Educate the Educator Legal Issues in Healthcare Legal Issues in Healthcare This module explores legal issues involving clients and healthcare workers including: • Health care laws • Clients’ rights and responsibilities • Confidentiality • Liability • Documentation • Regulation. • The relationship between ethics and legal issues • Impact of healthcare systems’ laws and regulations. Module Outline and Instructor Resources This module consists of 9 competencies. Each competency is divided into unit competencies with learning activities to help students master the competency. Each learning activity is explained on the Module Outline and the resources described. Choose the learning activities that best meet your classroom needs. Module Outline and Instructor Resources Find these learning activities and resources on the website or create your own. The Course Outline also has documents the instructor can use in teaching the lesson. These competencies are listed on the following slide and will then be addressed throughout the remainder of the power point. Legal Issues in Healthcare Competencies 1. Explain the laws related to healthcare and their influence on the delivery system. 1. Describe one’s legal responsibility related to abuse, neglect, exploitation, and the Vulnerable Adults Law 1. Explain clients rights and responsibilities and how healthcare providers can ensure those rights. 1. Describe the components of healthcare employee and healthcare facility liability when delivering client care. Legal Issues in Healthcare Competencies 5. Discuss how confidentiality must be maintained in healthcare facilities with clients and their medical records. 6. Explore legal issues such as sexual harassment, wrongful discharge, negligence, malpractice and violence in the workplace. 7. Identify the legal issues for accurate documentation, informed consent and advanced directives. Legal Issues in Healthcare Competencies 8. Describe the consequences of inappropriate use of health data (including use of social media and email) in terms of disciplinary action. 9. Using a problem solving process applied to healthcare situations, describe how laws influence healthcare facilities and the care of clients. Competency 7 Competency 7 Identify the legal issues for accurate documentation, informed consent and advance directives. For this competency, you will be introduced to three units and learning activities. • Discuss accurate documentation • Define informed consent • Discuss advanced directives Discuss Accurate Documentation Recommended Content Accurate Documentation: • Objective and completed at time of contact • Record is complete • Information is factual Implications of inaccurate documentation: • Legal Document • Communication between health care professionals to assure quality care Define Informed Consent Informed Consent • Healthcare Provider must tell a patient all the potential benefits, risks, and alternatives involved in any surgical procedures, medical procedure, and specific treatments. • Patient must provide written consent When Informed Consent is needed • Surgical Procedures • Medical Procedures • Some Treatments Discuss Advanced Directives Consequences when no Advanced Directives: If you are unable to make decisions about your health care (unconscious, etc) Your closest relative will decide how to proceed with your care. Competency 8 Competency 8 Describe the consequences of inappropriate use of health data (including use of social media and email) in terms of disciplinary action. Three units and learning activities round out the learning for this third competency: • Define social media. • Discuss inappropriate use of social media. • Describe consequences when social media is inappropriately used. Define Social Media Recommended Content Forms of electronic communication include: Web sites for social networking and microblogging through which users create online communities to share information, ideas, personal messages, and other content (as videos) (Merriam/Webster) Discuss Inappropriate Use of Social Media • • • • • • While providing care When talking to a client, patient, resident or customer Private emails when working Taking pictures of individuals being cared for Personal calls when working Sharing individuals personal information Consequences of Misusing Social Media When an employee misuses social media, the following may occur: • Loss of job • Criminal investigation • Loss of