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Sophie Terp, Brandon Wang, Brian Raffetto, Seth A Seabury, Michael Menchine
OBJECTIVE: The objective was to describe characteristics of civil monetary penalty settlements levied by the Office of the Inspector General (OIG) against individual physicians related to violation of the Emergency Medical Treatment and Labor Act (EMTALA). METHODS: Descriptions of all civil monetary penalty settlements between 2002 and 2015 were obtained from the OIG. Characteristics of settlements against individual physicians related to EMTALA violations were described including settlement date, location, amount, whether there was an associated hospital settlement, the medical specialty of the physician involved, and the nature of the allegation...
January 20, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Karin V Rhodes, Kristofer L Smith
No abstract text is available yet for this article.
February 2017: Annals of Emergency Medicine
Lisa A Wolf, Cydne Perhats, Altair M Delao, Paul R Clark, Michael D Moon
The emergency department is a unique practice environment in that the Emergency Medical Treatment and Active Labor Act (EMTALA), which mandates a medical screening examination for all presenting patients, effectively precludes any sort of patient volume control; staffing needs are therefore fluid and unpredictable. The purpose of this study is to explore emergency nurses' perceptions of factors involved in safe staffing levels and to identify factors that negatively and positively influence staffing levels and might lend themselves to more effective interventions and evaluations...
November 8, 2016: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
Sophie Terp, Seth A Seabury, Sanjay Arora, Andrew Eads, Chun Nok Lam, Michael Menchine
STUDY OBJECTIVE: We determine the incidence of and trends in enforcement of the Emergency Medical Treatment and Labor Act (EMTALA) during the past decade. METHODS: We obtained a comprehensive list of all EMTALA investigations conducted between 2005 and 2014 directly from the Centers for Medicare & Medicaid Services (CMS) through a Freedom of Information Act request. Characteristics of EMTALA investigations and resulting citation for violations during the study period are described...
February 2017: Annals of Emergency Medicine
Harris Meyer
No abstract text is available yet for this article.
March 28, 2016: Modern Healthcare
Nadia Zuabi, Larry D Weiss, Mark I Langdorf
INTRODUCTION: The Emergency Medical Treatment and Labor Act (EMTALA) of 1986 was enacted to prevent hospitals from "dumping" or refusing service to patients for financial reasons. The statute prohibits discrimination of emergency department (ED) patients for any reason. The Office of the Inspector General (OIG) of the Department of Health and Human Services enforces the statute. The objective of this study is to determine the scope, cost, frequency and most common allegations leading to monetary settlement against hospitals and physicians for patient dumping...
May 2016: Western Journal of Emergency Medicine
Zain S Gowani, Donald H Lee
No abstract text is available yet for this article.
June 2016: Journal of Hand Surgery
John C West
No abstract text is available yet for this article.
2015: Journal of Healthcare Risk Management: the Journal of the American Society for Healthcare Risk Management
David A Hyman, David M Studdert
Since 1986, the Emergency Medical Treatment and Labor Act (EMTALA) has imposed an obligation on hospitals and physicians to evaluate and stabilize patients who present to a hospital ED seeking care. Available sanctions for noncompliance include fines, damages awarded in civil litigation, and exclusion from Medicare. EMTALA uses several terms that are familiar to physicians (eg, "emergency medical condition," "stabilize," and "transfer"), but the statutory definitions do not map neatly onto the way in which these terms are used and understood in clinical settings...
June 2015: Chest
John C West
The Emergency Medical Treatment and Labor Act (EMTALA) was passed in 1986 and governs the obligations of licensed hospitals that participate in the Medicare program with respect to patients with emergency medical conditions. Psychiatric units and facilities often believe that it does not apply to them, or they are cavalier in their efforts to comply with it. If the entity is a licensed hospital, or operates within a licensed hospital, that participates in Medicare, the Act is fully applicable to them. Such entities disregard EMTALA at their peril...
