The information contained herein is for informational purposes only. It is not intended to be medical or legal advice, and no information contained within (including any general information about medical or legal matters) should be considered or relied upon as medical or legal advice on any specific matter. You should not act solely on the information in these materials. You should consult an attorney when appropriate for individual advice regarding your own situation.
These materials are not guaranteed to be correct or up to date and may not reflect the most current legal or medical developments. The links in these materials are provided without endorsement and we assume no responsibility for the contents of those other websites.
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Workforce Taskforce Report Summary
April 15, 2021
On behalf of the ACEP Board of Directors, we are sharing a few important updates on the recent webinar where the findings of the Emergency Medicine Physician Workforce: Projections for 2030 were released and preliminary ideas were presented by the leaders of the Workforce Taskforce member organizations.
It is now the task of all emergency medicine to translate the data from the report and these initial ideas into action plans that will stabilize and strengthen emergency medicine.
From ACEP’s perspective, there are 8 key considerations we are committed to addressing:
- Stem the growth of emergency medicine residents and residency programs
- Raise the bar and ensure consistency across emergency medicine residency training
- Ensure business interests are not superseding the needs of educating the workforce
- Support practicing physicians to encourage rewarding practice in all communities
- Advocate that NPs and PAs working in the unique environment of emergency department have sufficient specialty training and work as a member of the emergency physician-led team
- Set the standards for emergency medicine so every patient has access to a board-certified emergency physician
- Broaden the umbrella to expand emergency medicine physician scope of practice
- Expand the reach of emergency medicine to ensure that no community is left behind
There is not one perfect, holistic solution to address market-driven industry instability. Change will take time and precision. Any successes will require the coordinated involvement of the entire specialty, with each stakeholder organization playing a unique role in the process.
Now is time for us to listen as we invite all emergency physicians to share your ideas for solutions. We are inviting ACEP’s chapters and sections to host town hall style discussion forums to talk about next steps. We are encouraging our partner organizations to do the same. Please look for these opportunities to participate and be a part of shaping the next generation of emergency medicine.
If you haven’t already, please watch the recent webinar with the research review and some initial ideas.
Read the Brief Summary prepared by ACEP’s Board for more detail.
Join the ongoing conversation in the Workforce discussion forum or use the email@example.com email address to submit thoughts and ideas.
Lastly, be sure to bookmark this page as we will continue to update you on all efforts across the stakeholder organizations.
Provider Data and Provider Verification Updates
April 14, 2021
NCTracks Changes to Provider Verification Process
Currently, NCTracks sends notifications for expiring credentials (licenses, certifications and accreditations) to all enrolled providers required to be licensed, certified and/or accredited. These notices are sent to the Provider Message Center Inbox beginning 60 days in advance of the expiration date of the credential.
Effective May 9, 2021, NC Medicaid is taking additional steps to ensure providers meet their contractual obligation and responsibility to keep credentials current on their NCTracks enrollment record by making system modifications to begin a process of 45 and 60 day notifications of suspension if a provider fails to update their credential prior to the expiration date on file with NCTracks. Providers were first informed of this forthcoming system modification in March of 2018.
Choosing from providers with complete and up-to-date licensure, certification and accreditation information allows NC Medicaid beneficiaries to make informed choices to achieve the best health outcomes. System modifications alerting providers to update expiring credentials will assist providers in meeting federal and State enrollment and credentialing requirements and will assist NC Medicaid in removing unlicensed providers and expired credentials from provider records. With updated provider information, NC Medicaid will be able to transmit accurate provider data to health plans and other departmental partners who serve Medicaid beneficiaries.
Please see NCTracks Changes to Provider Verification Process for additional information on the timeline for notifications, suspension and termination as well as what happens when credentials expire.
Provider Data Updates
Providing the most accurate and complete provider information is a top priority so Medicaid and NC Health Choice beneficiaries can make the most informed choice for their health plan and primary care provider. NCTracks is the “system of record” for provider enrollment data, which is then shared with health plans to inform contracting and provider directories.
In our review, the primary challenge with accurate data has been encouraging providers to keep their information accurate and current on all applicable enrollment records. If provider information is not current, then the data that flows forward to the health plans and the enrollment broker will not be accurate.
It is critical that all providers take the time now to review their provider records in NCTracks and submit changes as needed using the Manage Change Request (MCR) process.
