Hospitals across the country have contacted me in recent days with the same question – reception centres require us to sign sketched transfer contracts. How`s it going with EMTALA? Unfortunately, the answer is not clearly addressed in EMTALA, but CMS representatives have, over the years, expressed their views on the implementation of this issue, mainly by evoking the limitations of such agreements when it comes to EMTALA. Transfer agreements must clearly define the respective responsibilities of the CSA and the hospital in a number of areas, including the transmission of patient information; Providing transportation; Sharing services, equipment and staff Providing care for agency setting and capacity; and the confidentiality of patient records. The CMS informed me that transfer-back agreements are allowed in sustainable transfer contracts if: 1. The patient can reasonably be considered stable for hospital care, which was initially transferred to a higher level of care 2. The original hospital agrees to treat patient 3. The patient accepts in writing the topical questions have however focused on the theme of «return». In several of my cases, CMS has indicated that «removal» is an authorized provision in a transfer contract, provided that three criteria are included: some states require the hospital with which the CSA arranges transfers to be within a certain CSA travel period. Illinois and Mississippi, for example, indicate 15 minutes, while Oklahoma indicates 20 minutes and Florida 30 minutes. 15 States Require Hospital Transfer Agreement:AlabamaAlaskaAransasConnecticutIloiresIllinoisMississippiNevadaNew YorkNorth CarolinaOhioSouth DakotaTennesseeWashingtonWyoming Surgical Centers continue to push the CMS to eliminate the need for a transfer agreement.

They argued that even if hospitals grant the agreements, they use them to control the centres inappropriately. 1. CSA must not have a written transfer contract or hospital planning privileges for all physicians. Centres must provide hospitals with a document containing information about their surgery and patient population.

Category : Sin categoría