Out hospital system has just announced that this service will be offered.
In addition to the concerns expressed by Ernie, I have these additional
1) Approximately 55% of our patients are ESI Level 4 and 5. This means that
if we could figure out a way to implement this, we would have to make
available "appointments" to more than 25,000 patient visits/year.
2) Our population is approximately 70% Medicaid/Medicaid HMO. I am
concerned that "scheduling appointments" will give the states just the
excuse they need to decrease reimbursements to Hospitals for ED visits. In
other words, why should insurance companies pay ED fees for non-emergent
patients who have "scheduled" appointments?
I would appreciate hearing your thoughts regarding the scheduling
"appointments" for pediatric patients in Emergency Departments.
Division Director, Cardinal Glennon Children's Medical Center
St. Louis, MO
On Tue, Sep 20, 2011 at 7:46 AM, Ernest Bertha <[log in to unmask]>wrote:
> Just a thought as I am reviewing some CME.... If patients make an
> appointment in the ED, is the hospital and the ED doc still responsible
> under EMTALA? Obviously, if it is an appointment, no emergency medical
> condition exists and therefore a MSE isn't required. Just wondering how
> this might/will affect this type of care in the ED?
> Ernest G. Bertha, MD, MBA, CPE, FAAP
> Chief Medical Officer, Pediatric Services
> Sheridan Healthcare Services, Inc.
> 1613 North Harrison Parkway
> Suite 200, SH-10
> Sunrise, Florida 33323
> 954-838-2746 (Direct & Voice Mail)
> 954-858-0100 (FAX)
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