Please see Provider Data Updates for additional information and resources.
Medicaid Health Plan Meet and Greet
March 16, 2021
With open enrollment underway as of yesterday for Medicaid managed care, if your practice has not yet contracted with one of the pre-paid health plans — or even if you have — here is an opportunity to get your questions answered. NC Medicaid in partnership with NC AHEC will host a series of virtual Health Plan Meet and Greet Sessions beginning next Tuesday, March 23.
Representatives from each of the five contracted health plans will be available to address your concerns and questions about the state’s transition from Medicaid fee-for-service to Medicaid managed care, slated to ‘go-live’ on July 1. Sessions will be delivered live with a recording and transcript made available after each event at NC AHEC’s Medicaid Managed Care webpage. And be sure to check out that page for other learning opportunities as North Carolina gets closer to this major shift in its Medicaid program.
NC Medicaid Enrollment Call Center and Website are Live
March 2, 2021
NCDHHS has begun mailing enrollment packets statewide and launched new resources for beneficiaries as it prepares for NC Medicaid Managed Care Open Enrollment which begins on March 15, 2021. Beneficiaries can now call the NC Medicaid Enrollment Call Center to learn more about NC Medicaid Managed Care and can download a free beneficiary enrollment mobile app. These new tools, as well as the NC Medicaid enrollment website, will assist beneficiaries in choosing a primary care provider (PCP) and a health plan for their families’ care. Some people will not need to choose a health plan because of the type of health services they need.
The NC Medicaid Enrollment Call Center number is 833-870-5500/TTY: 833-870-5588. The free mobile app, called NC Medicaid Managed Care is available on Google Play or the App Store. Mailing of enrollment packets is being done in batches and should arrive at beneficiary homes by Monday, March 15, 2021. Open enrollment officially begins March 15, but beneficiaries can proceed now with online enrollment, or call the NC Medicaid Enrollment Call Center for assistance.
NC Medicaid Help Center Now Available for Providers
March 2, 2021
In addition to the NC Medicaid Provider webpage, Medicaid and NC Health Choice providers now have a supplemental resource to research their questions and submit inquiries. The NC Medicaid Help Center launched today as an online source of information about Managed Care, COVID-19 and Medicaid and behavioral health services, and is also used to view answers to questions from the NC Medicaid Help Center mailbox, webinars and other sources. Formerly referenced as the “SWAT Command Center,” the NC Medicaid Help Center also includes resource documents such as standard and COVID-19 Medicaid Bulletins. A Medicaid bulletin has been posted with more detail.
NCDHHS Transition of Care Policy
February 26, 2021
NC Medicaid is pleased to release the NC Department of Health and Human Services Transition of Care Policy which describes key design features related to maintaining continuity of care for each Member and minimizing the burden on providers during transitions between service delivery systems. Please submit comments and questions about the Policy to Medicaid.NCEngagement@dhhs.nc.gov.
NC Medicaid will host a webinar overview of the TOC Policy on Thursday, March 11, 2021 from 12 noon to 1 p.m. Please pre-register for the webinar.
Health Care Professionals Series to Address Medicaid Transformation
September 30, 2020
The next installment of the “Health Care Professionals Webinar Series” will run this Thursday, October 1, from 5:30 p.m. to 6:30 p.m. and will continue on the first Thursday of every month.
This series will focus on Managed Care and be hosted by Dr. Shannon Dowler, Chief Medical Officer, NC Division of Health Benefits and moderated by Hugh Tilson, Director, NC AHEC Program.
Thursday’s topic is Better with Time: Medicaid Transformation State of Things.
This webinar will focus on:
- Managed Care 101: Reminders and Timeline
- Get to Know Your CMOs
- What You Can Do NOW to be Ready LATER
- Medicaid Hot Topic Updates
- Q & A
Research Survey Study: PTSD Symptoms in ED Physicians during COVID-19
September 28, 2020
Duke University, in collaboration with the ACEP Wellness Section, is looking for physicians working in Emergency Departments across the United States to participate a research study entitled “Prevalence & Predictors of PTSD Symptoms among Emergency Physicians in the United States during the COVID-19 outbreak.” Participation in this study is voluntary.
