Podcast
Questions and Answers
What should hospitals implement when facing a declared resource limitation?
What should hospitals implement when facing a declared resource limitation?
- A temporary patient discharge plan
- The internal PEAK Census response plan (correct)
- A new patient registration system
- An emergency communication strategy
Which of the following is NOT a step to resolve essential resource limitations?
Which of the following is NOT a step to resolve essential resource limitations?
- Increasing patient admissions without limitation (correct)
- Considering monitored beds in other areas
- Canceling elective procedures
- Calling in off-duty staff
How should hospitals monitor inpatient bed occupancy?
How should hospitals monitor inpatient bed occupancy?
- By implementing a daily survey of staff
- By tracking bed assignments for patients in various waiting areas (correct)
- By assessing physician satisfaction
- By evaluating the number of elective surgeries scheduled
What is a key procedure for avoiding bypass status?
What is a key procedure for avoiding bypass status?
What should hospitals prioritize when restoring diagnostic and interventional equipment?
What should hospitals prioritize when restoring diagnostic and interventional equipment?
What is an essential part of the resource limitation resolution process?
What is an essential part of the resource limitation resolution process?
Which of the following locations are NOT mentioned as areas where patients may wait?
Which of the following locations are NOT mentioned as areas where patients may wait?
What is the primary objective of delineating procedures for resource limitations?
What is the primary objective of delineating procedures for resource limitations?
What is the purpose of monitoring a hospital's situation after bypass is granted?
What is the purpose of monitoring a hospital's situation after bypass is granted?
Under EMTALA provisions, what must hospitals do before diverting a patient?
Under EMTALA provisions, what must hospitals do before diverting a patient?
What role does the Department play in the bypass status of hospitals?
What role does the Department play in the bypass status of hospitals?
What is required of hospitals once they initiate or terminate a bypass status?
What is required of hospitals once they initiate or terminate a bypass status?
What is a consideration for determining the reasonableness of a hospital's bypass decision?
What is a consideration for determining the reasonableness of a hospital's bypass decision?
Which of the following must a hospital document if they are unable to access EMResource?
Which of the following must a hospital document if they are unable to access EMResource?
What happens when bypass status is lifted by a hospital?
What happens when bypass status is lifted by a hospital?
What is indicated by a hospital being on bypass or resource limitation?
What is indicated by a hospital being on bypass or resource limitation?
What is one reason a hospital may implement a resource limitation bypass?
What is one reason a hospital may implement a resource limitation bypass?
What should a hospital implement when resource limitations meet a tipping point?
What should a hospital implement when resource limitations meet a tipping point?
Which of the following is NOT a reasonable effort to resolve essential resource limitations?
Which of the following is NOT a reasonable effort to resolve essential resource limitations?
Which group is suggested to be consulted during peak census status?
Which group is suggested to be consulted during peak census status?
What action is suggested for hospitals when there is a lack of essential diagnostic equipment?
What action is suggested for hospitals when there is a lack of essential diagnostic equipment?
What monitoring process will a hospital engage in during a resource limitation bypass?
What monitoring process will a hospital engage in during a resource limitation bypass?
Which action is encouraged to help manage peak census situations in a hospital?
Which action is encouraged to help manage peak census situations in a hospital?
Which of the following efforts may be made to improve patient care during a resource limitation bypass?
Which of the following efforts may be made to improve patient care during a resource limitation bypass?
Before requesting Bypass status, what should a hospital review?
Before requesting Bypass status, what should a hospital review?
Who should the ED of a hospital notify when considering a Bypass Status request?
Who should the ED of a hospital notify when considering a Bypass Status request?
In response to resource limitations, hospitals should consider which of the following first?
In response to resource limitations, hospitals should consider which of the following first?
What does the IDPH model policy provide for hospitals on peak census?
What does the IDPH model policy provide for hospitals on peak census?
Which statement accurately reflects an urgent action during resource limitations?
Which statement accurately reflects an urgent action during resource limitations?
What should hospitals prioritize in patient care when resource limitations are in effect?
What should hospitals prioritize in patient care when resource limitations are in effect?
What is a suggested action if a hospital reaches its peak census?
What is a suggested action if a hospital reaches its peak census?
What factor should be evaluated before making a Bypass request?
What factor should be evaluated before making a Bypass request?
What must be ensured before a patient is transported to a facility other than the nearest hospital?
What must be ensured before a patient is transported to a facility other than the nearest hospital?
What does the bypass status policy need to include?
What does the bypass status policy need to include?
Which facilities may a patient be bypassed to according to the policy?
Which facilities may a patient be bypassed to according to the policy?
In which situation is transport to a more distant facility permitted?
In which situation is transport to a more distant facility permitted?
What is the effective date of the Hospital Resource Limitation/Bypass policy?
What is the effective date of the Hospital Resource Limitation/Bypass policy?
What should not influence the decision for patient transportation according to the policy?
What should not influence the decision for patient transportation according to the policy?
Which of the following is NOT listed as a facility to which patients may be bypassed?
Which of the following is NOT listed as a facility to which patients may be bypassed?
What does the Section 3.20(c)(5) of the Act specifically address?
What does the Section 3.20(c)(5) of the Act specifically address?
Study Notes
Hospital Resource Limitation/Bypass Policy Overview
- Policy No. B-1 approved on November 10, 2022, effective August 1, 2023.
- Supersedes previous policy dated November 11, 2022.
Key Regulations
- Governed by IDPH EMS Rules 515.315 and 515.330.
- Requires protocols for bypassing or diverting patients to specific hospitals (e.g., trauma centers, stroke centers) unless the benefits of distant treatment outweigh risks.
Hospital Bypass Criteria
- Bypass status should include criteria for managing patients with life-threatening conditions during resource limitations.
- Hospitals must monitor inpatient bed occupancy to facilitate timely assignments.
Resource Limitation Management
- Hospitals must delineate procedures to avoid bypass status, including:
- Using monitored beds in other hospital areas.
- Limiting elective procedures and redeploying clinical staff.
- Urgently restoring diagnostic and interventional equipment.
- Stricken hospitals must utilize the PEAK Census response plan and update the EMResource application.
Notification and Documentation
- Hospitals must notify the Illinois Department of Public Health upon initiating or terminating bypass status.
- Documentation of any inability to access EMResource is necessary.
Reasonableness of Bypass Decision
- IDPH reviews will assess factors like:
- Availability of trained staff and essential equipment.
- Exhaustion of efforts to resolve resource limitations.
- Constant monitoring is required to determine when bypass status can be lifted.
Core Group Consultation
- Hospitals on peak census status should consult with a core group including:
- The CEO or administrator on call.
- Chief nurse executive or designee.
- Directors of key hospital services (housekeeping, admitting, laboratory, transportation).
- Expedited patient discharges and cancellation of non-emergent procedures may be necessary.
Bypass Request Protocol
- Hospitals must check neighboring hospitals' status in EMResource before requesting bypass.
- Communication between EDs is essential to evaluate area-wide consequences of bypass requests.
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Description
This quiz focuses on the Northwest Community EMS System's policy regarding hospital resource limitations and bypass protocols. It covers key rules and guidelines as outlined in the IDPH EMS Rules and the Region IX EMS Plan. Test your understanding of these critical EMS regulations.
