Professionalism, legalities and ethics

Jurisdictional practice issues

Are governed by federal and state legislature

Who is the governing agency over our PT license as well as who monitors our license?

Physical Therapy Board of California (PTBC)

The only way to be a member of the PTBC is to be a practicing physical therapist. (T/F)

False

Patients are included in the board as well.

Which professional organization oversees what the field of physical therapy strives for, prescribes us a code of ethics, and looks for ways to improve and further the field?

American Physical Therapy Association (APTA)

APTA has a major role in the NPTE and licensure. (T/F)

False

APTA has NO role in these areas, purely professionalism

Students can be members of APTA. (T/F)

True

In all states, and for discounted rates!

Chapters under APTA represent specialties. (T/F)

False

Chapters represent each state --> for example, CPTA is the California Physical Therapy Association

Special interest groups (SIGs) represent interests or career paths, offered by both sections and chapters. (T/F)

True

What division of APTA represents specialties?

Sections/Academies

Organized around specific areas of interest or practice, such as pediatrics, geriatrics, and orthopedics

Define "profession"

An occupation requiring considerable training and specialized field of study

The body of qualified persons in a particular occupation/career

Define "professional"

Conforming to the standards of a profession; professional ethics

Earning a living from performing an activity requiring certain level of education, skill, or training (belonging to a profession)

Define "professionalism"

The methods, character or standards of a profession

Dominant culture, like speaking the language of English in America, is a part of professionalism. (T/F)

False

Professionalism will look different for each person based on their individualism- respecting our patients, their families, languages and customs is professional.

Rules and ethics can vary per state and profession. (T/F)

True

Core values for the PT & PTA include all EXCEPT:

a. Accountability
b. Collaboration
c. Strength
d. Social Responsibility
e. Inclusion

c. Strength

What year did the Supreme Court rule that there is a constitution basis for advanced directives, living wills/power of attorney?

1990

What year was the Patient Self-Determination Act enacted? What does it mean?

1990

Competent individuals can decide end of life wishes for when they will not be competent

Beneficence means..

To promote the good of others

Nonmaleficence means..

Do no harm

What is "Advance Directive"?

includes durable power of attorney: a written statement of a person's wishes regarding medical treatment, often including a living will, made to ensure those wishes are carried out should the person be unable to communicate them to a doctor.

Veracity/honesty/trust is a newer concept in medical history. (T/F)

True

We now assume patient has right to know everything about their condition and options, not just HCP

What year was HIPAA (Health Insure Portability and Accountability Act) enacted?

1996 (under Bill Clinton)

What did HIPAA do?

turn privacy from an ethical issue to a issue of the law -->
- standardized what "protected health information" meant for "covered entities"
-standardized electron transmission + security standards
-has been updated alot

What is considered abuse in healthcare?

Actions that result in unnecessary payment or overuse of services, such as billing for services not medically necessary

What is considered "waste" in our field?

Inefficient or improper use of resources, such as providing duplicate services or using costly treatments without proven benefits.

What are Kidder's Steps for Dilemmas to determine "right vs wrong"?

1. Legal test
2. Stench test
3. Front page test
4. Mom test
5. Professional ethics test