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Emergency Medical Treatment and Labor Act

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Health Management Discussion Questions First Student the

Words: 953 Length: 3 Pages Document Type: Essay Paper #: 94885056

Health Management (Discussion questions)

First student

The Emergency Medical Treatment and Labor Act (EMTALA) is a law governing how and when patients may be denied treatment or moved from one hospital to another in cases of extreme medical conditions. EMTALA was legalized as a component of the 1986 consolidated budget reconciliation (ichards & athbun, 2009). Sometimes, it is known as the CONA law. This generalized name has generated other laws. A common provision under the COBA name is the statute that governs continuation of benefits derived from medical insurance after job termination. The principal provision of this statute is as follows:

Patients visiting the emergency unit seeking treatment or examination for medical conditions must be given the required medical screening diagnosis. This will be helpful in identifying if they are suffering from emergency medical conditions. In case they are, then hospitals are obliged to either furnish them with appropriate treatment…… [Read More]


Davis, N.A., & Cleverley, W.O. (2010). Essentials of health care finance: A workbook for health information managers. Chicago, Ill: American Health Information Management Association.

Ferenc, D.P. (2013). Understanding hospital billing and coding. St. Louis, Mo: Elsevier.

Richards, E.P., & Rathbun, K.C. (2009). Medical care law. Gaithersburg, Md: Aspen Publishers.

Institute of Medicine (2013). Emergency medical services at the crossroads. Washington, D.C: National Academies Press.
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Health Care Law and Biology

Words: 807 Length: 2 Pages Document Type: Essay Paper #: 97508646

rights EMTALA grants, to whom, when, and in what setting.

EMTALA is short for the Emergency Medical Treatment and Active Labor Act. It was part of the larger Consolidated Omnibus Budget econciliation Act of 1986, which is commonly referred to as COBA. The EMTALA legislation governs how and when a patient may be refused treatment and/or when they may be transferred from one hospital to another while in an unstable condition. The "avowed purpose" of EMTALA prevents "hospitals from rejecting patients, refusing to treat them, or transferring them to 'charity hospitals' or 'county hospitals' because they are unable to pay or are covered under the Medicare or Medicaid programs" (EMTALA, 2015). Basically, it protects patients that are near-death or are otherwise in medical distress from being sent off to another hospital due to concerns about payment for services rendered. In other words, it prevents a hospital from treating patients based…… [Read More]


Berkeley. (2015). Similarities and differences. Retrieved 21 June 2015, from 

EMTALA. (2015). FAQ on EMTALA. Retrieved 21 June 2015, from 

HHS. (2015). The Belmont Report | Retrieved 21 June 2015, from /ohrp/humansubjects/guidance/belmont.html
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Bobby and Rachel Liability There Is Potential

Words: 922 Length: 3 Pages Document Type: Essay Paper #: 59928862

Bobby and achel Liability

There is potential liability on the part of the various parties in the scenario involving Bobby, the nurse, the surgeon and City General Hospital. In this essay, the author will consider each party's responsibility and potential liability/neglect separately. We will define comparative negligence and discuss its application to the analysis of liability in the scenario. As we shall see further on, there is an inherent contradiction between the cost containment of managed health care and the law, but this does not excuse the gross negligence of the medical staff or reduce the ability of the plaintiff for civil damages.

EMTALA (Emergency Medical Treatment and Active Labor Act) requires almost all hospitals to provide an examination and needed stabilizing treatment, without consideration of insurance coverage or ability to pay, when a patient presents to an emergency room for attention to an emergency medical condition that requires immediate…… [Read More]


Daniels, N., & Sabin, J. (1998). The ethics of accountability in managed care reform. Health Affairs, 17(5), 50-64.

Li v. yellow cab co. -- case brief. (n.d.). Retrieved from

Rothenberg, K.H. (1989). Who cares?: the evolution of the legal duty to provide.

Houston Law Review, 26(21), 21-76.
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Healthcare -- Legal Issues Religion

Words: 2158 Length: 7 Pages Document Type: Term Paper Paper #: 11354839

While it may not be just to hold an organization liable, absolutely, for every instance of employee negligence, there is a rationale for imposing such liability in many cases. For example, many types of industries entail potential danger to others that are inherent to the industry.

