Finally, that emergency directive should provide for a compensation clause allowing each party to claim reimbursement from the other party in order to cover all liabilities, claims, actions, losses, costs, damages or expenses resulting from any of its acts or omissions in the performance of the agreement. An effective emergency transfer depends on the existence of an established procedure, which is why it is strongly recommended to put in place a written agreement between the CSA and its designated local hospital, even if this is not mandatory by state rules or accreditation agencies. 15 states require either a hospital transfer agreement or surgeons to have admission privileges to a particular hospital:ColoradoFloridaGeorgiaIndianaCansasMaineMarylandMassachusettsMissouriOklahomaPennsylvaniaRhode IslandSüd carolinaTexasUtah From profitability to ownership to efficiency, there are many reasons why a surgeon might choose to perform business in the operating room of an outpatient surgical center. But not all CSAs are prepared in terms of personnel and equipment for any emergency situation that may occur. Hospital transfer agreements serve as a safety net for PATIENTS in a CSA to be transported to hospital and treated in a hospital in the event of unexpected medical complications. Here`s an overview of what you need to know about organizing, evaluating, and reviewing a hospital transfer agreement. The Ohio regulations are representative of the first group and state that a CSA "must have a written transfer agreement with a hospital for the transfer of patients in the event of medical complications, emergencies, and other needs in the event of an occurrence." In contrast, according to the Texas Executive Order, a CSA must "have a written transfer agreement with a hospital or all physicians performing a CSA operation must have omission privileges at a local hospital." For billing, collection and insurance obligations, the particularities are usually essentially to protect oneself and each for himself. A robust hospital transfer agreement should require each party to maintain professional liability insurance or equivalent insurance, in order to insure its facilities and staff against claims that are made during and after the termination of the agreement. In addition, each party should be responsible for collecting its own fees for the services provided and not be held responsible for the provision of the services provided by the other party.
In addition, the Directive should include provisions on emergency care and stabilising treatments in the CFS, within the limits of the possibilities offered by CSA staff until the patient is transferred. Staff should be trained to implement this Directive in the event of a medical emergency, so that regular training sessions and mock exercises can be useful in times of crisis. Florida is dealing with the issue from the point of view of medical qualifications. If a physician does not have staffing privileges to perform their ASC procedures in a hospital at a reasonable distance, a transfer agreement must be made in advance. And Georgia notes that hospitals "must not unduly refuse a transfer agreement to the [CSA]." A hospital transfer agreement should address the circumstances in which an emergency transfer is to take place, indicate who is empowered to make the decision to transfer a patient, and list the documentation that must accompany the patient to the hospital. . . .