Ethical and Legal Boundaries in Healthcare

Answer the following questions.

1.The concept ofstare decisis includes which one of the following?

Stands as a precedent for courts on the same or lower level

Destroys documents before they can become evidence

Sets the standards for appeals

Allows lower courts to establish a set of rules

2.The purpose of this doctrine is the prevention and avoidanceof re-litigation of the sameentitlement.

Resipasloquitur

Resjudicata

Rescorpus

Resjustice

3.There are three branches in the federal government.Which branch determines if a law encroaches upon the U. S. Constitution?

Legislativebranch

Executivebranch

Judicialbranch

Legalbranch

4.The U.S. judicial system allows for each state to have trial courts andsupreme courts. However, there are only _____________ circuit Courts of Appeal that are divided geographically.

8

11

14

16

5.Medical staff privileges refer to the scope and limit of a physician's practice in a hospital. These are determined by the _________.

State Board of Nursing

American Medical Association

Governing board of the hospital

Executive board of the hospital

6.List three (3) types of privileges used to keep information confidential.

a.Typ e answer here

b.Type answer here

c.Type answer here

7.What is an exclusion?

Type answer here

Malpractice, Fraud, Abuse and Referral Restrictions

Answer the following questions.

8.During a medical malpractice trial, who would be responsible for first establishing theappropriate standard of care applicable to the facts of the case?

Physician witness

Expert witness

Plaintiff

Defendant

9.Which of the following isnot required to prove medical malpractice?

Physician intent was to harm the patient

A duty of care is owed to the patient

A breach of duty occurred

Damages or injury resulted from the breach of duty

10. Which group is responsible for monitoring the appropriateness and quality of outcomes during a utilization management review?

QIO

CMS

TEFRA

PPS

11. Which of the following isnot one of the steps of the utilization review process?

Peer review

Admission review

Concurrent review

Discharge planning

12. Which of the following isnot part of a hospital incident?

Medical records being destroyed during the course of the business day

An error, an accident, or a situation resulting in an injury to a person

Any event not consistent with the normal routine operations

An event that could result in damage to hospital equipment or property

13.What are three (3) examples of fraud in medical practice.

a.Type answer here

b.Type answer here

c.Type answer here

Case Study

A Tampa surgeon, Dr. Floyd Legatron, mistakenly removed the wrong leg of 52-year-old Jameson Kingsmith during an amputation procedure in June of 2009. Apparently, a chain of errors led to the mishap, and the surgical team even realized their error halfway into surgery, but by that time it was too late, and the leg had to be removed.

14.Is this situation a matter of integrity, quality, respect for others, or profit?Please state the principle and give a description?

Type answer here

Reflection

Reflect on what you have learned this week to help you respond to the question below.You may choose to respond in writing or by recording a video!

15.There has been growing public concern regarding the ethical conduct of healthcare professionals.Think of a time where you, someone you know, read about or seen on television was in a healthcare facility in a difficult situation and there was poor ethical conduct amongst the healthcare professional(s) where the patient had to pursue litigation.As a Healthcare Manager, what actions would you take to prevent or resolve ethical dilemmas encountered by healthcare professionals?

Type answer here