Consumer Rights and Responsibility in Healthcare Flashcards
What is the purpose of health care consumer rights?
Healthcare consumers the have the right to ensure that they receive quality patient care.
What is Clients’ Care?
A person receiving care in their home gets a copy of documents to emphasize the rights of patients at home.
What is Residents’ Care?
A copy is given to each person before they are admitted to a skilled care facility.
Rights were legislated in the Omnibus Budget Reconciliation Act (OBRA) of 1987.
What are the Clients’/Residents’ Rights?
- Be treated with respect and dignity. This includes the rights to privacy and confidentiality.
- Have the benefit of open and honest communication with caregivers.
- Make health care decisions and participate in care planning. Informed consent.
- Be advised of their rights about advanced directives.
- Recieve continuity of care.
- Be informed of resources for resolving conflicts or grievances.
What is informed consent?
The person gives permission for care after full discloser of the purpose of the procedure, the benefits, and risks involved.
What is advanced directives?
Documents that describe the consumer’s wishes for treatment and end-of-life care if the person is unable to communicate or make health care decisions.
What is continuity of care?
This care means that healthcare is provided on a continuing basis from admission to discharge and beyond.
What is grievance?
Is a situation in which the consumer feels there are grounds for complaint.
What is the Patient’s Bill of Rights?
Introduced by American Hospital Association (AHA) in 1972. Revision and renamed The Patient Care Partnership in 2003.
Given to patients at the time of hospital admission.
What is the Affordable Care Act?
Gives consumers control over their own health care.
Responsibilities of Health Care Consumers
- Maintaining personal healthcare records so information is available when needed.
- Providing medical records when needed.
- Communicating openly and honestly with the physician and other caregivers. They must provide information regarding past hospitalizations and medications, for example.
- Informing the physician and other caregivers if they cannot follow the prescribed treatment plan.
- Learning how to manage their own health.
- Living a healthy lifestyle and avoiding unnecessary risks of illness or injury.
- Asking questions if they do not understand information, instructions, or explanations.
- Accepting responsibility for payment for health care and providing information for insurance claims.
What is ombudsman?
A person who advocates for patients and residents of health care facilities. Not a government employee or a volunteer and is not on staff at the facility.
> Monitor facility conditions, assists with problems and complaints, and assist in finding quality care.
Services free of charge to the patients and residents.
Facilities are required to post contact information for the ombudsman in a prominent location.
Three Residents’ Rights
- Share a room with spouse if they are both residents in the same facility.
- Notification of change in condition.
- Perform or not perform work for the facility of the resident if it is medically appropriate for the resident to work.
Three Clients’ Rights and Responsibilities
Rights:
1. Have your property be treated with respect.
2. Be informed of anticipated termination of service.
Participate in planning care.
Responsibilities:
1. Remain under a doctor’s care while receiving services.
2. Provide the agency with complete health history.
3. Provide the agency with required insurance and financial information.
Three Patients’ Rights
- Quality care.
- Be notified of changes in care.
- Privacy and confidentiality in care and document.
