Hospitals might be surprised to learn that HIPAA violations can not only result in federal fines, but also in fines from more than one state if the breach involves out-of-state residents. Under the HITECH Act, state Attorneys General also have enforcement and fine capabilities, but as states get more into privacy legislation, some states are enforcing their own state privacy regulations to protect their home state residents against out-of-state healthcare organizations and businesses as well.
Patient presented to Hospital 1 with chief complaint of pain in back and pain and numbness in right leg. A medical screening examination was conducted with a CT ordered. During the CT scan the patient had erratic blood pressures requiring fluid boluses. The CT scan revealed a massive ruptured AAA with no blood flow to the iliac or femoral arteries, COPD, coronary artery disease, and an abnormal kidney surrounded by blood. The destination hospital, hospital
Local EMS was called to a nursing home in response to a resident who had pulled out her tracheostomy tube. Upon arrival, the patient was actively bleeding from the stoma, began coughing, and coughed out approximately 30 cc of clotted blood. EMS notified the local hospital that they would be bringing the patient to the local hospital before an anticipated transport to a larger acute care facility. Upon arrival, the ambulance was reportedly met by
Police officers brought a minor patient to the hospital by squad car, upon arrival at the emergency department ramp, the hospital advised by radio that they were on diversion. He entered the hospital emergency department and requested that a nurse come to the squad car, and requested that the hospital accept the patient. The officer stated that he was advised that the hospital did not have sufficient nurses trained to deal with the patient, refused
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Patient #1 presented to the ED seeking an MRI, but the hospital did not have the mobile MRI on-site that day. The patient had seen an eye doctor earlier in the day who had been concerned following an eye exam and recommended the patient go to a hospital for an MRI. The RN then asked the doctor to see the patient. The doctor looked into the eye and took the patient’s pulse, and then suggested
Patient #26 was brought to the hospital by local police for an involuntary psych process. According to police reports, they were advised by hospital personnel that the hospital no longer had an available psych bed and the patient would have to be transferred to the other hospital in town. The patient was transferred to the other hospital by police after verifying a bed was available. No reason was documented for a failure to provide a
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Patient presented with psychiatric issues, including hallucinations and agitation. The family expressed concern about the patient being a threat to self or others and law enforcement was called for a possible state commitment. The patient had a history of oxycodone abuse in the past. The ED physician administered 10 mg of Haldol and planned on doing blood and urine screens, but when police indicated that the patient was willing to go for voluntary care at
This hospital got cited for failure to post EMTALA signs properly. Investigators allege that there were no EMTALA signs in the waiting area of the ED (Tag A2402). In addition, the hospital was located in an area with high populations of Hispanic and Hmong population. The only foreign language sign noted by surveyors was a Spanish language EMTALA sign in the Triage area. CMS standards require that signs be posted in languages of foreign groups