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1. A pharmacist reviewed pharmacy operations in Broken Hill, NSW and identified issues with patients' medication management during transitions between the local hospital and nursing home. Medication lists were often incomplete or inaccurate.
2. The pharmacist proposed allowing the hospital access to the pharmacies' database of patients' medication histories to address this issue. A secure system was set up, with patient consent, to share medication information for nursing home residents with the hospital pharmacy and emergency department.
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The Trust, in consultation with a panel of medical professionals of national and international repute, drafted the Patients’ Rights in 10 points and the responsibilities in another 10 points. The Rights and Responsibilities of the patients available at http://smt.armt.in in many Indian languages. It's a two page document. The Trust requests everyone to support the cause by downloading the document in their preferred language, printing it out and distributing it among patients in any hospital in India. The Trust believes that this initiative may save hundreds of lives and will be a great contribution for better and more transparent healthcare services in India.
The rights mentioned in the draft include the right to get the best possible medical care without discrimination; right to prompt, life-saving treatment; right to take part in all decisions relating to one’s health care; right to privacy; right to know the identity and role of people involved in treatment; right to dignity and to have caregivers’ respect; right to appropriate assessment and management of pain; right to receive visitors; right to refuse treatment and to leave the medical centre; and right to get necessary information related to the line of treatment as well as all health records.
The responsibilities mentioned in the draft include the responsibility to refrain from misbehaving and misconduct towards any medical service providers; responsibility to refrain from physical assault of any healthcare personnel or damage to property; responsibility to be truthful; responsibility to provide complete and accurate medical history; responsibility to cooperate with the agreed line of treatment; responsibility to meet the financial obligations; responsibility to refrain from initiating, participating or supporting fraudulent and illegal health care practices; responsibility to report illegal or unethical behaviour; responsibility to get a post-mortem done and responsibility to discuss end of life decisions.
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This document outlines various medical acts and ordinances in Pakistan related to different medical systems, medical practice, and regulation of healthcare professionals and institutions. It defines key terms like registered medical practitioner (RMP) and discusses objectives around standardizing medical education and qualifications. It also covers professional conduct and oversight authorities like the Pakistan Medical and Dental Council (PMDC).
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This document outlines a patient bill of rights that aims to protect patients and transform the relationship between doctors and patients. It lists several rights that patients have, including the right to quality care, privacy, and informed consent. The rights also address issues like advance directives, confidentiality, continuity of care, and participating in research. The goal of the bill of rights is to give patients more autonomy, information, and legal recourse in their healthcare decisions and treatment.
INTERNAL MEDICINE ORGANIZATIONS SURVEY INTERNISTS ON MAINTENANCE OF CERTIFICA...
A survey of internists—physicians practicing internal
medicine—whose board certification was up for renewal in December 2002 found that the most
common reasons for participating in recertification or Maintenance of Certification (MOC) were
to maintain professional image and update knowledge. The survey findings report that 59 percent
of general internists and 60 percent of subspecialists participated to maintain their professional
image. Additionally, 51 percent of general internists and 60 percent of subspecialists participated
to update their medical knowledge. http://www.abim.org/moc/
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The document discusses patients' rights regarding informed consent for medical treatment. It outlines the rights to informed consent, informed decision, and informed choice. It defines key concepts like competence, disclosure, comprehension, and voluntariness that are important for ensuring informed consent. The document also discusses limitations to consent in emergency situations and the rights to privacy, confidentiality, and refusal of treatment. Overall, it establishes that patients have a fundamental right to make voluntary and informed decisions about their own healthcare.
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1. Statistically as many as 20-25% of people who are HIV positive do not know they are infected. Why do people not get tested if they engage in risky behaviors (unprotected sex and/or IV drug use with used needles)? Give reasons and rationales for their decision not to get tested.
2. In 2006 only about half of Washington D.C. residents who were tested positive for HIV saw a doctor about it within 6 months. They are contagious during that time. Again, why would someone who receives a positive diagnosis, not get treatment? Is a diagnosis of HIV different from other STDs? Why or why not?
