The Ohio Regulation is representative of the first group and states that a CSC ”must have a written transfer agreement with a hospital for the transfer of patients in case of medical complications, emergencies and other needs when they occur.” On the other hand, according to texas regulations, a CSC has ”a written transfer contract with a hospital, where all CSA operated physicians have admission privileges at a local hospital.” 15 states require a hospital transfer agreement:AlabamaAlaskaArkansasConnecticutIllinoisLillinoisNevadaNew YorkNorth CarolinaOhioSouth DakotaTenessenesseeWashingtonWyoming Hospital supporters say they fear that the abolition of the requirement could endanger patients. In emergency situations, when a patient needs to be transferred from a CSA to a hospital, the host hospital must quickly know the details of the moving patient, such as the type of operation performed, the anesthesia used and the problems encountered, Marilyn Litka-Klein, vice president of the Michigan Health Hospital Association, said in a commentary. Hospital industry leaders are urging the CMS to abandon a proposal that would make the need for a written transfer agreement redundant when an outpatient operations centre attempts to transfer a patient to the hospital. From economics to property to efficiency, there are many reasons why a surgeon might decide to manage cases in an outpatient operations centre. But not all CSA is prepared to deal with all emergencies in personnel and equipment. Hospital transfer contracts serve as a safety net for transporting and treating CSA patients in case of unexpected medical complications. Here`s a look at what you need to know about organizing, evaluating and verifying a hospital transfer contract. The CMS proposed to remove this requirement, referring to complaints from CSA industry leaders that the practice provides access to caregivers. A hospital transfer contract should look at the circumstances in which an emergency transfer should take place, identify who has the authority to make the decision to transfer a patient, and list the documents that should accompany the patient to the hospital. The agreement should describe the procedure for carrying out transmission, including assigning roles and responsibilities to surgical facility staff and preparing the mode of transporting patients to the hospital.