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When transfer of patients is part of a regional plan to provide optimal care at a specialized medical facility, written transfer protocols and interfacility agreements should be in place. Assessment of patients' competence to consent to . The Health Insurance Portability and Accountability Act of 1996 (HIPAA) regulations established national privacy standards for health care information. If you receive a discharge letter from a hospital, it will provide you with a summary of your stay. Section (g) should be interpreted to mean that if the patient has an emergency medical condition (EMC) that the current hospital can't manage, then a receiving hospital with the capability and capacity to care for the EMC must accept the patient in transfer, regardless of the location of the patient in the sending hospital and regardless of whether the patient is currently stable or unstable. An Intervention trial was designed to reduce unexpected events while transporting emergency patients by intrahospital transport before and after intervention. Learn more, Transferring Patients: EMTALA Rule to Apply to Those Needing More Care, Change would determine whether hospitals with specialized services must accept appropriate transfers, By Robert A. Bitterman, MD JD FACEP, Contributing Editor, In April of this year the Centers for Medicare and Medicaid Services (CMS) proposed changes to the Emergency Medical Treatment and Active Labor Act (EMTALA) regulations that would once again significantly impact EMTALA's patient transfer rules.1. Because EMTALA requires a great deal of practice, the procedure is not simple to implement in practice. Violations continue to occur despite the fact that monetary penalties for noncompliance were doubled in 2017. As highlighted in a 2008 New York Times article, these inpatient admissions can last for years, if not longer. PDF New York State Department of Health Re: Bureau of Emergency Medical This must be done on the basis of an explanation by a clinician. When discharging a patient under an AAMA, a healthcare provider should keep a few things in mind. Your Rights as a Hospital Patient in New York State - Section 2 Chapter 13 Emergency Transfer Laws | Weldon E. Havins, M.D., J.D.