Letter from the Editor
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Welcome back, Quality Improvement and Patient Safety leaders, and Happy New Year! Hopefully, many of you were able to attend the 2016 Scientific Assembly in Las Vegas. In this edition of the QIPS Newsletter, we are excited to share the Quality & Patient Safety Committee’s Annual Report.
Featured presentations from the 2016 Section meeting included:
Keynote presentation by Gregg A. Miller, MD, FACEP entitled “CT Utilization and Choosing Wisely.”
Arjun K. Venkatesh, MD, MBA discussed the Emergency Quality (E‐QUAL) Network and introduced the SEP-1 Challenge
Jen Blowers, MBA, CPHQ on “Implementing a Quality‐Driven Pain Stewardship Program in the ED.
Shared Decision Making Using the HEART Score and a Visual Aid in Patients Presenting with Chest Pain to a Community Emergency Department
In the United States, chest pain is one of the most common chief complaints, accounting for 5-8% of all Emergency Department visits. Classically, these patients have either been admitted to the hospital or observed in Chest Pain Observation Units. However, recent research suggests that many low risk chest pain patients can be discharged safely.Read More »
Emergency Department Weekly Stand-up Quality Meetings Improves Cadence of Change
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Our emergency department operations leadership was struggling with how to move departmental quality goals forward on a consistent basis. Equipment, staffing, and process problems were also not being resolved in a timely fashion. In September 2014, we implemented weekly stand-up meetings in our adult and pediatric emergency departments that have a combined annual volume of 50,000 patients.
Quality & Patient Safety Committee 2015-16 Annual Report
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Chair: Stephen V. Cantrill, MD, FACEP
Vice-Chair: Michael P. Phelan, MD, FACEP
Board Liaison: Vidor E. Friedman, MD, FACEP
Staff Liaison: Stacie Jones, MPH
1. Monitor quality initiatives and comment on behalf of ACEP to external organizations to ensure appropriateness of quality measures that impact the practice of emergency medicine, the emergency department, and the reimbursement of emergency physicians.
The QPSC submitted comments on quality measures that impact the emergency department including:
CMS: Safe Use of Opioids—Concurrent Prescribing measure.
CMS: Measures under Consideration 2015-2016
OP-21- Median Time to Pain Management for Long Bone Fracture
The Joint Commission: Acute Stroke Measures
New Endorsement and Ratification Process for comment
NCQA: HEDIS 2017
2. Develop and submit recommended measures and measure concepts to the Board of Directors through the multi-stakeholder Quality Measures Technical Expert Panel that protect and enhance emergency medicine.
a. Follow through on the development, specification, and testing of the ACEP Board approved or adopted measure concepts through NQF endorsement (optional) and CMS and MOC Part IV implementation.