Allied Health Quiz 3

framework for establishment of nationwide protection of:

-Patient confidentiality

-Security of electronic systems

-Standards and requirements for electronic transmission of health information

Who has to comply with HIPAA?

all healthcare organizations and providers.

-hospitals, physician offices, healthcare plans, employers, public health offices, life insurers, and billing agencies.

What is a covered entity?

Those who must develop standards to protect and guard against the misuse of individually identifiable health information.

Direct and Indirect Identifiers

-name, address, city, county, zip code, birthday, admission date, discharge date, date of death, telephone number, fax number, email address, SSN, vehicle ID's, internet protocol IDs, diometric identifiers, and full face pictures

Who is authorized to see PHI?

only healthcare providers who are directly involved in providing:

-treatment: the coordination of one or more healthcare providers

-payment: reimbursement, healthcare plans

-healthcare operations: legal, administration, quality improvement

Ethics

a system of moral principles or standards that: guide conduct by which human actions and proposals may be judged as good or bad/ right or wrong

Medical Ethics

the study of moral values and judgements as they apply to medicine

-used to guide behaviors expected of medical professionals with moral integrity

4 principles of Medical ethics

beneficence, nonmaleficence, autonomy, justice

Autonomy

focuses on the patient's independence or liberty

-a competent adult has the right to make decisions about what happens to them

-for autonomy to exist, the patient must understand all risks and benefits of a treatment or procedure and the likelihood of success.

Beneficence

-Providers must help their patients

-a physician must act in the best interest of the patient

-providers are required to promote their patients health and well being

Non-maleficence

do no harm

-physicians must not harm a patient through carelessness, malice, vengeance, dislike, or even through treatments intended to help the patient

Justice

refers to fairness with respect to the distribution of medical resources

Barriers to Being Ethical

-culture, ego & narcissism, self esteem, power, punitive responses, communication, personality/attitude, lack of culture responsibility, education level, socioeconomic class, values, high cost for doing the right thing.

Hippocratic Oath

do no harm

Triage Classifications

RED

YELLOW

GREEN

BLACK

RED

Immediate Category

-non ambulatory

-RR >30

-perfusion

-radial pulse absent

-capillary refill >2 sec

-mental status: unable to follow simple commands

YELLOW

DELAYED

-unable to ambulate

-RR <30

-perfusion

-radial pulse present

-capillary refill <2 sec

-follows simple commands

GREEN

MINIMAL

-minor injuries

-able to ambulate

-RR <30

-perfusion

-radial pulse present

-capillary refill <2 sec

-follow simple commands

BLACK

DECEASED or EXPECTANT

-non ambulatory

-no respirations present

-minimal capillary refill