Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
The four principles of ethics in healthcare
Ethics principles for health professionals
Ethical issues in the healthcare industry
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: The four principles of ethics in healthcare
DeTar Hospital Memo To: Chief Executive Officer From: Compliance Officer(Ethel Carew) cc: Date: December 10, 2014 Re: EMTALA Violation Due to the unfortunate incident that happened recently and resulted in EMTALA violations by a DeTar Emergency Department Staff, it in of grave importance that DeTar Hospital develop policies and procedures that will eradicate deficient practices promptly and put in place sustainable solutions to prevent a reoccurrence. Results of the preliminary investigations are indicative of both systemic and discrete failures, the most prominent being in regards to: Non Compliance with the certification requirement. Inappropriate transfer. Failure to follow up. On Call Physicians. Though the Hospital already has several policies and procedures in place, a revision of the current policy regarding certain aspect needs to be done. The following memo summarizes how DeTar can prevent EMTALA violations from re-occurring. Contractual responsibility of On-Call Physicians One of Dr. Burditt arguments was that he was technically not ‘under contract’ with DeTar hospital, even though the opposite is true. …show more content…
Though seems that some of the ED staff (Herman) are knowledgeable about EMTALA regulation and its violations, it might be possible that some of them are not familiar with current EMTALA policies and procedures instead, deferring to “the way things have always been done," or just flagrantly ignore them as in Dr. Burditt’s case. Once physicians and staff understand the requirements and the potential repercussions for non-compliance with EMTALA, they tend to be more vigilant in following those procedures and reporting incidents of non-compliance to the compliance department. The following steps are therefore recommended for education and re-evaluation of ED
EMTALA impacts Emanuel Medical Center because it will require mandatory treatment for emergency room visits by hospitals regardless of their ability to pay. EMC was established in 1917, which makes it an old, but bigger facility that can withstand a bigger capacity, sixteen thousand patients, of emergency visits per year. With the passing of this regulation, EMC emergency department treats forty-five thousand patients every year, and because the ED is small and greatly understaffed, it causes longer waiting periods for patients. The frustrations of patients who are sick or not feeling themselves and all have some sort of emergency, have to wait long periods constantly, results in a bad reputation for the medical center. This will affect services, and also a loss of market share due to potential customers traveling to a competing hospital or clinic to receive care.
EMTALA stands for the Emergency Medical Treatment and Active Labor Act. Congress passed the legislation in 1986, making it a federal law. EMTALA states that anyone showing up into the Emergency Department of a Medicare payment receiving hospital, seeking medical attention, must be seen regardless of the individual’s ability to pay. Although, the law is directed towards Medicare accepting hospitals it addresses any and all people wanting medical attention. Relatively all hospitals in the United States participate in and receive monies from Medicare. That is relatively all hospitals in the U.S. are governed by the EMTALA legislation. The wording of “anyone” coming into an Emergency Department is EMTALA’s attempt to cover every person in the U.S. experiencing a medical crisis.
(3 nursing, 2015). Communication is one of the most important factors for working in the ambulance service, it provides knowledge and understanding, and it also allows you to connect with your patients and vice versa. Communication between health care works in paramount, anything can be misconstrued. Information that is not transmitted correctly the message is unclear and the message gets miss read, this could cause endless issues for staff and patents. Or sometimes things can be misinterpreted. This is when accidents can occur and my case study is based on lace of communication between staff and
Valuable lesson to learn by identifying the unwanted deviations and learning from critical incidents leads to safer practice to lesser the incident and improve patient safety. The aims of learning from incident not only to prevent reoccurrence, indeed it should focus on formulating lesson in ensuring effective learning from incidents process itself and gaining insight into the steps of the process. Therefore, CNS and APN is responsible to consult and acts as change agent in stimulating change into safer practice and analyzed learning from critical
Policies and procedures are guidelines instructing service providers to ensure compliance with laws and regulations, and have a responsibility for safe guarding. A set of policies are guidelines formulated by an organization to reach its long-term goals, which according to the multi-risk agency team is to protect and prevent adult’s from abuse and neglect. Establishing multi-agency safeguarding, sharing information amongst the allocated healthcare professionals suited to a case, in a multi-disciplinary meeting, to identify signs of abuse and provide justice to victims who confide in the multi-risk agency team. This meeting consists of a range of professional opinions, and the patient’s intel on the situation and their conclusion, the patient
...and healthy place to work and being treated. At times these organizations may seem like a nuisance, but as a patient and an employee in the healthcare field I feel safer knowing that such organization exist, given that I have worked both in the private and public sector, there have been things that should not have happened. The key on ensuring policies are followed is awareness, communication, and continuous education. By having procedures in place for all departments this will help elevate and ensure no infractions are given by OSHA and JCAHO in the Healthcare facility.
