Emergency Service Partners’ leadership takes a deliberate and active role in advocating for emergency physicians and their practice environment. We work hard to affect the regulatory and legislative scene for the benefit of both our physicians and the many patients we serve.
ESP is one of five founding emergency physician groups of the Emergency Department Practice Management Association (EDPMA). CEO Cheryl Conner and President Dr. Bruce Moskow have served on the Board of Directors and Executive Committee of this organization, formed in 1997. There are currently about 100 member organizations including ED physician groups of all sizes, as well as those who provide supporting services such as billing and coding, documentation, EHR/EMR services, scribe companies, and more.
ESP physicians have participated at many levels in the American College of Emergency Physicians (ACEP), the largest national organization of emergency physicians in the U.S. ACEP supports quality emergency care and is the leading advocate for emergency physicians and their patients. Many ESP physicians have represented their colleagues as Councillors and Alternate Councillors at ACEP Council meetings.
A number of ESP physicians are active in the American College of Osteopathic Emergency Physicians (ACOEP), a national organization that supports high-quality emergency care, promotes and protects the interests of osteopathic emergency physicians, ensures the highest standards of postgraduate education, and provides leadership in research. ESP board member Dr. Brandon Lewis served two terms on the ACOEP Board of Directors and currently sits on the board of the Texas Osteopathic Medical Association.
Several ESP physicians were among the charter members of the American Academy of Emergency Medicine (AAEM). Today, ESP physicians maintain active memberships in the national organization and state chapter.
In 2011, ACEP created the Emergency Medicine Action Fund (EMAF) to generate additional financial support for existing advocacy efforts in Washington, DC. In 2012, ESP held a seat on the inaugural EMAF Board of Governors through the Texas coalition. In addition, through its involvement with EDPMA, which holds a seat on the Board of Governors, ESP has a voice in defining how emergency physicians will practice in the wake of federal health care reform mandates and emerging models such as accountable care organizations (ACOs) and bundled payments. Notably, the EMAF is also funding groundbreaking research to quantify the value of emergency medicine, which will help to support emergency medicine’s position with regulators.
ESP co-founder and president Dr. Bruce Moskow recently served as President of the Texas College of Emergency Physicians (TCEP), the state chapter of the American College of Emergency Physicians (ACEP), and other ESP physicians serve on TCEP’s governing board. TCEP works to promote quality emergency health care for all patients and to represent the professional interests of its members. ESP physicians are encouraged to participate in this statewide organization, and ESP has helped sponsor more than a dozen of its physicians as TCEP Leadership and Advocacy Fellows.
ESP is a charter member of Texas Emergency Medicine Practice Alliance (TEMPA). This cooperative effort of Texas emergency medicine physician groups and billing companies was formed in 2010 to address proposed state legislative and regulatory measures that would affect the member organizations’ ability to continue rendering cost-effective emergency medical services in Texas. TEMPA funds state lobbyists who advocate for fair reimbursement for emergency physicians. Collectively, TEMPA member organizations provided care and billing services for 5.5 million emergency room patients during 2011, representing approximately 56 percent of all ED visits in Texas.
The Texas Alliance for Patient Access is a statewide coalition of doctors, hospitals, clinics, nursing homes, and physician liability insurers. ESP is a charter member of the organization, which was formed in 2001 with a singular goal: improving access to health care through enactment and preservation of meaningful medical lawsuit reforms. TAPA successfully lobbied for the passage of Texas’ 2003 landmark medical liability reforms, including a non-economic damage cap, and a constitutional amendment protecting that cap. ESP co-founder and managing partner Dr. Bruce Moskow serves on TAPA’s Board of Directors.
ESP is a founding member and long-term supporter of the Medical Defense PAC. This Texas political action committee lobbies for physician issues, with a focus on protecting the state’s landmark tort reform. Former ESP Board member Dr. Brian Price has served on MD PAC’s Board of Directors.
The Texas Medical Board (TMB) conducts a variety of important business, including determining physicians’ eligibility for licensure, registering physicians, investigating allegations against physicians and considering disciplinary matters, and adopting substantive and procedural rules. In 2009, Governor Rick Perry appointed then-ESP board member Dr. Pat Crocker to serve a term on the TMB.
The Texas Osteopathic Medical Association (TOMA) represents all osteopathic physicians in the state, including emergency physicians. This politically active organization has worked hard to defend Texas’ tort reform laws and to limit reductions in physician reimbursement from state health programs, among other initiatives. ESP board member Dr. Brandon Lewis serves on TOMA’s Board of Trustees.
Through our management and ownership of Five Star ER, we are proud to be members of the Texas Association of Freestanding Emergency Centers (TAFEC). The organization is the first and only statewide association in the U.S. created especially to represent freestanding emergency centers. The association works with state leaders to ensure the fair regulation and growth of this industry, as well as raising public awareness of the industry and promoting an overall understanding of the unique benefits of freestanding emergency centers.
ESP physician Dr. Ajay Gupta serves as President of the Texas Academy of Family Physicians—Texas’ largest medical specialty organization, with more than 7,800 member physicians, residents and medical students. Dr. Gupta has been a member of TAFP and AAFP since 1994. Within TAFP, he has served on the TAFP Board of Directors, TAFP Foundation Board, Finance Committee, Executive Committee, and as chair of the Commission on Health Care Services and Managed Care.
ESP co-founder and managing partner Dr. Sam Roberts has served as chair of the Central Texas Area for the American Heart Association’s Operation Heartbeat, an effort to standardize and improve the area’s cardiac care and sudden cardiac arrest survival rate. Dr. Roberts also helped to start the Mission Lifeline Project to improve STEMI care in the region.
Travis County Medical Society
A dozen Central Texas ESP physicians serve on the Travis County Medical Society’s ED/EMS Advisory Committee, and Drs. Pat Crocker and Christopher Ziebell are past chairs of the committee. ESP physicians also serve or have served on the Public Health Committee and on the City of Austin EMS Advisory Board.
In addition to their duties in hospital emergency departments, many ESP physicians are involved in their communities as medical directors of local ground and air ambulance services. Among the departments served are STAR Flight (Austin, TX), the Bryan (TX) Fire Department, Air Evac Lifeteam (South Texas), Jewett EMS, and Acadian Ambulance Service (Texas Division).
Hospital Leadership and Service
ESP physicians are encouraged to participate in the governance of the hospitals they serve, whether through committee participation or as an officer of the facility’s medical staff. Roles held by ESP physicians include, but are not limited to, chief of staff, vice chief of medical staff, secretary of medical staff, network chief of staff, chair of trauma committee, chair of joint practice committee, chair of process improvement/throughput committee, chair of stroke committee, and chair of bylaws committee. ESP physicians have also served on the Peer Review Committee, Credentials Committee, Medical Executive Committee, Hospital Board of Directors, Finance Committee, Electronic EMR Physician Steering Committee, and many others.