Exam 3

Question 1

The patient care partnership

Answer 1

It is essentially a patients bill of rights. It encourages high quality care, a clean and safe environment, patient involvement in their care, protection of patient privacy, and help with leaving the hospital as well as billing claims.

Question 2

Pregnancy Discrimination Act

Answer 2

This act makes it illegal to fire an employee based on pregnancy, childbirth, or related medical conditions.

Question 3

CLIA

Answer 3

Clinical Laboratory Improvement Act/Amendments

Provides minimum federal standards for quality laboratory testing.

Question 4

Employee retirement income security act

Answer 4

Regulates private pension funds and employer benefit programs.

Question 5

Occupational Safety and Health Act

Answer 5

Ensures a safe work environment

Question 6

Wagner Act

Answer 6

Protects employees who engage in union or other organizational activities.

Question 7

Rehabilitation Act

Answer 7

Protects individuals who are disabled or mentally ill.

Question 8

Civil Rights Act of 1964

Answer 8

Established The EEOC

Question 9

Age Discrimination in Employment Act

Answer 9

Protects employees aged 40 or older.

Question 10

Equal Pay Act

Answer 10

Requires equal pay for equal work

Question 11

Fair labor standards act

Answer 11

Regulates Child labor and provides for minimum wages and overtime pay.

Question 12

Social security act

Answer 12

Provides for Medicare, unemployment insurance, disability, and OASI through FICA funding.

Question 13

Federal False Claims Act

Answer 13

A law that allows for individuals to bring civil actions on behalf of the U.S. Government for false claims made to the federal government, under a provision of the law called qui tam (from Latin meaning to “bring an action for the king and for oneself)

Question 14

Difference between Child, Elder, and Domestic Abuse

Answer 14

Child abuse is legally required to be reported.
Elder abuse is legally required to be reported.
Domestic abuse is ethically required, It is not required unless a spouse states the injuries were from domestic abuse.

Question 15

What is released when a patient’s record is requested?

Answer 15

Only the information that is requested. Could be a specific time period, diagnosis, symptom, or body system.

Question 16

Difference between the FDA and the DEA

Answer 16

The FDA approves food and drugs before they are released, they oversee drug quality and standardization.

The DEA regulates the sale and use of certain drugs at the federal level.

Question 17

Quid pro quo

Answer 17

“Something for something”
Sexual harassment such as 1) submission to such conduct is made either explicitly or implicitly a term or condition of an individuals employment.

2) submission to or rejection of such conduct by an individual is used as a basis for employment decisions affecting such individual.

Question 18

Difference between the 5 different schedules of drugs of the controlled substances act

Answer 18

Schedule 1- No medical use and a high potential for abuse.
Schedule 2- have a high potential for abuse, potentially leading to psychological or physical dependence.
Schedule 3- have a moderate to low potential for physical and psychological dependence. Less potential for abuse than schedule 1 & 2 but more than schedule 4.
Schedule 4- Low potential for abuse and low risk of dependence.
Schedule 5- Lower potential for abuse than schedule 4, limited quantities of narcotics.

Question 19

Difference between a coroner and medical examiner

Answer 19

A coroner is a public official who investigates unknown or violent deaths, may or may not be a physician.

A medical examiner is a physician who investigates suspicious or unexplained deaths.

Question 20

Difference between a communicable and a Non-communicable Disease

Answer 20

Communicable diseases are infectious such as tb, hepatitis, HIV/AIDS

Noncommunicable diseases are diseases such as cancer, metabolic disorders in newborns, congenital hypothyroidism, and galactosemia.

Question 21

Why do we have medical records

Answer 21

• They are required by licensing authorities and provide a format for tracking, documenting, and maintaining a patients communication data, both inside and outside a health care facility

-provide documentation of a patients healthcare from birth-death.

-provides a foundation for managing a patients health care.

-Serve as legal documents in lawsuits.

-They provide clinical data for education, research, statistical tracking, and assessing the quality of healthcare.

Question 22

What types of medical records are legal ?

Answer 22

EMR’s, EHR’s

Question 23

How do you correct an error in a patients (paper) medical record?

Answer 23

Draw a line through the incorrect information so its still legible, write in the correct info, sign or initial, date, and time the entry.
If possible, ask another staff to witness the correction.

Question 24

Why do Communicable and some non-communicable diseases need to be reported?

Answer 24

Communicable diseases can threaten the health and wellbeing of the population if left unchecked, immediate disease control and prevention may be needed.

Noncommunicable diseases sometimes need to be reported to. Allow public health officials to track causes to protect publics health and safety.

Question 25

Who owns the patient’s medical record?

Answer 25

The healthcare provider

Question 26

Wounds of Violence *

Answer 26

Assault, rape, or domestic violence

Question 27

Purposes of HIPAA

Answer 27

HIPAA - guarantees that workers who change jobs can obtain health insurance.
-increases efficiency and effectiveness of U.S. healthcare system.
-improves security and privacy of patient-identifying info
-decreases U.S. healthcare system transaction cost.

Question 28

Purposes of GINA

Answer 28

To prohibit discrimination in health insurance and employment based on genetic information.

Question 29

Purposes of HITECH

Answer 29

Strengthen certain HIPAA privacy and security provisions.

Notify affected individuals of a breached PHI

Question 30

Purposes of ADAAA*

Answer 30

American with disabilities act of 1990-

It bans discrimination of those with disabilities in the workplace.

Question 31

HIPAA OSHA CLIA FDA DEA HITECH

Answer 31

-Health insurance portability and accountability act
-Occupational safety and health administration
-Clinical laboratory improvement amendment
-Food and Drug administration
-Drug enforcement agency
-Health information technology for economic and clinical health act

Question 32

What are the Five C’s of necessary attributes of entries to patients’ records?

Answer 32

Concise
Complete
Clear
Correct
Chronologically ordered

Question 33

Difference between EMR & EHR

Answer 33

An EMR is a digital version of the paper charts in a clinicians office

An EHR is built to share info with other providers such as labs, specialists, it is the total info on one record.

Question 34

Legal/Illegal questions in an interview

Answer 34

Illegal- age, marital status, family, race, religion, gender, disability, etc.
Legal- general questions that relate to the job.

Question 35

When should a birth & death certificate must be completed for a miscarriage

Answer 35

-20 weeks or more
In some states, separate forms for birth and death must be filled out, in other states there are special forms that include both birth and death certificates

Question 36

What are the 4 standards of HIPAA

Answer 36

Standard 1- Transactions and Code Sets
Standard 2- Privacy Rule
Standard 3- Security Rule
Standard 4- National identifier standards

Question 37

What does the health hazard pictogram mean

Answer 37

-Carcinogen
-Mutagenicity
-Reproductive toxicity
-respiratory sensitized
-target organ toxicity
-aspiration toxicity

Question 38

What does the exclamation mark pictogram mean?

Answer 38

-Irritant (skin and eye)
-Skin sensitizer
-Acute toxicity (harmful)
-Narcotic effects
-Respiratory tract irritant
-Hazardous to ozone layer