Term
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Definition
| unexplained/unexpected death, development of pressure sores, heavy medication and sedation, malnourished, hesitation to talk openly |
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Term
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Definition
| any form of mistreatment that results harm or loss to an older person |
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Term
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Definition
| Most states have enacted laws that require the reporting of actual or suspected cases of communicable diseases |
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Term
| National Practitioner Data Bank |
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Definition
| created by Congress as a national repository of information with the primary purpose of facilitating a comprehensive review of physician's and other health care practitioners' professional credentials |
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Term
| Health Care Quality Improvement Act |
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Definition
| Congress enacted the HCQIA of 1986 to improve the quality of medical care by encouraging physicians to participate in peer review and by restricting incompetent physician’s ability to move from state to state without disclosure or discovery of their previous substandard performance or unprofessional conduct |
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Term
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Definition
| incident reports contain statements made by employees and physicians regarding a deviation from acceptable patient care; reportable incidents include serious injury, fire, loss of emergency power, employee strikes, infection outbreaks; don’t go in patient’s record |
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Term
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Definition
| data bank queries can be made by state licensing boards, hospitals, other health care entities, and professional societies that have entered or may be entering employment or affiliation relationships with a physician, dentist, or other health care practitioner who has applied for clinical privileges or appointment to a medical staff |
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Term
| Employee Refusal to Participate in Abortions |
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Definition
| individuals have a right to refuse to participate in abortions and can abstain from involvement in abortions as a matter of conscience or religious or moral conviction |
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Term
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Definition
| the termination of the ability to produce offspring. Sterilization often is accomplished by vasectomy for men and tubal ligation for women |
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Term
| Wrongful Conception/Pregnancy |
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Definition
| based on damages sustained by the parents of an unexpected child based on an allegation that conception of the child is the result; ex. negligent sterilization procedure |
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Term
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Definition
| the plaintiffs claim that but for a breach of duty by the defendants (ex. improper sterilization), the child would not have been born. A wrongful birth claim can be brought by the parents of a child born with genetic defects against a physician or laboratory; based on the premise that being born, and that negligently fails to inform them; being born and having to live with the affliction is a disadvantage and thus a cognizable injury |
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Term
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Definition
| generally unsuccessful because of the court’s unwillingness, for public policy reasons, to permit financial recovery for the injury of being born into the world |
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Term
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Definition
| direct contact with infected blood/body fluids, such as vaginal secretion and breast milk |
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Term
| Duty and the right to confidentiality |
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Definition
| health care professionals and others working with AIDs patients have a right to know when they are caring of patients with highly contagious diseases |
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Term
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Definition
| U.S. district court found that routine testing of firefighters and paramedics for the AIDS virus does not violate an individual’s fourth amendment or constitutional privacy rights |
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Term
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Definition
| against person who have contracted the AIDs virus often is found to be in violation of their constitutional rights |
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Term
| Occupational Safety and Health Act |
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Definition
| requires that health care organizations implement strict procedures to protect employees against the virus that causes AIDS |
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Term
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Definition
1) set of rules/conduct/moral code
2) religious ethics
3) philosophical ethics |
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Term
| The functions of Ethics Committees |
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Definition
| multifaceted and include development of policy and procedure guidelines to assist in resolving ethical dilemmas; staff and community education; conflict resolution; case reviews, support and consultation, and political advocacy |
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Term
| Patient Self Determination Act |
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Definition
requires health care organizations to explain to patients their legal right to direct their own medical and nursing care as it corresponds to existing state law
o Euthanasia- the mercy killing of the hopelessly ill, injured, or incapacitated |
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Term
| Oregon’s Death with Dignity Act of 1994 |
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Definition
| allows physicians to prescribe but not administer lethal drugs to the requester who must be terminally ill with fewer than 6 months to live |
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Term
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Definition
| a risk is the possibility that a loss will occur. An insured individual may be exposed to 3 categories of risk- 1) property loss/damage 2) personal injury or loss of life 3) incurring legal liability |
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Term
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Definition
