Law and Ethics | LAW - Law and Interpretation, Quizzes of Law

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TERM 1 categorical imperative/ deontological-duty oriented theory DEFINITION 1 decisions-making theory that states that the rightnes or wrongess of the act depends on its intrinisic nature and not the outcome of the act Immaneul Kant father of ddot / a rule that is considered universal law binding on everyone and requiring action TERM 2 BIOETHICS/ DEFINITION 2 A discipline dealing with the ethical implications of biological research methods and results especially in medicine/ TERM 3 medical ethicist/bioethicist DEFINITION 3 specialists who consult with physicians, researchers and others to help them make difficult ethical decisions regarding patient care TERM 4 Hippocratic Oath/beneficence/AMAP DEFINITION 4 a pledge for physicians developed by the greek physician Hippocrates circa 400 b.c.e/ acts performed by a heathcare practioner to help people stay healthy or recover from illness/ A code of ethics for members of the American Medical Association written in 1847/ TERM 5 protocol/autonomy DEFINITION 5 a code of prescribing correct behavior in a specific situations such as a situation arising in a medical office / self goverance generally understood as capacity to be one's own person, makde decisions based upon one's own reasons and motives not manipulated or dicatted to by external forces TERM 6 law/precedents DEFINITION 6 rule of conduct or action prescribed or fromally recogneised as beinding enforced by controlling authority / decisions made in various crourts by judges used as guide for future decisions TERM 7 unethical behavior/prof code of ethics DEFINITION 7 punished by : subjection to peer review, censured by organization, expeltion of supsension, loss of income / serves to provide honorable behavior of physicians benefits pract outlines expectations of respnsibilities and behaviors in medical field TERM 8 needs based motivation/ non-maleficence DEFINITION 8 theory that human behavior is based on specific human needs that must be met in a specific order Abraham Maslow best known psychologist for this theory/ the duty do no harm TERM 9 principle of utility/role fidelity DEFINITION 9 used in autilitariansism requires rule used in making a decision must bring abouit positive results when generalized to a wide variety of situations/ being faithful to scope of the services for which you are licensed, certified and registered TERM 10 teleological- consequence oriented theory/ utilitariansim DEFINITION 10 decision-making theory that judges the rightness or wrongness based on the outcomes or predicted outcomes/ consequence oriented theory that states that decision shouil be by determining what results will produce the best outocome for the most people TERM 21 e-health/ endorsement DEFINITION 21 terms used for use of internet as a source of consumer info about health and medicine/ process by which a license may be awarded based on individual credentials judged to meet licensing req in a new state TERM 22 Federal False Claims Act/ group practice DEFINITION 22 act that allows individuals to rbing civil actions on behalf of U.S Govt for false claims made to federal govt under a provision of the law called QUI-TAM / medical management system in which group of three or more licensed physicians share thier collective income expenses facilities equipment records and personnel TERM 23 Gatekeeper physician/ HCQIA DEFINITION 23 primary care physician who directs medical care HMO Members/ federal statue passed to improve quality of medical care nationwide one provision estab by nation practioner data bank TERM 24 HIPDB/ HCERA DEFINITION 24 Healthcare Integrity and Protection Data Bank- national health care fraud abuse dat collecting prog estab by HIPAA for the reporting disclosure of certain adverse actions taken agst hcp suppliers practioners/ Healthcare and Education Reconcilation Act- enacted in 2010 federal law added to regulations imposed on insurance industry by Patient Protection Affordable Care Act TERM 25 HIPAA DEFINITION 25 FEDERAL LAW PASSED IN 1996 to protect privacy other health care rights for patients acts helps workers keep continuous health insurance coverage for themselves thier dependents when they change jobs and protect confidential medical informations from unatuthorized disclosure and or use also intended to help curb the rising cost of healthcare fraud and abuse TERM 26 indemnity/ medical practice act DEFINITION 26 traditonal form of health insurance that covers the insured agianst a potential loss of money from medical expenses resulting from accident or illness/ medical practice acts- state law written for the express purpose of governing practice of medicine TERM 27 IPA /Managed Care DEFINITION 27 a type of HMO that contracts with group of physicians who practice in thier own offices and receive a per member payment (capitation) from participating HMOS To provide full range of health services for Hmo Members/ system in which financing administration deliver of health care combined to provide medical services to subscribers for prepaid fee TERM 28 medical boards/ npdb DEFINITION 28 bodies estab by authority of each states medical practice acts for purpose of protecting the health, safety and welfare of health care consumers thorught proper licensing and regulation of physicians other hcps / a repository of info about health care practioners est by heathcare quality improvement act of 1986 TERM 29 open acess plan/ partnership DEFINITION 29 managed care feature whereby subscribers may see any in- network hcp provider without a referral/ form of medical practice management system whereby two/more parties practice together under a written agreement specifying the rights, obligations and responsibility of each partner TERM 30 tetiary care settings/ PCP DEFINITION 30 care settings providing highly specialized settings/ physician responsible for directing all of the patients medical care determining whether patient should be referred for speciality care TERM 31 Sole Proprietorship DEFINITION 31 A 'sole proprietorship, also known as the sole trader or simply a proprietorship, is a type of business entity that is owned and run by one individual and in which there is no legal distinction between the owner and the business. physician practices alone assuming all benefits liablities for the business TERM 32 PPCA/PHO DEFINITION 32 patient protection affordable care act- federal law enacted in 2010 to expand health insurance coverage otherwise regulate the health insurance industry many provisons of this law were scheduled to take effect 2014-2015/ heathcare plan in which a physicians join with hospitals to provide a medical care delivery system then contract for insurance with commercial carrier or HMO TERM 33 POS/ppo DEFINITION 33 A healthcare plan that allows members to seek healthcare from nonnetwork physicians but pays highest benefits for care when it is given by PCP or via a referral from PCP / preferred provider org network of independent physicians hospital over health care providers who contract w insurance carrier to provide medical care at a discounted rate to patients who are part of the insurers plan