NJ-ACEP News

NJ-ACEP Approves Opiate Prescribing Guidelines

  • 1 May 2017
  • Author: Lauren Myers
  • Number of views: 1169
  • 0 Comments

NEW JERSEY CHAPTER, AMERICAN COLLEGE OF EMERGENCY PHYSICIANS EMERGENCY DEPARTMENT OPIATE PRESCRIBING GUIDELINES

  1. Emergency department providers are committed to addressing the analgesic needs of all patients presenting for care.
  2. Chronic pain syndromes are best managed by physicians with an ongoing relationship with a patient in an outpatient office environment.
  3. Emergency department providers should consult the Prescription Monitoring Program (PMP) before writing opioid prescriptions.
  4. Physicians should prescribe the lowest effective dose for the shortest possible duration for pain severe enough to require opioids.
  5. Emergency department providers should not replace prescriptions for controlled substances that were lost, destroyed, stolen, or finished prematurely.
  6. Unless otherwise clinically indicated, Emergency Department providers should not prescribe long-acting or controlled release opioids, such as OxyContin® or fentanyl patches.
  7. When opioid medications are prescribed, the Emergency Department staff should counsel the patient regarding risks of opioid therapy, proper storage, and administration.
  8. Clinically appropriate administration and prescription of opioids should be provided to patients with cancer pain.
  9. Hospitals, in conjunction with emergency department personnel, play a key role in ensuring responsible opioid administration and prescribing. As such hospitals should:
    • Support emergency department practices to provide the most appropriate management to patients with chronic pain.
    • Develop care plans for patients who frequently visit the emergency department for evaluation of acute exacerbations of chronic pain. Coordination should involve the emergency department, hospital, and the primary care provider treating the patient’s pain‐inducing condition. Such care plans may include patient‐specific policies or treatment plans. Screening for brief intervention and referrals to treatment programs for patients who are at risk for developing, or who actively have, substance abuse disorders may be appropriate for these patients.
    • Recognize that parenteral administration of opioids is generally not in the best interest of a patient with an exacerbation of a chronic pain.

Click here to download document.

Women in Emergency Medicine

"Negotiating Tips" March 2, 2017 in Hamilton Twp, NJ

  • 7 February 2017
  • Author: Lauren Myers
  • Number of views: 3592
  • 0 Comments

Our first meeting regarding women leadership in emergency medicine was a great success!  

Doctors and medical students from all over the state joined our board meeting and then participated in a session where we talked about "Networking tips". We then had a general networking event followed by our annual Director Dinner -the speaker was incredible and thought provoking - Dr. Brenner spoke about "Building a New Model of Care For the Most Complex Patients."   

We have a few exciting upcoming events - Our next board meeting on March 2 at 9:30 am in Hamilton Township, NJ.  We will have a similar post-meeting session regarding "Negotiating Tips", starting around 12:30 pm.    

At this meeting, we will also select one attending AND one resident physician to receive FREE registration to ACEP's annual Leadership and Advocacy Conference being held March 12-15 in Washington, DC.    

If you plan to attend the March 2nd event, please RSVP to Lauren Myers at lmyers@amrms.com to allow us to accommodate accordingly.   

Homewood Suites by Hilton, 960 US 130 Hamilton Twp, NJ 08690

ACCESS to CARE COALITION UPDATE

  • 6 December 2016
  • Author: Lauren Myers
  • Number of views: 3747
  • 0 Comments

ACCESS TO CARE COALITION AND MEMBERS OF THE LEGISLATURE  VOICE OPPOSITION TO PROPOSED OUT-OF-NETWORK BILL A-1952/S-1285 AND OFFER SUPPORT OF BILL A-4228


Members of the Access to Care Coalition and the Legislature held a news conference today at the State House in Trenton on December 5, 2016 to voice opposition to the Out-of-Network Bill A-1952/S-1285 and support for Bill A-4228/S2674.The group unanimously supports bill A-4228, which requires increased notice by physicians, hospitals and insurance companies to consumers about healthcare costs.    


“We want to make sure there is more transparency from health insurers, so that consumers are not hit with surprise bills for out-of-network services,” said Larry Downs, CEO, Medical Society of New Jersey. “That’s why we support Bill -4228 and oppose Bill A-1952/S-1285.”   

The Access to Care Coalition, comprised of twenty groups representing more than 10,000 physicians and other providers, came together to address inconsistencies within New Jersey consumers’ health plan coverage; to call for more transparency from health insurers and to address the issue of surprise bills that can accompany out-of-network healthcare services.   

“Many patients think if they have an 80/20 health insurance, the insurance company will pay 80 percent of the bill, but that is not always the case,” said Dr. Rajnik W Raab, a neurosurgeon.  “What often happens is that insurance companies will pay only eighty percent of the Medicare reimbursement rate, leaving patients responsible for paying much more than they expected.”

Several other physicians spoke of the difficulties they and their patients face on a regular basis in terms of out-of-network, surprise bills, including Dr. Joseph Costabile (surgery), Dr. Nicole Saphier (radiology), Dr. Mark Rosenberg (emergency), and Dr. David Dupree (surgery).  

NJ-ACEP ACTION ALERT:

  • 2 December 2016
  • Author: Lauren Myers
  • Number of views: 2843
  • 0 Comments

Stop the NJ Legislature from Imposing Fee Schedules for Out- of-Network Emergency Services Provided at In-Network Facilities

The New Jersey state legislature is, once again, considering legislation to address “surprise billing” of patients who received out of network services at in network facilities.  NJ-ACEP continues to actively oppose the out of network reform legislation that would significantly impact emergency physicians by imposing mandatory arbitration and unreasonably low fee schedules for emergency services provided by out of network physicians at in network facilities.  NJ-ACEP is part of a coalition of providers that favors disclosure and transparency from hospitals, physicians and payers to help eliminate the “surprise” of an out of  network bill. But the coalition strongly opposes the efforts of the sponsors and the insurance industry to impose fee schedules on out of network physicians, eliminating the ability to negotiate out of network charges or even in network contracts with insurers.  Furthermore, the proposed fee schedule sets the rate paid at 100-250% of the Medicare reimbursement rate.

WHAT CAN YOU DO TO TAKE ACTION?? Sign up for Phone2Action to instantly contact your legislators.  We've done all the work for you.

EMAIL: Click the following link to email your opposition http://p2a.co/admWEQL   

TEXT: Send a text message to 52886 with the word "fees" and instantly become connected

Message from the President

  • 26 July 2016
  • Author: Lauren Myers
  • Number of views: 3063
  • 0 Comments

It is my honor to serve as this year’s President of NJ-ACEP.   I want to thank Mark Rosenberg for an outstanding year and congratulate him on his election to the National ACEP Board of Directors.  I have a tough act to follow. Please allow me to introduce myself to those who may not know me.

Aside from medical school (Chicago) and residency (Philadelphia), I have spent most of my life in New Jersey.  I completed my residency training at Jefferson in 1995 and spent the next 6 years practicing in Philadelphia.   During the early years of my career I had the opportunity to moonlight at many of New Jersey’s Emergency Departments from single coverage 24 hour shifts in Sussex County to Atlantic City’s city hospital and everything in between. This allowed be to experience multiple clinical settings and group structures.  I moved from my fulltime position in Philadelphia to Robert Wood Johnson University Hospital in New Brunswick in 2001.

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