دورية أكاديمية
Civil Monetary Penalties for EMTALA Violations Involving Minors, 2002-2023.
| العنوان: | Civil Monetary Penalties for EMTALA Violations Involving Minors, 2002-2023. |
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| المؤلفون: | Terp S; Keck School of Medicine of the University of Southern California, Los Angeles, California.; Leonard D. Schaeffer Center for Health Policy and Economics, University of Southern California, Los Angeles, California., Ahmed S; Keck School of Medicine of the University of Southern California, Los Angeles, California., Reichert Z; Keck School of Medicine of the University of Southern California, Los Angeles, California., Calero K; Keck School of Medicine of the University of Southern California, Los Angeles, California., Sison O; Keck School of Medicine of the University of Southern California, Los Angeles, California., Axeen S; Keck School of Medicine of the University of Southern California, Los Angeles, California.; Leonard D. Schaeffer Center for Health Policy and Economics, University of Southern California, Los Angeles, California., Siddiqui A; Keck School of Medicine of the University of Southern California, Los Angeles, California., Vontela N; Keck School of Medicine of the University of Southern California, Los Angeles, California., Santillanes G; Keck School of Medicine of the University of Southern California, Los Angeles, California. |
| المصدر: | Hospital pediatrics [Hosp Pediatr] 2024 Aug 01; Vol. 14 (8), pp. 674-681. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: American Academy of Pediatrics Country of Publication: United States NLM ID: 101585349 Publication Model: Print Cited Medium: Internet ISSN: 2154-1671 (Electronic) Linking ISSN: 21541671 NLM ISO Abbreviation: Hosp Pediatr Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: July 2011- : Elk Grove Village : American Academy of Pediatrics Original Publication: Elk Grove Village, IL : American Academy of Pediatrics/Section on Hospital Medicine |
| مواضيع طبية MeSH: | Minors*/legislation & jurisprudence , Emergency Service, Hospital*/economics, Humans ; Adolescent ; Female ; Child ; United States ; Male ; Compensation and Redress/legislation & jurisprudence ; Child, Preschool |
| مستخلص: | Background and Objectives: The Emergency Medical Treatment and Labor Act (EMTALA) is intended to prevent inadequate, delayed, or denied treatment of emergent conditions by emergency departments (EDs). EMTALA requirements pertain to patients of all ages presenting to dedicated EDs regardless of whether facilities have dedicated pediatric specialty services. This study aims to describe EMTALA-related civil monetary penalty (CMP) settlements involving minors. Methods: Descriptions of all EMTALA-related CMPs occurring between 2002 and 2023 were obtained from the Office of the Inspector General web site and reviewed for involvement of minors (<18 years of age) using keywords in settlement summaries. Characteristics of settlements involving minors were described and compared with settlements not involving minors. Results: Of 260 EMTALA-related CMPs, 38 (14.6%) involved minors. Most involved failure to provide a medical screening exam (MSE) (86.8%) and/or stabilizing treatment (52.6%). Seven (18.4%) involved pregnant minors. Eleven (28.9%) involved ED staff directing a patient (or guardian) to another facility, typically by private vehicle, and another involved 2 patients referred to on-campus outpatient clinics without an MSE. Conclusions: One in 7 CMPs related to EMTALA violations involved minors, and 1 in 5 of these minors was pregnant. One-third of CMPs involving minors included ED staff directing patients to proceed to another facility or on-campus clinic without MSE or stabilization. Findings suggest a need for providers to understand EMTALA-specific requirements for appropriate MSE, stabilization, and transfer, and for EDs at hospitals with limited pediatric services to implement policies for the evaluation of minors and protocols for transfer when indicated. (Copyright © 2024 by the American Academy of Pediatrics.) |
| تواريخ الأحداث: | Date Created: 20240718 Date Completed: 20240731 Latest Revision: 20240731 |
| رمز التحديث: | 20240801 |
| DOI: | 10.1542/hpeds.2024-007732 |
| PMID: | 39021238 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2154-1671 |
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| DOI: | 10.1542/hpeds.2024-007732 |