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Ashlee M. Melendez

Copyright
© 2009 KACEP

Reimbursement: From ACEP 
Medicare Fee Schedule Includes 4% Increase for Emergency Physicians Congress recently approved a 1.1% increase in 2009 Medicare physician payments. Emergency physicians will receive an additional 3% increase based on a change in the application of the budget neutrality adjustment to the 2007 emergency department E/M value increases. The 4% increase is the largest among physician specialties. 

Clinical News 
ARDS Shows Evidence of an Inflammatory Paradox Critically ill patients with acute respiratory distress syndrome who had higher C-reactive protein levels had unexpectedly lower multi-organ dysfunction scores, more ventilator-free days, and better 60-day survival, according to a patient study presented at the annual scientific sessions of the American Heart Association. Read the entire article online http://elist.acep.org/t/381602/5954007/20788/0/ 

Early Detection/Decolonization Reduces Nosocomial S. Aureus Infections Identifying newly admitted patients who are colonized with Staphylococcus aureus and beginning decolonization within the first 24 hours can reduce nosocomial infections by almost two-thirds, according to the results of a randomized study of more than 900 patients. Read the entire article online http://elist.acep.org/t/381602/5954007/20789/0/ 

N-Acetylcysteine Appropriate for Nonacetaminophen Acute Liver Failure N-acetylcysteine, a specific antidote for acetaminophen-related acute liver failure, is also appropriate for acute liver failure from other causes, according to a multicenter, placebo-controlled study presented at the annual meeting of the American Association for the Study of Liver Diseases. Read the entire article online http://elist.acep.org/t/381602/5954007/20790/0/

Lawmakers Approve Statewide Trauma System
Media Contact: Melissa Hounshell, (859) 323-6363, x256
LEXINGTON, Ky. (March 31, 2008) − Kentucky lawmakers took a giant step last week in improving trauma care for Kentuckians across the state. House Bill 371, which establishes the initial framework of a statewide trauma system passed unanimously in the Senate late Wednesday. Several UK trauma and critical care faculty and staff played a significant role in the bill's passage. It defines several terms related to trauma and trauma care, and recognizes unintentional injury as a significant cause of death and disability among Kentuckians.

The bill, sponsored by Rep. Bob DeWeese and co-sponsored by 22 other representatives from across the state, encourages the drafting of written transport protocols for EMS providers to better define which patients can stay at a local hospital for treatment, and which ones may benefit from bypassing a closer hospital to go directly to a trauma center. Under the bill, additional hospitals would be asked to explore the possibility of becoming a trauma center. Additionally, the statewide trauma system would provide better education for providers-- from first responders and EMT/paramedics, to nurses, physicians and even hospital administrators.

"Citizens of the state should understand they are already served by dedicated, skilled first responders who provide excellent care. Given the rural nature of most of the Commonwealth, it's unrealistic to put a fully-functioning trauma center in every community. That's why this legislation is vital to begin the process of filling in the gaps," said Dr Jeffrey Coughenour, UK trauma surgeon.

"Not only will this system save lives, but it will potentially save thousands of dollars in health care costs-- by improving efficiency of care. It will still take an estimated 5-10 years to develop a fully functioning trauma system, but we are so proud to see the legislature take this giant, first step," said Rep. Bob DeWeese, Minority Caucus Chair.

Due to on-going state budget issues, no state appropriations were sought in the bill. Applications for state and federal grant monies to fund the initial educational efforts are already underway. Once a recurring funding source is identified, a state coordinator will be hired within the Cabinet for Public Health to serve as a contact/lead person for the system, with constant input from members of a defined State Trauma Advisory Committee.

UK Chandler Hospital is one of only two Level 1 trauma centers serving the needs of Kentuckians.

 

ACEP has studied the status of Emergency Care in the United 
States... Read about it at:  The National Report Card on the State of Emergency Medicine.

Report card on Kentucky's Emergency Care  

 

Job Bank
We are currently seeking experienced physicians who are BC/BP in Emergency Medicine to join our practice. We are recruiting for a full time, partnership track position. Current scheduling is based on 9-10 hour shifts including 13 hours of double coverage. Excellent benefits and a competitive compensation package are provided.

Emergency Medical Associates is an established, democratically operated emergency medicine group that has staffed Norton Suburban Hospital’s Emergency Department for over 30 years. Norton Suburban Hospital is located in Eastern Jefferson County, providing a suburban work environment. The department has 20 private, spacious exam rooms for treating our 31,000 annual volumes and has complete on-call subspecialty coverage.

Interested physicians should contact our corporate office at:

Emergency Medical Associates, PSC
110 Executive Park
Louisville, KY 40207
1-502-895-4607
emakmc@bellsouth.net

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