In order to prevent or lessen the impact of a critical situation on the hospital and ensure appropriate level of se...
Maintaining an open mind and learning what one can in terms of national and facility-specific standards will help equip one to perform his or her duties as expected. Above all, the overall care of the patient – mental, physical, financial and spiritual - is paramount.
Ohio Dep’t of Rehabilitation & Correction are the poor-quality patient care that Tomcik received and Tomcik’s health being at risk. Once engaged in a doctor-patient relationship, physicians are obligated to provide the best possible care for the patient by utilizing their skills and knowledge as expected from a competent physician under the same or similar conditions (“What Is a Doctor’s Duty of Care?” n.d.). However, in Tomcik’s situation, Dr. Evans did not deliver high-quality care, for he administered a perfunctory breast examination and thus did not follow standard protocols. There is evidence of indifference conveyed by Dr. Evans, and the lack of proper care towards Tomcik is an issue that can be scrutinized and judged appropriately. Additionally, Tomcik’s health was at risk due to the failure of a proper physical evaluation and the incredibly long delay in diagnosis and treatment. The negligence from Dr. Evans, along with the lack of medical attention sought out by Tomcik after she had first discovered the lump in her breast, may contribute to Tomcik’s life being in danger as well as the emotional anguish she may have felt during that time period. Overall, the incident of Tomcik’s expectations from the original physician and other employees at the institution not being met is an ethical issue that should be dealt with
However, we are looking at a case study where patients safety has been compromised, professionalism has been voided, lack of communication, nurses aren’t liable for their work, the duty of care has been breached and lot more issues can be discovered. Which will be incorporated in this paper. Looking at the patient Christopher Hammett
EMTALA is a federal statute for Medicare participating hospitals that requires that hospitals emergency departments provide treatment to anyone regardless whether the patient has insurance or s able to pay. If a pregnant patient is having contractions or if transferring the patient poses a threat to the woman and/or her unborn child, then EMTALA dictates that the emergency department must deliver both the baby and the placenta. EMTALA hospitals must provide a medical screening examination (MSE) to any patient that comes to the hospital requesting care to determine whether there is an emergency medical condition. If there is found to be an EMC than the patient must be stabilized and treated to the extent of the hospitals abilities. If the hospital is unable to provide the treatment need that the patient must be safely transferred to a hospital that is capable of providing the necessary treatment. Transfers must be performed out of medical necessity. EMTALA also covers specialized units such as a burn unit. Specialized units must accept transferred patients in need of their specialized
There are chances of inconsistencies in the communication between the OHB service provider and the medical facility if an emergency transfer of care warrants (Walker, Lannen & Rossie,
The EMR report has the data on all the patients with the specific procedure code. As the code relates to more than one procedure, all the patients record with only this specific code must be reviewed. One intern can review the patients records with the last name A-K with the code and the second intern can review the records with the last name L-Z. Each intern will categorize the data based on patients who received the procedure and who did not. This system lets the interns review the patient records more meticulously without being hurried or overwhelmed with too many records to review. In turn, it helps to collect and record data more efficiently and accurately and saves time. I will be reviewing the final list of patients with the procedure from both interns and check for any data errors or repetitions and with the approval of the IRB, enter a standardized code to the patient database with the specific
This will also encourage the staff to ensure standards of care are always maintained. Carrying out clinical audits and assessing patient care on the ward on a continuous basis and ensures that the quality of the ward is improved if needed. A Nurse Manager should ensure that the quality of the ward is improving by ensuring that adverse incidences are controlled or eradicated and that all members of staff are participating in all protocols put in place. Although a Nurse Manager cannot control whether or not documentation is hand written or submitted electronically, he or she should ensure that all information is documented and that this is done so correctly. When these protocols are in place not only will the Nurse Manager follow then but the nurses will also follow them. This leads to a better standard of care for patients in the
It is important for the medical staff to make sure all the documentation is complete and through. Since documentation is one of the most important part of the medical practice and compliance. It must be stored correctly. The medical records can be used in noncompliance cases if they are created. All sorts of claims can be investigated by the federal government even if it’s a small mistake or it is fraud. The staff has to know what the compliance plan is and be trained on it otherwise they could end up breaking it and being noncompliant without knowing. The staff has to be able to communicate effectively, be able to keep the privacy of all the patients, code properly, make sure to keep proper patient care, staying up to date on regulations,