EMTALA in a Fragmented Legal Environment: Emergency-Care Duties, Transfer Governance, and Executive Assurance, a Narrative Review
EMTALA should operate as a patient-safety and access system. This peer-reviewed narrative review examines screening, stabilization, transfer governance, on-call coverage, documentation, equity, and executive assurance.
- Posted by Greg Wahlstrom, MBA, HCM
- Posted in Article,Law, Ethics & Governance
Governing Hospital Payment Integrity: False Claims, Kickbacks, Self-Referral, Medical Necessity, Overpayments, and Executive Assurance, a Narrative Review
Hospital payment integrity begins before billing. A Six-Record Integrity Ledger connects arrangements, referrals, clinical judgment, claims, payments, and resolution.
- Posted by Greg Wahlstrom, MBA, HCM
- Posted in Article,Law, Ethics & Governance
Governing Hospital Credentialing and Clinical Privileging: Peer Review, Due Process, NPDB Reporting, and Patient Safety, a Narrative Review
Hospital credentialing is a lifecycle governance system. This review examines evidence, peer review, fair process, HCQIA, NPDB reporting, privilege, and board accountability.
- Posted by Greg Wahlstrom, MBA, HCM
- Posted in Article,Law, Ethics & Governance
The Charitable Bargain: Nonprofit Hospital Tax Exemption, Community Benefit, and Board Accountability, a Narrative Review
Nonprofit hospital tax exemption depends on ongoing facility-level compliance. This review connects community benefit, section 501(r), state law, collections, reporting, and board assurance.
- Posted by Greg Wahlstrom, MBA, HCM
- Posted in Article,Law, Ethics & Governance
Board Assurance That Reaches the Front Line: Governing Clinical and Operational Performance Risk
A practical, evidence-informed operating system for hospital boards to govern clinical and operational performance risk with clearer signals, accountability, and follow-through.
- Posted by Greg Wahlstrom, MBA, HCM
- Posted in Executive Leadership & Governance
The Emergency Operations Standard: CMS Preparedness Conditions, All-Hazards Continuity, and Hospital Accountability, a Narrative Review
Hospital preparedness depends on usable authority, verified clinical dependencies, and continuity of care. This narrative review connects CMS requirements with evacuation, water disruption, patient tracking, and exercises, including a practical…
- Posted by Greg Wahlstrom, MBA, HCM
- Posted in Article,Law, Ethics & Governance
The Prior-Authorization Clock: CMS-0057-F, Interoperability, Payer Decisions, and Hospital Accountability, a Narrative Review
CMS-0057-F makes receipt, decision timing and denial reasons an operating concern. This narrative review examines payer scope, documentation disputes, patient access and the hospital workflow needed to follow a request…
- Posted by Greg Wahlstrom, MBA, HCM
- Posted in Article,Law, Ethics & Governance
The Mandatory Episode: TEAM, Bundled Payment, Care Transitions, and Hospital Accountability in 2026, a Narrative Review
TEAM makes hospitals accountable for recovery beyond the operation. This review examines the 2026 rules, evidence boundaries, and practical controls for confirmed care transitions.
- Posted by Greg Wahlstrom, MBA, HCM
- Posted in Article,Law, Ethics & Governance
The Protected Recovery Record: 42 C.F.R. Part 2, 2026 SUD Privacy, Consent, Breach Duties, and Hospital Accountability, a Narrative Review
Background. The 2024 Part 2 final rule reduces some consent friction by aligning treatment, payment, and operations uses with HIPAA, but it does not turn SUD records into ordinary protected…
- Posted by Greg Wahlstrom, MBA, HCM
- Posted in Article,Law, Ethics & Governance
Between Care and the Bill: The No Surprises Act, Notice and Consent, Good-Faith Estimates, Federal Dispute Resolution, and Hospital Accountability, a Narrative Review
The No Surprises Act created a federal floor against many unexpected out-of-network bills, but it did not create one universal billing rule. A protected encounter can generate two separate legal…
- Posted by Greg Wahlstrom, MBA, HCM
- Posted in Article,Law, Ethics & Governance
