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Questions and Answers
What is a common form of medical malpractice that involves discontinuing care without adequate notice?
Which legislation was passed to protect individuals with disabilities by broadening the definition of disability?
What can be a consequence of patient abandonment by a healthcare provider?
Which action is a duty of mandated reporters under mandatory reporting laws?
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Negligence in a medical context refers to what?
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Which method is considered reasonable notice in patient abandonment cases?
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What is one primary goal of medical laws in the healthcare field?
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Why is it important for healthcare providers to understand barriers to health outcomes for disabled individuals?
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What is the primary purpose of health and safety policies in health care organizations?
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Which organization is primarily responsible for enforcing workplace safety and health training?
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How do ethical standards function within health care organizations?
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Which of the following is a primary goal of the National Patient Safety Goals (NPSG)?
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What does compliance in medical practice ensure?
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What role does the Office of the Inspector General (OIG) primarily play?
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What aspect of the medical-legal relationship is crucial for all health care team members to understand?
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The Americans with Disabilities Act Amendments Act (ADAAA) aims to protect individuals from what?
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What is primarily necessary for a medical professional to comply with their code of ethics?
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What could be a consequence of a medical professional failing to comply with ethical standards?
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Which organization requires its members to uphold a specific code of ethics?
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What distinguishes laws from regulations in the context of healthcare compliance?
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What is an example of a federal regulatory agency that ensures safety in medical products?
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What is the function of the Healthcare Quality Improvement Act (HCQIA)?
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What is a guideline in the context of healthcare practices?
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What is one of the duties of a certified professional under the NHA code of ethics?
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Who are typically included as mandated reporters?
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What is one of the main roles of the Centers for Medicare & Medicaid Services (CMS)?
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What differentiates Medicare fraud from Medicare abuse?
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Which law prohibits referrals to health care services that a provider has a financial interest in?
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What is the purpose of the OIG hotline?
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What does CMS stand for in the context of health care compliance?
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Which government-funded program is specifically designed for veterans?
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Which act is designed to protect health care workers from bloodborne pathogens?
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What type of practices does the Office of the Inspector General (OIG) investigate?
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How often are the National Patient Safety Goals reevaluated?
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What does the False Claims Act (FCA) primarily address?
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What role do CMAAs play in relation to patient safety goals?
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What does the Surprise Act primarily protect against?
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What must be present in workplaces that utilize hazardous materials according to OSHA guidelines?
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Which of the following is NOT a focus of OSHA guidelines?
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What is the consequence of committing medical fraud or abuse?
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Study Notes
Professional Codes of Ethics
- Medical professionals are required to adhere to a code of ethics on both personal and professional levels.
- Key characteristics for compliance include integrity, respect, and consistency.
- Compliance applies to medical professionals in their organizations, individually, socially, and during networking.
- Non-compliance can result in legal actions, dismissal, or credential removal as per standards set by organizations like the National Health Career Association (NHA).
- NHA emphasizes duties such as societal betterment, honesty in interactions, continuous learning, and respect for patient dignity and privacy.
Regulatory Agencies and Compliance
- Laws are authoritative obligations designed to protect patients, providers, and property; non-compliance can lead to punishment.
- The FDA is a federal agency focused on ensuring safety and efficacy of food, drugs, and medical devices.
- Regulations are formal rules set by governing bodies; examples include the Healthcare Quality Improvement Act (HCQIA), which protects peer reviewers.
- Guidelines are recommendations, such as medical coding guidelines, promoting correct practices.
- Health care policies define roles and responsibilities within organizations, ensuring service provision standards.
Governing Organizations
- OSHA enforces workplace safety and health standards.
- The Joint Commission evaluates healthcare organizations to improve public health care quality.
- The National Patient Safety Goals (NPSG) aim to enhance patient safety across health care.
- CMS ensures standards compliance in federally funded medical programs, including Medicare and Medicaid.
- OIG investigates fraud and abuse in federal health programs, safeguarding public medical expenditure.
- The ADAAA protects individuals with disabilities and mandates non-discriminatory practices in health care.
Basic Medical Law
- Medical law governs the rights and responsibilities of providers and patients, protecting both parties through contracts.
- Malpractice occurs when a medical provider fails to meet established standards, manifesting in forms like negligence and patient abandonment.
- Negligence leads to inadequate patient care, causing harm, while abandonment involves cessation of treatment without proper notice, adversely affecting patient health.
ADAAA Compliance
- The ADAAA, enacted in 2008, broadens the definition of disability and mandates non-discriminatory policies and practices.
- Health care providers must recognize barriers faced by patients with disabilities and ensure accommodations and effective communication.
Mandatory Reporting Laws
- These laws require health care professionals to report suspected abuse or neglect of vulnerable populations, including children and the elderly.
- Healthcare providers, clergy, teachers, and law enforcement are considered mandated reporters.
- Reporting includes communicable diseases to public health departments.
Medicare Fraud and Abuse
- CMS oversees various federally funded health programs, such as Medicare and TRICARE, aiming to improve population health.
- Medicare fraud involves wrongful claims and incentive payments, while abuse relates to unnecessary costs and improper billing practices.
- Important legal frameworks regulating Medicare include the False Claims Act, Anti-Kickback Statute, and Stark Law governing self-referrals.
Reporting and Compliance Structure
- The OIG provides hotlines for reporting fraud and abuse and maintains a self-disclosure protocol for inadvertent billing inaccuracies.
- Committing Medicare fraud can result in severe financial and legal penalties for individuals and organizations.
Joint Commission's National Patient Safety Goals
- The Joint Commission annually reevaluates National Patient Safety Goals to address patient safety challenges using data collection.
- The involvement of CMAAs is crucial in compiling data on patient errors to inform improvements in patient safety.
OSHA Guidelines
- OSHA is dedicated to creating a safe workplace, with specific guidelines such as Safety Data Sheets for hazardous materials.
- The Needlestick Safety and Prevention Act protects healthcare workers from bloodborne pathogen hazards, ensuring safe procedures for sharps usage.
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Description
This quiz explores the adherence to professional codes of ethics in the medical field. It emphasizes the importance of integrity, respect, and consistency among licensed medical professionals. Test your understanding of how these ethical standards are applied in various contexts including professional and social settings.