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Comparative Analysis
Rural hospitals across the world are being affected financially. Rural communities are less wealthy; the majority of the residents are uninsured. They tend to use the emergency room as their primary care, putting a financial burned on the hospital. In 1986 the Emergency Medical Treatment and Labor Act (EMTALA) was enacted by congress as part of the Consolidated Omnibus Reconciliation Act (COBRA). EMTALA allows uninsured patients to receive care with an emergency condition regardless of insurance status or the ability to pay. The law states the patient may not be turned away and care cannot be delayed due to pay concerns. EMTALA requires the hospital to stabilize the patient before transferring or discharging the patient (Encyclopedia of Everyday Laws, 2013). According to The Center for Disease Control (CDC), about 135 million people visit the emergency room each year and hospitals lose approximately $34 billion in unpaid medical bills. With the passing of the Patient Protection Affordable Care Act many unnecessary or preventable emergency room visits will be eliminated. My action plan for Ashe Memorial Hospital is to design a program to decrease the number of uninsured patients using the Patient Protection and Affordable Care Act (PPACA). By decreasing the number of uninsured people, it will also:
• decrease the number of emergency room visits
• increase the number of people to receive preventative care
• increase the quality of patient care
A comparative analysis was done on two other hospitals in the same geographic location as Ashe Memorial Hospital. Because Ashe Memorial has a high percent of uninsured residents, many of the residents are using the emergency room as their primary care increasing longer wait times in the emergency room. According to figure 1 below, Ashe Memorial Emergency Room visit are longer when compared to

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