Jessica knows somebody that had a cystectomy and is getting this procedure confused with a cystoscopy. Ectomy is a suffix, which means surgical removal, excision, and resection. Why would it be important for a Biller and Coder to know the difference between the two suffixes? Not only is it important for a Biller and Coder to know the differences between suffixes so the clinic is able to get reimbursed properly for services and avoid legal issues, but there are also ethical standards that have been put into place by the American Medical Association. If you fail to comply with proper documenting practices you could cause inappropriate payment increases or false insurance coverage or be skewing information to not comply with state or federal statutes and guidelines.
I feel that withholding information on a lucid patient fully in control of her mental faculties is tantamount to lying. I believe the patient has the right to know the conditions surrounding her health care treatment plan. Step 4 I verbalize the problem by saying, “Should I inform the patient of her terminal health care condition or should I follow the wishes of the patients’ daughter and withhold information on the seriousness of her condition?” Step 5 There are many courses of action possible, but I believe the best outcomes would like along these three possible scenarios. The first option would be to disclose all medically pertinent information to the patient so that she is fully informed. The second option would be to as for assistance from a social worker or a preacher or priest from the members church to talk with the daughter and mother.
* “Use the minimum necessary re patient’s identifiable information”: Where the use of patient’s identifiable information is considered to be essential, only record relevant information that is required or requested. * “Access to patient identifiable information should be on a strict need to know basis”: Only relevant staff that need to access clients records should have access to the relevant information they require. Policies and procedures should be in place to protect clients privacy and if this violated action must be taken. * “Everyone with access to patient identifiable information should be aware of their responsibilities”: Staff must be aware of their responsibility and obligations to respect patient/client’s confidentiality. A confidentiality agreement should be signed by staff.
Unit 4222-332 Support individuals at the end of life. Outcome 1 Understand the requirements of legislation and agreed ways of working to protect the rights of individuals at the end of life. 1.1 Outline legal requirements and agreed ways of working designed to protect the rights of individuals in end of life care. Caring for patients at the end of life is a challenging task that requires not only the consideration of the patient as a whole but also an understanding of the family, social, legal, economic, and institutional circumstances that surround patient care. A legal requirement of end of life care is that the wishes of the individual, including whether CPR should be attempted, as well as their wishes how they are cared for after death are properly documented.
("United States Department of Health and Human Services | HHS.gov," n.d.) Most of all this rule absolutely protects patient’s rights when it comes to the privacy and confidentiality of their health information. The regulations of HIPAA require all healthcare professionals and healthcare providers to input and follow certain procedures to ensure the security and confidentiality of patient’s health information when it is being transferred, received or shared. Patient’s Rights Patients have rights when it comes to their health information. They have the right to access, inspect, and obtain a copy of their health record, whether it’s on paper or electronic. ("Health Information Privacy," n.d.) When a patient enters a healthcare facility they have the right to be notified of the privacy practices within the healthcare facility.
The facility evaluates right and wrong and determines if the situation is compliant with the code of ethics (American Medical Association, 1995). Providing exceptional customer service ensures consumers are treated with dignity and respect. Health care facilities experience several ethical issues that require the facility to evaluate and determine the best outcome for everyone involved, it is important for Smithsonian employees adhere to the code of ethics policy and procedures (American Medical Association, 1995). Health care ethical consideration may consist of language barriers, informed consents, and religious beliefs are a few situations that may happen in health care. Smithsonian desire is for all patient to be well informed of his or her care plan.
The main communication problem that we had was that he was able to understand me but his verbal English was limited. Had we not have used the telephone interpreter then the consultation would have taken longer and the information may have been incorrect, which is not a good advertisement for the practice as well as for the patients health. Also, when the patient first came to live in England he didn't live in the north of England and he may have misunderstood some words due to different regional dialects and cultural differences. The other options I had considered were rescheduling the appointment for another where I would be able to have a face to face interpreter present. The reason that I opted for the telephone interpreter was because the patient may have had a medical problem that needed urgent attention from a GP and this way he was able to let me know his preference for futures appointments with the practice.
If the consent is not given by a patient the practice, physician, or the healthcare worker can be held liable in a lawsuit. It is also important to show empathy and compassion to a patient to make them feel that they are welcomed. A healthcare worker should also know when to draw the line with a patient to avoid any kind of harassment issues or to make the patient feel uncomfortable. In any healthcare facility a patient’s need for care should be the main priority, and the healthcare worker should make sure that the priority is met. It has also been shown in the Medical Law and Ethics course that it is a must that all healthcare workers know and understand the legal
The patient is a minor and may not comprehend the severity of her diagnosis. The nurse as an adult needs to tell the parents so that the patient does not experience harm. The principle of autonomy is another principle that I would use to justify my position in this case. Autonomy is the ability of a patient to give informed consent and make their own decisions (University of California San Francisco School of Medicine, 2008). Because this patient is a minor she is not mature enough to understand all of the implications of her diagnosis and treatment.
Quality Health Care in a Modern World Stephanie Jordan HCA 304 Instructor: Kori Novak October 15, 2011 Quality health care in today’s world consists of more than just a doctor or a nurse providing care to a patient; it is the combination of technology, management, training and the human aspect. The legal issues of providing the best health care are important because they involve not only protecting the patient but insuring that processes are put into place to change problem issues into stronger policies to protect the patient. Ethical issues come into play when a patient’s rights are violated or services are refused because of ability to pay. How do we build a strong community of health care? The first step is the role of the health