UPDATED EMTALA, Part 2
Speaker:
Length of Program: 120 minutes.
Course Description:
This program will include the 5 new updates on EMTALA occurring in the year 2001. A recent survey indicated a significant knowledge deficit on EMTALA among Nurses and Physicians. In fact, only 27% know about the 1999 CMS/OIG advisory bulletin and only 65% knew of the CMS 1998 interruptive guidelines. Because of this there is an increased awareness of EMTALA by CMS and an increased number of complaints being filed against hospitals based on EMTALA. This program will also cover the legal requirements of EMTALA, case law update, and how to respond to an EMTALA complaint survey.
Content for the program will include the following:
Case Law and Problematic Areas of Medical Screening Exam
Performance by QMP
Difference between triage and medical screening exam
CMS reservation to second guess
Patients Who Want to Sign Out AMA
Refusal of treatment
Documentation requirements
Attempt to obtain written refusal
Long waits in emergency departments
Informing patients of risks
Offering further medical exam and treatment
Case Law and Problematic Areas of Stabilization
Application to inpatients
Documentation
Court cases
Case Law and Problematic Areas of Transfer
Definition
Discharges from the emergency department
Inpatient discharges
Transfer certification
Appropriate transfer guidelines
Transfer of psychiatric patients
Medical record documentation
On-Call Physician Issues
List of on-call physicians/specialists
What is a reasonable time?
Medical staff bylaws
Policies and procedures
Failure to show up
Notification of doctor’s name and address to receiving hospital
Penalties for Violating EMTALA
Loss of Medicare/Medicaid reimbursement
Fines
Private right of action
Receiving facility claims
Licensure and accreditation
Plan of correction
Responding to an EMTALA Survey/Investigation
The complaint
Reporting violations
HHS timeline to do survey
Team
Entrance/exit conferences
Documents requested
The survey process
Post-survey activities
Incorporating EMTALA Into the Hospital’s Compliance Program
The interpretive guidelines
Compliance officers
Policies and procedures
25 tips to reduce your risks
New HIPAA law relationship to EMTALA
Consent requirements under HIPAA
Requirement of EMTALA to do a MSE on all patients.
Target Audience:
CEOs, COOs, emergency department managers, OB managers, emergency department physicians, emergency department nurses, compliance officers, legal counsel, risk managers, and nurse managers. Also any other clinics or facilities that are classified as a provider based organization.
At the conclusion of this program, participants will be able to:
1. Document what EMTALA requires of a patient who wants to sign out against medical advice?
2. Define what is meant, “come to the emergence department” for a patient requesting medical care.
3. Describe what would be an adequate medical screening exam.
Register now for our next scheduled course!
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