Analysis of Healthcare Policy and Law: Public Health and EMTALA

This essay provides an analysis of healthcare policy and law, focusing on essential public health services, the Emergency Medical Treatment and Active Labor Act (EMTALA), and electronic medical record systems. It examines the existing procedures related to public health services, the importance of continuous patient evaluation under EMTALA, and measures to maintain electronic medical records during emergencies. The essay also defends the decision to accept health insurance during emergencies and analyzes the potential impact of emergencies on the quality of patient care and organizational operations. The discussion incorporates relevant literature and legal considerations to provide a comprehensive overview of the challenges and opportunities in healthcare policy and law. Desklib offers a platform for students to access similar solved assignments and study resources.

Running head: HEALTHCARE POLICY AND LAW
HEALTHCARE POLICY AND LAW
Name of the Student
Name of the University
Author Note

1HEALTHCARE POLICY AND LAW
Examine the existing procedures related to at least four (4) of the ten (10) essential public
health services:
Public health service is the health and welfare department of United States. There are certain
purposes of the public health services. The most important job of this service is to prevent all the
causes that spread epidemic diseases and protect all the environmental hazards. Further, it
prevents injuries, acts for the promotion of healthy behaviors, responds positively to disasters,
and helps the affected communities to recover all the hazards. It assures the quality and
accessibility of services (Rosen, 2015). There are ten essentials of public health service. The
association with which I am involved as the vice president is maintaining the principles
recognized by the health administration. It is important to follow all these essentials for different
vicinities of medical facilities. There are many issues present in the healthcare and the first
essential is to educate the people so that they could come up with group association to manage
all the issues. It helps to ensure that the organization is cautious about the probable risks and be
prepared to deal with the crisis. The second method is to look over the matter that the doctors are
attending all the patients and in quicker way with impartial mentality. Further, it is also
important to give assurance to the patients guaranteed accommodation in the hospital and
therefore, sufficient strategies are to be taken to train the staff members with all the specific
medical facilities. The last principle that should be followed by the institution to ensure that all
the members of the medical boards are quite educated and they have the capability to deal with
the human services (Brownson, Deshpande & Gillespie, 2017). The medical board should be to
be creative in nature. This will help the institution to deal with all the risk factors that can be
cropped up eventually. All these principles will help to make an ideal environment in the

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institution. Further, this way the institution could maintain all the basic principles of a health
institution.
Specify the importance of continuing to evaluate patients, as stipulated by the Emergency
Medical Treatment and Active Labor Act (EMTALA), during the emergency:
The Emergency Medical Treatment and Active Labor Act (EMTALA) is a part of the
Consolidated Omnibus Reconciliation Act and it is dealing with Medicare issue. The main
intention of this Act is to assure that all the patients got access to the emergency medical care
and no patients got unprivileged due to poor financial condition (Centers for Medicare and
Medicaid Services, 2015). The topic related to the ensuring continuity in patients’ evaluation is
an important step to maintain the wellbeing of the patients. It plays significant role in the
institution where I am appointing as the vice president. Therefore, it is my duty to look after
whether all these elements are maintaining or not. All these surveillance should be made under
the shadow of EMTALA and according to this Act; certain safeguards are required to be
followed during the crisis. Patient evaluation is necessary to observe whether the restorative
development has been provided to the patients (Menchine et al., 2016). Certain attempts have
been taken by the EMTALA for the patients to figure out that there is any importance of
restorative development program in the institution for the betterment of the patients. All the
patients are required to go for thorough check up for restorative screening. Further, patients
found to be in need of healing crisis treatment should be exchanged or settled where the
establishment seems not to be having balancing out offices. In addition to this, the institution
should have to take all the important steps so that no patients get unprivileged for their financial
conditions and the medical practitioners should have to take an impartial mentality towards the
patients in critical situation.

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Detail three (3) measures that you would use in order to maintain the electronic medical
record system during the emergency:
Electronic Medical Record System (EMRS) is systematized collection of patient and
population electronically stored health information in a digital format. Various health care
systems are following the rules generated from the system. According to (Ben-Assuli, 2015),
variety of data, medical history, medication and allergies, radiology and immunization status is
maintained in the Electronic Medical Record System. There are number of measures that can be
taken to maintain electronic medical record during the emergency period. The first important
measure is to understand the system by identifying the person who is accessing and writing the
records. Certain security protocols are maintained in those cases to look into the matter for
incoming and outgoing. All these things are required to be very strict. Coronado 2015 states that
adapting EMRS systems to give out public health needs gives the possibility of colossal
advances for public health practice and policy. In this review, we evaluate EMRS effectivity and
map it to the three core functions of public health: assessment, policy development, and
assurance. For example, in order to support public health’s established focus on precautionary
health and socio-behavioral factors, EMRS data models would need to be expanded to
incorporate environmental, psychosocial, and other non-medical data elements, and workflow
would have to be examined to determine the optimal way of collecting these data. The second
measure is there should be certain considerations for the clinicians so that they can override
automatic time out process. Further, certain personal policies should be taken for the electronic
order entry. Email-based message system should be generated to identify serious errors in the
medical system. The third measure is to get familiar with the tracking features of medical