| the period of the policy is sated in the insurance contract. Under the occurrence policy, the contract provides protection only for claims that occur during the time frame within which the policy is stated to be in effect |
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Term
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Definition
| trustees should be covered by liability insurance just as physicians and other health care professionals |
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Term
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Definition
| Although federal laws generally take precedence over state laws when there is a conflict between state and the federal laws, state laws are applicable and must be considered, especially when state regulations are more rigid than federal legislation |
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Term
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Definition
| The U.S. Department of Labor is a department within the executive branch of government |
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Term
| National Labor Relations Act |
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Definition
| enacted by congress in July 1935 to govern the labor management relations of business firms engaged in interstate commerce |
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Term
| National Labor Relations Board |
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Definition
| entrusted with enforcing and administering the NLRA, has jurisdiction over matters involving proprietary and not for profit health care organizations |
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Term
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Definition
| aimed at reducing the number of injunctions grated to restrain strikes and picketing |
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Term
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Definition
| The federal antidiscrimination law provides that is unlawful for most public and private employers to discriminate against, fail or refuse to hire, or discharge any individual, with respect to his or her compensation, terms, conditions, or privileges of employment because of such individual’s race, color, religion, sex, or national origin |
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Term
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Definition
| osha’s mission is to assure the safety and health of America’s workers by setting and enforcing standards, providing training, outreach and educational establishing partnerships, and encouraging continual improvement in workplace safety and health |
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Term
| Family and Medical Leave Act of 1993 |
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Definition
| was enacted to grant temporary medical leave toe employees under certain circumstances |
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Term
| Duty and the right to confidentiality |
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Definition
| health care professionals and others working with AIDs patients have a right to know when they are caring of patients with highly contagious diseases |
|
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Term
|
Definition
| U.S. district court found that routine testing of firefighters and paramedics for the AIDS virus does not violate an individual’s fourth amendment or constitutional privacy rights |
|
|
Term
|
Definition
| against person who have contracted the AIDs virus often is found to be in violation of their constitutional rights |
|
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Term
| Occupational Safety and Health Act |
|
Definition
| requires that health care organizations implement strict procedures to protect employees against the virus that causes AIDS |
|
|
Term
|
Definition
1) set of rules/conduct/moral code
2) religious ethics
3) philosophical ethics |
|
|
Term
| The functions of Ethics Committees |
|
Definition
| multifaceted and include development of policy and procedure guidelines to assist in resolving ethical dilemmas; staff and community education; conflict resolution; case reviews, support and consultation, and political advocacy |
|
|
Term
| Patient Self Determination Act |
|
Definition
requires health care organizations to explain to patients their legal right to direct their own medical and nursing care as it corresponds to existing state law
o Euthanasia- the mercy killing of the hopelessly ill, injured, or incapacitated |
|
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Term
| Oregon’s Death with Dignity Act of 1994 |
|
Definition
| allows physicians to prescribe but not administer lethal drugs to the requester who must be terminally ill with fewer than 6 months to live |
|
|
Term
|
Definition
| a risk is the possibility that a loss will occur. An insured individual may be exposed to 3 categories of risk- 1) property loss/damage 2) personal injury or loss of life 3) incurring legal liability |
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Term
|
Definition
| the period of the policy is sated in the insurance contract. Under the occurrence policy, the contract provides protection only for claims that occur during the time frame within which the policy is stated to be in effect |
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Term
|
Definition
| trustees should be covered by liability insurance just as physicians and other health care professionals |
|
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Term
|
Definition
| Although federal laws generally take precedence over state laws when there is a conflict between state and the federal laws, state laws are applicable and must be considered, especially when state regulations are more rigid than federal legislation |
|
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Term
|
Definition
| The U.S. Department of Labor is a department within the executive branch of government |
|
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Term
| National Labor Relations Act |
|
Definition
| enacted by congress in July 1935 to govern the labor management relations of business firms engaged in interstate commerce |
|
|
Term
| National Labor Relations Board |
|
Definition
| entrusted with enforcing and administering the NLRA, has jurisdiction over matters involving proprietary and not for profit health care organizations |
|
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Term
|
Definition
| aimed at reducing the number of injunctions grated to restrain strikes and picketing |
|
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Term
|
Definition
| The federal antidiscrimination law provides that is unlawful for most public and private employers to discriminate against, fail or refuse to hire, or discharge any individual, with respect to his or her compensation, terms, conditions, or privileges of employment because of such individual’s race, color, religion, sex, or national origin |
|
|
Term
|
Definition
| osha’s mission is to assure the safety and health of America’s workers by setting and enforcing standards, providing training, outreach and educational establishing partnerships, and encouraging continual improvement in workplace safety and health |
|
