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Emergency Medicine 2008 Our Current Political Landscape

Emergency Medicine 2008 Our Current Political Landscape. John J. Kelly DO, FACEP, FAAEM President, PA Chapter ACEP Associate Chair, Emergency Medicine Albert Einstein Medical Center Associate Professor, Emergency Medicine Jefferson Medical College.

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Emergency Medicine 2008 Our Current Political Landscape

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  1. Emergency Medicine 2008Our Current Political Landscape John J. Kelly DO, FACEP, FAAEM President, PA Chapter ACEP Associate Chair, Emergency Medicine Albert Einstein Medical Center Associate Professor, Emergency Medicine Jefferson Medical College

  2. ACEP REPORT CARDEmergency Medicine in PA:Strengths: Large Numbers of ER Docs Strong PA ACEP Chapter / SE PA AAEM: we have excellent leaders and we have collaborated on several key issues (corporate practice of medicine) Pennsylvania Medical Society: Bruce McLeod MD, FACEP, Marilyn Heine MD, FACEP Phila Med Soc President: Ted Christopher MD, FACEP Excellent Residencies in EM State EMS Director: Doug Kupas MD, FACEP PaACEP State Lobbyist advocates for our interests

  3. ACEP REPORT CARD:Emergency Medicine in PA:Weaknesses: • Very few Docs are involved in Political Issues • Very meager donations to PEP-PAC • Very few belong to PMS • Very few know their Legislators

  4. ACEP REPORT CARD:Emergency Medicine in PA:Opportunities: • Emergency Medicine has a presence at the Capitol • PaACEP Crowding TaskForce • White Paper on Crowding • Ongoing Meetings with Governor’s OHCR, DOH, HAP • Rep. Josh Shapiro: HouseBill 1093 (mired in the Senate EducComm; reintroduce 09) • Act 45 Rewrite (Improving EMS Bill)

  5. ACEP REPORT CARDEmergency Medicine in PA:Threats: • MCARE Relief : Legislative Quagmire • Governor Rendell and the Trial Lawyers • “Cover all Pennsylvanians” • Expanded Scope of Practice for NP • Crowding and OnCall Specialists Shortage • Loss of OB Care (Philadelphia) • Liability Premiums have not dropped • Loss of young physicians

  6. Progress!What to do now!MCARE Relief Quagmire: • $500 million in the Healthcare Abatement Provider Fund (tobacco and speeding $). • Rendell wants to tap into this money to fund his “Cover all Pennsylvanians” plan. • Call Governor’s Office 1-717-787-2500 or 215-560-2640 (6 legislative days left) • Go to paacep.org or capwiz.org • Tell Governor and Legislators to “get something done with MCARE Relief”; physicians and hospitals cannot afford our liability premiums without the MCARE Abatement….

  7. Progress!Crowding Task Force • White Paper for Gov.Rendell’s OHCR (8/07) • PaACEP ED Crowding Survey (ACEP ResearchForum 10/08) • PaACEP Full Capacity Protocol Pilot Study (Begins 12/08) • ’09 Goal: Introduce PA Crowding Legislation

  8. Progress!ACEP Report Card December 08 • Overall, Pennsylvania’s score will be good, with a few cautionaries • We have improved our Quality and Pt. Safety environment • Disaster Preparedness very solid • EMS state funding/State EMS Director • State-wide Trauma Registry

  9. Progress!PMS Leadership • PaACEP Sends 2 EM Leaders to the PMS Specialty Cabinet • “Educating the House of Medicine on Crowding” Resolution passed • PMS Chairman of the Board (Bruce MacLeod) • Run for the ’09 VP spot PMS (Marilyn Heine)

  10. Progress!Become an EM Advocate! • Become a member, and get involved! • Contribute to PEP-PAC (form follows finance) • Come to PaACEP Board Meetings (2 Resident Members) • Get involved in the Young Physician Section • Invite your Legislator to your ED! • ACEP Leadership and Advocacy Conference April 19-22, 2009 in Washington (no regist/PaACEP $) • Call me: 215-456-2461 • Email: kellyj@einstein.edu

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