· US Board-Certified/Board-Eligible Emergency Medicine Physician
· Emergency Medicine Resident in the United States
· US Non-EM Physician working in an EM setting
The purpose of this study is provide information about the prevalence of Post-Traumatic Stress Disorder (PTSD) symptoms among Emergency Medicine physicians nationwide in the United States following the COVID-19 pandemic, and to explore other related factors including predictors of these symptoms.
If you agree to participate, you will be asked to complete a survey about your experiences as an Emergency Room physician during the COVID-19 pandemic. This survey may contain questions that are sensitive or upsetting. You may skip any questions that make you uncomfortable or that you do not wish to answer. No information that can identify you will be collected and your name and contact information will not be linked with the survey results. This survey should take you about 10 minutes to complete.
NCMB Launches MedBoard Matters Podcast
September 21, 2020
NCMB has announced the launch of their podcast, MedBoard Matters. The podcast will highlight important issues in medicine and medical regulation. The goal is to present compelling content in an easy-to-digest and enjoyable format. The very first episode is on suicide prevention awareness. Jean Fisher Brinkley had a great and uplifting conversation about a very heavy topic with Dr. Christine Moutier, Chief Medical Officer for the American Foundation for Suicide Prevention. Dr. Moutier discusses ways to overcome stigma associated with mental health issues in medical professionals and strategies and resources for getting help – as well as what to do if a colleague is in crisis.
The episode has been published in recognition of Physician Suicide Awareness Day, September 17th.
Here is a link to the episode: https://www.buzzsprout.com/1230689/5455090. We hope that folks will subscribe by searching for “MedBoard Matters” on their podcast platform of choice so they can be notified of future episodes.
If NCCEP members have questions they have always wanted to ask the Board, or ideas for specific topics for future episodes on MedBoard Matters, we would love to get feedback! Send suggestions and questions to firstname.lastname@example.org.
ACEP Candidates for President-Elect and Board
September 11, 2020
Here is an updated schedule of calls being held by the president-elect and Board candidates.
Firearm Injury Surveillance Through Emergency Rooms (FASTER) Award Recipients Announced
September 11, 2020
North Carolina is participating in the FASTER program. See more information below:
The CDC’s Division of Violence Prevention announces funding to 10 state health departments to gather surveillance data in near-real time on emergency visits for nonfatal firearm injuries. This competitively awarded funding falls under CDC-RFA-CE20-2005, Firearm Injury Surveillance Through Emergency Rooms (FASTER).
CDC awarded a total of $2,224,482 distributed among 10 recipients:
- District of Columbia Department of Health
- Florida Department of Health
- Georgia Department of Health
- New Mexico Department of Health
- North Carolina Department of Health and Human Services
- Oregon Health Authority
- Utah Department of Health
- Virginia Department of Health
- Washington State Department of Health
- West Virginia Department of Health and Human Services
Timely state- and local-level data on ED visits for nonfatal firearm injuries are currently limited. The collection of near-real-time data on ED visits for nonfatal firearm injuries overall and by intent (intentional self-directed, unintentional, and assault-related) at the state and local level could improve state and local practitioners’ ability to identify and respond to emerging public health problems.
The goal of this award is for recipients to improve the timeliness and dissemination of surveillance data of ED visits for nonfatal firearm injuries. Collaboration among states will include sharing data to strengthen syndrome definitions, data collection methods, analysis of surveillance data, and presentation and dissemination of findings.
Additionally, this collaborative award will result in tools and methods that can be used by state and local health departments across the nation to rapidly track and respond to firearm injuries.
Apr 1, 2020
We know there is a lot of information already coming your way, but we wanted to share some resources with you. Keep up the great work, and know that you are appreciated!
- ACEP COVID-19 Clinical Alerts – Learn More
- ACEP COVID-19 Field Guide – Learn More
- ACEP COVID-19 Physician Wellness – Learn More
- ACEP COVID-19 Discounts and Support – Learn More
- CDC Guidance for Healthcare Professionals – Learn More
- NC DHHS Guidance and Information – Learn More
- NC Medical Board’s Latest Updates – Learn More
- Help finding child care for health care and emergency employers – Learn More
“Preemptive” prescribing for COVID-19: A message from the NCMB President
Mar 25, 2020
The NC Medical Board distributed to all physicians and PAs regarding reports of preemptive prescribing of chloroquine and other medications for COVID-19. There is no policy change, but rather a reminder of appropriate prescribing and a warning about straining supplies of these medications. The Board is publishing all of its latest updates on this resource page.