Individual workers are not likely to be capable of compensating victims of their negligence, but the employer benefits and profits financially by engaging in the particular industry. Therefore, the employer should not necessarily escape liability for compensating all harm caused by their activities, regardless of fault in particular instances.

10.A nurse is responsible for making an inquiry if there is uncertainty about the accuracy of a physician's medication order in a patient's record. Explain the process a nurse should use to evaluate whether or not to make an inquiry into the accuracy of the physician's medication order.

Like other highly trained professionals, experienced nurses…… [Read More]


Abrams, N., Buckner, M.D. (1989) Medical Ethics: A Clinical Textbook and Reference for the Health Care Professionals. Cambridge, MA: MIT Press

Caplan, a.L., Engelhardt, H.T., McCartney, J.J. Eds. (1981) Concepts of Health and Disease: Interdisciplinary Perspectives. Reading, MA: Addison-Wesley

Starr, P. (1984) the Social Transformation of American Medicine.

New York: Basic Books
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Health Care Reform Through the

Words: 2167 Length: 8 Pages Document Type: Term Paper Paper #: 13494733

Not only do these practices discourage preventative care and monitoring, they also diminish the quality of the good that insured individuals are buying from the health insurance companies. Insured individuals are paying for insurance and paying for most of their healthcare costs in addition because of the exorbitant deductibles. PPACA's prohibition of these practices ultimately forces health care companies to raise the bar and give health insurance customers more value for money.

Public-Private Partnerships Prevent ureaucratization of Health Care

There are widespread misconceptions that the PPACA will provide health insurance through some government-run bureaucracy. Actually, PPACA is built on close cooperation between health insurance companies and the government. Under PPACA, the government does not operate hospitals nor does it provide medical insurance to individuals. Actually, it requires individuals to carry some form of private health insurance or suffer a penalty. The only time the government becomes involved is when an…… [Read More]


Patient Protection and Affordable Care Act. Public Law 111 -- 148. Available at 

Patient Protection and Affordable Care Act - Summary. 

"An Analysis of Health Insurance Premiums Under the Patient Protection and Affordable Care Act,

Letter to the Honorable Evan Bayh." Congressional Budget Office. Douglas W. Elmendorf. November 18, 2009. Available at .
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Ethics Is Knowing the Difference Between What

Words: 1355 Length: 4 Pages Document Type: Essay Paper #: 6120237

Ethics is knowing the difference between what you have a right to do and what is right to do" (1). Ethics and its subsequent practice have been a very contentious issue in American society of late. Our current economic resulted almost entirely of excessive greed and unethical actions of key financial institutions. As a result of their lack of integrity, the entire world economy has subsequently suffered in a very severe manner. Many have lost their homes; even more have lost their retirement savings, while still others have lost their livelihoods. Such is the power of ethics and how its practice can have both positive and negative consequences on society as a whole. With all the attention placed on the financial community and in particular, Wall Street, many are often neglecting the unethical practices of the health care industry. I believe a very ubiquitous and widespread issue apparent within the…… [Read More]


1) "Ethics Quotes - BrainyQuote." Famous Quotes at BrainyQuote. Web. 04 Aug. 2011. .

2) "VM -- Refusal of Emergency Care and Patient Dumping, Jan 09 ... Virtual Mentor." Virtual Mentor:: American Medical Association Journal of Ethics | Web. 04 Aug. 2011. .

3) "EMTALA - Primary Law." EMTALA.COM - Resources and Information. Web. 04 Aug. 2011. .

4) Public Citizen." Public Citizen Home Page. Web. 04 Aug. 2011. .
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Baby K Was an Infant

Words: 1575 Length: 5 Pages Document Type: Essay Paper #: 4952011

That is to say that relationships are considered above and beyond medical reasoning. "Futility would not be measured by the medical effect on the patient but by the effect on social relationships" (2000, p. 140). This means that even if a physician were to believe from his or her educated medical perspective that treatment would not prolong life or have any impact on integrated functioning, there is still a purpose in treatment in that it services relationships.

