Patient Bill of Rights Overview

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Questions and Answers

What is the primary goal of the Patient Bill of Rights?

  • To reduce healthcare costs for patients.
  • To expedite the process of medical research studies.
  • To limit the responsibilities of healthcare providers.
  • To ensure patients feel confident in the healthcare system. (correct)

Which of the following is a key provision of the Emergency Medical Treatment and Active Labor Act (EMTALA)?

  • It requires any hospital emergency department receiving federal healthcare payments to provide medical screening to any patient seeking treatment. (correct)
  • It standardizes the cost of emergency medical treatments nationwide.
  • It mandates that all hospitals maintain a certain ratio of nurses to patients in the emergency department.
  • It allows hospitals to deny emergency treatment based on insurance status.

Which law includes provisions to protect individuals from discrimination based on genetic information?

  • GINA. (correct)
  • ADA.
  • EMTALA.
  • HIPAA.

Under the Good Samaritan Act, what protection is generally provided to individuals?

<p>Immunity from being sued if they provide assistance in an emergency. (A)</p> Signup and view all the answers

What is the definition of 'autonomy' in the context of medical ethics?

<p>The patient's capacity to think, decide, and act on their own free will. (A)</p> Signup and view all the answers

What is the key characteristic of 'assertive' communication style in healthcare?

<p>Firm and direct. (A)</p> Signup and view all the answers

Which action demonstrates 'active listening' in therapeutic communication?

<p>Displaying empathy, rephrasing, asking questions, remaining quiet, and summarizing the received message. (A)</p> Signup and view all the answers

Which of the following is NOT an element to consider when communicating with patients?

<p>Speaking rapidly to convey more information. (C)</p> Signup and view all the answers

What is a critical step to ensure privacy and confidentiality during telehealth?

<p>Using HIPAA compliant platform. (D)</p> Signup and view all the answers

According to the '5 P's of Telephone Etiquette', what does being 'cooperative' entail?

<p>Asking someone who knows if you do not have the answer. (D)</p> Signup and view all the answers

In email communication, salutations such as 'To Whom It May Concern' are:

<p>Discouraged, a personalized greeting is preferred. (B)</p> Signup and view all the answers

What is the most appropriate first action when dealing with a dissatisfied patient?

<p>Be calm and maintain composure. (C)</p> Signup and view all the answers

Which action is MOST important for an MA to perform immediately when a patient expresses dissatisfaction with their service?

<p>Immediately tell the provider. (A)</p> Signup and view all the answers

Within a Patient-Centered Medical Home (PCMH), what is the primary role of the primary care provider (PCP)?

<p>To coordinate patient treatment to ensure receipt of necessary care. (C)</p> Signup and view all the answers

How does a Patient-Centered Medical Home (PCMH) improve the patient experience?

<p>Through focused care and increased patient participation related to issues concerning their health. (C)</p> Signup and view all the answers

What is the MOST crucial element for successful transitional care between healthcare providers?

<p>Excellent communication between all associated providers, including the patient. (C)</p> Signup and view all the answers

What information should a MA document after providing healthcare to a patient?

<p>Document all information provided to a patient in the health record to promote continuity of care. (B)</p> Signup and view all the answers

What patient population is most likely to benefit from a one-time screening for an abdominal aortic aneurysm?

<p>Older men 65-75 years. (D)</p> Signup and view all the answers

Which symptom is a common sign of a substance abuse use disorder?

<p>Tired and sad, or very energetic, talking fast. (A)</p> Signup and view all the answers

When conducting a patient interview, which specific information is the medical assistant responsible for gathering?

<p>Changes in health status, medication reconciliation(any refills), confirm any allergies. (C)</p> Signup and view all the answers

What information MUST be included when documenting patient education in the PHR?

<p>Correct name, address, web address, phone number, contact person, and any additional instructions. (D)</p> Signup and view all the answers

What is a crucial element follow up communication is critical for?

<p>Promoting adherence and clarity of short and long-term goals. (A)</p> Signup and view all the answers

What actions should an MA perform when assisting with referrals?

<p>Always follow up with patient regarding appointment status but they don't make them. (A)</p> Signup and view all the answers

Why is confirming a patient’s insurance coverage BEFORE referring them to a specialist office important?

<p>The appointment is scheduled. (B)</p> Signup and view all the answers

For which learning style would providing demonstration materials be MOST effective?

