Important New Changes to EMTALA and On-Call


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Important New Changes to EMTALA and On-Call
Audio CD/MP3
Recorded May 21, 2008

Faculty: Alan Steinberg, Susan Lapenta & Ian Donaldson

MAJOR CHANGES TO EMTALA REGULATIONS PROPOSED!

On April 14, 2008, CMS issued its proposed changes to the EMTALA regulations that, if enacted, would significantly impact EMTALA's on-call and patient transfer rules. Among the changes proposed are the following:

Approval of a "Community Call" program that would allow hospitals to work together to satisfy their EMTALA obligations. The Community Call requirements include a written agreement that addresses key critical points.

Clarification that EMTALA continues to apply, even after a patient has been admitted, in terms of a second hospital that has specialized capabilities, if the patient needs to be transferred to that second hospital.

During the past couple of years, CMS issued a number of memoranda to State Survey Agency Directors concerning EMTALA. These have involved EMTALA's applicability to specialty hospitals, emergency services which must be maintained by all hospitals, the determination of "false labor" by nonphysicians, on-call services and telemedicine, the "parking" of patients who arrive via EMS outside of the ED, and the rules concerning the use of allied health professionals in on-call services. On March 21, 2008, CMS issued an advance copy of its revised EMTALA Guidelines to incorporate all of those memoranda.

Please join Alan Steinberg, Susan Lapenta, and Ian Donaldson as they discuss these new and proposed changes.

CMS cited the report and recommendations of the EMTALA Technical Advisory Group (the "TAG") as the source for the proposed regulatory changes. CMS also noted that it is now considering the TAG's recommendations concerning EMTALA compliance for overall on-call coverage, as well as "specialized capabilities" transfers. By CMS: more to come.

This bulletin: On April 18, CMS released the EMTALA TAG's final report and recommendations!

The proposed EMTALA regulations, the advance copy of the EMTALA Guidelines and the EMTALA TAG report and recommendations are all provided as materials to this audio conference.

Audio CD or MP3: $225

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