The case of Baby K. was quite controversial and the court's judgment was equally as controversial as they held that it was not within their realm or that it was way beyond the scope of their judicial duties or function to consider the moral decorum of whether or not an emergency room should offer emergency care to sustain life in infants with anencephaly. There are several implications in the case of Baby K,…… [Read More]


O'Rourke, K.D. (2000). A primer for health care ethics. 2nd edition. Washington, D.C:

Paola, F.A. & Walker, R. (2009). Medical ethics and humanities. 1st edition. Burlington,

MA: Jones & Bartlett Publishers.
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Consultant Evaluation and Healthcare Industry

Words: 4888 Length: 15 Pages Document Type: Research Paper Paper #: 61453629

com). A certain amount of errors is to be expected, but there should not be so many that it demonstrates a certain level of skewedness about the model in its entirety. Thus, if the NHI model is the one which is selected, then it needs to be tested against a range of different scenarios. The following demonstrate some truly relevant what-ifs: what if the doctors only move half the projected volume; what if medicare slashes rates; what if competitors open a comparable program (

There are a range of factors which can change or adjust once a healthcare facility opens their doors for business. And as much as this facility is attempting to engage in a solid humanitarian effort, at the end of the day, it's still a business and people need to get paid. Thus, before engaging in further developmental activities, one needs to determine in what ways the…… [Read More]


Brakatu Ofori-Adjei, a. (2007). Microfinance: An Alternative Means of Healthcare Financing for the Poor. Ghana Medical Journal, 193-194.

Burnstein, L., Harris, R., & Love, L. (2012, August 30). Top Four Legal Issues to Consider When Opening an Urgent Care Center. Retrieved from 

Burnstein, M., Harris, R.L., & Love, L. (2012, August 20). Top Four Legal Issues to Consider When Opening an Urgent Care Center. Retrieved from
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Candian vs U S Healthcare Many

Words: 3080 Length: 8 Pages Document Type: Thesis Paper #: 17032236

S. is the issue of waiting times. Wait times for services are affected by several factors. Both countries are plagued by excessive wait times for certain services, such as specialists, surgery, or specialized treatments such as that for specific cancers or heart conditions. In both the United States and Canada, waiting times are determined in part by the number of providers available to provide that service in a certain geographic area. However, in the United States, wait times can be slowed by access to funding or the unwillingness of a provider to perform a certain service at the price set by the insurer, be it private or public. In Canada, price does not figure into the wait time. The urgency of the need of the person and the availability of services in a certain geographic area are the only factors that figure into the wait time.

Emergency room waits tend…… [Read More]


CBS Staff Reporter (2009). "Medical Debt Huge Bankruptcy Culprit - Study: It's Behind Six-In-

Ten Personal Filings." CBS. 2009-06-05. .

Coverme. (n.d.). Newfoundland and Labrador Government Health Insurance Plan Offers Limited
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Health Politics What Is the Role of

Words: 3149 Length: 10 Pages Document Type: Term Paper Paper #: 37669681

Health Politics

"What is the role of Congress in policy making process"?

Policy is a plan to identify goal or possible course of actions with administrative or management tools to accomplish these goals. n the other hand, policy is the authoritative decision made by the U.S. executive, legislative, judicial branch of government to influence the decision of others. Government is a key player in decision-making process and congress plays important roles in decision-making . In the United States, both House of Representatives and House of Senate fulfill the congressional policy responsibilities, and congress plays important role in health policy, which includes obesity prevention measures or health insurance program. Congress is an important arm of government that makes law. Important strategy that congress uses to make policy preference is by passing a bill into law. Typically, the congress could make a decision to pass or not to the policy of the…… [Read More]

Oregon Department of Human Services.(2008). The impact of federal policy on Oregon's health care reform efforts: Opportunities and barriers within Medicaid and the State Children's Health Insurance Program. Medical Assistance Programs.

Waller, M. (2005).Block Grants: Flexibility vs. Stability in Social Services. Brookings Institution Policy Brief.