<p>Kinesthetic. (C)</p> Signup and view all the answers

What primary administrative duty is a Medical Assistant responsible for?

<p>Greeting patients, scheduling, handling correspondence, and answering telephones. (B)</p> Signup and view all the answers

What is the MOST important responsibility of a MA?

<p>Obtaining medical history from patients, providing patient education, performing laboratory test, and preparing and administering immunizations. (C)</p> Signup and view all the answers

Which entity determines a Medical Assistant's scope of practice?

<p>State Medical Boards. (C)</p> Signup and view all the answers

What is the proper protocol to tell a patient to lie on the side that was irrigated for after an ear irrigation?

<p>15 minutes. (B)</p> Signup and view all the answers

An MA is preparing a Vitamin B12 injection for a patient. What is the MOST important action to take after administering the medication?

<p>Administering any medication have patient wait 20-30 minutes before leading to observe for any adverse reactions. (B)</p> Signup and view all the answers

What action must be taken with reusable equipment that includes clamps, forceps, some scalpels, and endoscopes?

<p>Must be disinfected or sterilized • Non-Critical - Come in contact with unbroken skin. (C)</p> Signup and view all the answers

What is the correct technique in the Ampule Technique?

<p>Snap the neck off, use filter needle to get aspiration prevent the shaft and tip of the needle from touching the rim of the ampule, discard needle used to withdraw medication and replace with a new one Syringes. (A)</p> Signup and view all the answers

Which agency maintains oversight for legally prescribed and used narcotic drugs?

<p>(DEA) Drug Enforcement Administration: Maintains oversight for legally prescribed and used narcotic drugs and for containment of illegal drugs. (C)</p> Signup and view all the answers

A medical assistant mistakenly enters the information of an order before the healthcare provider authorizes it. Which of the following is the most appropriate course of action?

<p>Acknowledge the error, inform the healthcare provider, and correct the record as directed. (D)</p> Signup and view all the answers

All of these options are components of Telehealth health care, except:

<p>Organ Transplant. (B)</p> Signup and view all the answers

What steps should be taken in assisting to schedule elective and costly procedures that require requirements for optimum reimbursement?

<p>Verify eligibility (this will determine if the patient has health insurance coverage and can receive the benefits during the proposed period. (D)</p> Signup and view all the answers

A medical assistant schedules an important elective surgery but was not aware at the time that they needed a signed release for a referral, and no one in the organization told them? What is the next most important step?

<p>The schedule MUST be cancelled unless someone shows otherwise. (D)</p> Signup and view all the answers

What steps are taken to ensure proper patient financial communication and payment options?

<p>All answers are correct. (D)</p> Signup and view all the answers

Select the most appropriate options for why you would chart "Dietary Needs for Diabetes".

<p>Eating several small, nutrient-dense meals consistently throughout the day. (C)</p> Signup and view all the answers

Identify the correct term that is used when a blood sample comes back from a lab showing 1.1L of Bilirubin count. The normal level for Bilirubin count is 0.3-1.0.

<p>Homeostasis wasn't achieved and will need further analysis (C)</p> Signup and view all the answers

Flashcards

Patient Bill Of Rights

To make patients feel confident, ensure rights for patients and providers.

HIPAA

National standards to protect patient information.

HITECH

Increased enforcement of privacy of electronic patient information

Controlled Substance Act (CSA)

Schedules/classifications of drugs, 1 being highest potential for abuse

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EMTALA

Medical screening for any patient seeking emergency treatment

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CLIA

Regulated federal standards applying to all human laboratory testing

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Title VII Of The Civil Rights Act Of 1964

If you have 15+ employees, you cannot discriminate.

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American With Disabilities Act of 1990 (ADA)

Forbids discrimination based on disability

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Good Samaritan Act

Can save someone without getting sued

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(GINA)

No discrimination based on genetic information.

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Patient Protection and Affordable Care Act/Obamacare

Expanding access to more affordable, quality healthcare.

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(PSQIA)

Framework for gathering and analyzing patient safety information

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(AKBS)

Criminal law prohibiting receiving benefits for referrals.

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(NSA)

Protects from surprise billing.

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The Patient

Owner of the information.

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Malpractice

Doesn't follow the standard of care.

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Tort

Wrong of harmful acts.

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Implied Consent

Patient assumes position and allows.

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Autonomy

The capacity to think, decide, act on one's free will

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Informed consent

Oral or written agreement.

