19 déc Transfer Agreement Hospitals
In addition, the policy should include provisions for emergency care and stabilization of CSA treatment as part of the capacity of CSA staff until the transfer of the patient. Staff need to be trained to implement this policy in the event of a medical emergency, so that regular continuing education and mock exercise sessions could be useful at a time of crisis. Supporters of the hospital say they fear that a removal of the requirement could put patients at risk. In emergency situations, when a patient needs to be transferred from a CSA to a hospital, the host hospital must quickly know the details of the moving patient, such as the type of operation performed, the anesthesia used and the problems encountered, Marilyn Litka-Klein, vice president of the Michigan Health Hospital Association, said in a commentary. In the case of billing, collection and insurance obligations, the peculiarities are usually to protect oneself and each for oneself. A strong hospital transfer contract should require each party to maintain professional liability insurance or equivalent liability insurance to cover its facilities and staff against claims made during and after the termination of the contract. In addition, each party should be responsible for collecting its own fees for the services provided and should not be held responsible for the collection of services provided by the other party. As part of the agreement, hospitals and operating centres outline typical procedures and common care protocols, Litka-Klein wrote. 1. CSA must not have a written transfer contract or hospital planning privileges for all physicians. Centres must provide hospitals with a document containing information about their surgery and patient population. 15 countries require a hospital transfer agreement:AlabamaAlaskaAransasConnecticutLillinoisNevadaNew YorkNorth CarolinaOhioSouth DakotaTensesseeWashingtonWyoming An effective emergency transfer depends on the existence of an established procedure, it is therefore highly recommended that a written agreement be created between the CSA and its designated local hospital, even if it is not required by state regulations or accreditation bodies.
Some states require that the hospital with which the CSA arranges transfers be within a period of CSA travel. Illinois and Mississippi, for example, indicate 15 minutes, while Oklahoma indicates 20 minutes and Florida 30 minutes. All CSAs that treat Medicare receptors must be certified by the Medicare program and, therefore, meet the federal CSA requirements. One of these requirements requires the CSA to have a written transfer agreement with a local hospital participating in Medicare or a non-participating hospital that meets the Emergency Services Requirements of the Medicare program.