Joint Ventures Between a Hospital/Hospital System & CMG
AAEM opposes joint ventures between a hospital or hospital system and a corporate emergency medicine contract management group (CMG) whereby a portion of the emergency physician professional fee is distributed to the hospital or hospital system and the CMG in excess of fair market value for services performed. Such an arrangement may place the emergency physician at risk of participating in prohibited fee-splitting, kickbacks, and the corporate practice of medicine.1
1. DHHS Office of Inspector General. OEI-09-89-00330 Financial Arrangements between hospitals and hospital based physicians.
The Pulmonary Embolism Rule-Out Criteria (PERC) Meets the Standard of Care for Emergency Medicine (EM)
It is the position of AAEM that, when properly applied to an individual patient for whom the clinician already has a low clinical suspicion for PE, based on a gestalt impression, the Pulmonary Embolism Rule-Out Criteria (PERC) meets the standard of care for EM. When a patient is PERC negative no further diagnostic work up for pulmonary embolism is required including D-dimer measurement and the performance of advanced imaging studies (CT pulmonary angiography and VQ scanning).
1. Kline JA, et al. Prospective multicenter evaluation of the pulmonary embolism rule-out criteria. J Thromb Haemost 2008; 6:772-80.
2. Singh B, et al. Diagnostic accuracy of pulmonary embolism rule-out criteria: A systematic review and meta-analysis. Ann Emerg Med 2012; 59: 517-20.
The American Academy of Emergency Medicine (AAEM) is the specialty society in emergency medicine today. As an organization, AAEM believes achievement of board certification represents the only acceptable method of attaining recognition as a specialist in emergency medicine.
For more information, please visit www.aaem.org or call 800-884-2236.
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