The information below comes from the statement of deficiencies compiled by health inspectors and provided to AHCJ by the Centers for Medicare and Medicaid Services. It does not include the steps the hospital plans to take to fix the problem, known as a plan of correction. For that information, you should contact the hospital, your state health department or CMS. Accessing the document may require you to file a Freedom of Information Request. Information on doing so is available here.

RUSH UNIVERSITY MEDICAL CENTER 1653 WEST CONGRESS PARKWAY CHICAGO, IL 60612 April 18, 2012
VIOLATION: COMPLIANCE WITH 489.24 Tag No: A2400
A. Based on policy review and staff interview, it was determined that the Hospital failed to ensure compliance with A 2406.

Findings include:

1. The Hospital failed to include in the Medical Staff Bylaws Rules and Regulation a designation of individuals qualified to perform a Medical Screening Exam (MSE) in the Emergency Department (ED). See deficiency at A 2406.
VIOLATION: MEDICAL SCREENING EXAM Tag No: A2406
A. Based on review of Hospital Medical Staff Bylaws Rules and Regulations and staff interview, it was determined that the Hospital failed to include in the Medical Staff Bylaws Rules and Regulation a designation of individuals qualified to perform a Medical Screening Exam (MSE) in the ED.

Findings include:
1. The Hospital's Medical Staff Bylaws Rules and Regulations dated 1/5/12 was reviewed on 4/17/12 at approximately 12:45 PM. The Hospital failed to include in the Medical Staff Bylaws Rules and Regulations the individual(s) designated as qualified to perform a Medical Screening Exam (MSE) in the Emergency Department (ED).

2. On 4/18/12 at approximately 3:15 PM the Chairperson of the Department of Emergency Medicine was interviewed. The Director stated, "I only hire residency trained board certified Emergency physicians or board eligible physicians that will take and pass their boards within 2 years. The physicians are trained on the EMTALA regulations while in their residency programs. We (ED physicians) do not screen patients out of the ED. We do histories and physicals on all patients and we see all the patients."

3. The finding was verified by the Chairperson of the Department of Emergency Medicine during an interview on 4/18/12 at approximately 3:30 PM.