Feb 19, 2020
Need a Card That Says You Exceed the Need for a Merit Badge?
ACEP believes that certification by ABEM or AOBEM supersedes the need for so-called “merit badge” short courses and opposes such requirements for board certified EPs. Many credentialing bodies, however, still require physicians to produce evidence of completion of the short courses. For members required to have such a card, ACEP offers its members a set of personalized cards online.
Scam Alert: NC Medical Board Urges Awareness and Caution
Dec 6, 2019
The North Carolina Medical Board (NCMB) recently issued an alert urging physicians and physician assistants to beware of telephone calls from individuals claiming to be investigators from the Board. The callers have been saying the physician or PA is under investigation and asking for personal or financial information. Such calls are not legitimate.
The NCMB does NOT contact licensees by telephone to give notice of pending action or investigation. If you receive such a suspicious call, hang up and do not release any information.
If you have questions, please send an email.
ACEP Wellness & Assistance Program
Nov 5, 2019
At ACEP19 in Denver, ACEP launched the ACEP Wellness & Assistance Program. This service is now available to all members and provides access to three, FREE confidential counseling or wellness coaching sessions.
Call 1-800-873-7138 to register and receive support whenever, however you need it.
- Counseling is available 24 hours a day, 7 days a week
- Sessions can cover stress, anxiety, depression, family issues, drug and alcohol abuse, relationships, death, grief, and more
- The service is strictly confidential and can be scheduled face-to-face, over the phone, via text, or through online messaging
- Wellness coaching sessions are 30-minute phone calls to help reach your personal wellness goals which can include weight loss, nutrition, healthy habits, stress, caffeine reduction, injury recovery, relationships, sleep, smoking cessation, and more
You may choose to use your three sessions using any combination of counseling and wellness coaching, up to the session limit.
If interested, ACEP members can pay just $15 a year to have additional resources to manage legal and financial issues through our partner, Mines & Associates. Participants will have unlimited access to an extensive online resource library and unlimited 30-minute in-person consultations for each individual legal or financial matter and a 25% discount on legal and financial services within the Mines network.
Dr. Kyle Roedersheimer Recognized for Work with Shelter Health Services
Mar 19, 2019
Congratulations to Dr. Kyle Roedersheimer, NCCEP Resident Board Member, on his recognition by Shelter Health Services in Charlotte, NC for his work as a volunteer physician, board member, and SHS-CMC EM Liaison.
The plaque (on the clinic wall) reads: “Thank you for your dedication and commitment to providing physician care to uninsured, medically indigent, homeless women and children living in poverty and staying in the Salvation Army Center of Hope shelter. Without your regular volunteering in the clinic and at Saturday Health Fairs, they would truly lack access to healthcare and medical services. Thank you also for being on the clinic’s Board of Directors and primary liaison to recruit volunteer physicians from Atrium Health Emergency Medicine Department.”
Shelter Health Services is a free health clinic providing healthcare and health information to uninsured, medically indigent, homeless women and children living in poverty and staying in the Salvation Army Center of Hope, the region’s largest shelter for homeless women and children. All shelter residents may access our free walk-in clinic simply by showing their shelter ID. Lacking money, Medicaid and mobility, for most of our clients, the free clinic is their only source of healthcare.
Dr. Tommy Bernard Appointed to NC Human Trafficking Commission
Mar 19, 2019
Congratulations to NCCEP Board Member Dr. Tommy Bernard on his recent appointment by Governor Cooper to the NC Human Trafficking Commission. Fighting human trafficking is one of Dr. Bernard’s passions, and he hopes to make a difference as physicians are often the first point of contact for human trafficking victims. Prior to Dr. Bernard, there wasn’t any physician representation on the NC Human Trafficking Commission. The N.C. Human Trafficking Commission was established in 2012, and studies and combats human trafficking in the state, develops regional response teams to address trafficking, and helps identify gaps in law enforcement’s response to the problem.
