Textbook of Urgent Care Management: Chapter 33, EMTALA in Urgent Care Medicine
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About this ebook
Chapter 33 includes:
Does EMTALA Apply to My Institution?
What is Required to Comply with EMTALA?
- Medical Screening Exam
- Stabilization
- Transfers
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Textbook of Urgent Care Management - Rachel A. Lindor
CHAPTER 33
EMTALA in Urgent Care Medicine
Rachel A. Lindor
from
CHAPTER 33
EMTALA in Urgent Care Medicine
Rachel A. Lindor
THE EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR ACT (EMTALA), commonly referred to as the patient anti-dumping act,
is designed to prevent hospitals and emergency departments (EDs) from refusing to treat patients who are unable to pay for their care. Enacted in 1986, EMTALA was inspired by a smattering of highly publicized cases in which patients with life-threatening conditions were turned away from EDs because they were uninsured.
Although EMTALA was originally designed to protect indigent patients who presented to EDs, its scope has expanded considerably since 1986. Currently, the provisions of EMTALA apply to all patients, regardless of insurance status, age, immigration status, or any other characteristic. In addition, the act’s provisions apply to a number of clinical care sites, not only the traditional EDs that were originally targeted by the legislation. Identifying these additional sites is the first major focus of this chapter.
For health-care providers and institutions that are subject to EMTALA, the law can be broken into three main requirements. First, all patients must be given an appropriate medical screening exam designed to detect emergency medical conditions. Second, if an emergency medical condition is found, patients must be stabilized