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Dec. 1, 2020


9:00am - 11:00am




EMTALA Update 2020: Three-Part Virtual Series


Each session will be held from 9 to 11 a.m.

  • Tuesday, Dec. 1 — Part I
  • Tuesday, Dec. 8 — Part II
  • Tuesday, Dec. 15 — Part III


COOs; CFOs; CNOs; CMOs; emergency department medical directors, managers, physicians, nurses and education staff; emergency medicine physicians; OB managers and nurses; behavioral health directors and staff; psychiatrists; nurse supervisors; compliance officers; legal counsel; risk managers; patient safety and compliance officers; regulatory affairs directors; nurse educators; medical staff directors; staff nurses; outpatient directors; directors of hospital-based ambulance services; registration staff and directors; on-call physicians; Joint Commission Coordinators; and those interested in CMS EMTALA guidelines

The following program content was provided by the speaker.


Every hospital that has an emergency department and accepts Medicare and Medicaid patients must follow the federal law and the Centers for Medicare & Medicaid Services Conditions of Participation Interpretive Guidelines on the Emergency Medical Treatment and Labor Act. Even hospitals without EDs must comply with EMTALA if they have specialized capabilities.

Yet, a recent study found that 30% of U.S. hospitals and 34% of critical access hospitals have violated EMTALA in the last decade. Violations were found to most frequently occur in the southeast region and with hospitals with fewer than 100 beds. With more than 5,000 hospitals receiving deficiencies, as reported by CMS, EMTALA is the most frequent area of noncompliance. To further complicate matters, the EMTALA CoPs manual was updated in July of 2019, but the Office of Inspector General regulations and final changes are not included in the manual. Penalties have been doubled to nearly $105,000 per violation for hospitals with more than 100 beds, and it is anticipated that health care will see even larger EMTALA fines and more activity because of the OIG final changes.

This three-part virtual event series will provide clarity on the regulations, interpretive guidelines and final changes, including all 12 sections of the CoPs manual and an expanded section for on-call physicians, as well as the shared and community care plan process. The speaker will review frequently cited deficiencies, including a recent case against a South Carolina hospital, which resulted in the largest EMTALA settlement to date of $1.2 million. Don’t miss this important series to ensure that your hospital’s policies, procedures and training are adequate to maintain compliance with EMTALA.


At the conclusion of this session, participants will be able to:

  • discuss that EMTALA is a frequently cited deficiency for hospitals (Part 1)
  • recall that CMS has a manual on EMTALA that all hospitals that accept Medicare must follow (Part 1)
  • describe the central log that hospitals must maintain (Part II)
  • discuss the hospital's requirement to maintain a list of the specific names of physicians who are on-call to evaluate ED patients (Part II)
  • recall that CMS has requirements on what must be in the EMTALA sign (Part II)
  • describe the hospital's requirements regarding a minor who is brought to the ED by the babysitter for a medical screening exam (Part III)
  • discuss when the hospital must complete a certification of false labor (Part III)



Laura A. Dixon is the president of Healthcare Risk Education and Consulting. She previously served as the director of facility patient safety and risk management and operations for COPIC from 2014 to 2020. In her role, Dixon provided patient safety and risk management consulting and training to facilities, practitioners and staff in multiple states.

Dixon has more than 20 years of clinical experience in acute care facilities, including critical care, coronary care, peri-operative services and pain management. Before joining COPIC, she served as the director of patient safety and risk management, western region, for The Doctors Company in Napa, Calif. In this capacity, she provided patient safety and risk management consultation to the physicians and staff for the western U.S.

As a registered nurse and attorney, Dixon holds a Bachelor of Science from Regis University, a Doctor of Jurisprudence from Drake University College of Law, and a Registered Nurse Diploma from Saint Luke’s School Professional Nursing. She is licensed to practice law in Colorado and California.

General Information

General Information


Register for the virtual series on or before Monday, Dec. 14, to ensure delivery of instructional materials.


A recording will be available for 60 days after the event to registered participants.

Three-Part Series Cost

  • $600 per connection for MHA members or dues-paying members of an MHA affiliated organization
  • $900 per connection for nonmembers

This virtual event series is eligible for use of the MHA Health Institute coupon. Note: Coupons were mailed to MHA-member hospital CEOs in December 2019.

This virtual event series is being offered at a reduced registration fee to MHA-member hospitals thanks to a generous contribution from the MHA Management Services Corporation.

This educational activity is provided by MHA Health Institute.




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