Building a Better Workplace: Gender Equity in Emergency Medicine

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1 Building a Better Workplace: Gender Equity in Emergency Medicine TH - 313/ 1 Hour(s) Faculty: Esther K. Choo, MD Gender disparities are pervasive in medicine. The speaker will discuss the underpinnings of these disparities, how imperative equity is to the strength of our practice, and potential solutions. Moving from Unwellness to Wellness at the Organizational Level TH - 368/ 1 Hour(s) Faculty: Rita Manfredi-Shutler, MD, FACEP; Arlene Chung, MD Since departmental and institutional wellness significantly impact individual wellness, discussion will center on knowledge and skills needed for programmatic and organizational improvements in wellness. The speaker will also identify outstanding interventions a department or organization should implement to promote longevity, increase satisfaction, and recruit and retain providers. Super Strategies to Help Your ED Super-Utilizers WE - 271/ 1 Hour(s) Faculty: Nicole Franks, MD, FACEP What really happens to the patient who presents to the ED night after night? How can emergency medicine help the system coordinate care so as to prevent further ED visits and hospital admissions? The speaker will share innovative and proven strategies that will help you identify super-utilizers and create a coordinated discharge plan to prevent further recidivism. So You re an Outlier - Now What? Social Norm Feedback and the Emergency Physician MO - 64/ 0.5 Hour(s) Faculty: Nicholas G. Genes, MD, FACEP Effective feedback on physician performance is in rare supply, even as we measure more and more about ED practice. With the proliferation of EMR, a new era of measurement, and feedback, is upon us. The speaker will review the evidence behind social norm feedback, in other realms and specifically among physicians with respect to practice variation. Technology behind this feedback, risks of error, and opportunities for improving ED practice will also be explored. 29

2 Innovative Strategies to Optimize ED Flow MO - 72/ 1 Hour(s) Faculty: Kirk B. Jensen, MD, FACEP Improving patient flow in your ED is a deeply important issue. Even the most talented and compassionate healthcare providers are only as good as their surroundings allow them to be. When patients flow smoothly through your ED it improves patient care, access to services, and the well-being of your team. The speaker will discuss barriers to efficient patient flow, review strategies to improve workflow patterns, and discuss methods to build effective relationships and change. The speaker will also discuss improving ED efficiency and flow through different perspectives such as the use of scribes, dictation, advances in EMR and the use of APPs. ACEP Connect: Split Flow Success Avoiding Pitfalls and Getting Up to Speed! WE - 206/ 1 Hour(s) Faculty: Jay A. Kaplan, MD, FACEP; Abhishek Mehrotra, MD, MBA, FACEP; Joan Noelker, MD, MACM EDs are asked to see increasing numbers of patients. Fast track or urgent care units have become increasingly popular options for both providers and patients. Providers must be cognizant of a variety of pitfalls in these settings. During this interactive Connect Format, expert faculty will identify effective strategies that allow providers to increase their speed, efficiency, and patient satisfaction, while avoiding diagnostic and therapeutic pitfalls. Today's System Based Adverse Event Review: Expert Tips for Improving Safety TU - 148/ 1 Hour(s) Faculty: Kathryn Kellogg, MD MPH Adverse events are a reality in emergency medicine. All states and the Joint Commission require Root Cause Analysis (RCA) in response to these events, but many are ineffective and fail to produce meaningful change. In this session, experts who were involved in development of recent systems-based RCA tools produced by the Agency for Healthcare Research and Quality and the National Patient Safety Foundation will describe safety science and human factors engineering philosophies underlying this new method. Participants will gain the tools necessary to go beyond the who s to blame mentality and perform systems-based event reviews that will truly improve safety. 30

3 Quick Doc: Providers in Triage WE - 267/ 0.5 Hour(s) Faculty: Thom A Mayer, MD, FACEP Can you really augment flow and care in your ED by placing a physician or advanced practice provider in triage? Is this a myth? Find out from those who have done it. Are there any data to back this practice up? The presenter will lead you through proven strategies to help expedite care in your ED. Freestanding Emergency Departments: Threat, Opportunity, or Both? WE - 301/ 1 Hour(s) Faculty: Thom A Mayer, MD, FACEP The past several years have seen an explosive growth of freestanding emergency departments, with nearly 500 facilities in 45 states, with more coming every year. Do FSEDs represent a threat, opportunity, or some combination of both? Do they compete for patients, market share, and recruitment of talented emergency physicians and nurses? How do you decide whether to diversify into FSEDs? What is the financial calculus involved in these decisions? The speaker brings a wealth of talent and experience in this area and will discuss its ramifications for emergency medicine. Utilization of Business Intelligence Software for Emergency Department Operations Optimization MO - 50/ 0.5 Hour(s) Faculty: Matthew A. Silver, MD, FACEP Historically, emergency departments use a host of raw data for optimizing operations and ED processes. Information retrieval and analysis from an electronic health record database can be tedious. ED metrics are increasingly scrutinized and predicting arrival patterns and dispositions can help with supplydemand matching and improve throughput. The static nature of traditional ED dashboards often creates the need for further inquiry into relevant data. The ability to quickly retrieve and visualize relevant information is vital to the management of a safe and efficient ED. The creation of an interactive ED dashboard using business intelligence software can revolutionize the way ED and hospital administrative teams evaluate ED operations and can assist in internal benchmarking within our organization. 31

4 Bridging the Cultural Gap: Developing Cultural Competency TU - 160/ 1 Hour(s) Faculty: David P. Sklar, MD, FACEP; Breena R. Taira, MD, MPH, CPH, FACEP Because patients of a wide variety of backgrounds seek emergency medical treatment, understanding of cultural, ethnic, religious, and social differences of opinions and philosophies regarding health care may be crucial to developing an acceptable health care plan. A sample of the variety of cultural and religious beliefs and approaches to health care will be considered, including Jehovah s Witness position on blood transfusions, Christian Scientists beliefs about medical care, Native Americans views of autopsies, African-American perspective on withholding care, Hispanic families approaches to medical decision-making, Asian beliefs regarding disclosure of bad news, the Hmong medical belief system, and a variety of others. Number Needed to Treat: Pinpointing ED Interventions That Matter Most TH - 317/ 1 Hour(s) Faculty: Jeffrey Tabas, MD, FACEP During this course the speaker will discuss the definition of, and an in-depth understanding of the Number Needed to Treat (NNT). The speaker will discuss common complaints and diagnoses, and how they stack up in terms of the NNT. The speaker will also discuss how to navigate this information to allow EPs to derive the most benefit for their patients when time and resources are a challenge. This Boarding is Crazy: What to Do With Mental Health Boarders in Your Department WE - 273/ 1 Hour(s) Faculty: Kathleen E. Walsh DO, MS Nearly every department is faced on a daily basis with the challenge of boarding mental health patients. The speaker will discuss challenging mental health ED boarding cases and effective strategies for managing these patients. Audience members will participate in a lively discussion and be able to ask questions of how best to handle these difficult cases. 32

5 Advanced Practice Providers: Coming to an ED Near You! WE - 283/ 1 Hour(s) Faculty: Frederick Wu, MHS, PA-C PAs and NPs are becoming a common staple in modern day emergency departments. An ACEP Now article writes that the most effective ED patient flow model appears to favor teams of emergency physicians and PA/NPs. However, what is the training background of these providers? How should they be utilized in your ED? How should they be onboarded and ultimately supervised? Where do you find them and how do you retain them? Join this speaker as these issues and more are discussed so you can maximize the use of PA/NPs in your ED. 33

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