Skip to content

Tag: Jesse Pines

Published on Leave a comment on New on Health Affairs Blog: the role of freestanding emergency centers in rural communities
Ameer Khalek

April 3, 2017

There is a rural healthcare crisis due to alarming closure rates of Critical Access Hospitals (CAHs) in sparsely populated communities. These communities are experiencing a gap in healthcare access and consequent economic loss in healthcare related jobs, that is having a major impact on population and outcomes in those communities. In an informative piece published on Health Affairs Blog recently, two expert emergency physicians, Dr.’s Jesse Pines and David Ernst, describe an innovative solution to the rural healthcare crisis – the freestanding emergency center (FEC). FECs are facilities that delivers full-capacity emergency department (ED) care while being structurally separate from a hospital. In addition to describing the FEC care model, the authors also describe barriers to dissemination, including economic considerations and how policies could be changed to promoting FEC replacements when CAHs close.

Read: Solving The Rural Health Care Access Crisis With The Freestanding Emergency Center Care Model

Dr. Pines writes, “If a rural community CAN support a hospital, then it provides a comprehensive and vital community service and should by all means stay open. However, NOT ALL communities can support a full hospital even with government subsidies.” Timely access to definitive emergency care reduces mortality, supporting FECs where CAHs cannot be sustained. In the coming months with active discussions about the future of healthcare policy, we should look carefully at the FEC model and how it could help solve the rural access problems and improve population health.

Click here for more information on FEC’s from the American College of Emergency Physicians (ACEP).

Ameer Khalek is a MPH student at the GWU Milken Institute School of Public Health

Published on Leave a comment on Available Now: New Webinar on Venous Thromboembolism (VTE) from the American College of Emergency Physicians
Jesse Pines, MD MBA MSCE
April 19, 2016

Venous thromboembolism (VTE) – specifically deep vein thrombosis (DVT) and pulmonary embolism (PE) – is commonly considered when patients present to acute and emergency care settings with symptoms of shortness of breath, chest pain, leg swelling, and other symptoms.  The diagnosis of VTE and subsequent care after diagnosis are rapidly evolving areas that all clinicians caring for patients in acute and emergency-care settings should know about. In particular, over the past several years, there have been a variety of new drugs approved for the care of VTE, particularly novel oral anticoagulant drugs (NoAC) and new drugs for the treatment of bleeding.  Importantly, the new December 2015 CHESTguideline from the American College of Chest Physicians represents a tectonic change in the care for VTE, and in particular for subsegmental PE.

To ensure clinicians remain up-to-date on VTE care, the American College of Emergency Physicians (ACEP) recently released a FREE fantastic webinar titled, “Contemporary Emergency Medicine Perspectives on Venous Thromboembolic Disease.” The webinar focuses on VTE diagnosis and treatment in the ED, as well as how to manage bleeding for patients who are on anticoagulants (specifically novel oral anti-coagulants), as treatments rapidly evolve with newly approved options. Webinar speakers include two big names in emergency care: Charles Pollack, MD, MA from Thomas Jefferson University and Adam Singer, MD from Stonybrook University.  The webinar can be accessed here.  In order to view the webinar, you will need a log-in to ACEP’s eCME portal.  Log-ins are free and you can create one on their eCME site here. Click “Login to Get Started” and then “Create an Account.”  ACEP offers several other free, quality courses on this site.

A variety of topics are discussed, including:

  • New treatment options for VTE in the era of new anticoagulant drugs
  • How to manage bleeding issues for patients on oral anticoagulants
  • How to individualize treatments based on risk factors and consideration of outpatient management for specific patients with VTE
  • New drug treatment options for high-risk medically-ill patients in the ED

In short, this activity covers information that every emergency physician should know, so please log in and listen.

Departments,"Annals of Emergency Medicine 47, no. 4 (2006): 317-26.

Jesse Pines, MD MBA MSCE is the Director of the GW Center for Healthcare Innovation & Policy Research and a Professor of Emergency Medicine and Health Policy at the George Washington University.

 

Unless otherwise indicated, the content and opinions expressed on this web site are those of the author(s). They are not endorsed by and do not necessarily reflect the views of the George Washington University.
Viewing Message: 1 of 1.
 Notice

This site uses cookies to offer you a better browsing experience. Visit GW’s Website Privacy Notice to learn more about how GW uses cookies.