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Law & Ethics CM

Chapter 1-4 terms

TermDefinition
autonomy independence or freedom, as of the will or one's actions: the autonomy of the individual.
beneficence the doing of good; active goodness or kindness; charity.
categorical imperative the rule of Immanuel Kant that one must do only what one can will that all others should do under similar circumstances.
confidentiality written, acted on, etc., in strict privacy or secrecy; secret:
deontological or duty-oriented theory focuses on the essential rightness and wrongness of an act, not on the consequences
justice the quality of being just; righteousness, equitableness, or moral rightness:
needs-based motivation
non-maleficence as par
principle of utility Requires that the rule used to make a decision bring about positive results when generalized to a wide variety of situations
role fidelity All health care practicioners have a specific scope of practice, for which they are licensed, certified, or registered and from which the law says they may not deviate
teleological or consequence-orientated theory Consequence-orientated or teleological theories judge the rightness of a decision based on the outcome or predicted outcome of the decision
utilitarianism A person makes value decisions based on results or a rule that will produce the greatest balance of good over evil, everyone considered
veracity truth telling
virtue ethics Focuses on the traits, characteristics, and virtues that a normal person should have
american medical association principles A code of ethics for members of the American Medical Association written in 1847
bioethicists specialists who consult with physicians, researchers, and other to help them make difficult ethical decisions regarding pt care
bioethics a discipline dealing with the ethical implications of biological research methods and results, especially in medicine
code of ethics a system of principles intended to govern behavior of those entrusted withproviding care to the sick
common sense sound practical judgement
compassion the identification with and understanding of another s situation, feelings, and motives
courtsey The practice of good manners
critical thinking The ability to think analytically, using fewer emotions and more rationality
defendant The person or party against whom criminal or civil charges are brought in a lawsuit
ethics Standards of behavior, developed as a result of one's concept of right and wrong
ethics committees Committee made up of individuals who are involved in a patients care, including health care practitioners, family members, clergy, and others, with the purpose of reviewing ethical issues in difficult cases.
ethics guidelines Publications that detail a wide variety of ethical situations that professionals might face in their work and offer principles for dealing with the situations in an ethical manner.
etiquette Standards of behavior considered to be good manners among members of a profession as they function as individuals in society
fraud dishonest or deceitful practices in depriving, or attempting to deprive, another of his or her rights
health care practictioners Those who are trained to administer medical or health care to pt's
Hippocratic Oath A pledge for physicians developed by the Greek Physician Hippocrates circa 400 b.c.e
law Rule of conduct or action prescribed or formally recognized as binding or enforced by controlling authority
liable legally responsible or obligated
litigious prone to engage in lawsuits
medical ethicists specialists who consult with doctors, researchers, and others to help them make difficult ethical decisions regarding patient care
moral values ones persons concept of right and wrong, formed through the influence of family, culture and society
plantiff the person bringing charges to a law suit
precedent decisions made by judges in the various courts that become rule of law and apply to future cases even though they were not enacted by a legislature; also known as case law
protocol A code prescribing correct behavior in a specific situation, such as a situation arising in a medical office
summary judgement a decision made by a court in a lawsuit in response to a motion that pleads there is no basis for a trial
accreditation official authorization or approval for conforming to a specified standard
allopathic Means "different suffering" referring to the medical philosophy that dictates training docs to intervene in the disease process, through the use of drugs and surgery
associates practice A medical management system in which two or more docs share office space and employees but practice individually
certification A voluntary credentialing process whereby pts who meet specific req's may receive a certificate
coroporation A body formed and authorized by law to act as a single person
cybermedicine A form of telemedicine that involves direct contact btwn patients and docs over the internet, usually for a fee
e-health the use of the internet as a source of pt information and about health and medicine
endorsement The process by which a license may be awarded based on individual credentials judged to meet licensing requirements in a new state
Federal False Claims Act A law that allows for pple to bring civil actions on behalf of the US government for false claims made to the federal government, under provision of the law called- qui tam "to bring an action for the kind and for oneself"
gatekeeper physician The pcp who directs the medical care of HMO members
group practice A medical management system in which a group of 3 or more licensed docs share their collective income, expenses,facilities, equipment,records, and personnel
HCERA- Healthcare and education reconciliation act Enacted in 2010, a federal law that added to regulations imposed on the insurance industry by the pt protection and affordable care act.