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Term
| Family and Medical Leave Act of 1993 |
|
Definition
| was enacted to grant temporary medical leave toe employees under certain circumstances |
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Term
| Family and Medical Leave Act of 1993 |
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Definition
| Was enacted to grant temporary medical leave to employees under certain circumstances |
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Term
| Union Security Contracts and Right to Work Laws |
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Definition
| labor organizations frequently seek to enter union security contracts with employers; 1) the closed shop contract 2) the union shop contract |
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Term
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Definition
| is a program by which an employee can receive certain wage benefits because of work related injuries |
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Term
| Patient's rights during Labor Disputes |
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Definition
| patient’s rights take precedence over employee and management rights when a patient’s right to privacy or well-being is in jeopardy due to labor disputes |
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Term
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Definition
| the ADA prohibits job discrimination in hiring against qualified individuals with disabilities by private employers, state, and local governments, employment agencies, and labor unions |
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Term
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Definition
| unwelcome sexual advances, requests for sexual favors, and other verbal or physical conduct of a sexual nature when this conduct explicitly or implicitly affects and individual’s employment |
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Term
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Definition
| the tendency to form some possible in positions of power to abuse that power through threats, abuse, intimidation, and retaliatory discharge, all of which are cause for legal action |
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Term
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Definition
| a termination for cause only clause in an employment contract is binding |
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Term
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Definition
| the denial of a right that is imputed to a person or that is alleged to belong to him or her |
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Term
| Managed Care Organizations |
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Definition
| o Managed care organizations represent a major shift away from the domination of the fee for service system toward networks of providers supplying a full range of services |
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Term
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Definition
| The California Supreme Court has ruled that insurers must inform beneficiaries of their right to contest a benefit denial. |
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Term
| Maricopa County Medical Society v. Arizona University |
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Definition
| o One of the leading cases involving price fixing is Maricopa County Medical Society v. Arizona University, a US Supreme Court case that involved the exercise of provider control over the level of physician reimbursement. Because the physicians had no financial stake in the success of the plan, the Supreme Court found that the maximum fee schedule set by the physicians constituted illegal price fixing |
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Term
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Definition
| is the process by which parties to dispute voluntarily agree to submit their differences to the judgment of an impartial mediation panel for resolution |
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Term
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Definition
| the process whereby a third party, the mediator, attempts to bring about a settlement between the parties of a complaint |
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Term
| Joint and Several Liability |
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Definition
| provides that a person causing an injury concurrently with another person can be held equally liable for the entire judgment awarded by a court |
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Term
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Definition
| compensates injured parties for economic losses regardless of fault |
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Term
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Definition
| the possibility that a loss will occur |
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Term
| Health Maintenance Organizations (HMO's) |
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Definition
| organized health care systems that are responsible for both the financing and the delivery of a broad range of comprehensive health services to an enrolled population. Act as both an insurer and provider of health care services |
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Term
| Preferred Provider Organizations (PPO's) |
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Definition
| entities through which employer health benefit plans and health care services contract to purchase health care services for covered beneficiaries from a selected group of participating providers |
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Term
| Exclusive Provider Organizations (EPO's) |
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Definition
| Limit their beneficiaries to participating providers for any health care services. Use a gatekeeper approach to authorize nonprimary care services |
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Term
| Point of Service Plans (POS) |
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Definition
| use primary care physicians as gatekeepers to coordinate and control medical care |
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Term
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Definition
| provided limited components of healthcare coverage (ex. dental) |
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Term
| Independent Practice Associations (IPA) |
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Definition
| a legal entity composed of physicians organized for the purpose of negotiating contracts to provide physician services |
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Term
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Definition
| A physician group that has only one or a small number of service delivery locations is a group practice |
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Term
|
Definition
| The California Supreme Court has ruled that insurers must inform beneficiaries of their right to contest a benefit denial |
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