license, certification • Removal from state registry Competency 8: Inappropriate use of health care data Recommended Learning Activities Assignment Resources Notes LIH Competency 8 Consequence of Misusing Social Media YouTube Video This assignment has the students review a social media white paper, watch a You Tube on examples of misuse of social media and then answer questions pertaining to the You Tube video. Competency 9 Competency 9 Using a problem solving process applied to healthcare situations, describe how laws influence healthcare facilities and the care of clients. This competency consists of one unit. Discuss the problem solving process as applied to legal issues in health care utilizing a team approach. Problem Solving Process Recommended Content Review and utilize a five step problem solving process applied to legal issues in healthcare. 1. Identify the problem 2. Gather information 3. Create alternative solutions 4. Select and act/implement solutions 5. Evaluate and revise, as needed. Competency 9: Problem Solving Recommended Learning Activities Assignment Resources Notes LIH Competency 9 Health Care in the News Online health care news Students on a weekly basis, find a healthcare article in the news and write and report on it. References Center for Psychiatric Rehabilitation. (n.d.). The Americans with Disabilities Act (ADA). Retrieved from http://www.bu.edu/cpr/reasaccom/whatlaws-adaact.html City of Minneapolis. (1997-2011). Vulnerable adults. Retrieved from http://www.ci.minneapolis.mn.us/police/crimereporting/vulnerableadults.asp Department of Health. (2011). Questions and answers about health care directives. Retrieved from http://www.health.state.mn.us/divs/fpc/profinfo/advdir.htm Department of Justice, (2011). ADA Regulations and Technical Assistance Materials. Retrieved from http://www.ada.gov/publicat.htm#Anchor-ADA-44867 Fighel, T. (2011). Due process law in the workplace. Retrieved from http://ezinearticles.com/?Due-Process-Law-in-theWorkplaceandid=4003032 References Fuzy, J. (2003). The nursing assistant’s handbook. Albuquerque, NM: Hartman Publishing Inc Fuzy, J. and Leahy, W. (2005). The home health aide handbook. Albuquerque, NM: Hartman Publishing Inc. Kockrow, O.E. and Christensen, B.L. (2006).Loss, grieving, dying, and death. In B.L. Christensen and E. O. Kockrow (Eds.). Foundations and adult health nursing (5th ed.) (pp. 188-216). St. Louis, MO: Elsevier, Mosby Maryland Department of Health and Mental Hygiene. (2002). Health Insurance Portability and Accountability Act. Retrieved from http://www.dhmh.state.md.us/hipaa/whatishipaa.html References Minnesota Board on Aging. (2010). Adult Protective Services Unit. Retrieved from http://www.mnaging.org/advisor/vulnerable.htm Minnesota Department of Health. (1991, October). Recommended menu pattern and small portion guidelines: Developed in accordance with OBRA Regulations for Nursing Facilities. Information Bulletin 91-3: NH-3. Retrieved from http://www.health.state.mn.us/divs/fpc/profinfo/ib91_3.htm Northern Virginia Community College. (n.d.). Patient Self-Determination Act: 1990. Retrieved from http://www.nvcc.edu/home/bhays/dogwood/selfdeterminationact.htm pdf References Office of Reviser of Statutes, State of Minnesota. (2006). 604A.01, Minnesota Statutes 2006 : 604A.01 Good Samaritan Law. Retrieved from https://www.revisor.mn.gov/bin/getpub.php?type=sandnum=604A.01andyear=2006 Standfield, P.S., Cross, N., and Hui, U.H. (2008). Introduction to Health Professions (5th ed.). Sudbury, MA: Jones and Bartlett Publishers Turnham, H. (n.d.). OBRA ‘87 Summary. National Long Term Care Ombudsman Resource Center. Retrieved from http://www.allhealth.org/briefingmaterials/OBRA87Summary-984. Authors: Dede Carr, BS, CDA, LDAPat Reinhart, RN “This workforce solution was funded by a grant awarded by the U.S. Department of Labor’s Employment and Training Administration. The solution was created by the grantee and does not necessarily reflect the official position of the U.S. Department of Labor. The Department of Labor makes no guarantees, warranties, or assurances of any kind, express or implied, with respect to such information, including any information on linked sites and including, but not limited to, accuracy of the information or its completeness, timeliness, usefulness, adequacy, continued availability, or ownership.” This work is licensed under a Creative Commons Attribution 4.0 International License. 27