HMJ 201 - Final Exam LO's Latest Exam Review Update 2023

HMJ 201 - Final Exam LO's Latest Exam Review Update 2023 Conflict of interest - ANS-An independent observer questions whether a clinician's professional actions are unduly influenced by considerations of significant personal interest Conflict of obligation - ANS-A surgeon is asked to be Chief of Staff at his hospital, requiring 15 hours a week of his time to fulfill the obligation; this results in reduced ability to see patients in his office as well as his income due to reduced volume in surgery Conflict of value - ANS-A gynecologist is on the staff of the only hospital within 100 miles. The physician does not support abortion, but the hospital allows them to be performed by other clinicians When professional, personal or business interests may create COI - ANS-Anti-kickback statute (criminal liability for an individual that solicits, receives, offers or pays any remuneration in return for or to induce referrals or services reimbursable by the federal GVMT) Stark law (prevents entities and individuals from making referals to entities in which they have a financial relationship) Recognize when family members or surrogates may have a COI when representing what their patient wants - ANS-Son has PofA for his debilitated father; father develops PE (which will be fatal for the father) but the son decides his father is too weak to survive the surgery. The son is in his father's will and is approaching bankruptcy List what defines a "covered entity" regarding rules for maintaining record confidentiality - ANS-Covered entity (CE) is an individual part of the health care plan of the patient or is a health care provider for the information; CE and its business associates cannot sell PHI Discern when financial factors create COI - ANS-A PCP limits how many medicare/medicaid patients are accepted into the practice because reimbursements are lower Recognize when scarce resources may create a COI for a clinitian - ANS-ICU beds are all taken at a hospital. A 78 year old man comes to the ER in an ambulance due to SOB. He has CAD, COPD and diabetes, no family and no advanced directive. In the past, it took several weeks for him to be strong enough to remove intubation. Should the providers intubate him at this time? If so, where will he go since the ICU is full? Define "off label" use of drugs - ANS-U...