Code of Ethics, Role & CMS Flashcards

1
Q

4 Main Purposes of Code of Ethics

A
  1. ID/describe principles supported by OT profession. 2. Edu gen public/members regarding est principles to which OT personnel are accountable. 3. Socialize OT personnel to expected standards of conduct. 4. Assist OTs in recognition/resolution of ethical dilemmas.
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2
Q

7 Principles - AOTA Code of Ethics

A
  1. Beneficence, 2. Non-maleficence 3. Autonomy/Confidentiality 4. Social Justice 5. Procedural Justice 6. Veracity 7. Fidelity
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3
Q
  1. Beneficence
A

Demo concern for safety/well-being of service recipients: EBR, competence, timely, scope, avoid outdated info, proper termination, referals, OT edu, ensure research is done properly, report & take responsibility for profession. Mandated reporters- min reporting is to ones immed supervisor

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4
Q
  1. Non-maleficence
A

Shall intentionally refrain from actions that cause harm: avoid harm, efforts for continuity of services, avoid exploitation, maintain professionalism/objectivity, avoid sexual relations w any service recipient, take appropriate action to remedy personal probs that could interfere, avoid influences, maintain/adhere to Code in volunteer roles, avoid bartering & determine proportion of risk w research

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5
Q
  1. Autonomy & Confidentiality
A

Shall respect right of individual to self-determination: Collab relations w full disclosure - benefits/risks/progress, obtain consent, respect pt right to refuse services, provide students w accurate OT edu info, informed consent/disclosure w research ppl & respect right to w/d, maintain privacy - only except w immediate harm, confidentiality & HIPPA & facilitate meaningful communication

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6
Q
  1. Social Justice
A

Provide services in fair & equitable manner: uphold OT altruistic responsibilities to ensure common good, edu ppl about wealth of OT, make effort to promo acts that benefit health of community, advocate for fair/just tx & access to services for all, consider pro-bono for ppl that need it & provide/teach generalization services

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7
Q
  1. Procedural Justice
A

Shall comply w institutional rules, local, state, fed, international laws & AOTA docs applicable to profession. must be familiar w Code & share/edu, be familiar w all laws/AOTA and implement, hold credentials as required, take responsibility for maintaining high standards/continue competence, ensure all duties match qualifications, provide appropriate supervision, necessary approval for research, report all gifts, use funds for intended for purposes, prevent discrimination/unfair labor, advocate for workers w disabilities, form policies/procedures to ensure all legal compliance, collect fees legally, maintain ethical principles in all areas of professional work

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8
Q
  1. Veracity
A

Shall provide comprehensive, accurate & objective info when rep’in profession: rep credentials/qual/experience/edu accurately, refrain from using/participating in any form of comm w false info, record/report in timely manner, doc is in accordance w laws/guides, ensure truthful marketing, accept responsibility for act that reduce public trust in OT, outline services accurately, honest/fair/respectful & timely & no plagiarizing

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9
Q
  1. Fidelity
A

Shall tx colleagues/other professionals w respect, fairness, discretion & integrity: respect traditions, practices, competencies & responsibilities of own/others, preserve privacy of all other workers, discourage/prevent/report breaches of Code - use internal resources first, avoid conflicts of interest/commitment, do not use position to create conflicts, use conflict resolution, “be diligent humans of human/financial/material resources & no not exploit

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10
Q

Ethical distress vs dilemma

A

Distress- when OT knows correct actions but a barrier prevents them from taking course. Dilemma- 2(+) potentially morally correct ways to solve prob but solutions are exclusive.

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11
Q

AOTA & Vol membership

A

As a vol membership org, AOTA has no direct authority over practitioners who are not members and no direct legal mechanisms for preventing non-mems who are incomp, unethical or unqual-ed from practicing

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12
Q

Ethics Commission

A

Comp of AOTA resp for Code/Standards of practice of profession - responsible for inform/edu mems about current ethical issues, upholding practice & edu standards. monitoring behaviors & reviewing allegations

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13
Q

State Reg Boards

A

Created by state legislature to assure health/safety of the citizens of the state. Responsibility to protect pub from harm - licensure that describes scope of practice & qualifications. Intervene when OT involved legally.

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14
Q

Actions for Violations

A

Reprimand: private convo. Censure: pub statement of agency stating disapproval. Ineligibility: removal of eligibility for membership/license renewal. Probation: req to meet certain conditions. Suspension or Revocation. (All expect reprimand are made public by respected agency)

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15
Q

OTA

A

Grad from ACOTE accredited tech edu program w A degree/cert. Can expand role w service comp-specialty; but does not make I. Prim role=tx implementation; can contrib to eval but not I & cant begin tx prior to OT eval; can be activity directors at SNFs and supervise OT aids. AOTA supports I practice of OTAs w advanced level skills who work for I living centers although SRBs may supersede this. Must be supervised by OT for any/all aspects of OT serive delivery.