3. The “test and treat” program in D.C. and the Bronx improved the follow-up of prompt medical care. What are the statistics?
4. At the end of the article, it states the profile of who is most resistant to being tested and treated. What is it about that particular group of people that would make them resistant?
Fighting HIV a Community at a Time Susan Okie, New York Times, Oct. 27, 2009
WASHINGTON- Federal health officials are preparing a plan to study a bold new strategy to stop the spread of the AIDS virus: routinely testing virtually every adult in a community, and promptly treating those found to be infected. The strategy is called “test and treat,” and officials say the two sites for the three-year study will be the District of Columbia and the Bronx--locales with some of the nation’s highest rates of infection with HIV.
The officials emphasize that this is just a first step. The goal is not to measure whether “test and treat” actually works to slow and epidemic, but whether such a strategy can even be carried out, given the many barriers to being tested and getting medical care.
On the path from infection to treatment, “we lose people at every single step,” said Dr. Shannon L. Hader, director of the HIV/AIDS administration at this city’s Department of Health.
As many as 5 percent of the adults in the District of Columbia are infected--a rate Dr. Hader says is comparable with those in West Africa--and one-third to one-half do not even know they harbor the virus. (Nationwide, 20 percent to 25 percent of people who are HIV positive do not know of their infections, according to the federal Centers for Disease Control and Prevention.)
And even when infection is diagnosed, “getting people from the field to the doctor is the hardest component,” said Angela Fulwood Wood, deputy director of Family and Medical Counseling Service, and agency that operates a mobile HIV testing clinic here. Often, she added, someone who has just tested positive “can walk off that day and decide, ‘I’m going to pretend that never happened.’ In 2006, only about half of D.C. reside ...
HIPAA OCR Desk Audit Compliance Reviews
The document discusses a compliance review initiative conducted by the U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) at 12 hospitals in cities most impacted by HIV/AIDS. The review examined how the hospitals ensure equal access, language access, and privacy of health information for people living with HIV/AIDS. OCR found that while all hospitals had some policies to promote access and protect privacy, some opportunities for improvement existed. OCR provided technical assistance and the report identifies additional steps hospitals can take to protect civil rights and privacy for people living with HIV/AIDS.
State of Hawaii - COVID-19 Response - Beneath the Tip of the Iceberg - Accoun...
State of Hawaii - COVID-19 Response - Beneath the Tip of the Iceberg - Accoun...Clifton M. Hasegawa & Associates, LLC
The more honest one is, the easier it is to continue being honest, just as more lies one has told, the more necessary it is to lie again. By their openness, people dedicated to the truth live in the open, and through the exercise of their courage to live in the open, they become free from fear. Human beings are poor examiners, subject to superstition, bias, prejudice, and a PROFOUND tendency to see what they want to see rather than what really there. The ultimate goal of life remains the spiritual growth of the individual, the solitary journey to peaks that can be climbed only alone.
- M. Scott Peck, “The Road Less Traveled”
WashingtonPost WhatiftheCureisAlsoaCause 15Feb2005
The chemotherapy drugs that are used to treat cancer patients can themselves cause cancer in health care workers who handle them. A 2004 alert from NIOSH warned of this risk but more study is still needed. A proposed study of health care worker exposures has been delayed after the OMB raised questions about the study design twice. Proponents say the study is important to better understand the risks to workers from exposure to chemo drugs through inhalation, skin contact, or contact with contaminated surfaces and waste. Many countries in Europe have done more to control exposures and reduce risks to health care workers compared to the US.
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Lecture16 F&A2011
This document summarizes two cases of healthcare fraud. The first case involved three individuals who owned medical supply and home health companies that conspired to defraud Medicare of $14 million by providing unnecessary medical equipment and services. Patients testified they received kickbacks. The second case involved a physician and clinic administrator who pleaded guilty in a $37 million scheme, with the physician approving $26 million in fraudulent bills and unnecessary treatments, and the administrator causing $11 million in false claims to be submitted to Medicare. Both cases involved schemes to submit fraudulent medical bills and claims to Medicare.
