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Civil Law
Legal relationships between people and the protection of a personās rights
Health care is mainly affected by civil law: both contractual and torts
Contract
An agreement between two or more parties; can be implied or written.
Offer
Acceptance
Consideration
Parts of Contract
Three
How many parts does the contract have?
Tort
Occurs when a person is harmed or injured because a health care provider does not meet the established standard of care.
Criminal Law
Wrongs against a person, property, or society.
Example practicing without license, use of narcotics, theft, sexual abuse, murder
Legal Responsibilities
protect healthcare workers, their employer and the patient
Ā based on laws created by federal, state and local governmentsĀ
Ā healthcare workers must know and follow laws pertaining to their license or registrationĀ
KEEPING PATIENT CONFIDENTIALITY
KEEPING PATIENT CONFIDENTIALITY
Everyone in the organization is responsible for patient confidentiality
Board members
Executive leadershipĀ
Clinical staffĀ
Physicians and nursesĀ
Administrative and clerical staff
Students and internsĀ
Volunteers
CONFIDENTIALITY OF MEDICAL RECORDS
Identity (e.g. name, address, social security #, date of birth, etc.)Ā
Physical conditionĀ
Emotional conditionĀ
Financial information
Access patient information only if there is a āNeed to KnowāĀ
Discard confidential information appropriately ā (e.g. Locked Trash Bins or Shredders)Ā
Forward requests for medical records to the Health Information Management Department.Ā
Do not discuss confidential matters where others might overhear. ā (e.g. Cafeteria, Elevator, Buses, or Restaurants)Ā
Do not leave patients charts or files unattendedĀ
Report suspicious activities that may compromise patient confidentiality
GUIDING PRINCIPLES
HIPAA
Ā Health Insurance Portability & Accountability Act of 1996
ARRA
American Recovery and Reinvestment Act of 2009
Patient Bill of Rights
201 CMR 17.00 Standards for the Protection of Personal Information
Massachusetts regulations and statues
Improve the efficiency and effectiveness of the health care systemĀ
Encourage the development of an electronic health recordĀ
Establish national standards for electronic transmission of certain health informationĀ
Establish national standards to protect health information Ensure patient confidentialityĀ Improve the efficiency and effectiveness of the health care systemĀ
Encourage the development of an electronic health recordĀ
Establish national standards for electronic transmission of certain health informationĀ
Establish national standards to protect health information Ensure patient confidentialityĀ
Protect patient privacyĀ
Build loyalty and trustĀ
Provide exceptional customer service
PURPOSE OF HIPAA
1. Name 10. Social security numberĀ
2. Full face photo
3. Finger or voice print
4. Telephone number
5. Address/zip code
6. E-mail address
7. Fax number
8. Internet Protocol (IP) address
9. Uniform Resource Locator (URL)
10. Social Security number
11. Medical record numberĀ
12. Insurance numberĀ
13. Account numberĀ
14. All elements of datesĀ
15. Vehicle identifierĀ
16. Certificate/licenseĀ
17. Device ID/serial numberĀ
18. Any unique identifying number, characteristics or code
HIPAA Defines These 18 Elements PHI Identifiers
ā¢ Medical records
ā¢ Clinic listsĀ
ā¢ Patient information systems
ā¢ Test resultsĀ
ā¢ Billing information (bills, receipts, EOBs, etc.)
ā¢ X-raysĀ
ā¢ Patient menus
ā¢ Labels on IV bagsĀ
ā¢ Patient information on a mobile device
ā¢ Conversations
ā¢ Telephone notes (in certain situations)Ā
WHERE IS PHI FOUND?
ā¢Treatment of the patient
ā¢Payment of healthcare bills
ā¢Direct patient care
ā¢Operations related to healthcare
ā¢Referrals to other health care providers ā¢Coordination of careĀ
ā¢Research
ā¢Consultation
ā¢Required by law (e.g. subpoena, court order, etc.)
Permitted Uses and Disclosures of PHIĀ
Tort
BlankĀ can either be UNINTENTIONAL one that is negligent, as opposed toĀ INTENTIONAL, which areĀ tortsĀ done deliberately.
Assault
Blank Is a deliberate act wherein one person threatens to harm another without consent and the victim feels the attacker has the ability to carry out the threat.
BatteryĀ
Touching the victim without consent.
False imprisonment
Blank is the unlawful confinement of a person within a fixed area.
Defamation
Blank is the making of a false statement to a third party that is harmful to anotherās reputation.
Slander
Blank are false charges and malicious oral statements about someone
Libel
Blank are written defamation of a person's character, reputation, business, or property rights
Unintentional torts
Negligence involves a failure on one party to act the way an ordinary, reasonable person would act. Negligence can result in a physical injury, property damage and other type of loss.
Imputed Negligence
The doctrine that makes one person responsible for the negligence of another.
Contributory Negligence
A theory in tort law under which a complaining party's own negligence contributed to or caused his or her injuries.
DUTYĀ
Ā The defendant owed a legal duty to the plaintiff under the circumstances;
BREACHĀ
The defendant breached that legal duty by acting or failing to act in a certain way
CAUSATION
It was the defendant's actions (or inaction) that actually caused the plaintiff's injury
DAMAGESĀ
The plaintiff was harmed or injured as a result of the defendant's actions.
Malfeasance
An illegal act, especially by a public official
Misfeasance
An act that is legal but performed improperly
Nonfeasance
Failure to act when under an obligation to do so