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Catalog Number : ncd1669
Title : EMTALA On-Call
Speaker : Sue Dill

Duration : 90 minutes

Webplay Recording Date : 1-8-2016
Webplay Price : $ 125 for two weeks viewing

Webinar Overview:

Did you know that EMTALA deficiencies were the number one problematic standard for hospitals from CMS? CMS has started issuing memos summarizing and many hospitals were surprised to see that EMTALA deficiencies were the top deficiency and many involved the on-call physician issue. The current CMS deficiency report found over 2,000 EMTALA deficiencies. There were 85 related to on call physician issues. This program will discuss the proposed OIG changes which effect on-call physicians, the changes regarding the QIO handling of complaints, and discuss proposed changes to the on-call system from the OIG as well as the EMTALA regulations concerning On-Call physicians.

Target Audience

This program is for anyone involved in the medication process especially pharmacists, chief pharmacy officer, physicians, all nurses, patient safety officer, nursing supervisors, nurse managers and others. Risk managers, hospital attorneys, compliance officers, Joint Commission coordinators and quality and performance improvement staff, chief nursing officer, chief medical officer, chief operation officer, policy and procedure committee members, case managers, nurse educators, nurse managers, compliance officer, director of regulations, Joint Commission director and others who participate in the medication process should attend.

Webinar Objectives:

  • Recall that CMS has an EMTALA CoP which lists the responsibilities of physicians on-call
  • Explain that hospitals must have the specific names of physicians on-call and not the group practice's name
  • Discuss that the hospital must maintain a list of physicians who are on-call to evaluate emergency department physicians
  • Discuss that both CMS and OIG recommend that all hospitals provide on-call physicians with education on their on-call responsibilities under EMTALA
  • Recall that EMTALA is the number one problematic standard from CMS

Webinar Agenda/Outline:

  • Who are the players?
  • CMS deficiency memo and EMTALA is the number one problematic standard
  • OIG proposed changes affecting on-call physicians
  • 2 QIOs BFCC for investigating complaints
  • Payment for on-call coverage
  • Shared and community call plans
  • Inpatient PPS EMTALA Changes
  • OIG bulletins on on-call doctors
  • OIG advisory bulletins on paying on call physicians
  • EMTALA Guidance Memos
  • Essentials of Provider Agreements and on-call physicians
  • CMS Interpretive Guidelines
  • OIG CPG for Hospitals Recommends on-call physician education
  • On-call list of physicians
  • Relevant factors test
  • CMS Memo on On-Call Requirements
  • Responding within a reasonable time
  • Policy and procedures
  • Frequency of on-call physicians
  • Exemption for senior MS or recognition of years of service
  • Maintaining on-call list
  • Can a physician refuse to come to the ED?
  • What to do during no coverage periods
  • Response time
  • Certificate to transfer
  • Follow up care
  • If physician treats a patient while on call for the ED must they treat the patient again?
  • If the physician is on call must he treat the patient if patient was discharged for failure to pay the bill?
  • Physician education
  • Certification of false labor requirement
  • Practices that have gotten physicians in trouble

    Contact Hours:

    • Nursing participants: Instruct-online has approved this program for 1.8 contact hours, Iowa Board of Nursing Approved Provider Number 339.
    • All other participants: Must attend the entire Webinar and complete a Webinar critique to receive a 1.5 Hour Attendance Certificate for each program.

    Refund Policy:

    Full tuition is refunded immediately on request if the participant has not been sent the program materials and instructions. Once the instructions (including access codes) have been sent, a full refund will be issued only after the program runs and it is verified that the participant did not access the program.