Aug. 8, 15 and 22, 2018

Noon-2 p.m. Central

This educational activity is jointly provided by AXIS Medical Education and The Texas Hospital Association.

What would you do if a CMS surveyor walked into your hospital today to investigate an Emergency Medical Treatment and Labor Act (EMTALA) complaint? Did you know that the EMTALA penalties have more than doubled in 2017? When are you required to report a potential EMTALA violation? Don’t be caught off guard. CMS issued a recent deficiency memo showing that over 3,271 hospitals received deficiencies for failure to comply with the federal EMTALA law. Most hospitals were unprepared. This makes it the most frequent area of noncompliance.
This program will discuss the proposed changes by the Officer of Inspector General which will also impact on-call physicians. Also discussed will be the Quality Improvement Organization process which will now be done by the two Beneficiary and Family Centered Care (BFCC)-QIOs. This program will discuss the CMS memos including three memos on Ebola and EMTALA.
Every hospital that has an emergency department and accepts Medicare and Medicaid patients must follow the federal law and the Center for Medicare and Medicaid Services Conditions of Participation Interpretive Guidelines on the EMTALA law. Hospitals without emergency departments must comply with EMTALA if they have specialized capabilities. EMTALA can also impact obstetrical patients and behavioral health patients.  

Learning Objectives:

  • Discuss that EMTALA is the most frequent cited deficiency for hospitals.
  • Recall that CMS has a manual on EMTALA that all hospitals that accept Medicare must follow.
  • Describe that the hospital must maintain a central log.
  • Discuss the hospital's requirement to maintain a list of the names of physicians who are on call to evalute emergency department patients.
  • Recall that CMS has requirements on what must be in the EMTALA sign.
  • Describe the hospital's requirements regarding a minor who is brought to the ED by the babysitter for a medical screening exam.
  • Discuss when the hospital must complete a certification of false labor.

Target Audience:

CEOs, chief operations officers, chief nursing officers, chief legal officers, nurses and medical staff, quality managers, nurse educators, risk managers, compliance officers, chief of health information, pharmacists, social workers, discharge planners, patient safety officers, outpatient director, director of rehab, infection control, directors of radiology.


Sue Dill Calloway, RN, J.D., president, Patient Safety and Healthcare Education and Consulting
Sue Dill Calloway, RN, J.D., has been a nurse attorney and consultant for more than 30 years. Currently, she is president of Patient Safety and Healthcare Education and Consulting and also the chief learning officer for the Emergency Medicine Patient Safety Foundation. Prior to her current role, she was the director of hospital patient safety for The Doctors' Company and OHIC Insurance Company. She has led many educational programs for nurses, physicians, and other health care providers. Dill has authored more than 100 books and numerous articles. A frequent speaker, Dill is well known across the country in the area of health care law, risk management, and patient safety.