The Health Care Reform Law (PPACA): Controversies in …
4 hours ago In March, 2010, the Patient Protection and Affordable Care Act (PPACA) was signed into law by President Obama. The law has been controversial, to say the least. Both political parties believe that it is one of the most important pieces of social legislation to have been enacted in several decades, but they look at this law through decidedly ... >> Go To The Portal
What is a patient care report?
A patient care report is a document written by medical professionals to report about the patient’s wellbeing, care and status. This document consists of the result of the assessment and the evaluation of the patient being done by the EMTs or the EMS.
Can crew members document on a patient care report?
Regardless of how or what crewmembers document (or are told to document) on a patient care report, billers and coders must still make an informed decision as to how to bill the claim. Thus, fraud potentially comes with billing decisions, and/or instructions from superiors, and not directly by actions (or inactions) of crewmembers.
What are the top 7 patient safety issues in healthcare?
Top 7 Patient Safety Issues in Healthcare (2020) 1 1. EHR information safety and integration. EHRs (electronic health records) are completely changing the climate of modern healthcare systems and ... 2 2. Hygiene and spread of infections. 3 3. Nurse staffing ratios and burnout. 4 4. Antibiotic resistance. 5 5. Opioid addiction. More items
Who can write reports in healthcare?
A lot of people believe that only nurses or health care workers can write reports. Most specifically patient care reports or anything that may be related to an incident report that often happens in hospitals or in some health care facilities.
Why are patient care reports important?
The primary purpose of the Patient Care Report (PCR) is to document all care and pertinent patient information as well as serving as a data collection tool. The documentation included on the PCR provides vital information, which is necessary for continued care at the hospital.
Why is documentation important in EMS?
The primary purpose of EMS documentation is to provide a written record of patient assessment and treatment that can help guide further care. For the information to be readily understood and communicated, it must be organized in a format that all healthcare providers involved in patient care will understand.
What is the EMS code of ethics?
As an EMS practitioner, I solemnly pledge myself to the following code of professional ethics: To conserve life, alleviate suffering, promote health, do no harm, and encourage the quality and equal availability of emergency medical care.
What should guide ethical decisions in EMS?
Informed Consent It is therefore the ethical obligation of EMS providers to present a full and accurate picture to our patients of the risks and benefits of their self-determined health care decisions.
What are the elements of a patient care report?
There are seven elements (at a minimum) that we have identified as essential components to documenting a well written and complete narrative.Dispatch & Response Summary. ... Scene Summary. ... HPI/Physical Exam. ... Interventions. ... Status Change. ... Safety Summary. ... Disposition.
Which of the following components are needed to prove negligence EMT?
In order to establish negligence, you must be able to prove four “elements”: a duty, a breach of that duty, causation and damages.
What are the 7 principles of healthcare ethics?
What are the 7 principles of medical ethics? This approach – focusing on the application of seven mid-level principles to cases ( non-maleficence, beneficence, health maximisation, efficiency, respect for autonomy, justice, proportionality ) – is presented in this paper.
What are the three ethical principles that EMS providers should follow?
The EMS profession may choose to adopt the principles of medical ethics--autonomy, beneficence, nonmaleficence and justice--but it is important for the profession to weigh whether a different set of principles may be more appropriate.
Which of the following situations would most likely disqualify a person for EMS certification?
Which of the following situations would MOST likely disqualify a person for EMS certification? Rationale: In most states, a person may be denied EMS certification for being convicted of a felony, such as driving under the influence of alcohol or other drugs.
What is negligence in EMS?
This refers to the failure to meet the legal duty a paramedic owes to a patient. It involves a lack of care or diligence necessary when administering emergency care to a patient, and it may make a paramedic liable for damages, injury and even wrongful death.
What are some issues or areas you would consider to be unethical in research involving the fire service?
Some examples of unethical behavior in the fire service are sexual misconduct, drug use, misuse of technology, theft, and cheating.
What is a complex ethical dilemma?
An ethical dilemma is a situation or problem facing an individual that involves complex and often conflicting principles of ethical behavior. Ethical dilemmas. Situations in which there is a choice to be made between two options, neither of which resolves the situation in an ethically acceptable fashion.
What is a patient care report?
A patient care report is a document made mostly by the EMS or EMTs. This documented report is done after getting the call. This consists of the inf...
What should not be written in a patient care report?
What should be avoided in a patient care report is making up the information that is not true to the patient. This is why you have to be very caref...
Who is in charge of reading the patient care report?
