•Financial abuse is the illegal or unauthorised use of a person’s property, money, pension book or other valuables. •Institutional abuse involves failure of an organisation to provide appropriate and professional individual services to vulnerable people. It can be seen or detected in processes, attitudes and behaviour that amount to discrimination through unwitting prejudice, ignorance, thoughtlessness, stereotyping and rigid systems. •Self-neglect is a behavioural condition in which an individual neglects to attend to their basic needs, such as personal hygiene, appropriate clothing, feeding, or tending appropriately to any medical conditions they have. •Neglect is a passive form of abuse in which the perpetrator is responsible to provide care, for someone, who is unable to care for oneself, but fails to provide adequate care to meet their needs.
Guido (2010), negligence is defined as “a general term that denotes conduct lacking in due care” (p. 92). Carelessness and disregard for another person’s safety and causing harm at the hands of the offending person characterizes negligence. Negligence does not imply intentional harm, in fact negligence can be the result of a lack of knowledge, lack of care or from demonstrating and acting in poor judgment. Negligence is not isolated to healthcare providers, as this is the difference between negligence and malpractice. The extreme of negligence, then, is gross-negligence.
Keshia Warnken Case Project Professor Howard Hammer Case Project Part One- Table Part Two Theories Negligence/Hospital Negligence Negligence is a tort. “Tort” means a legal wrong, breach of duty, or negligent or unlawful act or omission proximately causing injury or damage to another (Ind. Ann. Code $ 34-18-2-28).Negligence is defined as a failure to exercise that degree of care that a person of ordinary prudence would exercise under like circumstances; or as conduct that creates an undue risk of harm to others; the negligence theory of liability protects interests related to safety or freedom from physical harm(21 Ind. Law Encyc.
Information Security: Security Infraction A security infraction can be a damaging action, especially if that infraction brings about the appropriation of sensitive information by an outside source. In the context of this paper, sensitive information means names, dates of birth, personal records, or any other type of personal information that can be used to defraud an individual or a business. The outcome of such a infraction in security is usually the same; the loss of monetary funds or the injury to one’s assets. The purpose of this paper is to discuss the impacts of such a security infraction that occurred within the Urology Medical office at the Henry Ford Health Systems hospital in Detroit, Michigan and then propose recommendations to prevent such as event from occurring in the future. Incident Background On September 24, 2010, a laptop was stolen from an unlocked Urology office at the Henry Ford Health Systems hospital.
Week 4 IHMO Assignment Davina Hall Medical Basics and the Healthcare Claims Cycle Ms. Blair UMA Three reasons a claim can be returned by the carriers could be Incomplete, Invalid or Rejected. Incomplete claims are claims that are missing required information. Any Medicare claim missing necessary information; such claims are identified to the provider so they may be resubmitted. A claim may be sent back because it is rejected; when claims need investigation and answers to some questions. A rejected claim is also an insurance claim submitted to an insurance carrier that is discarded by the system because of a technical error (omission or erroneous information) or because it does not follow Medicare instructions.
Also incorrect medical coding linkage could lead to incorrect medical diagnoses being put into the patients’ medical record and could potentially cause the patient to be uninsurable should they lose their health insurance coverage and need to find a new insurance company. Some diagnosis could possibly be the reason for a person being denied insurance coverage with some
If this person does not follow the standard of care and someone suffers harm or loss as a result then the individual has been negligent. If someone has a duty of care towards another person and does not exercise an appropriate standard of care in all circumstances, then the duty of care has been breached. If someone can prove that you did something you should not have done, or failed to do something that you should have done, which resulted in an injury, then you have breached your duty of care and could be sued. Duty of care is hard to define because there is no legal definition, although it is a legal obligation. It is an idea based on the legal concept of negligence.
| HEALTH CARE FRAUD: DON’T BECOME A PART OF THE STATISTIC Professional Development 101 | Fraud takes place when a person intentionally makes a misrepresentation knowing that the deception could result in some unauthorized benefits to himself or someone else (http://www.MolinaHealthcare.com/medicaid/providers/ca/policies/pages/fraud.aspx). The most common form of fraud committed in healthcare is filing false, inaccurate claims known as health care fraud (www.MolinaHealthcare.com, et al). Making a claim to have done work other than what services and/or treatments the patient actually received is the easiest way to commit fraud and is undetectable by the medical biller or insurance company and is often referred to as phantom billing (http://www.medicalbillers.org/medical-insurance-billing-fraud/).
Errors can occur such as transpositions in a patient’s birth year, misspellings or culturally acceptable spellings of a patient’s last name, and nicknames or default Social Security numbers (SSNs) can play havoc with successfully linking electronic records across clinical and administrative systems. Sending the wrong health information to the point of care can create critical patient care issues and risk privacy breaches, degrading consumer trust. A good example of this was a study done on companies in San Francisco and Tuscan called Ponemon Institutes Survey on Data Security Breaches showed that the results of data leaks were as a result of either malicious employee activity or non-malicious employee error. They concluded that these errors
There are many forms of possible discriminatory practice in Health & Social Care, for example: • Labelling or stereotyping people e.g. making assumptions, being prejudice • Avoiding service users because they’re different • Using negative body language to service users because they’re different