Life in the ER

Code Black and the Changing Culture of Emergency Medicine

September 24th, 2015
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“The romance isn’t gone. But it’s definitely going.” That was the verdict from Dr. Patsy McNeil, MEP Health’s Director of Patient Satisfaction, as we discussed the documentary film Code Black at a recent Leadership Academy meeting. The film chronicles a handful of emergency medicine residents training at one of the busiest emergency departments in the […]

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Posted in For Residents, Future of Healthcare, Life in the ER

Lessons From My Last Hospital

September 16th, 2015
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When you work with a team of great people for several years, you grow together. You learn together. You succeed and fail together. I had the opportunity to be part of such a team in the ED for the past several years. Recently, I moved to a new hospital, which has given me time to […]

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Posted in Hospital Partnership, Life in the ER

The Story of MEP Book Excerpt: Dr. Jesse Irwin

July 2nd, 2015
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Editor’s note: the following is an excerpt from a book of stories from USACS founding partner MEP Health. The book chronicles stories about their providers’ lives, values, motivations, and career paths. MEP Health joined USACS in December 2015. Four years of med school, five years in the Navy, and three at residency at George Washington—and […]

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Posted in For Residents, Life in the ER

Emergency Medicine Physicians At the Center of Achieving the Triple Aim

March 12th, 2015
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It is amazing to me how far emergency medicine has come as a specialty. Until the 1970s, emergency rooms were staffed by low-level resident interns who moonlighted for extra money or physicians who couldn’t find work elsewhere. After finally getting recognized as a specialty, the specialty still spent a few decades finding its way: developing […]

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Posted in Hospital Partnership, Life in the ER

What Does Patient Choice Have to Do With Integrated Care?

February 18th, 2015
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Recently I was taking care of a gentleman in one of our Emergency Departments named Paul. Paul is 55 with a history of alcohol abuse. He also had some psychiatric problems, and was diagnosed with rectal cancer approximately one year ago. He was placed in one of our psychiatric rooms as he was visibly intoxicated and […]

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Posted in Future of Healthcare, Life in the ER, Quality Efficiency Utilization

Doctor Patient: What Happened When I Got Cancer

December 16th, 2014
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It was last Summer in July when I became sick. It was a range of not unusual upper respiratory symptoms, but as time progressed and my symptoms didn’t respond to the usual combination of steroids and antibiotics, I became concerned. I’d developed a more distinct pain in my chest, and became increasingly mindful about those […]

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Posted in Life in the ER

The New World of Patient Satisfaction: Even Ice Chips Matter

December 5th, 2014
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“My wife died uncomfortable and alone. She died thirsty!” The man who spoke those words came in to the Emergency Room recently where I was working a shift. He was accompanied by his wife, a 70-year-old with high sugar, weakness, and nausea. The team worked to get her seen under the presumption that her diabetes […]

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Posted in Life in the ER, Patient Satisfaction

Inside the Media Training for ER Docs to Learn to Talk About Ebola

November 3rd, 2014
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It was toward the end of the second day of the largest conference in the country for emergency physicians, when the official Twitter account for the American College of Emergency Physicians (ACEP) sent out this little nugget of truth: #Ebola is not the only topic at #ACEP14. It just feels that way.

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Posted in Life in the ER

What US Hospitals and Healthcare Providers Should Take Away from the Ebola Outbreak

October 20th, 2014
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Among reams of coverage on the ebola outbreak, Politico just published a characteristic story with the headline, “In the world of ebola, no room for error.” The only problem is that is as soon as you introduce a human element to any system, there will be error. That’s the reality that healthcare leaders across the […]

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Posted in Leadership, Life in the ER, Quality Efficiency Utilization

Why Big Data in Healthcare is Failing, and What Can Be Done About It

August 19th, 2014
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A few days ago a colleague of mine was inching south through the mother of all traffic jams: 60 straight miles of construction work on I-95 just south Washington DC. The three-lane highway was jammed. Route 1, which runs parallel to I-95 was also jammed. Cars were stalled in the middle of the highway having […]

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Posted in Future of Healthcare, Life in the ER