AGACNP - Issues, Trends, Health Policy already passed 2023/2024

AGACNP - Issues, Trends, Health PolicyAdvanced Directive - correct answer *Statement of a patient's intent regarding medical treatment * Patient Self-Determination Act 1990 - all patient's entering hospital should be advised of their right to execute an advanced directive Healthcare Directive - correct answer * Type of advanced directive *May or may not include a living will or specifications regarding durable power of attorney Living Will - correct answer * specifies life-prolonging measures one does/doesn't want to be taken * In US, most states recognize a living will as long as will is specific enough * Often include granting DPA to a significant other to act as a proxy *Power of attorney must usually be in writing before it will be honored by most institutions HIPPA Title I - correct answer *protects health insurance coverage for workers and their families when they change/lose jobs *COBRA (Comprehensive Omnibus Reconciliation Act) HIPPA Title II - correct answer *Administrative Simplification provisions- national standards for electronic healthcare transactions, national identifiers for providers, health insurance plans, and employees Office for Civil Rights - correct answer *Enforces HIPPA: *Protects the privacy of individually identifiable health info *HIPPA Security Rule- sets national standards for the security of EMRs *Confidentiality provisions of the Patient Safety Rule - protects identifiable info being used to analyze pt safety events and improve safety Covered Entities required to follow HIPPA guidelines - correct answer * Health plans: HMOs, health plans, Medicare, Medicaid * Most health care providers *Health care clearinghouse: those that process nonstandard health info (Non-EMRs) Examples of HIPPA protected info - correct answer * Written info in medical record * Conversations among providers about pt care * Pt info stored in insurers computer system *Billing info stored at clinics *Most health related info regarding pt *** A pt's health info cannot be used or shared w/o written permission (ex: employer, use for marketing) The Privacy Rule: Patients' Rights - correct answer Patient's may: *see or rcv a copy of their health record * Have corrections added to health record * Rcv notice on how their health info may be used/shared *Decide if they will give permission for their health info to be used/shared for marketing purposes * Rcv a report explaining why health info was used/shared * File complaints if their rights are being denied or health info no being protected Situations when health info is allowed to be viewed/shared - correct answer * Ensure proper treatment and coordination of care * Pay for healthcare services * With a pt's family, relatives, or friends (w/ pt's permission) * Ensure quality care given by healthcare providers * Protect the health of the public (disease outbreaks) * Make required reports to the police Those who are NOT required to follow HIPPA - correct answer * Life insurers * Employers * Workers comp carriers