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1) State law provides relief for victims of HIPAA violations through claims such as emotional distress, malpractice, defamation, and invasion of privacy since HIPAA itself does not allow private lawsuits for damages.
2) In a recent case, a nurse sued for negligent retention and supervision after her employer continued to assign a coworker who had viewed her medical records without permission in violation of HIPAA.
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this is a discussion not a paper I need a paragraph under each quest.docx
this is a discussion not a paper I need a paragraph under each question. each paragraph need to be at least 250 words with up to date references.
HAS 515 Week 8 Lecture:
Patient Rights and Responsibilities and Acquired Immunodeficiency Syndrome
Slide #
Scene/Interaction
Narration
Slide 1
Intro Slide
Slide 2
Scene 1
Professor Charles enters classroom and introduces the topics for today’s lesson and begins the lecture.
Prof Charles
: Hello everyone….welcome back to class. Today, we are going to discuss patient rights and responsibilities and acquired immunodeficiency syndrome.
The Patient Self-Determination Act of 1990 (PSDA) made a significant advance in the protection of the rights of patients to make decisions regarding their own health care. Healthcare organizations may no longer passively permit patients to exercise their rights but must protect and promote such rights. The PSDA provides that each individual has a right under state law to make decisions concerning his or her medical care, including the right to accept or refuse medical or surgical treatment and the right to formulate advance directives.
Let’s first discuss the rights of the patient. How are patient rights classified?
Casey:
Patient rights may be classified as either legal (those emanating from law) or human statements of desirable ethical principles (such as the right to healthcare or the right to be treated with human dignity). Both staff and patients should be aware and understand not only their own rights and responsibilities, but also the rights and responsibilities of each other.
Donald
: Patients also have a right to receive a clear explanation of tests, diagnoses, treatment options, prescribed medications, and prognosis; participate in healthcare decisions; understand treatment options; and discontinue or refuse treatment options. It is recognized that the relationship between the physician and the patient is essential for the provision of proper care.
Casey
: In addition to what has already been noted, I would say that legal precedent has established that not only does the institution have responsibility to the patient, but also the patient has responsibility to the institution.
Prof. Charles
: Absolutely… What does the federal and state law and the Constitution have to say about discriminatory practices?
Casey
: Most federal, state and local programs specifically require, as a condition for receiving funds under such programs, an affirmative statement on the part of the organization that it will not discriminate. For example, Medicare and Medicaid programs specifically require affirmative assurances by healthcare organizations that no discrimination will be practiced. Healthcare organizations who do not comply may lose Medicare and Medicaid certification and reimbursement.
Prof. Charles
: Excellent. What is an example of discrimination by a hospital?
Donald:
There was a case,
Stoick v. Caro Community Hospital
, where the patient brought a medical ...
BOGUS DRUGS
Unauthorised and unregulated drugs lacking generic identities have flooded the local market through misleading advertising campaigns. These drugs are prescribed by some doctors in large quantities without knowing their effects. Loophole in laws allow import of herbal concoctions falsely labeled as drugs. Stricter implementation of National Drugs Policy is needed to regulate drug importation, distribution and sales. Random quality checks and making importers liable for failed batches can improve screening of imported drugs. Patients' rights include being informed of treatment risks and alternatives to expensive brands lacking proven benefits.
Prescription medication obtainment methods & Misuse.
This study surveyed 36 patients in a residential addiction treatment program to understand the methods used to improperly obtain prescription medications from physicians. Key findings include:
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- The most common reasons for obtaining prescriptions from doctors rather than buying illegally were legal concerns and lower cost/increased comfort.
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- The majority (75%) feigned symptoms to obtain prescriptions, with some using falsified medical records or
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Sarah La Brada was diagnosed with multiple sclerosis and had difficulty accessing timely care through the VA system in Long Beach, with wait times of up to a month to see the sole neurologist. This forced her to exit the VA system and obtain private health insurance. Many veterans using the Los Angeles and Long Beach VA hospitals report wait times of up to 90 days to see primary care physicians and as long as 8 months to see specialists, prompting some to seek outside care. An investigation found VA hospitals, including in Los Angeles, were falsifying records to make wait times appear better, with the Phoenix VA having at least 23 veterans die while waiting for an appointment.
