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Emergency Medicine Physicians and Welsh, Carson, Anderson & Stowe Announce Formation of US Acute Care Solutions

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Oct 19, 2015

Unique partnership provides a new model for a national physician-led emergency medicine and hospitalist provider 

Emergency Medicine Physicians (“EMP”), one of the nation’s largest emergency medicine providers, and Welsh, Carson, Anderson & Stowe (“WCAS”), a leading healthcare investment firm, today announced the establishment of US Acute Care Solutions (“USACS”).  USACS will be majority-owned by physicians and is focused on building a national leader in emergency medicine and hospitalist services.  EMP’s Medical Group and practice management operations will become the foundation for USACS.

“The creation of US Acute Care Solutions puts physician ownership front and center in a unique partnership with strong operational capabilities and an experienced capital partner in WCAS,” said Dominic Bagnoli, MD, chief executive officer, EMP and USACS.  “This new company provides us with a great opportunity to grow our practice and strengthen our values of high quality patient care and physician ownership.  Our new partner, WCAS, embraces those values, and has a proven track record of partnering with physicians and major integrated delivery systems to build market leaders, like they’ve done with US Anesthesia Partners, United Surgical Partners, US Oncology and many others.”

Founded in 1992, EMP is one of the largest physician-owned emergency medicine practices in the country, with more than 800 doctors and 300 advanced practice providers.  EMP provides high quality emergency care to over 2.7 million patients each year at 64 hospitals in 15 states, and is aligned with leading hospital systems across the country. Its innovative PhysicianFirst emergency room management system demonstrably shortens “door to doctor” times, reduces left without being seen rates and improves patient satisfaction.  EMP also supports its clinicians with meaningful continuing education and training, like its Patient Satisfaction Academy, and develops its next generation of physician leaders with its Scholars program.

“EMP really fits all of our criteria for a partner,” said Brian Regan, General Partner, Welsh, Carson, Anderson & Stowe.  “Their providers consistently deliver great care in emergency departments across the country, and their doctors are highly engaged as partners and owners.  They’re innovators and have reinvested in their profession and their business.  Historically, independent emergency medicine groups had only two strategic alternatives: sell their practice or face a challenging healthcare environment alone.  USACS will offer practices and hospital systems a third option, which is to partner with a company led by physicians but with the resources, business support and capital of a substantial enterprise.”

“Patient-centered care is the foundation of our culture and therefore our business,” said Peter Hudson, MD, Board Chairman of EMP and US Acute Care Solutions.  “It’s not only good for the practice and patients, it’s foundational to our specialty, and why emergency physicians have such a strong belief in service and physician ownership.  US Acute Care Solutions ensures this culture will flourish, and like-minded approaches of caring for patients will continue to have a viable practice option in the marketplace.”

The partnership agreement, which was approved by EMP’s Board of Directors and shareholders, is expected to close in second quarter of this year. Ulmer & Berne LLP is serving as legal counsel to EMP.  Ropes & Gray LLP and Alston & Bird LLP are serving as legal counsel to WCAS.

Emergency Medicine Physicians (EMP Holdings Ltd.), 

Established in 1992, Emergency Medicine Physicians is one of the leading providers of emergency medical services in the nation. EMP was founded by practicing emergency medicine physicians, who had a vision for creating a better way to deliver emergency medicine care with physicians as owners. The group has achieved this vision by focusing on core values that create a culture where patients, physicians and hospital partners thrive. 

About Welsh, Carson, Anderson & Stowe

Welsh, Carson, Anderson & Stowe focuses its investment activity in two target industries: healthcare and information/business services. Since its founding in 1979, the Firm has organized 16 limited partnerships with total capital of over $21 billion. WCAS has invested $7 billion in 79 healthcare companies, including many leading healthcare providers.  WCAS's strategy is to partner with outstanding management teams and build value for the Firm's investors through a combination of operational improvements, internal growth initiatives and strategic acquisitions. See www.welshcarson.com to learn more. 

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US Acute Care Solutions Acquires MIDEO: A Video-Based Advance Care Directive Platform

CANTON, Ohio, November 7, 2022—US Acute Care Solutions (USACS) has acquired MIDEO, My Informed Decision on VidEO, a video based advance care planning platform that provides individuals with the ability to visually and verbally communicate their wishes in any medical circumstance. MIDEO, a patented patient safety solution, was developed based off research from The Realistic Interpretation of Advance Directives (TRIAD) which was conducted by founder and CEO, Ferdinando Mirarchi, DO. Through his research and work as an emergency medicine physician, Dr. Mirarchi discovered a persistent nationwide patient safety risk present in various scenarios including those with living wills, physician orders for life sustaining treatment, and those who are critically ill. This is where his idea of incorporating video into the framework of care came into action. Individuals utilizing MIDEO have two options available to complete their profile. They may either elect to use the self-service option, which provides step-by-step clinical decision tools, or they may elect to work with a clinician through the clinician led consult where they undergo a full medical evaluation and review of potential scenarios in which important medical decisions must be made. Together, the patient and clinician create a clear, short, and customized script that conveys the individual’s unique desires regarding medical treatment and intervention. This script is then recorded and saved in video format, empowering the patient to accurately describe their wishes utilizing proper medical terminology. Not only does this provide explicit clarity regarding patient desires in times of medical intervention, but it also equips future clinicians with an easily accessible and understood explanation of those wishes, especially in times of medical emergencies when there is no room to guess. After learning about MIDEO, USACS Executive Chairman, Dominic Bagnoli, MD, FACEP, FAAEM, knew the platform was invaluable to not only incorporate into the innovation strategies being explored by USACS, but also to deploy as a resource for all USACS employees. “We are continually striving to enhance patient safety in our operations, and MIDEO is a resource at the forefront of those endeavors,” said Dr. Bagnoli. “The value we see in this resource is something we are very much looking forward to sharing at no cost with our 6,000+ employees.” As the MIDEO platform is incorporated into USACS offerings, the goal will be to increase the visibility of the resource throughout the network and expand the technological capabilities of the programming. “I am thrilled to be joining forces with the USACS team to propel the MIDEO platform forward and into the hands of even more patients nationwide,” said Dr. Mirarchi. “My goal in creating MIDEO was to give patients the ability to clearly and effectively communicate their wishes so that clinicians and families could avoid facing the decision paralysis that often arises in medical situations. In return, families and clinicians can then focus on providing the right care at the right time, whether that be through aggressive life-saving care or through the provision of resources to support end of life care, the focus remains on providing the appropriate medical interventions.” Amer Aldeen, MD, FACEP, chief medical officer of USACS, is also looking forward to bringing the MIDEO platform into the USACS offerings as patient safety is a top priority in his role. “It has been shown there is an 80% rate of misinterpretation of living wills and DNR documentation,” noted Dr. Aldeen. “We are optimistic we can decrease this rate significantly while ensuring a higher level of patient safety through the deployment of leading technological advances such as MIDEO.” About USACS Founded by emergency medicine and inpatient physicians across the country, USACS is solely owned by its physicians and hospital system partners. The group is a national leader in integrated acute care, including emergency medicine, hospitalist and critical care services. USACS provides high-quality care to approximately nine million patients annually across more than 500 programs and is aligned with many of the leading health systems in the country. Visit usacs.com for more. ### Media Contact Marty Richmond Corporate Communications Department US Acute Care Solutions 330.493.4443 x1406

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