The New EMTALA Regulations – What Every Neurosurgeon Needs to Know to Comply

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    Since the enactment of the Emergency Medical Treatment and Active Labor Act in 1986, EMTALA’s ever-changing rules have made it increasingly difficult for neurosurgeons to determine just what the law requires of them. This is a particularly frustrating circumstance considering that, although EMTALA enforcement has been uneven, both hospitals and physicians can be fined up to $50,000 for each EMTALA violation and in some cases excluded from the Medicare program.

    In an effort to clarify several EMTALA issues, the Centers for Medicare and Medicaid Services issued a proposed regulation on May 9, 2002, which elicited more than 650 comments. The American Association of Neurological Surgeons and the Congress of Neurological Surgeons submitted comments, as did more than 75 individual neurosurgeons. On Sept. 9, 2003, the CMS issued a “new” final rule, which went into effect on Nov. 10, 2003. Subsequently, on May 13, 2004, the CMS published the revised Appendix V: Interpretive Guidelines-Responsibilities of Medicare Participating Hospitals in Emergency Cases. The interpretive guidelines do not have the force of law, but they contain authoritative interpretations and clarifications of statutory and regulatory requirements to assist the CMS in making consistent determinations about a provider’s compliance with EMTALA. Taken together, these two documents constitute the current EMTALA “rules of the road.”

    The revised regulations do not fundamentally alter EMTALA, which requires hospitals with emergency departments to provide a medical screening examination to any individual who comes to the emergency room and requests such an examination and, if an emergency medical condition exists, necessary stabilizing treatment within a hospital’s capability and capacity.

    Clearly, the revisions are a vast improvement over past regulations. They are not perfect, however, and a number of unintended consequences may stem from them. For example, many hospitals and emergency physicians are reporting increased difficulties in getting neurosurgeons to serve on call. In addition, neurosurgeons who are practicing at academic centers or level 1 or level 2 trauma centers are reporting an increase in the number of patient transfers from these community hospitals. The regulations were meant to address those situations in which hospitals were forcing neurosurgeons to provide continuous, “24/7/365” call. Unfortunately, while the regulations do state that such coverage is not required, the CMS leaves it to the hospitals and physicians to work out call schedules amongst themselves, and neurosurgeons may still find themselves in situations where their hospitals are requiring onerous call schedules.

    Provisions and Guidelines for On-Call Requirements
    The new regulations now include additional provisions related to EMTALA’s on-call requirements, and the interpretive guidelines provide additional clarification on what is expected of both hospitals and on-call physicians to meet these requirements.
    Regulation Provision: §489.24(j) Availability of on-call physicians.

      (1) Each hospital must maintain an on-call list of physicians on its medical staff in a manner that best meets the needs of the hospital’s patients who are receiving services required under this section in accordance with the resources available to the hospital, including the availability of on-call physicians.

    Interpretive Guidelines:

  • Hospitals have the ultimate responsibility for ensuring adequate on-call coverage. How to provide on-call coverage is a decision made by hospital administrators and the physicians who provide such coverage for the hospital. Each hospital has the discretion to maintain the on-call list in a manner that best meet the needs of the hospital’s patients who are receiving services required under EMTALA in accordance with the resources available to the hospital, including the availability of on-call physicians.

  • No physician is required to be on call at all times. On-call coverage should be provided for within reason depending upon the number of physicians in a specialty.

  • There is no predetermined ratio that CMS uses to identify how many days a hospital must provide on-call coverage based on the number of physicians on staff for that particular specialty. In particular, the CMS has no rule stating that whenever there are at least three physicians in a specialty, the hospital must provide continuous “24/7” coverage in that specialty.

  • All relevant factors will be considered in determining EMTALA compliance, including the number of physicians on staff, other demands on these physicians, the frequency with which the hospital’s patients typically require services of on-call physicians, and the provisions the hospital has made for situations in which a physician in the specialty is not available or the on-call physician is unable to respond. The CMS has stated, “We are aware that practice demands in treating other patients, conferences, vacations, days off, and other similar factors must be considered in determining the availability of staff.”

  • The on-call physician must go to the emergency room if called. The treating emergency physician determines whether the on-call physician must physically assess the patient in the ER. The decision as to whether the on-call physician responds in person or directs a nonphysician practitioner (such as a physician assistant) as his or her representative to respond to the ER is made by the on-call physician. The on-call physician is ultimately responsible for the individual regardless of who responds to the call.