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Negligence

Patient doesn't receive adequate care.

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Living Will

Legal document stating your conditions.

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Civil Law

Protect private property

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Types of Torts

Intentional and Non-Intentional

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Duty of care

One party has a legal obligation to act in a certain manner.

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Dereliction

failure to use reasonable care

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Doctors Law

abuse to CPS immediately

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Ethics

basis decisions.

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Professional Ethics

Define, clarify, professional

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Medical ethics

issuing from patients

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Autonomy

one's free will

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Justice

consistent and fair

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Beneficence

the most good

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Nonmaleficence

no harm

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Guides

thinking, decision making,actions.

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Communication

integrate a sender, a receiver.

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Therapeutic communication

receiving messages within

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Active Listening

component of therapeutic

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Assertive

style in healthcare.

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Open-ended

General information used

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Study Notes

  • The overall purpose of the Patient Bill of Rights ensures the rights and responsibilities of patients and providers, so patients feel confident in the healthcare system.
  • As a patient, people should be treated with respect and care that fits with beliefs.
  • A patient's doctor should discuss sicknesses and treatment options.
  • Before any treatment, patients should be told what will happen, the risks and benefits, and if there are other options.
  • Patients can refuse to be part of a research study or treatment and still be told what will happen if they say no.
  • Patients are not responsible for taking care of long-term health conditions.
  • Patients can ask questions about appointment times, who their doctor is, and where to go.
  • Patients can receive medicine for pain relief.
  • As a patient, once a study ends, one can go to a different place, and a doctor will share healthcare information with other doctors.
  • HIPAA creates national standards to protect patient information.
  • HITECH allows for increased enforcement of the privacy of electronic transmission of patient information.
  • The schedule/classification of drugs ranks from 1 to 5 with The Controlled Substance Act (CSA); 1 being the highest.
  • EMTALA states any hospital emergency department that receives payment from federal healthcare (Medicaid and Medicare) is required to provide medical screening tests to any patient seeking treatment.
  • CLIA is a 1988 amendment that regulates federal standards that apply to all laboratory testing performed on human life.
  • With the Title VII Of The Civil Rights Act Of 1964, if one has 15 or more employees, one cannot discriminate.
  • The American With Disabilities Act of 1990 (ADA) forbids discrimination based on disability.
  • HERCA provides charity to the roles of undertaking any range of professionals regarding the justification process.
  • The Good Samaritan Act explains one can save someone without getting sued.
  • GINA explains there is no discrimination based on genetic information.
  • Patient Protection and Affordable Care Act/Obamacare expands access to more affordable, quality healthcare, increasing patient insurance protection, curbing rising costs, and emphasizing prevention and wellness.
  • The PSQIA creates a framework for gathering and analyzing information regarding patient safety within the limits of protected health information.
  • AKBS is criminal law that prohibits receiving benefits for referrals.
  • NSA protects from surprise billing if in a group health plan or individual health coverage.
  • Employers are not considered covered entities.
  • Administrative Safeguarding refers to policies and procedures.
  • Physical Safeguarding refers to physically monitoring and access to PHI (Patient Health Information).
  • Technical Safeguarding means healthcare providers responsibility to monitor and safeguard patient information through technology.
  • Healthcare providers own the medical record, but patients own the information and can receive a copy to transfer to another doctor with a signed release form.
  • Exceptions can occur when consent is required from the patient from criminal acts to legally ordered to communicable disease or mandated examination.
  • Malpractice is an instance when someone doesn't follow the standard of care.
  • Tort is a wrong of harmful act.
  • Implied Consent occurs when a patient assumes a position and allows for a procedure to happen.
  • Autonomy is the capacity to think, decide, and act of one's free will.
  • Informed Consent is an oral or written agreement that doctors sign off on.
  • Negligence occurs when a patient doesn't receive adequate care.
  • Expressed Consent can be oral or written consent.
  • An Advance Directive includes written statements of a person's wishes regarding medical treatment.
  • DNR stands for Do Not Resuscitate, and contains no CPR, and no life-supporting procedures yet can receive life-sustaining care.