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electronic records. It will help reduce risks for the medical practitioners and it will be crucial
during the emergency period.
Defend your position on the decision to accept health insurance during the emergency as a
potential source of income for the facility:
In general, expanding health insurance coverage to promote access, or trying to lower
costs by cutting prices or covered services, will not achieve the best health and the lowest health
care costs for Americans. Arnett et al., 2016 states that health care providers and patients have
many good ideas for how to improve quality and lower costs, but often these approaches are not
supported well or at all by fee-for-service payments, traditional insurance benefit designs, or
current health care regulations. First, three things have been renowned as support providers to
the better care policy such as health care policy reforms, private sector reforms and collaboration
in between the private and public sector. There are certain stages involved in between the health
care system that can be divided as federal, state, regional and local. Initiatives have been taken to
diverse the quality improvement process regarding the health care at all these stages.
Opportunities can be identified through registries that help the patients to help and track down
their conditions regarding the health care policies and indentify all the potential complication to
verify the area of improvements. Secondly, the health care providers plays an important part in
the payment reforms and help them to take certain steps registry process and other process to
improve the status to avoid unnecessary costing. It is crucial to acknowledge the medical
coverage during the critical situations. The reasons behind the same are that medical coverage
prevents a doctor to claim therapeutic participation during the crisis and they are bound to take
care of the patients at all the circumstances. Thirdly, the patients who have exchanged their med
claims to support their insufficient assets got additional protection in the critical situations. All

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these factors help the health insurance during the urgent situation as a probable source of
earnings for the facility.
Analyze the extent to which this emergency might affect the quality of care provided to the
patients and the unimpeded operation of the organization:
The health care quality chasm is better described as an inlet segments of the population,
that can be described as national and ethnic minority groups, given the gap between valid care
received and ideal or best care quality. President Clinton selected the Advisory Commission on
Consumer Protection and Quality in the Health Care Industry on March 26, 1997. The main
function of the commission was to give suggestion to the President regarding the changes
required in the health care sections and provide recommendation for the promotion and
assurance of health care quality. It is the duty of the commission not to take difference attitude
based on the race, class, colour or any kinds. The health care policy has positioned it in a
separate rank and examined the current stage of equity in a health care delivery system. There
are certain major challenges necessary to be identified to develop the health care organizations
such as safety, timeliness, efficiency, equity, effectiveness and patient care. The main aim of the
equity is to give certain assurance regarding the availability of quality care irrespective of class,
creed or religion. It should be the ethics that will help the individual, who are seeking medical
help and the health care criteria should be exclusive in nature. Health Care System should be
able to scrutinize the present state of impartiality in an archetypal health care relief system and
help to commence health care analysis. Its governmental apparition, “culture of quality,” and
included guidance divine will help to achieve best care that could be equitable in nature.
However, discrimination in access to the health care or use medical stuffs, and outcomes of
health care must be analyzed; the decent, fair, and profitable issues they move up and the

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noteworthy bigotry they produce must be remedied if this goal is to be achieved. In case of any
inequality, the same should be dealt by improve the quality.

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Reference:
Arnett, M. J., Thorpe, R. J., Gaskin, D. J., Bowie, J. V., & LaVeist, T. A. (2016). Race, medical
mistrust, and segregation in primary care as usual source of care: findings from the
exploring health disparities in integrated communities study. Journal of Urban
Health, 93(3), 456-467.
Ben-Assuli, O. (2015). Electronic health records, adoption, quality of care, legal and privacy
issues and their implementation in emergency departments. Health Policy, 119(3), 287-
297.
Betancourt, J. R., Green, A. R., Carrillo, J. E., & Owusu Ananeh-Firempong, I. I. (2016).
Defining cultural competence: a practical framework for addressing racial/ethnic
disparities in health and health care. Public health reports.
Boulware, L. E., Cooper, L. A., Ratner, L. E., LaVeist, T. A., & Powe, N. R. (2016). Race and
trust in the health care system. Public health reports.
Brownson, R. C., Deshpande, A. D., & Gillespie, K. N. (2017). Evidence-based public health.
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Burwell, S. M. (2015). Setting value-based payment goals—HHS efforts to improve US health
care. N Engl J Med, 372(10), 897-899.
Centers for Medicare and Medicaid Services. (2015). Emergency Medical Treatment and Labor
Act (EMTALA). CMS. gov.

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Coronado, V. G., Haileyesus, T., Cheng, T. A., Bell, J. M., Haarbauer-Krupa, J., Lionbarger, M.
R., & Gilchrist, J. (2015). Trends in sports-and recreation-related traumatic brain injuries
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Menchine, M., Terp, S., Arora, S., Berg, E., Lam, C. N., & Seabury, S. A. (2016). 128
Determining Factors Associated With EMTALA Investigations and Citations: For-Profit
Hospitals at Increased Risk. Annals of Emergency Medicine, 68(4), S50-S51.
Mossialos, E., Wenzl, M., Osborn, R., & Sarnak, D. (2016). 2015 international profiles of health
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