Zuckert, M.P. (2002). Launching Liberalism: On Lockean Political Philosophy. Lawrence: University Press of Kansas.
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Crowding in Emergency Departments Over

Words: 1758 Length: 5 Pages Document Type: Thesis Paper #: 19768369

(Shactman; Altman, 2002)

4. ecommendations 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 for community access to X-rays, Scanning, ultrasound, blood tests and observation beds. (iii) Initiation of a project to deal with frequent attenders to the ED through the development of management plans contributed to by the patient, their GP, the ED as also their specialist (iv) Education of the local community such that are aware as to when and under what situations to access ED care or alternative care in the community. (Ardagh; ichardson, 2004)


Ardagh, Michael; ichardson, Sandra.…… [Read More]


Ardagh, Michael; Richardson, Sandra. (2004) "Emergency department overcrowding- can be

fix it" Journal of the New Zealand Medical Association, vol. 117, no. 1189, pp: 27-31.

Brewster, Linda R; Rudell, Liza; Lesser, Cara S. (2001) "Emergency Room Diversions: A

Symptom of Hospitals under Stress-Increased Demand for ER Services" Center for Studying Health System Change. Issue Brief No. 38. Retrieved May, 2009 from
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Health Care How Would You

Words: 1302 Length: 4 Pages Document Type: Case Study Paper #: 29469983

Futile medical care is the ongoing provision of medical treatment or care to a patient who does not show any hope of recovery. It is either that his condition is not curable and therefore the treatment that he is receiving is of no benefit. The common examples of these are that a surgeon is performing a surgery on a patient with terminal cancer. Patients who have terminal cancer have gotten the cancer spread all throughout their body. It is only until time that their organs will go into failure and they will pass away. Another example is of keeping brain dead people on life support for other reasons. As it would be expected, this is quite a sensitive area and it would involve arguments with the patient's relatives and friends.

It is understandable that the loved ones do want to do anything they can to keep the patient in front…… [Read More]


Appel, J. (2009). What's So Wrong with "Death Panels"?. [online] Retrieved from:  [Accessed: 26 Jul 2013].

Doyle, D. (2010). Baby K. A Landmark Case In Futile Medical Care. [online] Retrieved from:  [Accessed: 26 Jul 2013].

Gardent, P. And Reeves, S. (2009). Ethics Conflicts in Rural Communities: Allocation of Scarce Resources. [e-book] Lebanon, NH: University Press of New England.  [Accessed: 26th July, 2013].

Pomerance, J., Morrison, A., Williams, R. And Schifrin, B. (1989). Anencephalic infants: life expectancy and organ donation.. Journal of perinatology, 9 (1), pp. 33-37.
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Duty to Treat

Words: 2350 Length: 8 Pages Document Type: Term Paper Paper #: 68550476

goal of their ethical calling, physicians, nurses and other health care workers are obliged to treat the sick and potentially infectious patients and, in so doing, they are to take some personal risk (Murray 2003). This was the bottom line of the assessment and stand made by Dr. Henry Masur and his colleagues at the National Institute of Allergy and Infectious Disease (NIAID), particularly during the outbreak of dread global SARS in Canada and Hong Kong last year. They also referred to other epidemics, such as the HIV / AIDS.

Masur emphasized that this primary goal and obligation is voluntary and sets the medical profession apart from other professions, precisely because of the involvement of some personal risk in fulfilling that obligation. esides physicians, medical professionals are nurses, dentists and health workers. Records of the first SARS outbreaks in Toronto and Hong Kong showed that a huge 50% of those…… [Read More]


Katz, Laura L. And Marshall B. Paul. When a Physician May Refuse to Treat a Patient. Physician's News Digest, 2000. 

Levin, Aaron. Doctors Willing But Not Ready to Treat Deadly Bio-terror Agents. Health Behavior News Service: Center for the Advancement of Health, 2003. 

Murray, Terry. Health Care Staff Have a Duty to Treat. The Medical Post: Rogers Media, 2003.