  • Repeatedly or typically directing patients to be transferred to another facility may be an EMTALA violation. The on-call physician must come to the hospital when called.

  • Patients cannot be transferred to the physician’s office for treatment. The physician must come to the hospital to examine the individual if requested by the treating emergency physician.

  • Individuals must be listed on the call list. Physicians’ group names are not acceptable for identifying the on-call physician. Individual physician names are to be identified on the list.

  • Physicians are not considered on call just because they are visiting their own patients. Physicians are not required to be on-call for their specialty if they are not on the hospital’s on-call list.

  • Response time must be stated in minutes. Hospital policies should state the expected response time in minutes. Terms such as “reasonable” or “prompt” are not enforceable by the hospital and therefore are inappropriate in defining a physician’s response time.

    Regulation Provision: §489.24(j) Availability of on-call physicians.
      (2) The hospital must have written policies and procedures in place–
      (i) To respond to situations in which a particular specialty is not available or the on-call physician cannot respond because of circumstances beyond the physician’s control.

      Interpretive Guideline:
      

  • Hospitals must have backup plans when the on-call physician is not available. The hospital must have policies and procedures (including backup call schedules or the implementation of an appropriate EMTALA transfer) to be followed when a particular specialty is not available or the on-call physician cannot respond because of situations beyond his or her control. A CMS representative has stated orally that such a backup plan can include going on diversion status.

      (ii) To provide that emergency services are available to meet the needs of patients with emergency medical conditions if [the hospital] elects to permit on-call physicians to schedule elective surgery during the time that they are on call or to permit on-call physicians to have simultaneous on-call duties.

    Interpretive Guidelines:

  • Physicians are permitted to perform elective surgery while on call. However, a hospital may have its own internal policy prohibiting elective surgery by on-call physicians to better serve the needs of its patients seeking treatment for a potential emergency medical condition. When a physician has agreed to be on call at a particular hospital during a particular period of time, but also has scheduled elective surgery during that time, that physician and the hospital should have planned backup in the event that the physician is called while performing elective surgery and is unable to respond to the situation, or an appropriate EMTALA transfer should be implemented.

  • Physicians can be on call simultaneously at more than one hospital. When the on-call physician is simultaneously on call at more than one hospital, all hospitals involved must be aware of the on-call schedule as each hospital independently has an EMTALA obligation. The medical staff bylaws or policies and procedures must define the responsibilities of the on-call physicians to respond, examine and treat individuals with emergency medical conditions. The hospital must have policies and procedures that are to be followed when a particular specialty is not available or the on-call physician cannot respond because of situations beyond his or her control. The CMS has stated that a patient may be transferred to the location of the on-call physician provided that the benefits of transfer outweigh the risks of the patient’s condition materially deteriorating.

    Unresolved Issue: Selective Call May Be a Violation
    Although the new regulation and interpretive guidelines have served to improve the understanding of what EMTALA requires, one provision seems to suggest that physicians are not permitted to take “selective” call:

    Physicians who refuse to be included on a hospital’s on-call list but take calls selectively for patients with whom they or a colleague at the hospital have established a doctor-patient relationship, while at the same time refusing to see other patients (including those individuals whose ability to pay is questionable), may violate EMTALA. If a hospital permits physicians to selectively take call while the hospital’s coverage for that particular service is not adequate, the hospital would be in violation of its EMTALA obligation by encouraging disparate treatment.

    This provision could be interpreted in at least two ways. First, it seems to suggest that EMTALA mandates that physicians serve on call. However, the regulations and other elements of the interpretive guidelines state that physicians are not required to be on call at all times and that hospitals have the discretion and flexibility to set forth on-call schedules that best meet their needs. Further, the guidelines note that hospitals are permitted to exempt certain medical staff members (such as senior physicians) from their call schedules. Secondly, the provision could be interpreted to mean that physicians who are seeing established patients in the hospital must be available to the emergency department. Again, the regulations and guidelines do not support this interpretation. The AANS and CNS are seeking further clarification of this provision.

    Katie O. Orrico, JD, is director AANS/CNS Washington office.

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