CHPC Study Group

EMTALA was a more by request!

  • 1.  EMTALA was a more by request!

    Posted 07-08-2019 08:47 AM
    It looks like the EMTALA question got shared with some ED folks which helped spark some good discussion over the weekend.  So by request, here is another one related to EMTALA.

    Patient A presents to the Emergency Department for Hospital A and is complaining of chest pain.  Patient A's has vitals taken and then is placed in the exam area where a doctor begins conducting the Medical Screening Exam (MSE).  After diagnostics are completed and test results are reviewed by the doctor, the doctor tells Patient A that the medical decision is that the patient's chest pain is due to indigestion and that the patient is not experiencing any type of emergent condition.  Patient A is told that he/she will be given a prescription for medications to manage the indigestion and that the nurse will arrive in a few minutes to complete Patient A's discharge.  Before the discharge is completed, Patient A demands that under the EMTALA regulations, the Patient has the right to request to be transferred to another hospital because the Patient believe his/her symptoms are related to a much more serious situation or condition.  The ED staff contact you about the patient's request to be transferred.  Your BEST response is:

    1. Since the discharge process is not complete, explain to the staff that it should make arrangements to transfer the patient to another hospital as this is required by EMTALA.
    2. Have the staff inform the patient that no transfer will be arranged as the EMTALA requirements have been met and to continue to move forward with the discharge process.
    3. Tell the staff not to discharge the patient and ask that another physician be assigned to the patient and that another work up of the patient be done to address the ongoing concerns of the patient about his/her condition.
    4. Contact Security and ask an officer to be on stand by in the ED in case this patient begins to pose a safety risk to the staff.

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  • 2.  RE: EMTALA was a more by request!

    Posted 07-08-2019 09:50 AM

    Lloyd Hemmert
    Compliance & Ethics Officer
    Hill Country MHDD Centers

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  • 3.  RE: EMTALA was a more by request!

    Posted 07-08-2019 10:36 AM
    I will go with B.

    Melanie Schoonover
    Quality Improvement Supervisor

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  • 4.  RE: EMTALA was a more by request!

    Posted 07-08-2019 10:51 AM

    Victoria Hewitt
    Privacy Specialist
    Robins' Nest Inc.

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  • 5.  RE: EMTALA was a more by request!

    Posted 07-08-2019 10:57 AM
    B...guessing, because a MSE has been performed, and the pt is not experiencing a emergent condition.

    Rachel Buchanan, CHC, CHPC
    Compliance & Regulatory Mgr

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  • 6.  RE: EMTALA was a more by request!

    Posted 07-08-2019 01:54 PM
    I'll say B.

    David Garrison
    Compliance/Privacy Officer

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  • 7.  RE: EMTALA was a more by request!

    Posted 07-08-2019 03:28 PM
    Eliminating the others, left with B.

    Marie Wagner
    Operations Manager, Corporate Compliance
    The Queen's Health Systems

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  • 8.  RE: EMTALA was a more by request!

    Posted 07-10-2019 08:37 AM
    B. ​

    Dr. Randy Lewis, LMFT, CHPC
    HIPAA Privacy Officer
    Orange County Government
    Orlando, FL

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