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CONCORD HOSPITAL
COMPLIANCE WITH 489.24
Tag No.: A2400
Based on interview and record review the hospital's dedicated emergency department (ED) failed to comply with the requirements for the Emergency Medical Treatment and Labor Act (EMTALA) at §489.24.
Findings include:
The hospital failed to provide an appropriate medical screening examination to an individual who presented to the hospital campus ED for 1 of 21 patients reviewed presenting to the emergency department over the previous six months (Patient #1). Refer to TAG: 2406.
MEDICAL SCREENING EXAM
Tag No.: A2406
Based on record review and interview, the hospital failed to provide an appropriate medical screening examination to an individual who presented to the hospital campus of the emergency department (ED) for 1 of 21 patients reviewed presenting to the ED over the previous six months. (Patient identifier is #1)
Findings include:
Review on 6/20/23 of the hospital's letter self reporting an EMTALA violation revealed the following:
On 5/10/23, Patient #1 arrived at the hospital ED, escorted by the sheriff, with a petition to have an evaluation done at Concord Hospital - Laconia, and was instructed to go to that ED. The patient left without receiving a MSE.
Review on 6/20/23 of the facility's policy and procedure titled "EMTALA [Emergency Medical Treatment and Active Labor Act] - Medical Screening Examination and Patient Transfer Policy", effective 11/22/2022, revealed the following: "4.1 Medical Screening Examination", 4.1.1 Any individual who comes to Concord Hospital, Concord Hospital - Laconia, or Concord Hospital - Franklin's Emergency Departments, including those who are in need of assistance in the physical areas within 250-yards to Concord Hospital, Concord Hospital - Laconia, or Concord Hospital - Franklin's main building and other structures on these campuses, including parking lots, sidewalks, driveways, requesting examination or treatment shall be provided with an appropriate medical screening examination by a QMP [Qualified Medical Provider]".
Interview on 6/20/2023 at approximately 3 with Staff A (Director, Regulatory & Accreditation) confirmed the above findings.
Review on 6/20/2023 of ED patient logs revealed no record for Patient #1.
Interview with Staff Bon 6/21/22 at approximately 11 a.m. confirmed there was no record for Patient #1's above emergency department visit.