. While much remains to be improved, significant changes have been made. These enhancements will ultimately allow for the more streamlined delivery of news and events, keep members engaged and increase attendance at educational webinars.

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Decision Support and 21st Century Cures

Nicholas Genes, MD, PhD_2017

In our March Newsletter, Jason Shapiro covered the 21st Century Cures Act, which passed the house and was signed by President Obama in December 2016.  

While there’s plenty in the nearly 1000-page bill on EHRs, interoperability, and telehealth, a significant part of the bill also amended FDA oversight of clinical decision support, with an eye toward “big data” algorithms and AI-like guidance. Specifically, the FDA was made exempt from regulating any software that allowed physicians to “independently review” the basis of CDS recommendations – like the simple “if-then” statements behind drug-drug interactions, or more sophisticated sepsis alerts that are triggered by a combination of demographics, exam findings, and lab results. Because a doctor can easily determine the factors that went into a CDS recommendation, the FDA won’t be reviewing those tools. 

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In the Wake of the WannaCry Computer Ransomware, Are you Prepared?

Photo-illustration by Carrie Baker, DO 

WannaCry: A first of many attacks on our patients

A sixty-five-year-old English man with a history of high cholesterol and elevated blood pressures awoke this morning in Liverpool with a mild, dull ache in his chest. Throughout the day his discomfort worsened, just a little, slowly crawling along his left shoulder and settling deep in his gut. The very personification of the stiff British upper lip, the gentleman thought about stopping in on his local doctor, but dismissed the thought moments later. Besides- he had heard on the radio earlier that NHS hospitals were closed to all but the most serious of emergencies- and surely this gnawing ache wasn’t an emergency.

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Call for entries! Next deadline: August 15th, 2017

Carrie Bkaer_2016

Submit your letter to the editor, article or suggestions for future newsletter articles to Carrie Baker, DO

Subject line: “Informatics Newsletter” 

Include your name, title, affiliations and a head-shot photo (if you have one).

Articles should be approximately 200-800 words. Short announcements are also welcome. It is helpful if formatting includes title, name, and bullet points in 11 point, Veranda font and subsequent paragraphs in Arial, 10 point font. Feel free to include photos of your group, event or concept.  I look forward to hearing from you!

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FOAMbase – Blazing a trail for FOAMed-based CME

Nupur Garg, MDBen Azan, MDNupur Garg, MD, USACS
Ben Azan, MD, Attending Physician, Lincoln Medical Center

On-demand CME is now available for Free Open Access Medical education (FOAMed) content! Started by two Emergency Medicine physicians to meet the needs of our busy, on-the-go lifestyles, FOAMbase is a content / learning management website that allows EM Physicians to obtain CME for FOAMed content from the likes of Academic Life in Emergency Medicine (ALiEM) and emDocs. 

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ACEP Board Update

Jon Mark Hirshon, MD, MPH, PhD, FACEP_2017Greetings Section Members!

Great news, great articles, exciting announcements!! The EMI Section’s newsletter is filled with great content, yet again! Whether it is the exciting announcement that Dr. Donald Rucker (New Coordinator of The Office of the National Coordinator for Health Information Technology) is scheduled to speak to the EMI Section at ACEP17, or multiple educational opportunities related to informatics, or a quick discussion of the WannaCry ransomware attack, there are many articles well worth reading. Thanks again to Carrie Baker and the section’s leadership for their outstanding efforts to produce your newsletter.

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EMRA in the Informatics Space

Mike Hoaglin, MDMike Hoaglin, MD 
EMRA Informatics Chair
CEP America Admin Fellow

Archana Shah, MDArchana Shah, MD 
EMRA Informatics Vice-Chair
Chief resident, University of Chicago

Christian Dameff, MDChristian Dameff, MD
EMRA Board, Informatics Coordinator 
Chief resident – Maricopa (current)
Clinical Informatics Fellow - University of California, San Diego (July 2017)

The Emergency Medicine Resident Association (EMRA) has a growing Informatics contingent, led by its own resident-run Informatics Committee. What started as the “Tech committee” in its infancy 5 years ago, has matured into a fully-fledged EM Informatics interest group and working committee with board representation.

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Biomedical and Health Informatics On-Line Course for Emergency Physicians

10x10 with Oregon Health & Science University in conjunction with ACEP

The 10x10 (“ten by ten”) course provides a broad understanding of the field from the vantage point of those who implement, lead, and develop IT solutions for improving health, healthcare, public health, and biomedical research. It provides up-to-date details on current events in the field, including the "meaningful use" of electronic health records (EHRs) specified by the Health Information Technology for Economic and Clinical Health (HITECH) Act. It also covers key issues of standards and interoperability, system implementation, and healthcare data analytics.

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EMI Grand Rounds

Jeff Nielson, MD, MSGrand rounds are now available on the ACEP Informatics Section website. The most recent Webinars are “Command Center Medicine”, “Digital Health” and “Patient Focused Clinical Support”. Watch for the announcement for the next announced Grand Rounds Webinar.

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HIT Update: Healthcare Data Analytics

LCDR Darshan Thota, MDThe Office of the National Coordinator for Health IT recently offered a free course on Data Analytics. This data analytics course was a 14-module course offered over the period of two months. It focused mainly on population health information technology, and standards and interoperability. The course provided a broad overview for students in these respective areas. Students pursuing advanced training in population health will benefit from taking this course. It was free from Oregon Health and Sciences University, sponsored by the Office of the National Coordinator for Health IT.

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