Table 1. Descriptive Statistics of Settled EMTALA Violations, Office of Inspector General 2002–2015.
2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | Total | |
(27) | (25) | (17) | (15) | (11) | (13) | (8) | (5) | (7) | (8) | (6) | (12) | (10) | (3) | (167) | |
Region | |||||||||||||||
Midwest | 3.70 | 8.00 | 41.18 | 20.00 | 45.45 | 30.77 | 25.00 | 20.00 | 14.29 | 25.00 | 50.00 | 41.67 | 30.00 | 0.00 | 23.35 |
(1) | (2) | (7) | (3) | (5) | (4) | (2) | (1) | (1) | (2) | (3) | (5) | (3) | (0) | (39) | |
Northeast | 0.0 | 8.00 | 5.88 | 6.67 | 9.09 | 0.00 | 0.00 | 20.00 | 0.00 | 0.00 | 16.67 | 0.00 | 20.00 | 0.00 | 5.39 |
(0) | (2) | (1) | (1) | (1) | (0) | (0) | (1) | (0) | (0) | (1) | (0) | (2) | (0) | (9) | |
South | 48.15 | 52.00 | 41.18 | 46.67 | 27.27 | 38.46 | 62.50 | 40.00 | 71.43 | 62.50 | 33.33 | 58.33 | 40.00 | 66.67 | 47.90 |
(13) | (13) | (7) | (7) | (3) | (5) | (5) | (2) | (5) | (5) | (2) | (7) | (4) | (2) | (80) | |
West | 48.15 | 32.00 | 11.76 | 26.67 | 18.18 | 30.77 | 12.50 | 20.00 | 14.29 | 12.50 | 0.00 | 0.00 | 10.00 | 33.33 | 23.35 |
(13) | (8) | (2) | (4) | (2) | (4) | (1) | (1) | (1) | (1) | (0) | (0) | (1) | (1) | (39) | |
Urban | 66.67 | 76.00 | 58.82 | 80.00 | 81.82 | 84.62 | 75.00 | 100.00 | 100.00 | 75.00 | 66.67 | 66.67 | 70.00 | 66.67 | 74.25 |
(18) | (19) | (10) | (12) | (9) | (11) | (6) | (5) | (7) | (6) | (4) | (8) | (7) | (2) | (124) | |
Violations* | |||||||||||||||
Screening | 74.07 | 84.00 | 76.47 | 100.00 | 90.91 | 76.92 | 75.00 | 80.00 | 57.14 | 50.00 | 66.67 | 83.33 | 90.00 | 100.00 | 79.64 (133) |
(20) | (25) | (13) | (15) | (10) | (10) | (6) | (4) | (4) | (4) | (4) | (10) | (9) | (3) | ||
Accept Transfer | 18.52 | 4.00 | 5.88 | 6.67 | 9.09 | 0.00 | 25.00 | 20.00 | 42.86 | 37.50 | 0.00 | 8.33 | 20.00 | 0.00 | 12.57 |
(5) | (1) | (1) | (1) | (1) | (0) | (2) | (1) | (3) | (3) | (0) | (1) | (2) | (0) | (21) | |
Provide Transfer | 18.52 | 16.00 | 58.82 | 13.33 | 9.09 | 23.08 | 12.50 | 40.00 | 0.00 | 0.00 | 0.00 | 16.67 | 0.00 | 0.00 | 17.96 |
(5) | (4) | (10) | (2) | (1) | (3) | (1) | (2) | (0) | (0) | (0) | (2) | (0) | (0) | (30) | |
Stabilization | 51.85 | 60.00 | 64.71 | 26.67 | 27.27 | 69.23 | 62.50 | 60.00 | 57.14 | 62.50 | 83.33 | 41.67 | 50.00 | 100.00 | 54.49 |
(14) | (15) | (11) | (4) | (3) | (9) | (5) | (3) | (4) | (5) | (5) | (5) | (5) | (3) | (91) | |
Violation Not Clear | 7.41 | 12.00 | 0.00 | 0.00 | 0.00 | 0.00 | 12.50 | 20.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 4.19 |
(2) | (3) | (0) | (0) | (0) | (0) | (1) | (1) | (0) | (0) | (0) | (0) | (0) | (0) | (7) | |
Teaching Hospital | 51.85 | 44.00 | 35.29 | 20.00 | 54.55 | 53.85 | 62.50 | 60.00 | 42.86 | 75.00 | 33.33 | 41.67 | 60.00 | 0.00 | 46.11 |
(14) | (11) | (6) | (3) | (6) | (7) | (5) | (3) | (3) | (6) | (2) | (5) | (6) | (0) | (77) | |
DSH** | 2.40 | 5.39 | 2.99 | 1.80 | 1.12 | 1.12 | 1.12 | 0.00 | 0.00 | 0.60 | 0.60 | 2.99 | 1.20 | 0.60 | 22.16 |
(4) | (9) | (5) | (3) | (2) | (2) | (2) | (0) | (0) | (1) | (1) | (5) | (2) | (1) | (37) | |
Average Fine | 23,815 | 23,300 | 25,882 | 29,800 | 40,000 | 22,788 | 34,688 | 59,000 | 37,714 | 39,438 | 43,833 | 36,666 | 42,075 | 58,333 | 31,733 |
(27) | (25) | (17) | (15) | (11) | (13) | (8) | (5) | (7) | (8) | (6) | (12) | (10) | (3) | (167) | |
Mean Beds | 299.81 | 299.81 | 311.65 | 201.20 | 310.73 | 286.62 | 440.38 | 257.40 | 389.29 | 490.13 | 331.00 | 353.50 | 216.70 | 233.00 | 302.54 |
Note: All values are averages, with counts shown in parentheses. These violations reflect settled cases, not all alleged EMTALA violations.
*Hospitals may have had more than one type of violation, thus the number of violations will be greater than the number of hospitals in the sample.
**Information on DSH status could not be obtained for 70 hospitals in the sample.