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CHAPTER 1.2 (MLEGAL)
MEDICAL LEGAL ISSUES
| Question | Answer |
|---|---|
| CLIA stands for | Clinical Laboratory Improvement Amendments |
| What is the function of Clinical Laboratory Improvement Act of 1988? | Regulate the requirements for lab personnel to perform specific tasks in the lab |
| Who does CLIA 1988 impact? | Lab personnel, clinicians, patients |
| The Clinical Laboratory Improvement Act of _____ ensures that there are competency for lab personnel to perform specific roles in the lab. | 1988 |
| Describe "Informed Consent" | Informed Consent is necessary for patients to be aware of and understands the risk factors that can come from testing/procedures, the kind of testing/procedure, and how and where results from a test are executed to |
| PHI stands for | Protected Health Information |
| When undergoing Informed Consent with a patient, it is important to | Give out the full scope of information and room for the patient to ask questions (transparency) |
| What kind of consent is given for non-invasive procedures such as phelbotomy? | Implied Consent |
| What kind of consent is required before beginning more invasive procedures? | Signed Consent |
| What are some special circumstances regarding informed consent? | - minor - documented disability that prevents them from consenting (mentally or physically) - ESL |
| What information is considered PHI? | - patient demographics - test results - types of testing performed - patient diagnosis |
| When would confidentiality be considered "limited"? | When viewed by a lawyer or insurance companies |
| Who can access test results aside from the patient? | The ordering physician and other lab personnel they personally authorize |
| What three things does Information Security ensure | Confidentiality, Integrity, Availability |
| HIPAA stands for | Health Information Portability and Accountability Act |
| HHS stands for | Health and Human Services |
| In what Year did HIPAA Title II become actualized? | 1996 |
| What is the function of HIPAA (1996) | - establish national standards for e-healthcare privacy and security - required national identifiers for all healthcare providers, health insurance plans, and employers |
| What is a Healthcare Clearinghouse? | any entity that processes another entity's health care transactions |
| Who must comply with HIPAA security rule? | - providers - health insurance plans medicare prescription drug card sponsors - health care clearinghouses |
| What is a Chain of Custody? | documentation of specimen sample from the moment it enters the lab until it gets transported elsewhere to document result findings |
| Why is Chain of Custody important in a court of law? | To assure no alteration to specimen |
| What agency developed Patients' Bill of Rights | JCAHO |
| What is the Patients' Bill of Rights | A list of documentation detailing the patient's ability to agree or disagree to receiving medical care, outline risks and benefits of specific treatments, as well as understanding their right to proper medical care, respect, and privacy |
| What is the difference between "malpractice" and "negligence"? | Malpractice is an action committed by a healthcare professional that results in direct patient harm or death; Negligence is an action that results in careless delivery of insufficient care, with emphasis that someone who cares about their job would not do |
| If a physician gives a misdiagnosis, is this malpractice or negligence? | Negligence |
| If a surgeon ignores lab results to perform an unnecessary surgery, is that malpractice or negligence? | Malpractice |
| What is the function of Confidentiality? | to conceal patient information to maintain privacy |
| What phases does the CLIA seek to target? | Pre-analytical, Analytical, and Post-analytical lab testing work |
| What is the function of the Patient bill of rights? | to inform the patient about their rights and responsibilities, right to confidentiality, , which can therefore build a better trust between the patient and the healthcare professional |
| What is the general order of the Chain of Custody? | Transportation through couriers, Order Entry, Testing via technicians, and Reporting via Customer Service |