Schulman, David I. The Dentist, HIV and the Law: Duty to Treat, Need to Understand. Dental Treatment Consideration, 2000.
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Schlesinger Describes Four Main Themes Relating to

Words: 2742 Length: 9 Pages Document Type: Article Review Paper #: 18594032

Schlesinger describes four main themes relating to the notion of a shared household. These are:

Collective responsibility for medical care or cost-

Family members have collective responsibility and commitment in regard to certain burdens (such as paying the rent or household chores). In a similar way, politicians first argued at the end of the Progressive era that the American nation -- qua family -- owed special responsibility in regard to its duty: medical services. esponsibility in regard to the nation providing social insurance reappeared during the Great Depression era where oosevelt argued that "Americans were ready, in the Depression and after, to abandon individual responsibility for the costs of sickness during and after the Depression" (Schlesinger, 973).

Shared institutions for health care and finance

Just as the household may collectively sit down to meals and share other common experiences, so is the household expected to collectively share in providing for…… [Read More]


Brooking Institute (2008) "Meeting the Dilemma of Health Care Access" (PDF). Opportunity 08: A Project of the Brookings Institution. Retrieved on 11/26/2011

Consumer Affairs. Com. (2007). Study Finds 24% of Americans Underinsured Retrieved on 11/26/2011
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Healthcare Strategy

Words: 1289 Length: 4 Pages Document Type: Other Paper #: 72015703

Health Care

A target market is defined as recognizable segments that make up the market, and the target market consists of the groups the organization wants to focus on (Swayne, Duncan & Ginter, 2008). There are a number of ways that a target market can be understood. The main breakdowns in health care are geography, demographics, payer and specialty (Gandolf, 2010).

Geography is perhaps the simplest one. It reflects the service radius that the hospital wants to serve. In Emanuel's case, does it want to serve mainly Turlock, or does it consider its playing field to be broader. Is it competing for customers in the major towns in the area? In some respects, the other competitors in the market are defining for Emanuel what its geographic target market is, since they are winning customers away from Emanuel.

Demographics reflects the ways of describing the people in your target market. The…… [Read More]


Dranove, D. & Satterwaite, M. (2000). The industrial organization of health care markets. Handbook of Health Economics. Vol. 1 (B) 1093-1139.

Gandolf, S. (2010).

How to define your target audience -- a critical health care marketing success factor. Health Care Success Strategies. Retrieved November 24, 2014 from 

McQueen, M. (2007). Health insurers target the individual market. Wall Street Journal. Retrieved November 24, 2014 from
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Developing Optimal Ambulance Services

Words: 678 Length: 2 Pages Document Type: Essay Paper #: 95073211

King County Emergency Management System: Ambulances

This paper reviews the relevant literature to determine how the seven unit hour production (UHP) processes work together to simultaneously achieve clinical excellence, response time reliability, economic efficiency, and customer satisfaction in the operation of King County Emergency Management System (EMS) with a specific focus on its ambulance services. An assessment concerning whether any of the processes have unintended consequences that negatively impact the system's performance is followed by a discussion concerning which of these processes work and do not work within the King County, Washington EMS. Finally, a summary of the research and important findings concerning the King County EMS are presented in the conclusion.

eview and Discussion

Today, tertiary healthcare facilities in the United States are required by 42 CF 482.55 (the Conditions of Participation for Hospitals for Emergency Services) to ensure that they meet the emergency needs of patients in ways…… [Read More]


Davis, R. (2003, July 29). Six minutes to live or die. USA Today, 1-5.

Hamilton, T. E. (2006, July 13). EMTALA -- 'Parking' of emergency medical patients in hospitals. Baltimore, MD: Center for Medicaid and State Operations.

Hayes, P. & Fogarty, J. (2015, September). 2015 annual report to the King County Council. Seattle and King County: Public Health.

Unit hour production process. (n.d.). PowerPoint presentation.
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Data Protection and Future Changes

Words: 413 Length: 2 Pages Document Type: Essay Paper #: 80537235

Protection and Future Changes

It was moderately challenging to find sufficient sources. After receiving the assignment, I performed an initial search. There were only one or two sources from my original search that I ended up using in the final research essay. Research of any kind requires an above average level of persistence and diligence, so in that case, the research effort put forth was not out of the ordinary.

The only way to determine whether a resource will substantiate evidence is to read it. I read through many abstracts and the first few pages of many resources. I read through the tables of contents and the indexes of resources as well. I had to get a quick but in depth sense of the resources' content before choosing to include it in the final research essay. I had to read many resources to get a sense of the context within…… [Read More]