- May be requested by a minor child -CMS says... -“Emergency Medical Condition” means: -A medical condition manifesting itself by acute symptoms of sufficient severity such that the absence of immediate medical attention could reasonable be expected to result in- Placing the health of the individual (or, with respect to a pregnant woman, the health of the woman or her unborn child) inserious jeopardy; Serious impairment to bodily functions; or Serious dysfunction of any bodily organ or part - Baby K case if child leaves stable & then comes back with same respiratory problems, hospital still must treat sick patient Not decision for doctor to make; must stabilize the baby -EMTALA Says... Stabilization Requirement If any individual comes to the hospital and has an emergency me “Stabilized” means no material deterioration of the condition is likely, within reasonable medical probability, to result from or occur .... “Appropriate transfer” means: -A hospital that has specialized capabilities or facilities shall not refuse to accept an appropriate transfer of an individual who requires such specialized capabilities or facilities if the hospital has the capacity to treat the individual -On-Call Physicians - Each hospital must maintain an on-call list of physicians on its medical staff. -HOSPITAL has ultimate responsibility for ensuring adequate coverage. -List to be maintained in manner that will best meet the needs of patients, in view of hospital’s resources. -Physician group names are not sufficient., must have individual names
- May be requested by a minor child -CMS says... -“Emergency Medical Condition” means: -A medical condition manifesting itself by acute symptoms of sufficient severity such that the absence of immediate medical attention could reasonable be expected to result in- Placing the health of the individual (or, with respect to a pregnant woman, the health of the woman or her unborn child) inserious jeopardy; Serious impairment to bodily functions; or Serious dysfunction of any bodily organ or part - Baby K case if child leaves stable & then comes back with same respiratory problems, hospital still must treat sick patient Not decision for doctor to make; must stabilize the baby -EMTALA Says... Stabilization Requirement If any individual comes to the hospital and has an emergency me “Stabilized” means no material deterioration of the condition is likely, within reasonable medical probability, to result from or occur .... “Appropriate transfer” means: -A hospital that has specialized capabilities or facilities shall not refuse to accept an appropriate transfer of an individual who requires such specialized capabilities or facilities if the hospital has the capacity to treat the individual -On-Call Physicians - Each hospital must maintain an on-call list of physicians on its medical staff. -HOSPITAL has ultimate responsibility for ensuring adequate coverage. -List to be maintained in manner that will best meet the needs of patients, in view of hospital’s resources. -Physician group names are not sufficient., must have individual names
Healthcare-I-LC.docx