Review this document in preparation for your journal assignment:
Article: Examining EMTALA in the era of the patient protection and Affordable Care Act
EMTALA was designed to protect patients from being turned away when searching for emergency medical care.
For this assignment, address the following questions.
- What unanticipated consequences have occurred from this legislation?
- What were some of the unanticipated benefits?
- As chief executive officer (CEO) of a health system, what measures would you implement in your organization to stop these issues from negatively impacting your organization??s productivity?
Your assignment should be a minimum of two pages in length and should include a title page and reference page (title and reference pages do not count toward the minimum word requirement).
To support your discussion, you should include at least two sources. All sources used must be referenced; paraphrased and quoted material must have accompanying citations. References and citations must be provided using APA Style.
AIMS Public Health Volume 5, Issue 4, 366-377.
AIMS Public Health, 5(4): 366??377
DOI: 10.3934/publichealth.2018.4.366
Received: 24 May 2018
Accepted: 21 September 2018
Published: 08 October 2018
http://www.aimspress.com/journal/aimsph
Research article
Examining EMTALA in the era of the patient protection and
Affordable Care Act
Ryan M. McKenna
1,
*, Jonathan Purtle
2
, Katherine L. Nelson
3
, Dylan H. Roby
4
,
Marsha Regenstein
5
and Alexander N. Ortega
6
1 Department of Health Management and Policy, Dornsife School of Public Health, Drexel
University, 3215 Market Street, Nesbitt Hall, Philadelphia, PA 19104, USA
2 Department of Health Management and Policy, Dornsife School of Public Health, Drexel
University, 3215 Market Street, Nesbitt Hall, Philadelphia, PA 19104, USA
3 Department of Health Management and Policy, Dornsife School of Public Health, Drexel
University, 3215 Market Street, Nesbitt Hall, Philadelphia, PA 19104, USA
4 Department of Health Services Administration, School of Public Health, University of Maryland,
4200 Valley Dr # 2242, College Park, MD 20742, USA
5 Department of Health Policy and Management, Milken Institute School of Public Health, George
Washington University, 950 New Hampshire Ave NW, Washington, DC 20052, USA
6 Department of Health Management and Policy, Dornsife School of Public Health, Drexel
University, 3215 Market Street, Nesbitt Hall, Philadelphia, PA 19104, USA
* Correspondence: Email: [email protected]; Tel: ???.
Abstract: Background: Little is known regarding the characteristics of hospitals that violate the
Emergency Medical Treatment and Labor Act (EMTALA). This study addresses this gap by
examining EMTALA settlements from violating hospitals and places these descriptive results within
the current debate surrounding the Patient Protection and Affordable Care Act (ACA). Methods: We
conducted a content analysis of all EMTALA Violations that resulted in civil monetary penalty
settlements from 2002??2015 and created a dataset describing the nature of each settlement. These
data were then matched with Thomson Healthcare hospital data. We then present descriptive
statistics of each settlement over time, plot settlements by type of violation, and provide the
geographic distribution of settlements. Results: Settlements resulting from EMTALA violations
decreased from a high of 46 in 2002 to a low of 6 in 2015, a decline of 87%. Settlements resulting
from violations most commonly occurred for failure to screen and failure to stabi
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