HCQIA-Health Care Quality Improvement Act of 1986 a federal statute passed to improve the quality of medical care nationwide. One provision est'd the National Practitioner Data Bank
HIPDB-Healthcare integrity and protection data bank a national health care fraud and abuse data collection program est'd by HIPAA for the reporting and disclosure of certain adverse actions taken against health care providers, suppliers, or practicioners
HIPAA-Health insurance portability and accountability passed in 1996 to protect privacy and other health care rights for patients
HMO-Health maintenance Organization a health plan that combines coverage of health care costs and delivery of health care for a prepaid premium
indemnity A traditional form of health ins that covers pt against a potential loss of money d/t medical expenses resulting from an illness or accident
IPA-Individual practice association A type of HMO that contracts with a group of Docs who practice in their own offices and receive a per-member payment
licensure A mandatory credentialing process established by law per profession
managed care A system in which financing, administration, and delivery of health care are combined to provide medical services to pt's prepaid fee.
medical boards bodies established by states for protecting the health safety and welfare of health care consumers
medical practice acts State laws written for the express purpose of governing the practice of medicine
NPDB-National Practitioner Data Bank A repository of info about health care practitioners, established by the Health Care Quality Improvement Act of 1986
open access plan A managed care feature whereby subscribers may see any in-network health care provider without a referral
parternership A form of medical practice management system whereby two or more parties practice together under a written agreement
PPACA-Patient protection and affordable care act a federal law enacted in 2010, to expand health insurance coverage and otherwise regulate the health insurance industry
PHO-Physician-hospital organization a health care plan in which docs join with hospitals to provide a medical care delivery system and then contract for insurance with a commercial carrier or HMO
POS- Point-OF-service plan a health care plan that allows members to seek health care from non-network docs but pays a butt tone when he goes to his actual PCP
PPA- Preferred provider association managed care plans that contract with a network of doctors,hospitals and other health care providers who provide services for set fees
PPO-Preferred provider organization Preferred provider organization- a network of independent physicians, hospitals,and other health care providers who contact with an insurance carrier and provide medical care at a discount rate
PCP-Primary care Physician Primary Care Physcial
reciprocity process by which a professional license obtained in one state may be accepted as valid in other states by prior agreement without reexamination
registeration a credentialing procedure whereby one's name is listed on a register as having paid a fee and/or met certain criteria within a profession
sole proprietorship medical practice management done by the Doc himself, assuming all benefits and liabilities for the business
telemedicine remote consultation by patients with physicians or other health professionals via telephone, closed-circuit television or the internet
tertiary care settings those care settings providing highly specialized services
administrative law enabling statues enacted to define powers and procedures when an agency is created
agent one who acts for or represents another. Performing workplace dutie, the employee acts as the agent or authorized representative, of the employer
breach of contract Failure of either party to comply with the terms of a legally valid contract
case law law established through common law and legal precidents
checks and balances established by the US constitution that keeps any one branch of government from assuming too much power over the other branches
civil law law that involves wrongful acts against persons
defendant the person or party against whom criminal or civil charges are brought up in a law suit
executive order a rule or legislation issued by the president of the US without prior approval from congress
expressed contract a oral or written agreement in which all terms are expecially stated
FDCPA-Fair Debt Collection Practices Act of 1978 to treat debtors fairly. This ensures fair tx by prohibiting certain methods of debt collection
felony an offense punishable by death or by imprisionment
implied contract a unwritten and unspoken agreement whos terms result from the actionnof the parties involved
jursdiction the power and authority given to a court to hear a case and make a judgement
law of agency the law that governs the relationship between a principal and his or her agent
legal precedents decisions that judges make in various courts without applying without having legislation approval
mentally incompetent unable to fully understand all the terms & conditions of a transaction, there for unable to enter into a legal contract
minor anyone under 18
misdemeanor a crime punishable by fine or by imprisonment in a facility other than a prison for less than one year
negligence an unintional tort alleged when one may have performed or failed to perform an act that a reasonable persons would not or would have done n similar circumstances
plaintiff the person bringing charges in a lawsuit
procedural law law that defines the rules used to enforce substantive
proscution the government as plaintiff in a criminal case
respondent superior literally "let the master answer"
Statue of Frauds state legislation governing written contracts
statutory law law passed by the US congress or state legislatures
substantive law the statutory or written law that defines and regulates legal rights and obligations
third-party payer contract A written agreement signed by a party other than the pt who promises to pay the patients bill
tort A civil wrong committed against a person or propery, excluding breach of contract
tortfeasor the person guilty of comiting a tort
void without legal force or effect
voidable able to be set aside or to be revalidated
Created by: tmiczikus