It was 6 weeks ago when I announced that I would have a whitepaper on the conflict between drug policies and EMTALA out in 3 weeks. I also mentioned that being in the risk management field, delays might occur. Little did I know that Mr. Murphy and his law would be moving into a management role on this project. First there was my 90 year
This website turns out a semi-monthly disaster and strange natural occurrences log that shows brief clips of dozens of situations you probably missed in the news. View on Youtube.
A few weeks ago a friend of mine lost his 32 old son to an opiate overdose. That strikes close to home as I have a 33 year old son of my own and a college student daughter. Even more crushing for my friend — his best friend lost a child to an overdose as well two weeks later. My town has deaths listed almost daily from overdoses. I also understand the fear that providers
When the patient presented for vague symptoms, the ED ordered a blood test to rule out cardiac issues, but according to published reports on the trial, the patient was sent home. The news story indicated that the results came back the next morning, and the ED nurse called the patient and her notes indicated that she told the patient his results were “positive” and that he should return to the hospital. She noted the patient
The “Secret Patient” arrived at your hospital in a proper EMTALA transfer from Hospital A. They sent all required information but the patient’s name or ANYOTHER identifying information — he and supposed family member REFUSED to disclose it. Your hospital hospital provides appropriate screening, admits the patient, provides surgery, and provides appropriate after care to the tune of $60,000 — but at no time would the SECRET PATIENT give name address, phone, ssn, or any
The new 135 bed private facility on Guam opened in July and was awaiting it JC accreditation in December when it drew its first EMTALA complaint for allegedly transferring an OB patient for financial reasons. According to reports on Kuam.com, a young woman was brought into the hospital by ambulance complaining of labor pains at 9 months. She reportedly was a high-risk pregnancy with low amniotic fluid. Initial exam by a nurse found she was
If you were that hospital – whether justified or not – how much damage would this headline do to your reputation? And then, what if it gets dragged up several more times with headlines about CMS EMTALA citations and possible termination from Medicare? And then, periodic headlines as the law suits drag through the courts with verdicts and appeals? In the headline case, the allegation is that a woman with a history of respiratory problems
EMTALA is 30 years old this year, and with the social status for docs being the brightest and best, you would think that all of our ED docs would have figured out its requirements by now, right? But NO… a segment of Emergency Department physicians (primarily in smaller hospitals or busy community hospitals) still finds some rationalization to go out on the ambulance apron and direct the EMS crew to a different “better” hospital or
A number of our subscribers to this site support our troops. This weekend, I viewed the move “13 Hours”. If you support our troops, just see the movie. I won’t editorialize, and it certainly does not, but everyone who claims to support our troops needs to see this movie.
Many hospitals use cell phones internally and externally for daily operations. Many of their emergency plans assume that they will be available even if local phone service is interrupted, but a little-known case before the US Supreme Court involves secret government plans to shut off cell phone service during emergencies. According to the brief filed in the case, the FCC has prohibited blacking cell phones and advised state and local law enforcement how important the