(Physician Compensation Duties, 2001)
V. EVALUATION of STRATEGIES
The strategies reviewed in this work include on-call pay for emergency room physicians as well as punitive reduction of pay for refusal to take calls. The primary factor supporting call-duty compensation is the fact that the physicians are busier than ever before and this is particularly true of those who are specialty physicians who "simply don't have time to accept such duty unless paid additionally for it." (Physician Compensation Report, 2003) While many hospital emergency departments expect their physicians to be on-call without receiving extra compensation, this is not a reasonable view for the busy emergency room department management. Appropriate compensation for on-call physicians will motivate these physician's in adherence to EMTALA requirements and will support the institution in delivery of proper EMTALA aligned healthcare.
Understanding EMTALA (the Emergency Medical and Active Labor Act) Ethics Resources Center - AMA. Online available at www.ama-assn.org/go/erc.
Hospital Auditing and Monitoring: Sample Programs for Key Risk Areas."(2006) as cited by MdPro Tip: Auditing common EMTALA Pitfalls. Online available at http://www.hcpro.com/content/71.cfm.
Call-coverage Pay on Rise but Remains Minority Policy (2003) Physician Compensation Report. Find Articles. Online available at http://www.findarticles.com/p/articles/mi_m0FBW/is_3_4/ai_98571892
Pediatricians Go to Larger Groups; Pay Is Mostly Production-Based (2001)
Physician Compensation Report, http://findarticles.com/p/articles/mi_m0FBW/is_7_2" June, 2001
EMTALA
EMTALA stands for Emergency Medical Treatment & Labor Act and was passed in 1986 to guarantee the public has access to emergency services irrespective of the ability to pay. The main reason for its implementation is section 1867 of the Social Security Act. This part imposes concise requirements on any Medicare-participating hospitals that provide MSE/emergency services. Before EMTALA, people were turned down for medical treatment if they could not pay,
Conflict Reduction Strategies According to EMTALA (Emergency Medical Treatment and Active Labor Act), hospitals are responsible to ensure on-call physicians respond in a reasonable time frame and medical staff bylaws, or policies and procedures, must define the responsibilities of on-call physicians to respond, examine, and treat patients with emergency medical conditions (On-Call Responsibilities for Hospitals and Physicians, 2013). And, "when feasible, requests for consultative services should be made in accordance with
From there, health care providers are becoming more assertive in denying services based on their religious beliefs (Friedman 2007). This debate has been going since a doctor refused medical treatment to a gay man. The dispute arose in 2000 after San Diego-area doctors Christine Brody and Douglas Fenton refused to artificially inseminate Benitez, a lesbian who lives with her partner, Joanne Clark, in Oceanside, north of San Diego (Parker
EMTALA Violations in the Healthcare System The Emergency Medical Treatment and Active Labor Act (EMTALA) was introduced because of concerns that patients who needed emergency medical treatment were being denied access to that treatment due to inability to pay (Schecter, 2010). The law basically requires any hospitals that receive federal funding to provide emergency medical care under specific circumstances. However, despite the clear language of the law, hospitals and healthcare providers
In 2004, Arizona's Proposition 200 wanted state and local governments to verify the identity and immigration status of all applicants for certain public benefits, and to require government employees to report violations (Wood pp). Attitudes about the problem have hardened in recent years in some states, both out of concern about the economic impact, particularly in a time of slow job growth, and out of concern about the security threat
(Shactman; Altman, 2002) 4. Recommendations for Overcoming these Barriers: Some of the suggestions for overcoming these barriers are (i) appointment of a General Practitioner -- GP officers to work as a Liaison Officer between the ED and the community so that the communication is streamlined as well as processes of referral and feedback and development of clinical pathways. (ii) Expansion of community off-peak facilities, including the setting up of the capacity
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