The person or the people who will be reading the report are mostly medical authorities. When you are going to be passing this kind of report, make...
Why did the owner remove references to the patients' ambulatory status?
Specifically, the owner removed all references to the patients’ ambulatory status, in order to help establish the need for ambulance. This case also involved significant penalties and a jail sentence for the owner.
What is a patient representative?
Patient representatives (guardians, POA, family members, even facility representatives who previously cared for the transport) A combination of crew and receiving facility representatives acknowledging the patient was unable to sign and that none of the other representatives were willing or available to sign.
Is Medicare fraud a criminal act?
The potential penalty for fraud lies with the perpetrator. It is not just a mistake that might result in potential Medicare overpayment (ultimately refunded by the company). It is a criminal act for which the forger can be personally liable.
What is the need for discussion and priority setting both at the provider and the national level?
There is a need for discussions and priority setting both at the provider and the national level to design and dictate safety efforts and policies. In fact, a few states have established new legislation regarding hospital staffing to address nurse/physician burnout, but much more needs to be done.
Why is patient monitoring important in nursing?
Patient Safety Issues in Nursing. Patient monitoring also suffers (mostly due to nurse case overload) – negatively impacting patient safety. Improved patient monitoring can help to detect problems that arise during treatment within the care unit, and enforce rehabilitation measures before a condition worsens.
How does antibiotic resistance affect healthcare?
Antibiotic resistance can cause significant declines in patient safety and quality of care in hospitals. Implementing prevention measures, among other efforts to improve patient outcomes, should be a top priority for healthcare leaders.
How to prevent antibiotic resistance?
But it’s not just healthcare facilities that need to take a part in combating this phenomenon – policymakers, the agricultural sector, and patients play a critical role. Health professionals can help to prevent and control the spread of antibiotic resistance through: 1 Ensuring that the healthcare environment, their hands and instruments are clean 2 Prescribing and dispensing antibiotics ONLY when they are really needed 3 Reporting antibiotic-resistance to surveillance teams 4 Teaching patients about antibiotic resistance; how and why they should take antibiotics correctly 5 Educating patients on the importance of vaccination, safe sex, hand washing, and other prevention strategies
Why is it important to wash hands before and after patient contact?
Washing hands before and after patient contact is one of the basic infection control measures hospitals can enforce as a policy. Hand washing can stop the spread of bacteria, especially when all parties are diligent.
What percentage of physicians show burnout?
43.9% of U.S. physicians showed signs of burnout in 2017, according to a study by AMA and Mayo Clinic. The primary source of burnout stems from the extensive data entry and related clerical work that physicians cover on a daily basis.
How to prevent sick staff from coming to work?
Enforce a strict policy that prevents sick staff members from coming to work. Open additional telehealth appointments, so that patients have the option to see doctors from the safety of their home and minimize potential exposure. Ensure that any patient that enters the facility is pre-screened or tested for COVID-19.
What Is a Patient Care Report?
We often hear of care reports based on by medical teams or by medical authorities. Yet, we are not sure how this differs from the kind of report that is given to us by the same people. So this is the time to make it as clear as possible.
How to Write a Patient Care Report?
Where do you even begin when you write a patient care report? A lot of EMS or EMTs do know how to write one since they are trained to do so.
What is a patient care report?
A patient care report is a document made mostly by the EMS or EMTs. This documented report is done after getting the call. This consists of the information necessary for the assessment and evaluation of a patient’s care.
What should not be written in a patient care report?
What should be avoided in a patient care report is making up the information that is not true to the patient. This is why you have to be very careful and very meticulous when writing these kinds of reports. Every detail counts.
Who is in charge of reading the patient care report?
The person or the people who will be reading the report are mostly medical authorities. When you are going to be passing this kind of report, make sure that you have all the information correctly. One wrong information can cause a lot of issues and problems.
Who is the CEO of Epic Systems?
Judith Faulkner is the founder and CEO of the $1.7 billion Epic Systems — a leading electronic health record software for mid-size and large medical groups, hospitals and integrated healthcare organizations. In 2013, Forbes called the entirely self-made Ms. Faulkner, "The Most Powerful Woman in Healthcare.".
Who attacked David Koch?
Mr. Koch is scrutinized by many liberals for his generous contributions. Senate Majority Leader, Harry Reid (D-Nev.), recently attacked David Koch and his brother Charles in the media accusing Senate Republicans of being "addicted to Koch" and calling the Koch brothers "un-American.". 14.