  • A Living Will is a legal document stating what one wants and doesn't want.
  • Durable Power of Attorney is a legal document naming a healthcare agent or proxy to make decisions on someone's behalf; healthcare providers cannot be Durable Power of Attorneys.
  • The POLST is a form containing the set of medical orders completed by the healthcare provider detailing the patient end of life care.
  • Civil Law protects the private rights of a person or person's property, including areas of contracts, prosperity, labor, privacy issues, and family law.
  • Criminal Law is concerned with violations against society based on the criminal statutes or codes of conduct.
  • Misdemeanors include lesser crimes punishable by monetary fine or imprisonment of 1 year or less.
  • Felonies include serious crimes, large fines, and imprisonment for more than 1 year, which can also include execution, or, in a healthcare professional's case, the revoking of their medical license.
  • Torts are split into two major classifications.
  • Intentional Tort is a deliberate act that violates the rights of another and is also classified as neglect, including assault, battery, defamation, invasion of privacy, and administration.
  • Unintentional Tort is an non-intentional act, which still counts as neglect, including accidentally leaking or speaking private information, and unintentional harm or a mistake that can lead to the harm of another.
  • Negligence is the failure to act in a responsible manner, without specific intent to harm someone, and is not a deliberate action, but results for the party failing to act responsibly.
  • Duty Of Care involves instances when one party has a legal obligation to act in a certain manner towards' other.
  • Dereliction Also called a breach, is the failure to use reasonable care in fulfilling a duty.
  • Direct Cause is what happens when a the failure in duty that leads to the harm suffered by the injured person.
  • Damages are losses where the harm or injury can be remedied by monetary compensation.
  • Malpractice is an act of negligence and describes an improper or illegal professional activity of treatment, and describes healthcare professionals causing an injury to a patient.
  • Malpractice can result in errors in diagnosis, treatment, postoperative care, or a violation of patient confidentiality.
  • In a medical malpractice case you need proof of a breach of a standard of care that caused damages or harm.
  • "Would another healthcare professional be given the same treatment under the same or similar circumstance".
  • Mandated Reporting is required on births, deaths, certain communicable diseases, assaults, or criminal acts, abuse, neglect, and the exploitation of a child or older, intimate partner.
  • Mandated reporting also requires to report communicable diseases to the CDC and different abuses, whether physical, verbal/emotional, psychological, sexual, or economic.
  • A Medical Assistant is legally required to report any suspected causes of abuse to CPS immediately.
  • Ethics includes rules, standards, and moral principles that govern a person's behavior and which the person bases decisions, which defines what is right and wrong.
  • Personal Ethics are influenced by family, friends, culture, religion, and education.
  • Common Ethics is a system of principles and rules of conduct accepted by a group, ethnicity, political affiliation, and cultural identity.
  • Professional Ethics aims to define, clarify, and criticize professional work, and involves commitment, competence, confidence, and contract.
  • Medical Ethics involve ethical issues arising from patients.
  • Autonomy is the capacity to think, decide, with one's free will.
  • Justice states ethics should be based on what's consistent and fair.
  • Beneficence involves "Doing the most good."
  • Nonmaleficence notes to "Do no harm."
  • Cultural Competence is the ability of providers and organizations to effectively deliver healthcare services that meet the needs of patients.
  • Biases can have a positive or negative consequence.
  • Conscious Bias is an explicit bias/obviously known and spoken bias.
  • Unconscious Bias is an implicit bias/not really known and more of an assumed bias.
  • Biases are not just limited to race and ethnicity because any social group is exposed to bias.
  • Culture can be seen as the act of belonging to a designated group or community sharing common experiences that shape the way it's members understand the world.
  • Culture guides thinking, decision-making, and actions.
  • Communication and Customer Services integrates a sender, a receiver, and a message.
  • Therapeutic communication includes strong communication skills that help determine the implications of sending and receiving messages within a diverse patient audience.
  • With therapeutic communication, it is important to include displaying empathy, rephrasing, asking questions, remaining quiet, allowing messages to be conveyed, and summarizing the received message.
  • Therapeutic communication creates the opportunity to build a positive rapport and relationship between the healthcare provider and patient.
  • Active Listening is an essential component of therapeutic communication.
  • If one is actively listening, they go beyond hearing words and are mindful of what is being said, how it is said, and the intended purpose of the message.
  • Characteristics of active listening include being nonjudgmental, using positive body language, allowing time to digest words, and engaging with the sender.
  • Assertive communication is the ideal communication style in healthcare, because it is firm and direct.
  • Passive communication is submissive, quiet, has a soft voice, and displays hesitancy.
  • Aggressive communication is abrasive in words and body language, allows minimum personal space, and uses loud and faster gestures

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