Changes in the health care environment have forced emergency physicians to be more than just great physicians. We have to deal with gaps in resources and also be great managers of personnel, information technology, resource utilization, and coordination of care. Every day our job becomes more difficult. Our scope of practice is continuing to expand. We have to cover gaps in patient care as specialists become increasingly unavailable. We are tasked to maintain satisfaction and department efficiency and at the same time manage more patients even when inpatient beds are functionally or structurally unavailable.
ACEP must advocate to decrease the administrative burdens that do not add value to patient care. We have to work with IT vendors and government regulators so we spend less time in front of a computer and more time connecting with patients. We have to make sure “every click counts” and the efficiency of computerized physician order entry and electronic medical record systems improve. We have to establish standards and distribute the best practices to our members.
We need to educate emergency physicians how to more efficiently manage and supervise not only a constantly changing group of nurses but also nurse practitioners, physician assistants, scribes, and other members of the emergency medicine team.