Who is the CEO of UnitedHealth?
Stephen Hemsley. Stephen Hemsley is CEO of UnitedHealth and is listed as one of the top ten highest-paid CEOs in the United States. Mr. Hemsley is known for being wary of UnitedHealth's participation in the new market exchanges that resulted from the PPACA and is entering into them slowly if at all.
Who is the CEO of America's health insurance?
11. Karen Ignagni . Karen Ignagni is president and CEO of America's Health Insurance Plans. She has long been the voice of health insurance plans, representing payers in healthcare, long-term care, dental and disability benefits to more than 200 million Americans.
Is Koch a philanthropist?
Koch also formerly led a charge against the PPACA. Despite his opposition to the law, he is a major philanthropist and throws his support behind several healthcare and medical causes. Mr. Koch is on the board of trustees at the Hospital for Special Surgery in New York City, to which he gave $25 million in 2009.
What is included in the patient information page?
According to Forbes, which says it viewed a presentation on the topic, “The page includes complete patient information as well as notes about patient medical issues, test results and medications, including information from scanned documents.”.
Did Google gather patient records?
Google secretly gathered millions of patient records across 21 states on behalf of a health care provider, in an effort dubbed “Project Nightingale,” reports The Wall Street Journal. Neither the provider’s doctors nor patients were made aware of the effort, according to the report.
Recent Cases of Fraudulent Ems Billing
Applying The Legal Definition of Forgery
- Regardless of how or what crewmembers document(or are told to document) on a patient care report, billers and coders must still make an informed decision as to how to bill the claim. Thus, fraud potentially comes with billing decisions, and/or instructions from superiors, and not directly by actions (or inactions) of crewmembers. That is, a crewmem...
Obtaining A Patient Signature
- For Medicare claim submission purposes, there are numerous ways to obtain a patient’s signature for claim submission purposes, including: 1. The patient 2. Patient representatives (guardians, POA, family members, even facility representatives who previously cared for the transport) 3. A combination of crew and receiving facility representativesacknowledging the patient was unabl…
EHR Information Safety and Integration
EHRs (electronic health records) are completely changing the climate of modern healthcare systems and facilities – giving doctors and nurses the ability to provide safer care. This is accomplished by being able to make informed decisions based on data, rather than assumptions. When doctors and nurses can seamlessly acce…
Hygiene and Spread of Infections
- The CDC reports that1 in every 25 patientsgets a healthcare-associated infection (HAI) during their hospital visit, totaling up to 722,000 infections a year. Of that number 75,000 patients die of these infections. Even in a state-of-the-art healthcare facility, the number one prevention technique is a simple one… Washing hands before and after pati...
Nurse Staffing Ratios and Burnout
- Plain and simple, the inability of most hospitals to maintain the right nurse-patient ratios leads to nurse burnout – with the lack of personnel to keep up with demand also leading to nursing shortagesacross the US. This snowballs into poor patient care, medical errors, and other safety concerns that could reduce recovery and survival rates, especially at a time like this when hospit…
Antibiotic Resistance
- Healthcare is facing a critical problem with antibiotic resistance. New bacteria strains are emerging and spreading rapidly, limiting the ability to treat infectious diseases. Today’s infections, such as blood poisoning, pneumonia, tuberculosis, and gonorrhea, are getting increasingly difficult to treat, and are leading to critical hospital patient safety issues. Antibiotic resistance st…
Opioid Addiction
- The ongoing opioid addiction and overdose crisis poses new sets of challenges for healthcare organizations. Reducing rates of addiction to opioids is now a matter of critical concern. Prescribing characteristics are the main risk factors for opioid addiction post-surgery or post-injury treatment. A study in JAMA Networkshowed that out of 46,399 opioid-free injured workers…
Physician Burnout
- 43.9% of U.S. physicians showed signs of burnout in 2017, according to a study byAMA and Mayo Clinic. The primary source of burnout stems from the extensive data entry and related clerical work that physicians cover on a daily basis. Close to 50% of a physician’s day is spent doing paperwork – and a mere 27% interacting with patients (according to a 2016 study in the Annals …
Drug and Medical Devices Shortages
- Drug and medical supply shortages are areas of focus for healthcare providers – as nationwide shortages lead to cancellation of surgeries and treatment. Moreover, COVID-19 has affected the global supply chain and has created some shortages of medical products, due to factors such as virus outbreaks in factories, which have resulted in workers needing to be quarantined. Lower pr…
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