EMTALA Update 2017 The Most Cited Deficiencies by CMS for Hospitals

MessageThis Webinar is over
Date Aug 24, 2017
Time 11:00 AM EDT
Cost $299.00
Online
Product Format: Live Webinar
Speaker: Sue Dill Calloway 
Conference Date:  Aug 24, 2017
Time: 12: 00 pm EST
Duration: 240 minutes 

Live Session   +   $299
Recorded Session   +   $299
DVD   +   $309
Live & Recorded Session   +   $459
Live Session & DVD   +   $469
Recorded Session & DVD   +   $469
Corporate Live 1-3-Attendees   +   $697
Corporate Live 1-6-Attendees   +   $1199
Transcript (Pdf)   +   $279
Live & Transcript (Pdf)   +   $439
Recorded & Transcript (Pdf)   +   $439
DVD & Transcript (Pdf)   +   $449

Purpose:


What would you do if a CMS surveyor just walked into your hospital to investigate an EMTALA complaint? Don’t be caught off-guard. CMS issued a recent deficiency memo showing that over 2,939 hospitals received deficiencies for failure to comply with the federal EMTALA law. Most hospitals were unprepared. This makes it the most frequent area of noncompliance. Common deficiencies will be discussed. Come learn about what you need to know to be compliant and avoid getting a deficiency.
This program will also discuss the proposed changes by the Office of Inspector General (OIG) which will also impact on-call physicians. It will also discuss the Quality Improvement Organization process which is now being done by the two BFCC QIOs. This program will discuss CMS EMTALA memos including the memo on telemedicine and billing issues.
Every hospital that has an emergency department and accepts Medicare and Medicaid patients must follow the federal law and the Center for Medicare and Medicaid Services (CMS) Conditions of Participation Interpretive Guidelines on the Emergency Medical Treatment and Labor Act (EMTALA). Hospitals without emergency departments must comply with EMTALA if they have specialized capabilities. EMTALA can also impact obstetrical patients and behavioral health patients.
This two-part webinar will include the regulations and interpretive guidelines and will cover the entire manual. It will include all 12 sections and an expanded section for on-call physicians and outline the shared and community care plan process. Hospitals will need to ensure their policies, procedures, and training is adequate to ensure compliance with EMTALA. The hospital must know how to do a medical screening exam, how to stabilize a patient and what constitutes an emergency medical condition.
This two part, two hours each webinar, will include discussion of a case that will create an enormous expansion of hospital and practitioner liability under federal law. The case, Moses v. Providence Hospital and Medical Centers, Inc., No. 07-2111 (6th Cir. April 2009), overruled the CMS regulation that EMTALA obligations end when the hospital admits the patient in good faith. Those states in the 6th Circuit (Ohio, Kentucky, Tennessee, and Michigan) must now follow this case as precedent. Sometimes the result may be different if the patient files a lawsuit as opposed to filing a complaint with CMS. This case illustrates the importance of understanding the role that case law has on the outcome of EMTALA litigation. Patients can complain to CMS and request an investigation or they have the option of going and directly filing a lawsuit.
Failure to comply and follow the federal EMTALA for all hospitals, including critical access hospitals, could result in loss of Medicare and Medicaid payments. Money fines can be assessed against hospitals and physicians who negligently violate the EMTALA law. There has been increased activity in the area of EMTALA.
The federal EMTALA law and the accompanying regulations are complex. This program is structured to make the requirements understandable with the liberal use of examples.

Objectives:
  • Describe that the hospitals must maintain a central log
  • Discuss the hospital's requirement to maintain a list of the specific names of physicians who are on call to evaluate emergency department patients
  • Recall that CMS has requirements on what must be in the EMTALA sign
  • Discuss that EMTALA is the most frequently cited deficiency for hospitals
 
Agenda
This program will cover the following (Part 1 of 2 Part Series):
  • OIG proposed changes that every hospital should be aware of
  • BFCC QIOs process
  • Common deficiency report by CMS
  • Basic concept of EMTALA
  • Who are the players?
  • CMS EMTALA website
  • How to locate copy of the EMTALA regulations
  • OCR memo and EMTALA investigations
  • OIG advisory opinions on EMTALA
  • CMS Deficiency Memo
  • Compliance program
  • November 21, 2014, EBOLA and EMTALA memo
  • June 7, 2013, CMS Memo on EMTALA and telemedicine
  • December 13, 2013, CMS memo on payment and collections
  • EMTALA definitions and requirements
  • The Joint Commission standards
  • EMTALA sign requirements
  • Who does EMTALA apply?
  • Payment issues
  • Reasonable registration process
  • Financial questions from patients
  • Patients who sign out AMA
  • Specialized capability
  • Policies and procedures required
  • On-call physicians issues
  • Hospital recommendations
  • Dedicated emergency department
  • Central log
Objectives for the afternoon session (Part 2 of 2 Part Series):
  • Describe the hospital's requirements regarding a minor who is brought to the ED by the babysitter for a medical screening exam
  • Discuss when the  hospitals must complete a certification of false labor
Agenda
Part 2 of this program will cover the following:
  • Special responsibilities
  • Meaning of “comes to the ED”
  • Definition of hospital property
  • EMTALA and outpatients
  • Capacity
  • Dedicated emergency department
  • Inpatients and observation patients
  • Medical screening exam
  • Certification of false labor
  • Born alive law and EMTALA
  • Minor child request for treatment
  • Telemetry
  • When can you be on diversion?
  • Parking of patients
  • Helipad
  • State plans and EMTALA
  • Who can be a QMP?
  • The Moses case
  • Waiver of sanctions
  • Requests for medications
  • Blood alcohol tests
  • Emergency medical condition
  • Stabilization
  • OB patients
  • Transfer and transfer forms
  • Behavioral health patients
  • QIO role with EMTALA         
Who Should Attend?
  • Emergency Department Managers
  • Emergency Department Physicians
  • Emergency Department Nurses
  • ED Medical Director
  • OB Managers and Nurses
  • Behavioral Health Director and Staff
  • Chief Nursing Officer
  • Nurse Supervisors
  • Nurse Educators
  • Staff Nurses
  • Outpatient Directors
  • Compliance Officers
  • Legal Counsel
  • Risk Managers
  • Directors of Hospital-Based Ambulance Services
  • Director of Registration
  • Registration staff and director
  • ED education staff
  • On call physicians
  • Chief Medical Officer (CMO)
  • Chief Nursing Officer (CNO)
  • Chief Operating Officer (COO)
  • Chief Financial Officer
  • Patient Safety Officer
  • Joint Commission Coordinator
Call us: +1-800-935-3714 or
Mail us: cs@onlineaudiotraining.com

Not able to attend the audio session? We will provide you with a replay of the session, or you can request a DVD recording.

 


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