2011; 33 e50–e56WEB PAPERThe ethics of HIV testing an.docx
2011; 33: e50–e56
WEB PAPER
The ethics of HIV testing and disclosure for
healthcare professionals: What do our future
doctors think?
JULIE M. AULTMAN1 & NICOLE J. BORGES2
1Northeastern Ohio Universities College of Medicine, USA, 2Wright State University Boonshoft School of Medicine, USA
Abstract
Aim: This study examined future medical professionals’ attitudes and beliefs regarding mandatory human immunodeficiency virus
(HIV) testing and disclosure.
Method: A total of 54 US medical students were interviewed regarding mandatory testing and disclosure of HIV status for both
patient and health care professional populations. Interviews were qualitatively analyzed using thematic analysis by the first author
and verified by the second author.
Results: Medical students considered a variety of perspectives, even placing themselves in the shoes of their patients or imagining
themselves as a healthcare professional with HIV. Mixed opinions were presented regarding the importance of HIV testing for
students coupled with a fear about school administration regarding HIV positive test results and the outcome of a student’s career.
Third- and fourth-year medical students felt that there should be no obligation to disclose one’s HIV status to patients, colleagues,
or employers. However, most of these students did feel that patients had an obligation to disclose their HIV status to healthcare
professionals.
Conclusion: This study gives medical educators a glimpse into what our future doctors think about HIV testing and disclosure, and
how difficult it is for them to recognize that they can be patients too, as they are conflicted by professional and personal values.
Introduction
The overall aim of this qualitative study is to gain a deeper
understanding of future doctors’ attitudes and beliefs regarding
mandatory human immunodeficiency virus (HIV) testing and
disclosure, and to explore current medical students’ personal
biases and stigmas surrounding HIV testing and disclosure.
Present and future doctors may face the challenges of having
to not only request that patients disclose their HIV status, but
also to decide whether to report one’s own HIV status to
patients, colleagues, and/or employing healthcare institutions.
By examining and identifying some of the beliefs and attitudes
surrounding such dilemmas, we believe this information can
be of help to medical educators as they work with medical
students and their clinical preceptors to resolve many of the
social and ethical problems associated with the stigma of HIV
disclosure, while improving the overall health of individuals
and communities. In addition to the presentation and analysis
of our data, we provide curriculum recommendations for
ethics education for HIV testing and disclosure for medical
students. First, we will provide descriptive background infor-
mation on HIV testing and disclosure.
HIV testing
In the United States, there are several private and public.
Privacy in the spotlight 2010
The document summarizes recent HIPAA privacy violations and enforcement actions. It describes criminal penalties for knowingly disclosing private health information without consent. It then provides examples of recent privacy violations including patient records being improperly disposed of, accidental faxing of patient information to a business, selling of patient records, posting of patient photos on social media, and personal discussions about patients online. Enforcement actions against the violating individuals and organizations are noted, including fines and firings.
Improving Healthcare Outcomes with Active Patient Engagement
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knowledge of health care professionals regarding medico-legal aspects and its...
knowledgeable about medical legal aspects and informed consent but when it came to actual objectives of consumer protection act and methods of filing cases their knowledge was satisfactory. So, medical health professionals need to update their understanding on consumer protection act and its amendments to be on a legally safer side.
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Read the article on the following 2 pages, Fighting HIV a Commu.docx
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Lax oversight leaves California drug rehab funds vulnerable to fraud
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California rehab clinics bill taxpayers for fake clients, addictions
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10 top patient safety issues for 2016 by Dr.Mahboob ali khan Phd
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State Law Provides Relief for Victims of HIPAA Violations
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this is a discussion not a paper I need a paragraph under each quest.docx
this is a discussion not a paper I need a paragraph under each quest.docx
Prescription medication obtainment methods & Misuse.
