Healthcare Laws
What is CLIA?
Clinical Laboratory Improvement Act--Must have to run labs
Define Patient Centered Medical Home (PCMH)
partnership between a patient and their care team in which total health is the focus and not just a single condition
What does DNR stand for?
Do Not Ressucitate
What can HCP still do if they have a DNR?
(antibx, dialysis, chemo) *primarily no CPR/DNI
Define negligence
to take proper care in doing something
Extra 100: give an example of negligence
Define justice
Fair distribution of benefit, risk, resources, and cost to ensure equal treatment.
What is the abbreviation for Occupational Safety and Health Act?
OSHA
Define PPO (Preferred Provider Organization)
network of physicians, other health care practitioners, and hospitals that have joined together to contract with insurance companies, employers, or other organizations to provide health care to subscribers
Define Durable Power of Attorney for Health Care (DPAHC)
legal document that has a healthcare agent/proxy to make medical decisions for patients if they become incapacitated or unable to communicate.
>who can be one?
Name the different types of abuse with pediatrics AND what s/s you would see.
1. Emotional-intimidation/manipulation
2. Physical-cigarette burns, fx, injuries
3. Sexual -trauma, bed wetting
>who do you report this to?
Define beneficience
A moral obligation to act in the best interest of others.
Define HIPAA
Health Insurance Porability and Accountability Act. No sharing of any healthcare information.
What healthcare payment model does a patient need a referral to see a specialist?
HMO (Health Maintenance Organization)
What does MOLST stand for?
Medical Orders for life sustaining tx.
.medical fragile/very ill
Name three times in which a HCP does not need permission to release medical information.
1. Workman's compensation
2. Court order
3. Exposure to a communincable disease
Define nonmaleficence
A commitment not to cause harm.
Which act would protect you if you witnessed a car accident and got out to help?
Good Samaritan Act
Only pay for services they use
Define living will
legal document that says what a person would or would not want if they cannot communicate their wishes.
Explain the patient's bill of rights
right to ask for information regarding procedures and tx availble to them
Professional ethics (define)
ethics that aims to define, clarify, and criticize professional work and its typical values. Professional ethics sets the standards for practicing one’s profession and can be learned only through education or training or on the job.
What is the CSA act?
Controlled Substances Act; the designation of controlled substances. Example
When would you request a patient to come in to the clinic rather than a telehealth visit?
Needs a physical exam
What is the difference of implied consent and informed consent.
implied-inferred from a pt. actions
informed-after recieving information. verbally/written
Name 3 covered entitites by HIPAA
1. clearinghouse
2. healthcare provider
3. health insurance plans
How would you take care of a patient who is
.