2014: Journal of Healthcare Risk Management: the Journal of the American Society for Healthcare Risk Management
Terri L Menser, Tiffany A Radcliff, Kristin A Schuller
CONTEXT: Emergency Department (ED) overcrowding due to nonemergent use is an ongoing concern. In 2011, a regional health system that primarily serves rural communities in Texas instituted a new program to medically screen and refer nonemergent patients to nearby affiliated rural health clinics (RHCs). PURPOSE: This formative evaluation describes the program goals, process, and early implementation experiences at 2 sites that adopted the program before wider implementation within the rural health system...
2015: Journal of Rural Health
Diane Angelini, Elisabeth Howard
BACKGROUND: Triage concepts have shifted the focus of obstetric care to include obstetric triage units. The purpose of this systematic review is to examine the literature on use of triage concepts in obstetrics during a 15-year time frame. METHODS: A systematic review was completed of the obstetric triage literature from 1998 to 2013 using the electronic online databases from PubMed, CINHAL, Ovid, and Cochrane Library Reviews within the English language. Reference lists of articles were reviewed to identify other pertinent publications...
September 2014: MCN. the American Journal of Maternal Child Nursing
Nicholas Falcone
No abstract text is available yet for this article.
2014: American Journal of Law & Medicine
Rachel A Lindor, Ronna L Campbell, Jesse M Pines, Gabrielle J Melin, Agnes M Schipper, Deepi G Goyal, Annie T Sadosty
STUDY OBJECTIVE: Emergency department (ED) care for patients with psychiatric complaints has become increasingly challenging given recent nationwide declines in available inpatient psychiatric beds. This creates pressure to manage psychiatric patients in the ED or as outpatients and may place providers and institutions at risk for liability under the Emergency Medical Treatment and Labor Act (EMTALA). We describe the patient characteristics, disposition, and legal outcomes of EMTALA cases involving patients with psychiatric complaints...
November 2014: Annals of Emergency Medicine
Sara Rosenbaum
The Emergency Medical Treatment and Active Labor Act (EMTALA) is a seminal law that imposes screening, stabilization, and transfer duties on all Medicare-participating hospitals that have emergency departments. More than twenty-five years after its enactment, EMTALA continues to generate controversy over the scope and depth of its obligations on issues ranging from the nature of the screening obligation and rules regarding on-call specialists to whether EMTALA's stabilization protections exclude emergency inpatients...
December 2013: Health Affairs
Courtney E Reinisch, Rachel Lyons
The advanced practice registered nurse (APRN) working in the emergency department (ED) is asked to see a patient with an "eye infection." The patient has a severe retrobulbar orbital abscess requiring complex multidisciplinary specialty management and is ultimately transferred to a tertiary care center. The patient had first presented to a community ED per the recommendation of her ear, nose, and throat (ENT) specialist. The patient was advised to leave the first ED during triage and to go to a second community ED...
October 2013: Advanced Emergency Nursing Journal
Marie Rymut Schaefer, Edward P Monico
STUDY OBJECTIVE: This study describes the current documentation practices of health-care providers in the emergency department (ED) during the discharge against medical advice (AMA) process. METHODS: This retrospective cohort study reviewed health care provider documentation of adult patients who left an ED AMA in one year. Each encounter documentation was reviewed for eight medicolegal standards including the documentation of 1) the patient's capacity; 2) the signs and symptoms; 3) the extent and limitation of the evaluation; 4) the current treatment plan, risks, and benefits; 5) the risks and benefits of forgoing treatment; 6) the alternatives to suggested treatment; 7) the explicit statement made by the patient who left AMA, as well as the explicit documentation of what the patient was refusing; and 8) the follow-up care including discharge instructions...
September 2013: Connecticut Medicine
John C West
No abstract text is available yet for this article.
2005: Journal of Healthcare Risk Management: the Journal of the American Society for Healthcare Risk Management
(no author information available yet)
No abstract text is available yet for this article.
October 2013: Annals of Emergency Medicine
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