Hospital Resource Limitation/Bypass
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Questions and Answers

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?

  • 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?

  • 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?

    <p>Delineating a clear procedure for resource limitation</p> Signup and view all the answers

    What should hospitals prioritize when restoring diagnostic and interventional equipment?

    <p>Emergency repairs from external vendors if necessary</p> Signup and view all the answers

    What is an essential part of the resource limitation resolution process?

    <p>Efforts to locate appropriately trained off-duty staff</p> Signup and view all the answers

    Which of the following locations are NOT mentioned as areas where patients may wait?

    <p>Physical therapy rooms</p> Signup and view all the answers

    What is the primary objective of delineating procedures for resource limitations?

    <p>To ensure availability of surge patient care space</p> Signup and view all the answers

    What is the purpose of monitoring a hospital's situation after bypass is granted?

    <p>To determine when the bypass status can be lifted</p> Signup and view all the answers

    Under EMTALA provisions, what must hospitals do before diverting a patient?

    <p>Conduct a medical screening exam</p> Signup and view all the answers

    What role does the Department play in the bypass status of hospitals?

    <p>To investigate the reasons for bypass status</p> Signup and view all the answers

    What is required of hospitals once they initiate or terminate a bypass status?

    <p>Enter status changes into the Illinois EMResource application</p> Signup and view all the answers

    What is a consideration for determining the reasonableness of a hospital's bypass decision?

    <p>Circumstances that caused the bypass status</p> Signup and view all the answers

    Which of the following must a hospital document if they are unable to access EMResource?

    <p>Communication with IDPH Division of EMS during business hours</p> Signup and view all the answers

    What happens when bypass status is lifted by a hospital?

    <p>The hospital must notify the IDPH of the status change</p> Signup and view all the answers

    What is indicated by a hospital being on bypass or resource limitation?

    <p>The hospital is at full capacity with no ability to accept additional patients</p> Signup and view all the answers

    What is one reason a hospital may implement a resource limitation bypass?

    <p>Unavailability of trained staff appropriate for patient needs</p> Signup and view all the answers

    What should a hospital implement when resource limitations meet a tipping point?

    <p>Peak Census/surge plan</p> Signup and view all the answers

    Which of the following is NOT a reasonable effort to resolve essential resource limitations?

    <p>Increasing elective surgical admissions</p> Signup and view all the answers

    Which group is suggested to be consulted during peak census status?

    <p>Core group of hospital leaders</p> Signup and view all the answers

    What action is suggested for hospitals when there is a lack of essential diagnostic equipment?

    <p>Undertake urgent efforts to restore equipment availability</p> Signup and view all the answers

    What monitoring process will a hospital engage in during a resource limitation bypass?

    <p>Monitoring to determine when the bypass condition can be lifted</p> Signup and view all the answers

    Which action is encouraged to help manage peak census situations in a hospital?

    <p>Expedite patient discharges</p> Signup and view all the answers

    Which of the following efforts may be made to improve patient care during a resource limitation bypass?

    <p>Deploying clinical staff to care for surge patients</p> Signup and view all the answers

    Before requesting Bypass status, what should a hospital review?

    <p>Illinois EMResource application</p> Signup and view all the answers

    Who should the ED of a hospital notify when considering a Bypass Status request?

    <p>The EMS Coordinator</p> Signup and view all the answers

    In response to resource limitations, hospitals should consider which of the following first?

    <p>Utilizing appropriately monitored beds in other areas</p> Signup and view all the answers

    What does the IDPH model policy provide for hospitals on peak census?

    <p>Options to avoid bypass</p> Signup and view all the answers

    Which statement accurately reflects an urgent action during resource limitations?

    <p>Taking efforts to repair diagnostic equipment</p> Signup and view all the answers

    What should hospitals prioritize in patient care when resource limitations are in effect?

    <p>Urgent and priority patient needs</p> Signup and view all the answers

    What is a suggested action if a hospital reaches its peak census?

    <p>Open overflow units</p> Signup and view all the answers

    What factor should be evaluated before making a Bypass request?

    <p>ED-to-ED communication</p> Signup and view all the answers

    What must be ensured before a patient is transported to a facility other than the nearest hospital?

    <p>The medical benefits from treatment at the more distant facility outweigh the risks.</p> Signup and view all the answers

    What does the bypass status policy need to include?

    <p>Criteria for managing pre-hospital patients with life-threatening conditions.</p> Signup and view all the answers

    Which facilities may a patient be bypassed to according to the policy?

    <p>A trauma center or a Comprehensive Stroke Center.</p> Signup and view all the answers

    In which situation is transport to a more distant facility permitted?

    <p>When medical treatment at the distant facility is expected to provide greater benefits.</p> Signup and view all the answers

    What is the effective date of the Hospital Resource Limitation/Bypass policy?

    <p>August 1, 2023</p> Signup and view all the answers

    What should not influence the decision for patient transportation according to the policy?

    <p>The previous experience of the medical team with the facility.</p> Signup and view all the answers

    Which of the following is NOT listed as a facility to which patients may be bypassed?

    <p>Urgent Care Clinic</p> Signup and view all the answers

    What does the Section 3.20(c)(5) of the Act specifically address?

    <p>Written protocols for hospital bypassing or diversion.</p> Signup and view all the answers

    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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    Related Documents

    Northwest Community EMS System Hospital Resource Limitation/Bypass Policy PDF

    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.

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