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Emergency Medicine Informatics Section Newsletter - October 2016

Letter from the Chair

Jason Shapiro_2016It has been a good year! I look forward to seeing many of you at our annual meeting on October 17th at 12:00 pm PT at the Mandalay Bay Convention Center in South Pacific Ballroom A. There have been many advances in clinical informatics, including rapid growth in the number of ACGME accredited clinical informatics fellowships, and many more emergency physicians becoming board certified in clinical informatics through the American Board of Preventative Medicine (ABPM). With the practice pathway window closing at the end of 2017, this is an important thing for section members who have been practicing clinical informatics to consider before time runs out. More information can be found at here.

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Section Grant Update: Consensus Vocabulary of ED Chief Complaints

HorngIn 2013, the ACEP Section of Emergency Medicine Informatics was awarded an ACEP Section Grant to develop a consensus vocabulary of chief complaints. This project would implement the roadmap set out in 2008 by Haas et al to develop a controlled vocabulary for chief complaints. A national, standardized chief complaint vocabulary is essential to epidemiology, bio-surveillance, risk adjustment, retrospective cohort selection, chief-complaint based quality measures, real-time decision support, chief-complaint based order sets, among many others.

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American Medical Informatics Association (AMIA) 10 x 10 Course in Conjunction with ACEP

Carrie Bkaer_2016ACEP in conjunction with AMIA and Oregon Health & Science University offer a course specifically designed for emergency physicians and ED staff to provide a strong foundation in the basics of Clinical Informatics.  The course name originated from a goal in 2005 to educate 10,000 people in the field by 2010.  This recommendation was initiated by Dr. Charles Safran, who suggested that at least one physician and one nurse in each of United States 6,000 hospitals be trained in clinical informatics.

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The CEDR Revolution

Nicholas Genes_2016As you may know, part of last year’s replacement for the decades-old “Doc Fix” was a new, complex bill called MACRA that will strongly influence US physician compensation moving forward. Part of the new law consolidates existing reporting requirements, such as various quality measures and Meaningful Use, under MIPS - the new Merit-based Incentive Payment System. Reporting for MIPS will cover domains like quality, resource utilization, and advancing care information – and the reporting period actually begins quite soon - January 1, 2017. MIPS reporting will be mandatory for nearly all clinicians, including ED providers - though most of us will probably report as a group, and choose among six metrics that best reflect our department’s practice.

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Greetings from your Board Liaison!

JM Hirson_2016ACEP16 in exciting and frenetic Las Vegas is rapidly approaching in the middle of October. As you can see from this newsletter, your dynamic Emergency Medicine Informatics section leadership and members have been busy with many important activities throughout the past year. Your section and its leaders continue to produce important products for ACEP and our members, such as the ongoing EMI Grand Rounds Webinars. This work is vital as electronic health record systems continue to be implemented and revised throughout the nation, impacting clinicians and patients in many different ways. I know, having survived my own system’s transition to EPIC last November.

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Section Grant Update: ED Informatics Guidebook

NupurGarg_2016In mid-2015, ACEP graciously granted the Emergency Medicine Informatics Section funds to publish the first Informatics Guidebook intended for all emergency physicians. This guidebook stems from the ACEP member survey responses indicating that keeping up with information and technology was a primary challenge for ACEP members.

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Clinical Informatics Training and Board Certification Update

benmungerACGME Accredited Fellowships
There are currently 22 Accreditation Council for Graduate Medical Education (ACGME) accredited programs in Clinical Informatics. This is the second full year of fellow recruiting. The program directors report a significant increase in the number of high quality applicants. For many programs, July 2016 will be the first year with a full complement of fellows and the first graduation year.

Clinical Informatics Program Director’s Organization (CIPD) 
The American Medical Informatics Association (AMIA) has been supporting the development of a program director’s organization in Clinical Informatics. Over the past two years, CIPD has held informal meetings at the AMIA annual meeting and one other meeting in the spring. CIPD has developed a formal set of bylaws and recently met at the summer Inspire academic meeting in Columbus, Ohio. The AMIA Inspire meeting is focused on academic clinical informatics and offers programs of interest to informatics faculty.

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