<html><head></head><body style="word-wrap: break-word; -webkit-nbsp-mode: space; -webkit-line-break: after-white-space; "><div><br></div><div><div style="margin-top: 0in; margin-right: 0in; margin-left: 0in; margin-bottom: 0.0001pt; font-size: 12pt; font-family: 'Times New Roman', serif; "><span style="font-size: 9pt; font-family: Arial, sans-serif; "><img width="746" height="181" id="Picture_x0020_1" alt="Description: Description: Description: Description: CAL/AAEM: California Chapter of the American Academy of Emergency Medicine" apple-width="yes" apple-height="yes" src="cid:image009.jpg@01CE1992.172E6840"></span><span style="font-size: 9pt; font-family: Arial, sans-serif; "><o:p></o:p></span></div><div style="margin-top: 0in; margin-right: 0in; margin-left: 0in; margin-bottom: 0.0001pt; font-size: 12pt; font-family: 'Times New Roman', serif; "><span style="font-size: 9pt; font-family: Arial, sans-serif; "><o:p> </o:p></span></div><div id="content" style="margin-left: 15pt; margin-top: 7.5pt; margin-right: 15pt; margin-bottom: 7.5pt; "><div style="border-top-style: solid; border-top-color: rgb(127, 127, 127); border-top-width: 1pt; border-left-style: none; border-left-width: initial; border-left-color: initial; border-bottom-style: solid; border-bottom-color: rgb(127, 127, 127); border-bottom-width: 1pt; border-right-style: none; border-right-width: initial; border-right-color: initial; padding-top: 4pt; padding-right: 0in; padding-bottom: 4pt; padding-left: 0in; position: static; z-index: auto; "><div style="margin-top: 0in; margin-right: 0in; margin-left: 0in; margin-bottom: 0.0001pt; font-size: 12pt; font-family: 'Times New Roman', serif; "><b><span style="font-size: 11pt; font-family: Arial, sans-serif; color: rgb(127, 127, 127); ">September 10, 2014<o:p></o:p></span></b></div></div><div style="margin-top: 11.25pt; margin-bottom: 11.25pt; "><div style="margin-top: 0in; margin-right: 0in; margin-left: 0in; margin-bottom: 0.0001pt; font-size: 12pt; font-family: 'Times New Roman', serif; "><b><span style="font-size: 12.5pt; font-family: Arial, sans-serif; color: rgb(223, 0, 9); "><o:p> </o:p></span></b></div><font class="Apple-style-span" color="#df0009" face="Arial, sans-serif"><span class="Apple-style-span" style="font-size: 17px; "><b>Update from the President: Progress in California<br></b></span></font><span class="Apple-style-span" style="color: rgb(0, 112, 192); font-family: Arial, sans-serif; font-size: 16px; "> </span><font class="Apple-style-span" color="#df0009" face="Arial, sans-serif"><span class="Apple-style-span" style="font-size: 17px; "><b><br></b></span></font><div style="margin-top: 0in; margin-right: 0in; margin-left: 0in; margin-bottom: 0.0001pt; font-size: 12pt; font-family: 'Times New Roman', serif; "><span style="font-family: Arial, sans-serif; color: rgb(0, 112, 192); "><o:p> </o:p></span></div><div style="margin-top: 0in; margin-right: 0in; margin-left: 0in; margin-bottom: 0.0001pt; font-size: 12pt; "><font class="Apple-style-span" face="Arial, sans-serif"><a href="http://americanacademyofemergencymedicine.blogspot.com/2014/09/update-from-president-progress-in.html">American Academy of Emergency Medicine</a></font></div><div style="margin-top: 0in; margin-right: 0in; margin-left: 0in; margin-bottom: 0.0001pt; font-size: 12pt; font-family: 'Times New Roman', serif; "><span class="Apple-style-span" style="font-family: Arial, sans-serif; "><br></span></div><div style="margin-top: 0in; margin-right: 0in; margin-left: 0in; margin-bottom: 0.0001pt; font-size: 12pt; font-family: 'Times New Roman', serif; "><span class="Apple-style-span" style="font-family: Arial, sans-serif; "><br></span></div><div style="margin-top: 0in; margin-right: 0in; margin-left: 0in; margin-bottom: 0.0001pt; font-size: 12pt; font-family: 'Times New Roman', serif; "><span class="Apple-style-span" style="font-family: Arial, sans-serif; ">I have recently participated in several media interviews where I raised AAEM's concerns regarding Tenet Health's plan to replace its independent emergency medicine, hospitalist, and anesthesiology groups in California with a national physician staffing company. </span></div><div style="margin-top: 0in; margin-right: 0in; margin-left: 0in; margin-bottom: 0.0001pt; font-size: 12pt; font-family: 'Times New Roman', serif; "><span class="Apple-style-span" style="font-family: Arial, sans-serif; "><br></span></div><div style="margin-top: 0in; margin-right: 0in; margin-left: 0in; margin-bottom: 0.0001pt; font-size: 12pt; font-family: 'Times New Roman', serif; "><span class="Apple-style-span" style="font-family: Arial, sans-serif; ">AAEM feels this would be highly disruptive to its hospitals and could compromise quality of care. These media interviews had much exposure in the local press and helped Tenet and the community to better understand our concerns. On September 5th, I participated in a conference call with Tenet Health leadership, an attorney for the Coalition for Quality Hospital Care, and the California ACEP President Dr. Osmundson. During the call, Tenet's leadership informed us they were no longer considering using one national physician staffing company for all of the involved California practices.