Description 

Emergencies occur daily within a hospital setting, extending beyond the confines of the emergency department. Regardless of the hospital's size or geographical location, it is essential to have measures in place to effectively manage and provide emergency care for patients. This program will focus on the Conditions of Participation established by the Centers for Medicare and Medicaid Services (CMS) for both acute care and critical access hospitals.

All hospitals with a designated emergency department that accept Medicare and Medicaid reimbursements are required to adhere to federal regulations and the CMS Conditions of Participation Interpretive Guidelines as outlined in the Emergency Medical Treatment and Labor Act (EMTALA).

Hospitals lacking a dedicated emergency department must still comply with EMTALA if they possess specialized capabilities. This includes, for instance, the treatment of obstetrical and behavioral health patients.

This program will offer insights into the CMS requirements that hospitals must fulfill concerning emergency services, along with a concise overview of the relevant laws pertaining to EMTALA. Additionally, there will be a discussion on the newly established maternal safety standards that acute hospitals are required to implement.

Learning Objectives

• Describe the requirement for emergency services in an acute hospital to be integrated into other services
• Recall the required14 emergency department written policies that must be present in a Critical Access Hospital
• Describe that CMS has a list of emergency drugs and equipment every CAH must have
• Recall that hospitals must also comply with EMTALA requirements in addition to emergency services requirements

Agenda

• Emergency Services – Acute Hospitals
• Need for P&P
• Qualified RN to assess patients
• Basic patient care requirements

1. Services must meet patient needs
2. Following standards of practice
3. Integrated into hospital PI
4. Qualified medical director
5. Policies required
6. Training required
7. Urgent care clinics
8. Supervision of services
9. Adequate personnel

Emergency Services – Critical Access Hospitals

• 14 Emergency department policies
• ED staffing
• Equipment, Supplies, and Medication
• Blood and Blood Products
• Staffing/Personnel
• Coordination with Emergency Response Systems
• Emergency medical services
• Emergency procedures

EMTALA Obligations

• Basic obligations
• Capacity and Capability
• Physician lists
• Central log
• Medical Screening examination
• Pregnant patients and stabilization
• Admit or transfer

Obstetrical Services – Maternal Safety Standards

• Organization and staffing
• Delivery of services
• Required equipment
• Provisions and protocols
• Staff training requirements
  

Who Should Attend

• CEOs
• Chief Nursing Officer
• Accreditation and regulation director
• Nurse managers/supervisors
• Quality managers
• Risk managers
• Nurses
• Nurse educators
• Patient safety officer
• Emergency department directors