Prescription medication obtainment methods & Misuse.
2011; 33 e50–e56WEB PAPERThe ethics of HIV testing an.docx
2011; 33 e50–e56WEB PAPERThe ethics of HIV testing an.docx
Improving Healthcare Outcomes with Active Patient Engagement
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knowledge of health care professionals regarding medico-legal aspects and its...
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- 1. Oklahoma Dentist Could Face Criminal Charges "He advised, 'They just take proper treatment of that. The Particular operator said patients were becoming referred to a different clinic, nevertheless didn't http://dentistry.alltop.com/ disclose the clinic's name. Upon hearing in the infected affected person in March 15, the actual Oklahoma Board of Dentistry conducted the surprise inspection of Harrington's practice about March 18, allegedly obtaining numerous problems, such as regular use of your rusty group of instruments in patients along with recognized infections, and the practice associated with pouring bleach about wounds until that they "turned white." They also found that Harrington employed dental assistants who weren't licensed. On Friday the particular Tulsa Wellness Department sent 7,000 warning letters for the patients of Dr. 1 drug vial expired in 1993. Copy Calls last night for you to Harrington's office had been directed to an operator, which informed ABC Information the clinic will simply no longer took voicemails. State health officials traced your infections for the dentist.. "Those tend to be fundamental things. Drug cabinets were unlocked and also unsupervised through the day, along with Harrington didn't keep an stock log regarding drugs, some of that have got been managed substances, according to the complaint. I don't.'" ABC US Information | ABC Enterprise News
- 2. Harrington allegedly re-used needles, contaminating drugs together with potentially harmful bacteria and also trace amounts of other drugs, according for the complaint. Since information with the investigation broke yesterday, Rogers stated she's got received several other calls through former patients alleging the dental assistants performed additional dental procedures, as well. "The simple things that everyone knows -- adhere to CDC guidelines, use clean syringes, don't reuse multi-dose vials in multiple patients, don't use rusted equipment -- individuals tend to be items even non-physicians know," Rogers said. Even though patient-specific drug records indicated that will these were making use of morphine within 2012, simply no morphine have been ordered since 2009. An Oklahoma dentist accused associated with exposing a large quantity of patients for you to HIV, hepatitis B and hepatitis C may encounter criminal charges with regard to his actions, Susan Rogers, president regarding Oklahoma Board of Dentistry, advised ABCNews.com. Rogers known as the incident any "perfect storm." In the surface of his many violations throughout sanitary practice, the actual dentist was obviously a Medicaid provider, this means he had a substantial proportion regarding patients together with HIV or perhaps hepatitis, the girl said. Harrington and his awesome staff advised investigators he treated a new "high population regarding known infectious disease carrier patients," according to a new 17-count grievance filed from the Oklahoma Board of Dentistry. Wayne http://www.umc.edu/sod/ Scott Harrington, an oral surgeon with practices throughout Tulsa and also Owasso, informing these people regarding an investigation directly into Harrington's practice along with advising them to get tested regarding HIV, hepatitis B pattaya hospital dentist and hepatitis C.
- 3. Rogers said investigations from the state dental board, hawaii wellness department, their state bureau associated with narcotics and the federal Drug Enforcement Agency are just getting underway. Although she has certainly not yet submitted documents to the Tulsa District Attorney, she's got alerted http://www.seattlechildrens.org/clinics-programs/dentistry/ him in regards for you to the situation. "Practicing dentistry without a license is a felony," your woman said. Harrington referred for you to his staff concerning just about all sterilization and also drug methods inside his office," the actual complaint read. Which component can create it egregious." "During the inspections, Dr. "When we found out your things that these people said, the undeniable fact that the assistants were providing IV anesthesia, which part will be absolutely unacceptable and illegal, as well as my board frowns in that."
- 4. Harrington voluntarily surrendered his state dental license along along with other permits, plus a formal hearing before the dentistry board is scheduled pertaining to April 19. The dentist's alleged methods stumbled on mild following a patient tested positive regarding HIV as well as hepatitis C, and had no recognized risk factors