Education event

Preventing EMTALA Violations Web Seminar
Understanding the law and most frequent CMS violations

October 19, 2011
10:00 a.m. – Noon, Pacific Time


Although the EMTALA regulations have been around for 25 years, violations — and resulting citations — persist in California hospitals. Surveyors are probing deeper than ever and expect EMTALA compliance with hospital policies, documentation of services and completion of forms. Complicating matters, hospitals are subject to EMTALA oversight by four different agencies. Hospital staff are often unsure of the right course of action, and fear of an EMTALA violation runs high — and rightfully so.

This web seminar will provide a short refresher on the fundamentals of EMTALA, identify the top EMTALA violations occurring in California facilities, and outline surveyor expectations for compliance.

Steve Lipton, national authority on EMTALA and author of CHA’s EMTALA Manual will briefly review the EMTALA obligations and roles of CDPH, CMS, HSAG and OIG. Commander Kelly Valente, EMTALA lead for CMS Region IX, will provide surveyor insights into the most widespread EMTALA violations, including medical screening and on-call issues, and offer guidance on preventing future citations.

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


EMTALA 101 — top questions and answers

  • When does EMTALA begin?
  • What is an appropriate medical screening exam?
  • What is an emergency medical condition?
  • If an EMC exists, what further examination and stabilizing treatment is required?
  • What is an appropriate transfer for sending and receiving hospitals?
  • When must a hospital report an EMTALA violation and to whom?

Through the surveyor’s eyes — top violations in California

  • Medical screening exams—key components
  • Behavioral patients — homicidal, suicidal, other mental health issues
  • Acceptance of transfers and financial information, especially psychiatric transfers
  • On-call issues — inadequate documentation, MIA on-call physicians
  • Signage — simple and fixable errors leading to citations

Sticky EMTALA issues

  • Drawing distinctions between clinical errors and inappropriate screening
  • Registration issues — the differences between state and federal law


Steve Lipton, JD is a partner in the San Francisco 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.

CDR Kelly Valente, PharmD is pharmacist surveyor and EMTALA lead for Centers for Medicare & Medicaid Services, Region IX. As team leader on EMTALA, CDR Valente is responsible for determining hospitals’ compliance with EMTALA, and to that end works closely with state surveyors and CMS’ Quality Improvement Organization.


Members $185 (per connection)
Nonmembers $275 (per connection)

Multiple staff can gather and participate from one location for one tuition fee. Register online using the button on the right or complete the registration form and fax it to (916) 552-7506. Checks should be made payable to CAHHS/CHA and mailed to:

California Hospital Association
Education Department
1215 K Street, Suite 800
Sacramento, CA 95814

Cancellation Policy
A $50 non-refundable processing fee will be retained for each cancellation. Cancellations must be made in writing seven days prior and e-mailed to, or faxed to (916) 552-7506. No refunds will be made after this date. If the seminar is cancelled paid participants will be fully refunded within 30 days.

Access Info

This web seminar allows you to attend and participate without ever leaving the office. The seminar is produced live, via the Internet and a telephone line. You only need a telephone and a computer with a web browser to participate.

Once you register, a confirmation e-mail will be sent with pertinent program information.

Audio for the seminar is accessed through a toll-free number (U.S. calls only). During the program, you will have the opportunity to ask questions of the speakers. If multiple people will be listening to the program at your office, only one person needs to register for the group. The slide presentation is accessed on your computer via the web.

IMPORTANT: Test your computer today

  • Click here to go to the Adobe Connect Enterprise Server Connection test page.
  • Follow instructions to ensure that your computer and network connections are properly configured.

If your internal security settings block access to Adobe Connect, contact your IT department to grant you access. The web seminar runs on Adobe Connect and you won’t be able to view the program without access.


Click here to view attendees.