</span></div><div style="margin-top: 0in; margin-right: 0in; margin-left: 0in; margin-bottom: 0.0001pt; font-size: 12pt; font-family: 'Times New Roman', serif; "><span class="Apple-style-span" style="font-family: Arial, sans-serif; "><br></span></div><div style="margin-top: 0in; margin-right: 0in; margin-left: 0in; margin-bottom: 0.0001pt; font-size: 12pt; font-family: 'Times New Roman', serif; "><span class="Apple-style-span" style="font-family: Arial, sans-serif; ">In addition, Tenet committed that they would begin contract renewal negotiations with the independent emergency medicine groups staffing its California hospitals, and attempt to partner with them to achieve their goals of better coordinating care across services. We are encouraged by these positive developments. We will continue to work closely with the involved independent emergency medicine groups and monitor this evolving process.</span></div><div style="margin-top: 0in; margin-right: 0in; margin-left: 0in; margin-bottom: 0.0001pt; font-size: 12pt; font-family: 'Times New Roman', serif; "><span class="Apple-style-span" style="font-family: Arial, sans-serif; "><br></span></div><div style="margin-top: 0in; margin-right: 0in; margin-left: 0in; margin-bottom: 0.0001pt; font-size: 12pt; font-family: 'Times New Roman', serif; "><span class="Apple-style-span" style="font-family: Arial, sans-serif; ">During the call, a position supported by California-ACEP (that it does not favor any physician group practice model over others) was erroneously attributed to AAEM as well (per a follow-up letter from Tenet). AAEM has always endorsed practice models based on fairness, transparency, financial equity, physician autonomy, and the best possible care of patients - qualities that we believe are exemplified by independent, local, democratic, physician-owned medical groups. AAEM responded with a follow-up letter to Tenet Health's Western Region CEO. </span></div><div style="margin-top: 0in; margin-right: 0in; margin-left: 0in; margin-bottom: 0.0001pt; font-size: 12pt; font-family: 'Times New Roman', serif; "><span class="Apple-style-span" style="font-family: Arial, sans-serif; "><br></span></div><div style="margin-top: 0in; margin-right: 0in; margin-left: 0in; margin-bottom: 0.0001pt; font-size: 12pt; font-family: 'Times New Roman', serif; "><span class="Apple-style-span" style="font-family: Arial, sans-serif; "><br></span></div><font class="Apple-style-span" face="Arial, sans-serif"><span class="Apple-style-span" style="font-size: 16px; ">Take care,<br>Mark</span></font></div><div style="margin-top: 11.25pt; margin-bottom: 11.25pt; "><font class="Apple-style-span" face="Arial, sans-serif"><span class="Apple-style-span" style="font-size: 16px; ">Mark Reiter, MD MBA FAAEM<br>President, American Academy of Emergency Medicine<br></span></font><div style="margin-top: 0in; margin-right: 30.95pt; margin-left: 0in; margin-bottom: 0.0001pt; "><font class="Apple-style-span" face="Arial, sans-serif"><span class="Apple-style-span" style="font-size: 16px; "><br></span></font></div><div style="margin-top: 0in; margin-right: 30.95pt; margin-left: 0in; margin-bottom: 0.0001pt; "><font class="Apple-style-span" face="Arial, sans-serif"><span class="Apple-style-span" style="font-size: 16px; "><br></span></font></div></div><div style="margin-top: 0in; margin-right: 15.75pt; margin-left: 0in; margin-bottom: 0.0001pt; font-size: 12pt; font-family: 'Times New Roman', serif; "><span style="font-family: Arial, sans-serif; "><o:p> </o:p></span></div><div style="margin-top: 0in; margin-right: 0in; margin-left: 0in; margin-bottom: 0.0001pt; font-size: 12pt; font-family: 'Times New Roman', serif; "><strong><span style="font-family: Arial, sans-serif; ">Bryan Sloane</span></strong><span style="font-family: Arial, sans-serif; "><br>Deputy Editor, CAL/AAEM News Service<o:p></o:p></span></div><div style="margin-top: 0in; margin-right: 0in; margin-left: 0in; margin-bottom: 0.0001pt; font-size: 12pt; font-family: 'Times New Roman', serif; "><span style="font-family: Arial, sans-serif; "><o:p> </o:p></span></div><div style="margin-top: 0in; margin-right: 0in; margin-left: 0in; margin-bottom: 