Performance Improvement 2009. How Do Physician-Owned Specialty Hospitals Manage Medical Emergencies?


This study provided an assessment of physician-owned specialty hospitals’ ability to manage medical emergencies. The study was based on data from 109 physician-owned specialty hospitals and relies on a review of staffing schedules for nurses and physicians for 8 sampled days, a review of hospitals’ staffing policies, a review of policies for managing medical emergencies, and interviews with hospital administrators.

About half of all physician-owned specialty hospitals had emergency departments, the majority of which had only one emergency bed. Not all hospitals had nurses on duty and physicians on call. Less than one-third of administrators report having physicians onsite at all times. Two-thirds of hospitals use 9-1-1 as part of their emergency response procedures. Some hospitals lacked basic information in their written policies about managing medical emergencies. The Centers for Medicare & Medicaid Services stated that it would add information to its provider enrollment form and the new Provider Enrollment and Chain-Operated System. CMS issued a program memorandum to State Survey Agencies that reiterated its requirements for hospitals and addresses medical emergency requirements.

Report Title: Physician-Owned Specialty Hospitals' Ability To Manage Medical Emergencies
Agency Sponsor: OS-OIG, Office of Inspector General
Federal Contact: Erin Lemire, 202-205-9523
Performer: Staff; Office of Inspector General
PIC ID: 8984

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"PerformanceImprovement2009.pdf" (pdf, 1.26Mb)

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