EMTALA and Court Cases

 Strategic Application of the Law

You are an emergency department manager at Big Health Hospital.  Your hospital is in a large city and serves the needs of the inner city as well as visitors who are injured while visiting the city.  You have grappled with problems of overcrowding and have the following metrics:

  • Door to doctor time:  130  minutes
  • Decision to transfer time: 390 minutes
  • Decision to discharge time:  115 minutes
  • Patients Left without being seen (LWBS) percentage: 24%

You have been asked to create a strategic plan to improve emergency room care. The plan must be presented to the Executive VP of Hospital Operations for approval prior to implementation.

  1. Discuss how you would create a strategic plan.  (Don’t create an actual plan, but be specific about what you would include in your plan) The plan should:

        -Comply with EMTALA

        -Improve  one of the key metrics AND

        -Address the issue of emergency department overcrowding.

      Explain what your plan would involve and how it would meet these three requirements.

  1. Explain the resources that would be required to implement your plan in terms of people, time, and money.
  2. Describe the arguments  you would make to the Executive VP in support of your plan and describe how it will benefit the hospital.

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