0.0001pt; font-size: 12pt; font-family: 'Times New Roman', serif; "><strong><span style="font-family: Arial, sans-serif; ">Brian Potts</span></strong><b><span style="font-family: Arial, sans-serif; "> MD, MBA</span></b><span style="font-family: Arial, sans-serif; "><br>Managing Editor, CAL/AAEM News Service<br><br></span><o:p></o:p></div></div><div style="margin-top: 0in; margin-right: 0in; margin-left: 0in; margin-bottom: 0.0001pt; font-size: 12pt; font-family: 'Times New Roman', serif; background-image: initial; background-attachment: initial; background-origin: initial; background-clip: initial; background-color: rgb(217, 217, 217); "><span style="font-size: 7.5pt; font-family: Verdana, sans-serif; ">Contact us at: <span style="color: rgb(0, 112, 192); "><a href="mailto:calaaem.news.service1@gmail.com" style="color: blue; text-decoration: underline; ">calaaem.news.service1@gmail.com</a></span><br><br>For more articles, visit our <span style="color: blue; "><a href="http://maillists.uci.edu/mailman/public/calaaem/" style="color: blue; text-decoration: underline; "><span style="color: blue; ">archives</span></a></span>. <br><br></span><span style="font-size: 9pt; font-family: Arial, sans-serif; "><a href="mailto:somcaaem@uci.edu" style="color: blue; text-decoration: underline; "><span style="font-size: 7.5pt; font-family: Verdana, sans-serif; color: black; text-decoration: none; ">To</span></a></span><span style="font-size: 7.5pt; font-family: Verdana, sans-serif; color: rgb(0, 112, 192); "><a href="https://maillists.uci.edu/mailman/listinfo/calaaem" style="color: blue; text-decoration: underline; "><span style="color: rgb(0, 112, 192); text-decoration: none; "> </span><span style="color: blue; ">unsubscribe</span></a></span><span style="font-size: 7.5pt; font-family: Verdana, sans-serif; "> from this list, visit our mail server.<br><br>Copyright (C) 2013. The California Chapter of the American Academy of Emergency Medicine (CAL/AAEM).</span> <span style="font-size: 7.5pt; font-family: Verdana, sans-serif; "><a href="http://www.calaaem.org/" style="color: blue; text-decoration: underline; ">http://www.calaaem.org</a>. All rights reserved.<br><br>CAL/AAEM, a nonprofit professional organization for emergency physicians, operates the CAL/AAEM News Service solely as an educational resource for physicians. Dissemination of an article by CAL/AAEM News Service does not imply endorsement, agreement, or recommendation by CAL/AAEM News Service, CAL/AAEM, or AAEM.<br><br><o:p></o:p></span></div><div style="margin-top: 0in; margin-right: 0in; margin-left: 0in; margin-bottom: 0.0001pt; font-size: 12pt; font-family: 'Times New Roman', serif; background-image: initial; background-attachment: initial; background-origin: initial; background-clip: initial; background-color: rgb(217, 217, 217); "><b><span style="font-size: 7.5pt; font-family: Verdana, sans-serif; ">Follow CAL/AAEM on Facebook and Twitter:<o:p></o:p></span></b></div><div style="margin-top: 0in; margin-right: 0in; margin-left: 0in; margin-bottom: 0.0001pt; font-size: 12pt; font-family: 'Times New Roman', serif; background-image: initial; background-attachment: initial; background-origin: initial; background-clip: initial; background-color: rgb(217, 217, 217); "><span style="font-size: 7.5pt; font-family: Verdana, sans-serif; "><o:p> </o:p></span></div><div style="margin-top: 0in; margin-right: 0in; margin-left: 0in; margin-bottom: 0.0001pt; font-size: 12pt; font-family: 'Times New Roman', serif; background-image: initial; background-attachment: initial; background-origin: initial; background-clip: initial; background-color: rgb(217, 217, 217); position: static; z-index: auto; "><a href="http://www.facebook.com/pages/CalAAEM/172577489479442?sk=wall&filter=12" target="_blank" style="color: blue; text-decoration: underline; "><span style="color: black; text-decoration: none; "><img border="0" width="33" height="33" id="Picture_x0020_6" apple-width="yes" apple-height="yes" src="cid:image010.jpg@01CE1992.172E6840"></span></a> <a href="https://twitter.com/#!/CALAAEM" style="color: blue; text-decoration: underline; "><span style="color: windowtext; text-decoration: none; "><img border="0" width="36" height="36" id="Picture_x0020_7" apple-width="yes" apple-height="yes" src="cid:image011.jpg@01CE1992.172E6840"></span></a> <span style="color: windowtext; text-decoration: none; "><a href="http://escholarship.org/uc/uciem_westjem" style="color: blue; text-decoration: underline; "><img border="0" width="134" height="36" id="Picture_x0020_4" apple-width="yes" apple-height="yes" src="cid:image012.jpg@01CE1992.172E6840"></a></span></div></div><div><br></div></body></html>