1.04:PP4 Patient Rights Legislation

1.04:PP4 1.04:PP4 Patient Patient Rights Rights

LegislationLegislation

1.04 Understand legal and ethical issues

Patient Rights LegislationPatient Rights Legislation

A.A. Patient’s Bill of RightsPatient’s Bill of Rights

B.B. The Health Care ConsumerThe Health Care Consumer Consumer Bill of RightsConsumer Bill of Rights Consumer ResponsibilitiesConsumer Responsibilities

C.C. Omnibus Budget Reconciliation Omnibus Budget Reconciliation ActAct

D.D. Patient Self-Determination ActPatient Self-Determination Act

E.E. HHealth ealth IInsurance nsurance PPortability and ortability and AAccountability ccountability AAct (ct (HIPAAHIPAA))

2


Patient’s Bill of Rights (1973, revised 1992)

• Rights that patients are entitled to Rights that patients are entitled to while in the care of a physician or in while in the care of a physician or in the hospitalthe hospital

• Includes:Includes:• Choice of providersChoice of providers• ConfidentialityConfidentiality• Information disclosureInformation disclosure• Participation in treatment decisionsParticipation in treatment decisions• RespectRespect

3


The Healthcare ConsumerThe Healthcare Consumer

March 1998, Advisory Commission on March 1998, Advisory Commission on Consumer Protection and Quality in HC Consumer Protection and Quality in HC Industry outlined the Consumer Bill of Industry outlined the Consumer Bill of Rights and Responsibilities.Rights and Responsibilities.

4

The Healthcare ConsumerThe Healthcare Consumer

PurposePurpose

Build consumer confidenceBuild consumer confidence Support the HCP and pt-provider Support the HCP and pt-provider

relationshiprelationship Emphasize the role of the consumer Emphasize the role of the consumer

with regard to health improvementwith regard to health improvement

1.04 Understand legal and ethical issues 5


Consumer Bill of RightsConsumer Bill of Rights

Information disclosureInformation disclosure Choice of providers Choice of providers Access to emergency servicesAccess to emergency services Participation in treatment decisionsParticipation in treatment decisions Respect and nondiscriminationRespect and nondiscrimination Confidentiality of health informationConfidentiality of health information Complaints and appealsComplaints and appeals

6


Consumer ResponsibilitiesConsumer Responsibilities

1.1. Healthy habitsHealthy habits

2.2. Participate in healthcare decisionsParticipate in healthcare decisions

3.3. Communicate relevant information to Communicate relevant information to healthcare providerhealthcare provider

4.4. Avoid knowingly spreading diseaseAvoid knowingly spreading disease

7

Consumer ResponsibilitiesConsumer Responsibilities

5.5. Recognize the risks and limits of Recognize the risks and limits of medical caremedical care

6.6. Know about healthcare insurance planKnow about healthcare insurance plan

7.7. Show respectShow respect

8.8. Make effort to pay your billsMake effort to pay your bills

9.9. Report fraud or wrongdoingReport fraud or wrongdoing




The HC Consumer Bill of Rights is The HC Consumer Bill of Rights is used to develop HC insurance plans.used to develop HC insurance plans.

The HC Consumer must be familiar The HC Consumer must be familiar with their rights and responsibilities.with their rights and responsibilities.

9


Patient Self-Determination Act (1990)

HC agency receiving Federal Aid HC agency receiving Federal Aid must inform a pt about advanced must inform a pt about advanced directives at admissiondirectives at admission

HC agency must provide education HC agency must provide education for staff for staff

10


Omnibus Budget Reconciliation Act (1987)

1.1. Regulates long term care and home Regulates long term care and home healthhealth

2.2. Requires nurse aide Requires nurse aide training/certification for nursing and training/certification for nursing and geriatric assistantsgeriatric assistants

3.3. States specific skills to be masteredStates specific skills to be mastered

11

Omnibus Budget Reconciliation Act

(1987)

4.4. Requires continuing education, and Requires continuing education, and work evaluationswork evaluations

5.5. Requires retraining and/or testing if Requires retraining and/or testing if unemployed for 2 or more years unemployed for 2 or more years

6.6. Limits use of restraintsLimits use of restraints



Nursing Home Reform Act (1990)

Pt must be fully evaluated upon Pt must be fully evaluated upon admission admission

HealthHealth MemoriesMemories Habits Habits HobbiesHobbies

A plan of care must be written and A plan of care must be written and maintainedmaintained

Must have annual re-evaluationMust have annual re-evaluation

13


Health Insurance Portability and Accountability Act (HIPAA)

(1996)

Protects the individual medical Protects the individual medical information of a pt and includes:information of a pt and includes: NameName AddressAddress DiagnosisDiagnosis billing informationbilling information

14


HIPAA

Gives pt more control over their health Gives pt more control over their health informationinformation

Sets boundaries on the use and release of Sets boundaries on the use and release of health recordshealth records

Establishes safeguards to protect recordsEstablishes safeguards to protect records Punishes violatorsPunishes violators Enables pts to make choicesEnables pts to make choices Gives pts the right to obtain a copy of their Gives pts the right to obtain a copy of their

recordsrecords

15


HIPAA Permits release of information needed Permits release of information needed

to protect public healthto protect public health

Exempt information:Exempt information: births and deathsbirths and deaths Injuries caused by violenceInjuries caused by violence Communicable diseasesCommunicable diseases Sexually transmitted diseasesSexually transmitted diseases

16



Patient’s Bill of RightsPatient’s Bill of Rights The Healthcare ConsumerThe Healthcare Consumer

Consumer Bill of RightsConsumer Bill of Rights Consumer ResponsibilitiesConsumer Responsibilities

Omnibus Budget Reconciliation Omnibus Budget Reconciliation ActAct

Patient Self-Determination ActPatient Self-Determination Act HHealth ealth IInsurance nsurance PPortability and ortability and

AAccountability ccountability AAct (ct (HIPAAHIPAA)) 17

Date post:	31-Dec-2015
Category:	Documents
Upload:	galena-fletcher
View:	80 times
Download:	4 times

1.04:PP4 Patient Rights Legislation

Documents