ACEP18 Council Update
Oct 23, 2018
Jennifer Casaletto, MD, FACEP
Board of Directors and Councillor, North Carolina College of Emergency Physicians
Political satirist Paul Paulsen once proclaimed, “Assuming either the Left Wing or the Right Wing gained control of the country, it would probably fly around in circles.” While we might be very close to verifying the veracity of Paulsen’s prediction on a federal level, you’ll be happy to know that our 51%-49% Red-Blue divided ACEP Council came together to accept 32 and defeat 5 resolutions during its annual two-day meeting. Three resolutions were referred to the ACEP Board of Directors for further consideration addressing: generic injectable drug shortages, development of ACEP policy regarding immigration, and revision of ACEP policy regarding the qualifications of expert witnesses.
For those members unfamiliar with the Council, it is a deliberative body of ACEP members representing the 53 chartered ACEP chapters (50 states, District of Columbia, Government Services, and Puerto Rico), the Sections of Membership (Young Physicians, EMS, etc.), Emergency Medicine Residents Association (EMRA), Council of Residency Directors (CORD), Association of Academic Chairs of Emergency Medicine (AACEM), and Society for Academic Emergency Medicine (SAEM). The Council debates and votes on resolutions submitted by no less than two members or component bodies. Ultimately, the actions of the Council are considered and ratified by the ACEP Board of Directors (BOD). In addition, the Council elects the members of the Board of directors and the ACEP President-Elect.
NC Alert: Life-threatening Coagulopathy associated with Synthetic Cannabinoids
Aug 2, 2018
Three cases of coagulopathy in patients reporting synthetic cannabinoids use have been reported in North Carolina. See the NC DHHS Provider Memo for more details and recommendations (including case reporting info) and the most recent CDC Health Alert Network (HAN) which includes multiple states reporting more than 200 cases through May 2018.
Click the links below for additional information:
North Carolina Statewide Opioid Overdose Surveillance: May 2018 Update
Jul 9, 2018
The Injury and Violence Prevention Branch, NC Division of Public Health has posted an update of provisional data on opioid-related poisoning deaths (NC OCME), opioid overdose emergency department visits (NC DETECT), and statewide harm reduction data (NCHRC).
All reports are posted to the website linked here and below.
NC DETECT Opioid Overdose ED Visits Reports
- May 2018 Opioid Surveillance ED Data
- May 2018 Opioid Overdose Emergency Department Visits Heat Maps
- County Reports (For counties with average visits > 9): 2018 Opioid Overdose Emergency Department Visits +
NC OCME Poisoning Deaths Surveillance Reports
NC Harm Reduction Slides
CDC Clinical Action Outbreak Alert: Potential Life-Threatening Vitamin K-Dependent Antagonist Coagulopathy Associated With Synthetic Cannabinoids Use
Apr 9, 2018
Please see the CDC Clinical Action Outbreak Alert regarding bleeding problems associated with synthetic cannabinoids use. We are not aware of any similar cases in North Carolina. Clinicians caring for patients with suspected suspect vitamin K-dependent coagulopathy associated with synthetic cannabinoid use are encouraged to contact the Carolinas Poison Center at 1-800-222-1222 for questions about diagnostic testing or management.
ED Based Peer Support Request for Applications
Mar 6, 2018
The North Carolina Healthcare Association is soliciting applications to participate in The North Carolina Emergency Department Peer Support Program for Improving Response to Opioid Overdose. Please see the request for application and the application below. All acute care hospitals with accredited emergency departments are eligible for application. Health systems are encouraged to work together and select one site for which to submit an application. The award is dependent and contingent upon selection and subject to the availability of funds. All questions may be submitted to Jai Kumar at email@example.com, until May 20th, 2018. The application period will run until March 30th, 2018 until 5:00pm. Incomplete or late applications will be ineligible for consideration.
Required for Submission:
- Completed application form with all questions answers and required signatures.
- Completed budget and budget justification. Include all sources of revenue for your peer support programs, staffing allocations, and all relevant program expenses.
- Letters of support or commitment documentation from key community partners: LME/MCO; Hospital Administration.
- An organizational chart for the program.
- Narrative explaining need, willingness to engage, commitment to data submission, and community readiness.
- Applications should be no more than 4 pages excluding attachments.
- Electronic application submissions only.
- Applications must be submitted no later than March 30th, 2018
ATTN: Jai Kumar, MPH, Director of Planning & Development, NC Hospital Foundation.
Treating Sickle Cell Patients in the ED – Toolkit
Feb 28, 2018
Please review the informational PDF regarding caring for individuals with sickle cell disease in the emergency department.