Question

DO NOT LEAVE ANY PART INCOMPLETE!!! ANSWER ALL PARTS

Case 32

Title: Heck No, I Won’t Go! I’m Not Covering for Free!

(Dale Buchbinder)

On Thursday night Dr. Jones was at home watching television and spending time with his family. The phone rang. The South Shore General Hospital ER physician asked him to see an urgent patient. Dr. Jones replied that he was not on call for the emergency room at South Shore General Hospital, and furthermore, the hospital was paying members of a competing group to cover the emergency room. The emergency room doctor said that he was aware of the arrangement with the competing group. However, the ER could not reach the on-call physician and had tried for some time.

Dr. Jones, who earlier had a glass of wine with dinner, responded, “You’ll have to keep trying. I’m not coming in.”

The next day Dr. Jones called the Chief of Staff and the Chief Medical Officer (CMO) of South Shore General Hospital and informed them that neither he nor any members of his group would cover the ER unless they were compensated in a similar manner to the competing group and had an appropriate contractor arrangement with the hospital. Dr. Jones asked the Chief of Staff and CMO if they worked for free. Dead silence. “While you’re thinking about that question, let me say this to both of you. Doctors are working harder and longer hours and earning less money every year. Why should we give up our free time and work for nothing when you’re willing to pay the other group?”

FIRST ANSWER the discussion question:

3) Was Dr. Jones obligated to go to the emergency room at South Shore General Hospital?

THEN, Based on the passage, write:

THE BACKGORUND STATEMENT: ( what is going on in this case as it relates to the indentified major problem? what are the key points the reader needs to know)

YOUR ROLE: ( declare what role you will address the major problem from, whether you are the chief administrator in this case or an outside consultant called in to advise)

EVALUATION: ( How will you know when you have gotten there? there must be measurable goals put in place with the recommendations. Write this section as if you are trying to "sell" your proposed solution to the organization. Convince the reader that your proposed solution is the best available, and that it will work as planned.)

Answer 1

3, Yes, Dr.Jones obligated to go to the emergency room at south shore general hospital..
The background statement:
Dr.Jones was called one night to see the emergency patient at emergency room at south shore general hospital..Dr.Jones rejected to go there for service at night as he is not a emergency on-call physician and he said he can not work for free..ER could not able to reach the on-call physician competing-group..because hospital paying for those on-call physician to cover emergency care.
south shore health system is a not for profit,tax-exempt,charitable health system providing health care services..
Your role:
As a chief administrator role to declare this problem with EMTALA emergency rule which was approved by U.S congress to make sure patient access to emergency medical care..all physician on hospital staff not only emergency physician must know about this general requirement..It include on-call physician responsibility under the statute,penalty,enforcement procedure..Dr.Jones have to pay them out of his pocket for refuse to accept to provide service..
Evaluation:
EMTALA laws provide guarantee for nondiscriminatory access to emergency medical care..on-call physician should have responsibility for emergency care patient for stabilization that essentially interpret with all physician with privileges from hospital that covered under EMTALA..medicare hospital should have follow EMTALA law for any situation to transfer care for an individual..Dr.jones action will come under violation and liability,because single patient encounter may result in more violation..it is equal to hospital failed to provide treatment and on-call physician failed to see the patient when they called..the uncompensated cost for emergency physician for service for uncompensated patient care is $10billion..physician should do the right thing for their practice and should follow the laws and regulations..