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Here’s How an Observation Unit Addresses the Opioid Epidemic

Hey guys! It’s been an minute and we’re sorry about that, but we’re back for a 5th season. Dr. Wheatley and I are excited to bring a batch of new episodes starting with this one! Dr. Emma Sizemore is a graduating resident and soon to be EM faculty at Emory. She details the Medication Assisted Opiod Treatment pathway that we’ve been using in the observation unit at Grady. Read Learn more about this pathway at www.obsprotocols.org Click on THIS LINK to read more about the COWS Dr. Wheatley...


Self-administered medications, ACEP meeting, and psych obs!

Hey Pobscast crew, it’s been a little longer than 1 month since our last show, but this one is packed with high yeild policy stuff. We do brief wrap up of the Obs conference in case you missed it. We run over some things about psychiatric patients in observation status also. We spend some quality time discussing the Society of Hospital Medicine’s White Paper on obs. In fact, the link is here. Aslo we interview Dr. Bramante about what NY ACEP and further national ACEP is doing with the...


VTE Pathway, Dialysis Fast Track and Dr. Simon Mahler is the Guest

Hi guys! Probably, most exciting thing we have this month is the new theme music from DJ Serengeti Yeti. But also, we go deep on the Grady venous thromboembolism pathway and update the information on the OPPS. Plus! Dr. Mahler (from the HEART Pathway studies) tells us who HE thinks needs (and doesn’t need) a stress test in the ED.


BCRA, ACA, MACRA, MIPS, BCBS, and HEART - Policy Acronym Overload in Obs

This week, Dr. Wheatley and Dr. Osborne try to suss out how all of these acronyms relate to observaiton medicine. Also, we have a new recurrent segment called ‘WHO NEEDS A STRESS TEST.’ So, who better to kick this off than the first author on the origina HEART score paper. Dr. Barbra Backus joins us from The Netherlands via Skype. This is a can’t-miss show! Feel free to email us questions or comments at pobservation@gmail.com.


Pobscast from SAEM with Dr. Chris Caspers

We had a great time at SAEM this year and we recorded this episode just after the Obs Interest Group meeting. What are the differntiators from the ACEP group? What esle can we do with this forum? We sat with Dr. Capsers who shared with us some of his thoughts about the group, action items, and even the newer OIG report from December. Enjoy! Also, email us at pobservation@gmail.com or check us out on twitter @pobservation.


Observation Units with PA’s and NP’s

Podcast friends! This week we have a special guest, Triffy Pacitti, who is the lead Advanced Practice Provider (APP) at Grady. She tells Dr. Wheatley and I the real story of what managing APP’s in observation units is all about. She’s got a ton of insight and experience. If you’re looking to start an observaiton unit that uses APP’s, then this is a can’t miss episode.


The Dr. Stephen Pitts Sit-Down

This week, Dr. Wheatley and I sit down with Dr. Stephen Pitts. If you haven’t read much of his health services research, then you are missing on some hard-hitting data about the role of the emergency department in national healthcare. In addition to this special insight, Dr. Pitts was there at the beginning…of much of emergency medicine. Hear how his first obs unit had a rough time and then get his take on where he thinks obs is going in the future. There is real EM wisdom here to be...


Flu in Obs and MOON in Obs

Hi guys! This month we’re talking about influenza and the MOON. Do you put influenza-like-illness patients in your obs unit? We talk some about the issues surrounding this treatment pathway and share the nitty gritty details of how both of the hospitals Wheatley and Osborne are handling Medicare Outpatient Observation Notice Act implemenation. The MOON slides from Mike Ross’s update at ACEP 2106 are HERE The CMS form examples are HERE


ACEP 2016 Podcast

Did you miss the meeting of the Obs section? Do you want to catch up on the MOON and what’s going on with the psych-in-obs issue? Well, look no further. Dr. Wheatley and Dr. Osborne sum up the meeting and share their insights on the near future of obs and what’s going on with the MOON act. Don’t miss this one!


Conference, Controversy, and Syncope

Wheatley and I go deep in to a fairly controversial article abut the lack of studies in obs. We recap the conference and talk money and syncope.


2 Midnight Rule at ACEP

It’s a long episode because it’s a big deal. Matt and I sit down with two big wigs from ACEP and go over the in’s and out’s of this rule. We even get their thoughts about EM, Obs and the future. You don’t want to skip any parts of this show!


Heart Failure again and again!

We’ve touched on heart failure in the past, but we’re getting to the nitty of the gritty with Mike Ross. We discuss 3 of the more current pieces in the literature today regarding obs and heart failure. ENJOY!

Pobservation Medicine Conference

This week we go to the archives from our trip to denver where we sat down with Carol Clark. She discussed the upcoming observation medicine conference which will be in Troy, Michigan September 12-13 this year. Enjoy!


CMS asks for observation comments

This week, Mike Ross and crew get down to to the nitty of the gritty of the Centers for Medicare/Medicaid Services request for comment on issues around observation services. We also briefly discuss two articles related to observation medicine. Amazing! and it’s only 25 minutes long. Music by Omega Love.


Observation Medicine and Education

This week, Rachel O’Malley joins us to talk about what the components of an observation medicine curriculum should be.


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