Education event

EMTALA — Essentials and Trouble Spots Webinar
EMTALA principles, updates, psychiatric services and compliance tips

February 28, 2018
10:00 a.m. – 12:00 p.m., Pacific Time

Overview

Despite being on the books for nearly 30 years, the Emergency Medical Treatment and Labor Act (EMTALA) continues to be a source of confusion for staff and a public relations nightmare. Fines have recently doubled, and may result in sanctions – recently for one hospital in excess of $1 million. 

Whether you are a veteran or new to emergency department services, navigating EMTALA obligations can be daunting, especially when you are dealing with conflicting directions from all sides, including local governing agencies and payers.

Health care professionals are encouraged to attend this webinar to gain insights on scope and application of the law, learn updated information, explore recurring problems and delve into the collision of EMTALA and emergency psychiatric services. Ample Q & A time is planned to address your toughest questions.

Recommended for:

All emergency department staff including department managers, medical directors, nurse managers and physicians, behavioral health managers, business office and admitting managers, risk managers, health care attorneys, social workers, discharge managers, clinic staff and administrators, and compliance officers.

Agenda

EMTALA – Review of Basic Obligations

  • When and where EMTALA begins
  • Triage and medical screening
  • Determination of an emergency medical condition
  • Further examination and stabilizing treatment
  • On-call coverage
  • Appropriate transfers — sending and receiving facilities

EMTALA – Updates

  • EMTALA sanctions for violations
  • Application of EMTALA to hospital urgent care centers
  • Updated guidance regarding on-call coverage, critical access hospitals
  • CMS guidance clarifying “stabilized” vs. “stable”
  • CMS guidance regarding payer interference with EMTALA transfers
  • ED patient registration and debt collection practices

EMTALA – Recurring Problem Areas

  • Medical screening exams
  • Acceptance of transfers
  • Capacity and capability of hospitals
  • Obstetric patients in the ED and labor and delivery
  • Patient safety and monitoring, security, elopement
  • Payer communication for post-stabilization care
  • Interaction of EMS agency policies and EMTALA obligations

EMTALA – Psychiatric Patients

  • Psychiatric patients – application of the EMTALA rules
  • Does LPS (5150 status) affect the application of EMTALA?
  • 5150 and 24-hour holds in the ED
  • ED psychiatric emergency medical conditions — placement, transfer
  • Transfers to crisis stabilization units
  • County policies vs. EMTALA obligations

Faculty

M. Steven Lipton is a partner in the San Francisco law office of Hooper Lundy and Bookman, PC, and the author of CHA’s manual, EMTALA — A Guide to Patient Anti-Dumping Laws. A noted expert on patient anti-dumping laws, he has worked extensively with hospitals on EMTALA civil sanction matters and on compliance interpretation, policy development and education.

Alicia Macklin is an associate in the Los Angeles law office of Hooper Lundy and Bookman, PC, in the regulatory and business departments, where she assists health care providers, including hospitals, physicians, and health services companies with a broad range of compliance, licensing and certification, and reimbursement issues.

Tuition

Members $185 
Nonmembers $250

Multiple staff can participate from one location for one tuition fee.

Members are CHA member hospitals, CHA associate members and government agencies. Nonmembers are limited to non-hospital health care providers, clinics, post-acute facilities, and consultants, insurance companies, law firms and other entities that serve hospitals. Education programs and publications are a membership benefit and are not available to eligible nonmember California hospitals.

Cancellation Policy/Late Payment: A $50 nonrefundable processing fee will be retained for each cancellation. Cancellations must be made in writing seven or more business days prior to the scheduled session and emailed to education@calhospital.org. No refunds will be made after these dates. Substitutions are encouraged. Please note that payment is due on or before the program. Payments not received by the program date may be subject to a 10% late fee. In the unlikely event the program is cancelled, CHA will fully refund paid participants within 30 days.

Special Accommodations or Questions: If you require special accommodations pursuant to the Americans with Disabilities Act, or have other questions, please call (916) 552-7637.

CEs

Continuing Education

Full participation in the webinar is required to receive professional continuing education (CE) credit. The registrant must complete an online evaluation, attest to participation and, when required, provide a professional license number.

Compliance —  This education activity has been submitted to the Compliance Certification Board (CCB)® and is currently pending their review for approval of CCB CEUs.

Legal — CHA is a State Bar of California approved MCLE provider. This activity has been approved for 2.0 hours of MCLE credit. Provider number 1980.

Nursing — Provider approved by the California Board of Registered Nursing, CEP 11924, for 2.4 Contact Hours.

Important note: While more than one individual from your organization may listen to the webinars, CEs will only be awarded to the registrant.

Commands