(iii) Participate in a formal community appeal plan. Despite participating in a community appeal plan, hospitals are still required to conduct medical screening of people seeking treatment and make appropriate transfers. The official community plan must include the following elements: (D) The hospital is located in an emergency zone during an emergency phase, as defined in section 1135(g)(1) of the Act. (i) the ambulance is operated in accordance with the community protocols of the Emergency Medical Service (EMS) that direct it to transport the person to a hospital other than the hospital to which the ambulance belongs; for example, at the nearest appropriate facility. In this case, it is assumed that at the time the person is brought to the hospital premises, the person has presented himself to the emergency room of the hospital where he is transported. (iv) The transfer shall be carried out, if necessary, by qualified personnel and transport equipment, including the use of necessary and medically appropriate life-sustaining measures during the transfer. (i) restrict, on the basis of lists of diagnoses or symptoms, what constitutes a condition of medical emergency with reference to point (a) of this Section; and (3) A participating hospital shall not punish or take adverse action against a physician or qualified physician described in clause (e) (1) (ii) (C) of this section because the physician or qualified physician refuses to authorize the transfer of a person with a non-targeted medical emergency; or against an employee of the hospital because the employee reports a violation of a requirement of this section. (ii) where it is established that there is a medical emergency, to carry out any stabilizing treatment necessary in accordance with point (d) of this Section or an appropriate transfer in accordance with point (e) of this Section. If the hospital admits the person as an inpatient for further treatment, the hospital`s obligation under this Section ceases in accordance with paragraph (d)(2) of this Section. (B) The instruction or relocation of a person for medical examination elsewhere shall be carried out in accordance with an appropriate State emergency preparedness plan or, in the event of a public health emergency involving a pandemic infectious disease, in accordance with a State pandemic preparedness plan.
3. In the calendar year immediately preceding the calendar year in which a determination under this Section is made on the basis of a representative sample of patient visits that took place during that calendar year, it shall offer at least one third of all its outpatient visits for the treatment of emergency diseases on an urgent basis, without the need to make an appointment in advance. (i) Where a hospital has examined a person in accordance with subparagraph (a) of this section and has determined that the person is suffering from a medical emergency and admits that person in good faith as an inpatient in order to stabilize the state of medical emergency, the hospital has fulfilled its specific responsibilities under this section with respect to that person. (1) General. If a hospitalized person suffers from a medical emergency that has not been stabilized (as defined in subparagraph (b) of this article), the hospital may transfer the person only if: (i) the transferring hospital provides medical treatment to the extent of its capabilities that minimizes the risks to the health of the person and, in the case of a woman in labour, the health of the unborn child; (E) A statement that even if a person arrives at a hospital that is not designated as a hospital on call, that hospital is still required under section 489.24 to perform medical screening and stabilization treatment to the extent possible, and that hospitals participating in the community appeal plan must comply with the provisions of section 489.24 on appropriate transfers. Labour means the process of childbirth, which begins with the latent or early phase of labour and continues until the delivery of the placenta. A woman who undergoes work is in actual employment unless a doctor, a certified nurse-midwife or other qualified medical person acting in her field of activity, as defined in the hospital`s medical staff regulations and state law, certifies that the woman is in wrongful employment after a reasonable period of observation. .