Lecture 1 Flashcards
Patient Protection and Affordable Care Act of 2010 (ACA)
Requires hospitals provide patients with a copy of the Patient’s Bill of Rights, a list of guarantees for those receiving medical care. Many facilities voluntarily adopted versions of a Patient’s Bill of Rights as healthcare became more patient and family focused.
Patient’s Bill of Rights
Provides coverage to Americans with preexisting conditions
Protects a patient’s choice of doctors
Adults under 26 may be eligible for coverage under their parents’ health plan
Ends lifetime limits on coverage for all new health insurance plans
Ends pre-existing condition limitations/exclusions for children under 19
Ends arbitrary withdrawals of insurance coverage
Requires insurance companies to justify publicly unreasonable rate hikes
Requires insurance premium dollars to be spent primarily on health care and not administrative costs
Restricts annual dollar limits on coverage by 2014
Removes insurance company barriers to emergency services so patients can seek emergency care at a hospital outside their health plan’s network.
Rehabilitation Act of 1973 (504) Act
The Rehabilitation Act (often referred to as the 504 Act) addresses civil rights of individuals with disabilities. Section 504 of the act created and extended civil rights to people with disabilities. The act itself addresses two major issues:
- The provision of reasonable accommodations
- A specification that no federal funding may be received by any entity that excludes the participation of qualified individuals solely on the basis of disability
HIPAA
The primary purpose of HIPAA is to standardize the exchange of financial and administrative data while ensuring each patient’s health information is properly protected and to avoid confidential patient information being revealed or used inappropriately.
Americans with Disabilities Act of 1990 (ADA)
Purpose is to eliminate discrimination and provides standardized space requirements for accessibility in a variety of environments
What are the 5 titles of the ADA?
Title I: Employment
Title II: Public Services and Transportation
Title III: Public Accommodations
Title IV: Telecommunications
Title V: Other Provisions
HIPAA Security Rule
Established the national standards for privacy and security of health information
HIPAA Privacy Rule
Defines the privacy regulations governing individually identifiable health information with compliance required for all covered entities (health plans, healthcare clearinghouses, electronic health information)
18 pieces of information designated identifiers according to HIPAA
Names/initials
All geographic identifiers smaller than a state, including county, city, street address, precinct, zip code, and their equivalent geocodes
All elements of dates (except year) directly related to an individual; all ages 90 years and above; and all elements of dates (including year) indicative of such age
Telephone numbers
Fax numbers
Electronic mail addresses
Social Security numbers
Medical record numbers
Health plan beneficiary numbers
Account numbers
Certificate and license numbers
Vehicle identifiers and serial numbers, including license plate numbers
Medical device identifiers and serial numbers
Internet universal resource locators (URLs)
Internet protocol (IP) addresses
Biometric identifiers including fingerprints and voice prints
Full-face photographic images and any comparable images
Any other unique identifying number, characteristic, or code, except that covered identities may, under certain circumstances, assign a code or other means of record identification that allows de-identified information to be re-identified
Patient authorization, informed consent, release form
To provide full confidentiality, none of the 18 identifiers can be released without a patient’s written permission. Permission must be requested by each facility with which a patient has a relationship. Facilities are required to provide each patient with written notification of policies and procedures relating to patient confidentiality under HIPAA regulations, and each patient must sign a statement indicating that he or she has been informed of such policies. Institutions are required to inform patients/clients how medical information will be shared. Often this is in the form of a brochure that provides a short synopsis of the institution’s confidentiality policies. A second form, which may be called a Patient Authorization Form, Informed Consent Form, or Release Form, is then provided to patients for signature. The original signed form is retained as part of the patient’s medical record.
Who is the Alabama State ADA coordinator and assistant attorney general?
Graham Sisson
REWATCH VIDEO (toward the end)
- liaison to governor and office on disability issues
- serve as statewide clearinghouse for disability resources in Alabama
What is informed consent?
What are the 6 parts of the patient/client management process?
Examination
Evaluation
Diagnosis
Prognosis
Intervention
Outcomes
What is culture?
Shared values, norms, traditions, customs, arts, history of a group of people
