[MEDITECH-L] Need a complete ER log that is accurate for past 5 years to meet EMTALA guidelines

[Kim Cheek]

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I have copied a portion of the EMTALA guidelines below.  We currently have an ER log written out of ADM.PAT.  Due to certain file maintenance days in ADM, this log is not accurate if run for days more than 60 days back.  In order to meet this reg now…we either have to… Run this report monthly from Meditech and save it to a network server for later use Run this report as requested (inaccurately) and run a couple of other ABS Compile reports also.  These reports are IP Admits from ER and OBS Admits from ER.  We can combine these 3 reports and come up with a complete ER log.  I need to build a report out of a different application, but at the same time, pull all the necessary information.  The information is listed below.  We might could use a report that does not have some of the following information… Patient name Patient account number ER physician name ER registration date and time ER departure date and time Length of stay in ER Age Sex Reason for ER visit Arrival method to ER Admitting physician (to hospital if patient is admitted) Room (where admitted to…) ER discharge disposition Patient Registration Rep. Does anyone have such a report that they would be willing to share?  I would appreciate any assistance that I can get. Thanks so much! Kim Cheek     CMS “EMTALA Interpretive Guidelines” –State Operations Manual Appendix V, page 2 under ‘General information’ list the following as 2 of the bulleted requirements of hospitals with dedicated emergency departments: ▪     Maintain medical and other records related to individuals transferred to and from the hospital for a period of five years from the date of the transfer ▪     Maintain a central log of individual’s who came to the dedicated ED seeking treatment and indicate whether these individuals: refused treatment, were denied treatment, were treated, admitted, stabilized, and/or transferred, or were discharged. It further states that a surveyor will ask the CEO for ‘dedicated ED logs for the past 6-12 months’. (pg. 6), under Part II.     Kim L. Cheek  BS,MT (AMT) Clinical Systems Analyst Information Systems Northern Hospital of Surry County Mt. Airy, NC  27030 1-336-719-7063 [EMAIL PROTECTED]     CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain business confidential and legally privileged information. If you are not the intended recipient, you are hereby notified that you are not authorized to read, print, retain, copy or disseminate this message, any part of it, or any attachments. If you have received this message in error, please delete this message and any attachments from your system without reading the content and notify the sender immediately of the inadvertent transmission.

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