Law and health care policy

Question 1

what is tort law?

Answer 1

a type of law to address civil wrongdoing to protect people from harm to their bodies, property or reputation

Question 2

what is an example of a voluntary code of practice in NZ?

Answer 2

NCNZ Code of conduct which is mandated through the HPCA Act

guide behaviour in a professional setting, no power to require compliance

Question 3

what is the main purpose of the HPCA Act 2003?

Answer 3

to protect the health and safety of the public and ensure competency of health professionals

Question 4

Under the HPCA Act a nurse is responsible for their own practice by ensuring the do what?

Answer 4

Meet NCNZ competencies for practice
Work within and understand the NCNZ defined scopes of practice
Understand scope of other health professionals they work with

Question 5

what are the main legislative laws that nurses work under?

Answer 5

Medicines Act
Health and disability Act 1999
Privacy Act (and codes) 2020
HPCA Act 2003

Question 6

what is the main purpose of the Harmful digital communication Act 2015?

Answer 6

help tackle bullying and harassment by people using digital technology

now illegal to send messages/post material online that deliberately causes a victim serious emotional distress

Question 7

What is the main purpose of the Health and Safety Work Act?

Answer 7

Workers have their own health and safety duty to take reasonable care to keep themselves and others healthy and safe when carrying out work.

Question 8

What is the main purpose of the Accident Compensation Act 2001?

Answer 8

provides compensation for accidental injury including “treatment injury” and prohibits patients pursuing legal action for damages in most cases of personal injury

Question 9

Everyone has a right to refuse or withdraw consent to medical treatment under which two acts?

Answer 9

NZ Bill of Rights Act 1990
Health and disability commission act 1994

Question 10

an individuals right to privacy is protected by which two acts?

Answer 10

Health Act 1956 - personal information section
Privacy Act 2020 - Health information privacy Code

Question 11

what are the key changes to the Privacy Act 2020?

Answer 11

Requirements to report privacy breaches
Compliance notices
Decisions on access requests
Strengthening cross-border protections
Class actions
New criminal offences
Strengthening Privacy commissioners information gathering power

Question 12

Under the changes to the Privacy Act, what has changed in regards to Requirements to report privacy breaches?

Answer 12

Must notify commissioner of privacy breach or likely breach if it is likely to cause serious harm

Question 13

Under the changes to the Privacy Act, what has changed in regards to compliance notices?

Answer 13

commissioner can issue compliance notice that requires an agency to do something/stop doing something

Question 14

Under the changes to the Privacy Act, what has changed in regards to Decisions on access requests?

Answer 14

commissioner to make decisions on complaints regarding access to information not Human Rights Review Tribunal

Question 15

Under the changes to the Privacy Act, what has changed in regards to Strengthening cross-border protections?

Answer 15

take steps to ensure personal info sent overseas is protected by comparable privacy standards. Overseas service providers must comply with NZ privacy laws

Question 16

Under the changes to the Privacy Act, what has changed in regards to class actions?

Answer 16

permits class actions in the Human Rights Review Tribunal by persons other than the director of human rights proceedings

Question 17

Under the changes to the Privacy Act, what has changed in regards to New criminal offences?

Answer 17

offence to mislead an agency in a way that affects someone else’s information, and to destroy documents containing personal information if a request has been made for it. fine of up to $10,000.

Question 18

Under the changes to the Privacy Act, what has changed in regards to Strengthening the Privacy Commissioner’s information gathering power?

Answer 18

commissioner can shorten timeframe in which agency has to comply with investigation. non-compliance fine increased to $10,000.

Question 19

what are the 13 principles of the Privacy Act?

Answer 19

1. Purpose for collection of personal information
2. Source of information
3. Collection of information from subject
4. Manner of collection of personal information
5. Storage and security of information
6. Access to personal information
7. Correction of personal information
8. Accuracy of personal information to be checked before use or disclosure
9. Agency not to keep personal information for longer than necessary
10. Limit on use of personal information
11. Limits on disclosing personal information
12. Disclosure of personal information outside New Zealand
13. Unique identifiers

Question 20

what is the purpose of the New Zealand health strategy?

Answer 20

outline direction of NZ health system 2016-2026
describes the future we want
“All New Zealanders, live well, stay well, get well”

Question 21

what are the 5 themes of the NZ Health Strategy?

Answer 21

1. People powered
2. Closer to home
3. Value and high performance
4. One team
5. Smart system

Question 22

what is the difference between state led, social health and private insurance systems?

Answer 22

state led is based on citizenship/residency and funded through taxes

social is based on employment or occupational groups - no equity or equlaity

private health is dominated by private organizations and driven by competition

Question 23

what are the ministry of health targets for health care?

Answer 23

1. Shorter stays in ED
2. Improved access to elective surgery
3. faster cancer treatment
4. increased immunisation
5. better help for smoking cessation
6. raising healthy kids

Question 24

what is the main purpose of the health care system reform 2022 (Future of health/Te Anamata O Te Oranga)?

Answer 24

transforming the health system will create a more equitable, accessible, cohesive and people centred system that will improve the health and well being of NZers

Question 25

what is meant by “people centred” in the health system changes?

Answer 25

A system that brings together the voice of all communities

Question 26

what is meant by “equitable” in the health system changes?

Answer 26

a system that focuses on working in partnership with Maori and honouring Te Tiriti o Waitangi

Question 27

what is meant by “accesible” in the health system changes?

Answer 27

a system that offers more equitable, convenient and integrated access to serviuces for all NZers

Question 28

what is meant by “cohesive” in the health system changes?

Answer 28

A national health system that delivers locally, supported by coordinated planning and oversight

Question 29

what are some of the key changes to the NZ health system in 2022?

Answer 29

Disestablishment of DHBs
Merge functions of DHBs into Health NZ
Health NZ to manage all health services
Services planned nationally
Work in partnership with Maori Health Authority - develop NZ Health Plan

Question 30

What are the 10 Rights of the Code of Health and disability services consumers rights?

Answer 30

1. Right to be treated with respect
2. freedom from discrimination, coercion, harrassment and exploitation
3. Dignity and independence
4. services of an approriate standard
5. effectvie communication
6. Fully infromed
7. make an informed choice and give informed consent
8. Support
9. respect teaching or research
10. complain