EMTALA in the Delivery Room

From Stephen Frew’s Medlaw.com

Wisconsin Upholds EMTALA Duty In Delivery Room

A hospital was obligated under federal law to do a medical screening examination on an infant born there despite doctors’ belief that he was so premature he had no chance to survive, the Wiscon state Supreme Court ruled Wednesday, July 13, 2005.

Shannon Preston sued Meriter Hospital in Madison because doctors refused to treat her infant son, who was only 1 pounds when he was born 17 weeks premature in 1999. Doctors believed his lungs were so underdeveloped that he would not survive regardless of what they did.

Hospital Audit Questions Hours

From the LA Times. Not exactly “non-urban”, but I thought it interesting.

Two dozen physician contractors at Martin Luther King Jr./Drew Medical Center billed for hundreds of hours this year that could not be accounted for, according to a new audit suggesting that fiscal mismanagement and possible fraud persist at the public hospital even as it struggles to reform.

In the emergency department, for instance, the six doctors working under contract billed for a combined 2,200 hours in April and May. Even after taking into account patient care, meetings and lectures, 39% of those hours could not be explained, according to a confidential report that Los Angeles County auditors sent Thursday to the Board of Supervisors.

The doctors collected a total of nearly $75,000 for those questionable billings

New Medical Director in Flora

I thought it was cool that I found this in my daily Google search. From the Daily Clay County Advocate-Press.

The county board approved a medical staff recommendation to appoint Dr. David Mooth as Emergency Room Medical Director. Dr. Mooth will replace Dr. Jim Hegmanowski who resigned the position.

Ambulances Stalled at ED’s

From the East Valley Tribune (AZ)

An ambulance got Toni Poppy to Banner Baywood Medical Center in a few minutes, but it took 17 hours for her to be treated and released Wednesday from the emergency department.

Arriving by ambulance does not guarantee quick treatment in the emergency department — a lesson patients are more likely to learn now as waiting rooms packed with sick people sometimes force ambulances to wait with less critical patients, medical authorities said.

The backup, which at times has left nearly a dozen ambulances waiting several hours at one hospital, has led to a pilot program at six East Valley hospitals that aims to more evenly distribute ambulance patients among emergency departments.