Health Law II Flashcards

1
Q

Can students be sued for malpractice?

A

Yes

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2
Q

True or false: anyone can pretty much file a suit against you

A

True

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3
Q

What is the purpose of confidentiality in the medical profession?

A

Encourage the patient to freely discuss, freely divulge

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4
Q

True or false: physician cannot be forced to testify about information obtained in the course of patient treatment

A

True, for the most part

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5
Q

Does expert position count for confidentiality?

A

No–no dr/pt relationship

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6
Q

What are the two exceptions to confidentiality?

A
  • Patient waives privilege

- Statutory expectation

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7
Q

True or false: only the patient can waive the privilege to dr/pt confidentiality

A

True

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8
Q

If a patient sues you, can you break confidentiality?

A

Yes

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9
Q

What are the qualifications needed to have privilege? (3)

A
  • dr/pt relationship
  • Information acquired during the course of the relationship
  • Information must be necessary and proper for physician treatment
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10
Q

What is one situation where you see a patient, but there is no dr/pt relationship

A

third party consultation

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11
Q

Are court ordered evaluations privileged?

A

No–you’re third party

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12
Q

What is an IME? Is this a privileged relationship?

A
  • Independent medical evaluation

- Not a privileged relationship

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13
Q

Are stenographers held under confidentiality?

A

Yes

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14
Q

Are members of the clergy held under confidentiality?

A

Yes

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15
Q

What is the main determinant of whether or not a pt/dr relationship falls under confidentiality?

A

If dr treats patient, then establishes a relationship

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16
Q

What should you do (but maybe not legally required to do) when being an IME?

A

Inform the patient that what they say is not in confidence

17
Q

Who can provide you legal advice?

A
  • Malpractice insurance lawyers

- Hospital risk manager

18
Q

What is the only information that is confidential in the ED setting?

A

Only information that is necessary for treatment–but be careful with this

19
Q

What are the three ways you are no longer a minor in Iowa?

A
  • Over 18 years
  • Married
  • Emancipated (living separately with own finances)
20
Q

Who owns the medical record?

A
  • Physical medium = provider

- Information - pt owns

21
Q

True or false: the patient has the right to a copy of their medical records

22
Q

Can you charge for printing a medical record

A

Yes, but not exorbitant

23
Q

Each divorced parents has a right to a minor child’s medical record unless under what two conditions?

A
  • Divorce decree prohibits

- Parental rights have been terminated

24
Q

Do step parents have the right to a child’s minor’s record?

25
Can you give minor their medical records without parental consent?
Not all, but some
26
What are the four exceptions to needing parental consent to treat minors?
- STDs - Contraceptives - substance abuse sex, drugs, and rock and roll
27
True or false: if a minor is tested for HIV and is found positive, the parent must be informed
True
28
What are the protections against letting parents know through insurance bills?
None
29
What are the exceptions to absolute confidentiality?
Public health reasons: - STDs - Child abuse
30
What are the three records that have a higher level of confidentiality?
- Mental health records - Substance abuse - HIV
31
What is the purpose of a subpoena?
Mechanism to force the release of records
32
Is a subpoena a court order?
No--just a request
33
What must accompany a subpoena to get medical records?
Release from patient to release medical records
34
True or false: the board of medical examiners can request records for anyone, with all records (in Iowa)
True
35
Can a minor have access to their medical records without parental consent?
Only the visits that they did not need parental consent for in the first place