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On-Call Audit & EMTALA Update
Audio CD/MP3
Recorded July 26, 2007 

Faculty: Alan Steinberg, Susan Lapenta & Dr. David Siegel

   

 

"On call" issues continue to top the list of challenges for medical staff and hospital leaders. The best way to deal with these issues is to have appropriate language in your medical staff bylaws and on-call policy. The time to "audit" your documents and your own knowledge of EMTALA's on-call rules is now, before a crisis hits.

Alan Steinberg and Susan Lapenta, partners of Horty, Springer & Mattern, as they discuss how to audit your bylaws, policies and procedures to address critical on-call issues. Bylaws and policy language will be provided.

Alan and Susan are joined by Dr. David Siegel, the Chairman of the EMTALA Technical Advisory Group, which was created by federal law to make EMTALA "quality improvement" recommendations directly to HHS and CMS.

Alan, Susan and Dr. Siegel discuss:

  • What is a reasonable on-call schedule? What is a reasonable coverage period?

  • How should you define response time? In actual minutes? Does this include "call back" and "come in" times?

  • Does your policy address the physician who is on call at two (or more) hospitals at the same time? The physician who schedules elective surgery while on call?

  • Does your policy provide sufficient guidance to deal with the on-call physician who is slow to respond or who doesn't respond at all?

  • Do you have rules that define the role of the physician assistant, advanced registered nurse practitioner or orthopedic technician in supporting the on-call physician in an EMTALA-compliant manner?

  • Don't leave inpatient consults to chance. Make sure these are addressed in medical staff bylaws or in the rules and regulations.

  • Selectively resigning some clinical privileges to avoid on-call obligations can place an even greater burden on the other physicians who provide call coverage. Define the process for the limited resignation of privileges to make sure it is fair and equitable.

  • What are the on-call rules when the proposed receiving hospital has "specialized capabilities" compared to the sending hospital? Can the receiving hospital say no? The ED physician? The on-call physician?

  • What staff categories carry on-call obligations? What is fair? Is it time to change the rules for on-call obligations?

 


Audio CD/MP3: $225

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