Lesson 8 Legal and ethics

Question 1

These are written documents that reflect the values of the admin of orgs, they should and ought to express what the CEOs and their inner circles and confidantes believe

Answer 1

policies

Question 2

What are the 2 ways that government response occurs?

Answer 2

legislation and regulation

Question 3

This is the process of persuading a person to accept your perspective and take action on bills, policies and programs that you support

Answer 3

politics

Question 4

these are experts at encouraging others to act in a predetermined way, they are employed by orgs to win favor for a particular bill or political position

Answer 4

lobbyists

Question 5

What are the 2 major philosophies that guide how orgs and MDs are paid?

Answer 5

volume
vs
value

Question 6

This reimbursement where payment to hospitals for certain procedures was based on how many procedures were completed in a specific time frame

Answer 6

volume based

Question 7

this reimbursement was created to reduce the number of unnecessary or limited-valued tests and treatments, and improve performance targets that measure quality

Answer 7

value based

Question 8

In 2015 this changed the way providers are reimbursed for services rendered to medicare beneficiaries. It ended sustainable growth rate (SGR) pay provision and created a new framework to drive healthcare reform toward providing improved reimbursement for care based on value and quality rather than quantity

Answer 8

MACRA: Medicare Access and Chip Reauthorization Act

Question 9

In 1996 this required DHHS to develop regulations protecting the privacy and security of designated health information, includes privacy rule and security rule.

Answer 9

HIPAA: Heath Insurance Portability and Accountability Act

Question 10

What is the key tenet of HIPAA?

Answer 10

That protected health information must not be disclosed with unauthorized persons

Question 11

this is a provision of the ARRA that aimed to ensure that healthcare orgs were not only adopting EHRSs but also validating their implementation by showing meaningful use

Answer 11

HITECH act: Health Information Technology for Economic and Clinical Health

Question 12

In 2010 this became one of the most significant healthcare reform acts in the US, one of the goals was to improve healthcare quality through use of infotech, and also aimed to ensure affordable healthcare by reducing the cost and increasing the number of individuals insured

Answer 12

ACA: affordable healthcare act

Question 13

this is an independent not for profit org that accredits and certifies hospitals and other healthcare orgs nationwide, it’s accredation is recognized as a symbol of quality and reflects an org’s commitment to meeting or exceeding identified performance standards

Answer 13

TJC: The joint commission

Question 14

In 2009 this was signed into law to provision funding to promote health reform through IT adoption and implementation and included unemployment benefits, federal tax relief, education, healthcare and infrastructure spending. (included the HITECH act in it)

Answer 14

ARRA: American Recovery and Reinvestment Act

Question 15

This law was signed in 2016 to provide funding to battle the county’s opioid epidemic, funding to accelerate cancer research and make therapies more readily available, funding for mental health research and treatment and expedited drug approval

Answer 15

21st Century Cures Act

Question 16

This is the right to control access and disclosure or nondisclosure of information pertaining to oneself and to control the circumstances, timing and extent to which information may be disclosed

Answer 16

privacy

Question 17

This refers to a situation in which a relationship has been established, and private information is shared but not disclosed. It is an ethical principle and legal obligation that a HCP will not disclosed info relating to a patient, unless the patient gives consent permitting the disclosure

Answer 17

confidentiality

Question 18

this is the relationship between data collection, info tech, an individuals expectation of privacy and the legal, ethical and political issues connected to these relationships

Answer 18

information-and-data privacy

Question 19

this occurs when an individual authorizes HCP to use and share his or her info based on an informed understanding of how this info will be shared and used for treatment purposes

Answer 19

information consent