Chapter 14 Test 3

Question 1

________ does not provide a right to healthcare, but various statutes and regulations do provide this right

Answer 1

US Constitution

Question 2

________ providers may be required to provide some charity care per the IRS community benefit standard

Answer 2

Tax-exempt

Question 3

No obligation to treat non-emergency cases as long as anti-discrimination laws are not violated

Answer 3

Elective treatment

Question 4

Provided hospitals and other healthcare facilities with federal money use towards construction and modernization however hospitals were obligated to provide some uncompensated care
- Community Service Assurance
This obligation has ceased in 1997, but many _______ hospital retain a mission to provide uncompensated care

Answer 4

Hill-Burton Act

Question 5

Provider is the authority; patient is passive recipient

Answer 5

Paternalistic relationship

Question 6

Provider dispenses information; patients makes the decisions

Answer 6

Informative relationship

Question 7

Shared decision making between provider and patient

Answer 7

Interpretive relationship

Question 8

Ability to receive high-quality health care
Skillful care with desired clinical outcomes
Respectful and compassionate care
Provider-patient partnership
Patient empowerment
Consideration of family involvement
Ensure patients are educated and knowledgeable about their conditions
Informed about health information use, disclosure, protection, and individual rights

Answer 8

Patient Rights

Question 9

At its most basic level, patient rights addresses conduct ________.

Answer 9

Between healthcare provider and patient

Question 10

Passed to eliminate “patient dumping” for inability to pay
Applies to hospitals that
Participate in the Medicare program and
Offer emergency services
If ______ applies, hospitals must treat all patients who present for emergency treatment equally
Required steps for patients who present for emergency services:
Conduct medical screening exam (MSE)
If emergency medical condition (EMC) is found:
Treat and stabilize the condition without delay
May transfer without stabilization only if:
Patient requests
Medical benefits of transfer outweigh risks

Answer 10

Emergency Medical Treatment and Active Labor Act (EMTALA)

Question 11

Competent adults have the right to accept or refuse treatment, even if death may result
A patient has this right per the Patient Self-Determination Act
A court may find a compelling state interest to preserve the person’s life despite refusal

Answer 11

Right to accept or refuse treatment

Question 12

Competent adult patients may discharge themselves unless considered danger to self or others
May be a discharge against medical advice (AMA)

Answer 12

Right to discharge

Question 13

Patient signs a form acknowledging potential consequences
Patient signs a form acknowledging health insurance may refuse to pay for care provided
Risks are discussed with the patient when possible
Documentation of the _______ in the patient’s medical record

Answer 13

AMA Discharge Procedure

Question 14

Formerly known as ‘Patients’ Bill of Rights’

Helps patients understand their expectations, rights and responsibilities when receiving hospital services

Answer 14

American Hospital Association (AHA) Patient Care Partnership

Question 15

Policies and procedures must exist to address patient rights and responsibilities

Answer 15

Joint Commission Standards

Question 16

Provides healthcare coverage rights and protections
Requires individuals to have health insurance
Coverage of pre-existing conditions still remains a hot topic of debate

Answer 16

Affordable Care Act (ACA)

Question 17

State specific rights for patients

Answer 17

State laws

Question 18

Should address applicable requirements of external bodies such as Medicare Conditions of Participation and accrediting body standards
Patients should be given a notice of their rights upon first encounter
Includes personal rights and rights regarding patient property

Answer 18

Organizational patient rights policies

Question 19

Involuntary civil commitment permitted if patient is a danger to self or others
Patients have right to procedural due process
Substantive rights (shelter, nutrition, etc.)
Right to consent or refuse treatment
Civilly committed patients must be distinguished from patients charged with crimes

Answer 19

Rights of patients with mental illnesses

Question 20

________ does not automatically equate to mental incompetence

Answer 20

Mental illness

Question 21

Involuntary confinement of a patient alone in a room or area; patient is prevented from leaving

Answer 21

Seclusion

Question 22

Device or drug that restricts an individual’s freed of movement; is not for diagnosis, treatment, or patient protection

Answer 22

Restraint

Question 23

___________ limits seclusion and restraint and provide reporting requirements for related injury or death

Answer 23

Medicare Conditions of Participation

Question 24

Individual _______ and ________ of information shared with a healthcare provider are longstanding mandated rights

Answer 24

Privacy and confidentiality

Question 25

Access one’s own PHI
Request amendment to PHI
Request accounting of disclosures of PHI
Request restrictions regarding use and disclosure of PHI for treatment, payment and operations
Request alternative location or method of communications

Answer 25

HIPAA individual rights

Question 26

Provider-hosted secure websites that allow patients to access their own health information
_________ can include personal health records (PHRs), repositories where patients add their own health information
The most widely used feature is viewing test results
Does not replace a physician relationship but does provide more timely access to results for patients

Answer 26

Patient portals

Question 27

________ consistent with HIPAA and furthers AHIMA’s commitment to support and protect people’s rights regarding their health information

Answer 27

AHIMA Consumer Health Information Bill of Rights

Question 28

Capacity of an individual to obtain, process, and understand health information needed to make appropriate healthcare decisions

Answer 28

Health literacy

Question 29

How an organization functions effectively in cross-cultural situations

Answer 29

Cultural competence

Question 30

_______ and ________ must be considered as part of patient rights and patient-centered care because they encompass barriers to understanding health information including:
Educational levels
Reading proficiency and technological competency
Language barriers
English as a second language

Answer 30

Health literacy and Cultural Competence

Question 31

Act on behalf of patient to negotiate and lower medical bills

Answer 31

Billing advocates

Question 32

Teresa is a billing advocate. NetHealth is an insurance company. StarServe is a provider. Bob is a patient. Which of the following roles will Teresa serve?
A. Making sure that Bob pays the StarServe bill in a timely manner
B. Negotiating with hospitals on behalf of NetHealth to obtain optimal rates
C. Negotiating with StarServe to lower Bob’s medical bills
D. Making sure that Bob pays his NetHealth premiums in a timely manner

Answer 32

Negotiating with StarServe to lower Bob’s medical bills

Question 33

In addition to being given rights, patients also have responsibilities in the patient-provider relationship
Codes of _________ typically require patients to:
Provide full and honest information
Ask questions if they do not understand
Work with providers to carry out agreed-on treatment plan
Respect providers and other patients
Make good-faith efforts to meet financial obligations

Answer 33

patient responsibilities