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1.04 Patient Rights Legislation. 1.04 Understand legal and ethical issues Patient Rights Legislation Patient’s Bill of Rights Patient’s Bill of Rights.

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Presentation on theme: "1.04 Patient Rights Legislation. 1.04 Understand legal and ethical issues Patient Rights Legislation Patient’s Bill of Rights Patient’s Bill of Rights."— Presentation transcript:

1 1.04 Patient Rights Legislation

2 1.04 Understand legal and ethical issues Patient Rights Legislation Patient’s Bill of Rights Patient’s Bill of Rights The Health Care Consumer The Health Care Consumer Consumer Bill of Rights Consumer Bill of Rights Consumer Responsibilities Consumer Responsibilities Omnibus Budget Reconciliation Act Omnibus Budget Reconciliation Act Patient Self-Determination Act Patient Self-Determination Act Health Insurance Portability and Accountability Act (HIPAA) Health Insurance Portability and Accountability Act (HIPAA) 2

3 1.04 Understand legal and ethical issues Patient Rights Legislation Patient’s Bill of Rights (1973, revised 1992) Statement of rights that patients are entitled to while in the care of a physician or in the hospital Statement of rights that patients are entitled to while in the care of a physician or in the hospital Includes: Includes: Choice of providers Choice of providers Confidentiality Confidentiality Information disclosure Information disclosure Participation in treatment decisions Participation in treatment decisions Respect Respect 3

4 1.04 Understand legal and ethical issues Patient Rights Legislation The Healthcare Consumer March 1998, the Advisory Commission on Consumer Protection and Quality in the Health Care Industry outlined the Consumer Bill of Rights and Responsibilities. March 1998, the Advisory Commission on Consumer Protection and Quality in the Health Care Industry outlined the Consumer Bill of Rights and Responsibilities. Purpose Purpose Build consumer confidence Build consumer confidence Support the healthcare provider and patient-provider relationship Support the healthcare provider and patient-provider relationship Emphasize the role of the consumer with regard to health improvement Emphasize the role of the consumer with regard to health improvement 4

5 1.04 Understand legal and ethical issues Patient Rights Legislation Consumer Bill of Rights Consumer Bill of Rights Information disclosure Information disclosure Choice of providers Choice of providers Access to emergency services Access to emergency services Participation in treatment decisions Participation in treatment decisions Respect and nondiscrimination Respect and nondiscrimination Confidentiality of health information Confidentiality of health information Complaints and appeals Complaints and appeals 5

6 1.04 Understand legal and ethical issues Patient Rights Legislation Consumer Responsibilities Consumer Responsibilities Healthy habits Healthy habits Participate in healthcare decisions Participate in healthcare decisions Communicate relevant information to healthcare provider Communicate relevant information to healthcare provider Avoid knowingly spreading disease Avoid knowingly spreading disease Recognize the risks and limits of medical care Recognize the risks and limits of medical care Know about healthcare insurance plan Know about healthcare insurance plan Show respect Show respect Make effort to pay your bills Make effort to pay your bills Report fraud or wrongdoing Report fraud or wrongdoing 6

7 1.04 Understand legal and ethical issues Patient Rights Legislation The Health Care Consumer Bill of Rights is used to develop healthcare insurance plans. The Health Care Consumer Bill of Rights is used to develop healthcare insurance plans. The Health Care Consumer must be familiar with their rights and responsibilities. The Health Care Consumer must be familiar with their rights and responsibilities. 7

8 1.04 Understand legal and ethical issues Patient Rights Legislation Omnibus Budget Reconciliation Act (1987) Regulates long term care and home health Regulates long term care and home health Requires nurse aide training/certification for nursing and geriatric assistants Requires nurse aide training/certification for nursing and geriatric assistants States specific skills to be mastered States specific skills to be mastered Requires continuing education, and work evaluations Requires continuing education, and work evaluations Requires retraining and/or testing if unemployed for 2 or more years Requires retraining and/or testing if unemployed for 2 or more years Limits use of restraints Limits use of restraints 8

9 1.04 Understand legal and ethical issues Patient Rights Legislation Nursing Home Reform Act (1990) Patient must be fully evaluated upon admission to a nursing home Patient must be fully evaluated upon admission to a nursing home Health Health Memories Memories Habits Habits Hobbies Hobbies A plan of care must be written and maintained A plan of care must be written and maintained Must have annual re-evaluation Must have annual re-evaluation 9

10 1.04 Understand legal and ethical issues Patient Rights Legislation Patient Self-Determination Act (1990) Healthcare agency receiving Federal Aid must inform a patient about advanced directives at the time of admission Healthcare agency receiving Federal Aid must inform a patient about advanced directives at the time of admission Healthcare agency must provide education for staff Healthcare agency must provide education for staff 10

11 1.04 Understand legal and ethical issues Patient Rights Legislation Health Insurance Portability and Accountability Act (HIPAA) (1996) Protects the individual medical information of a patient and includes: Protects the individual medical information of a patient and includes: Name Name Address Address Diagnosis billing information Diagnosis billing information Provides for security of that Provides for security of thatinformation 11

12 1.04 Understand legal and ethical issues Patient Rights Legislation Health Insurance Portability and Accountability Act (HIPAA) Gives patient more control over their Gives patient more control over their health information Sets boundaries on the use and release Sets boundaries on the use and release of health records Establishes safeguards to protect records Establishes safeguards to protect records Punishes violators Punishes violators Enables patients to make choices Enables patients to make choices Gives patients the right to obtain a copy of their records Gives patients the right to obtain a copy of their records 12

13 1.04 Understand legal and ethical issues Patient Rights Legislation Health Insurance Portability and Accountability Act (HIPAA) Permits release of information Permits release of information needed to protect public health Prevent disease Prevent disease Protect from injury or Protect from injury ordisability 13

14 1.04 Understand legal and ethical issues Patient Rights Legislation Health Insurance Portability and Accountability Act (HIPAA) Exempt information: Births Births Deaths Deaths Injuries caused by violence Injuries caused by violence Communicable diseases Communicable diseases Sexually transmitted diseases Sexually transmitted diseases 14

15 1.04 Understand legal and ethical issues Patient Rights Legislation Patient’s Bill of Rights Patient’s Bill of Rights The Healthcare Consumer The Healthcare Consumer Consumer Bill of Rights Consumer Bill of Rights Consumer Responsibilities Consumer Responsibilities Omnibus Budget Reconciliation Act Omnibus Budget Reconciliation Act Patient Self-Determination Act Patient Self-Determination Act Health Insurance Portability and Accountability Act (HIPAA) Health Insurance Portability and Accountability Act (HIPAA) 15


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