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16
Q

OT Aids

A

*Not considered OT practitioners. Can be trained by OTA or OT to perform specific non-skilled tasks (routine maintenance/clerical tasks/CG-trans). OT is responsible for determination/delegation of client & non-client tasks and aid performs. Client tasks: OT must know anticipated outcome, that pt can perform, that Aid is competent & that no adaptation will be needed. S by OTA/OT must be doc-ed. *Cont S for patient tasks

17
Q

Indirect vs Direct Supervision

A

D- Face-to-face: co-tx, observation, instruction, modeling, discussion. I- electronic, written, tele comm

18
Q

Supervision Continuum

A

Close: direct/daily at site of work. Routine: direct at least every 2wks at work site w interim in-direct S. General: at least monthly direct contact w S as needed by other methods. Min: provided only as needed & may be less than monthly.

19
Q

Fx’al S

A

Info/feedback from co-workers

20
Q

FW S

A

Entry Level OT/OTA can S Level I FW. OT w 1yr experience can S Level II. OTA’s w 1yr experience can supervise Level II OTAs. 3yrs of experience recommended for individuals w multiple students & supervisors.

21
Q

Intradisciplinary Teams

A

One(+) mems of 1 discipline eval, plan & implement tx - at risk d/t lim perspective

22
Q

Multidisciplinary Teams

A

of professionals from diff disciplines conduct assessments/tx I from one another. Members prim allegiance is to own discipline & lim comm may result in lack of understanding.

23
Q

Interdisciplinary Teams*

A

All disciples relevant to tx agree to collab on decision making, eval/tx still conducted I-ly but there is greater understanding of each discipline’s perspective. Directed toward common goal & not bound by discipline line-specific roles/fxs. Tend to use group process skills effectively.

24
Q

Transdisciplinary Teams*

A

Characteristics of interdis are maintained & expanded on. mems committed to ongoing comm/collab. Eval/tx planned cooperative, role blurring is accepted. ongoing training/support/consultation is important.

25
Q

ACA

A

The Pt Protection & Affordable Care Act: Signed into law 2010 cont to 2016. Seeks to expand access to Health Insurance for all Americans & improve quality of HC services in US.

26
Q

Key Components of ACA

A

Accountable Care Orgs (ACOs ): provide financial incentives for HC providers who develop an integrated network to collab when tx pts across care settings-aim is to lower costs while meeting quality standards. & Pt-Centered Medical Homes (PCMHs): places designed to meet pts complete needs for mental/phys health via preventative, acute care & disability/chronic illness mngt services

27
Q

CMS

A

Center for Medicare/Medicaid Services; a division of US dept of Health & Human Services (HHS) = fed agency which develops rules/regs pertaining to fed laws governing Medicare/caid programs. Programs must comply/meet guidelines

28
Q

SNFs & CMS

A

LT settings are strongly influenced by CMS since Medicare/caid pay for all/most of expenses

29
Q

5 CMS Centers

A

1.Center for Beneficiary Choices: focus on Medicare Choice & Medigap. 2.Center for Medicare Mngt: focus on traditional fee-4-service Medicare. 3.Center for Medicaid & State Operations: focus on state admin programs like Medicaid & State Children’s Health Insurance Program (SCHIP). 4.Center for Program Integrity: provides oversight of Medicare/caid Programs to ensure integrity/best practice. 5. Center for Medicare/caid Innovation: est by ACA; develops/tests new service delivery & payment models for maintaing/improving qual of care - while controlling costs

30
Q

OSHA

A

Occ Safety & Health Admin; division of US dept of labor. Structural standards/building codes; safety of employees/consumers regulated.

31
Q

State Accreditation to obtain licensure for HC facility

A

MANDATORY. States develop own requirements & local/county entities also develop regs pertaining HC institutions (ex: fire/elevator safety)

32
Q

Accreditation Means

A

Compliance w est standards; ensures orgs are adequate;y equipped & meets high standards for pt care & employs qual-ed professionals.

33
Q

Accreditation thru accreditation agency is vol but

A

mandatory to receive 3rd party reimbursement & to be eligible for gov’t grants/contacts; Vol agencies include: JACHO, CARF & Accred. Council for Services for MR & Other DD Persons (AC-MRDD)

34
Q

Accreditation Process

A

Initiated by org w application, self-study/assessment conducted, on-site review by surveyor team, involves staff-doc prep, hosting the site team & interviews > once accredited, periodic review (%3yrs)