Final Flashcards
(42 cards)
Purpose of patient rights statements
Strengthens consumer confidence that the health care system is fair and responsive to patients needs
Drug importation
Import of prescription drugs refers to obtaining prescription drugs from a foreign country for their use in their own country
What are the issues of drug importation?
Medication integrity/safety
Counterfeit Drugs
Does not meet standards
DSCSA
Product tracing
Verification
product identification (serialization)
Wholesale distributor and licensing
Recently approved FDA importation program 2020
Two pathways= authorize sales, other governmental agencies. Mechanism of import must obtain NDC for US use for drugs made for other countries.
Requires HHS approval assuring no additional risk or cost
Does canada regulate exported drugs?
no
Privacy rule
Title II, involves regulations that deal with the use and disclosure of a patients personal and clinical information
Who issued and who enforces the privacy rule?
Issued- HHS
enforces- OCR
PHI
protected health information
Any data that can be used to identify a specific patient
-Includes diagnosis
Appropriate disclosures of PHI
Treatment
Payment
Business operations
HIPAA violations
Enforcement of privacy rule did not begin until april 2003
Complaints continue to rise
Common- unsecured records, unencrypted data, hacking,etc.
Potential solutions for HIPAA violations
Use two-factor authentification
Identifier minimization
Risk assessment and audit of emails
Health plans, data processing companies, healthcare professionals, and hospitals are examples of
Covered entities
treatment, payment, business operations are
Appropriate disclosures of PHI
Issues concerning peer evaluations
Dual relationships Peer review (LOR, manuscripts (order of authors), peer evaluations)
Whistle blowing
the reporting of a person or persons when there is evidence of their engagement in unethical or incompetent behavior
Whistle blowing perception
Perceived as the traitor and as having no loyalty.
Morally permitted if harm will/has occurred
Morally required if evidence of harm and organization isnt listening
False claims act
Allows for someone that files a whistle blower complaint to get some of the 1damages back
Alternatives to whistle blowing
Do nothing
Head off a developing problem before a real offense is committed
Act decisively to remove individual that is causing harm
Goals of whistle blowing
Encourage thorough documentation
Maintain due process judiciously
Provide as much support as possible
Require the institution persevere to completion of review
VA pharmacy whistle blowing
Research misconduct, no informed consent, coercion.
Whistle blower (pharmacist) fired
One person died
Guy doing wrong doing went to jail
Abandonment
Physically- dont provide appropriate care to managed care restrictions
Psychological- sistancing because health care provider no longer knows what to provide
Abiding with- to endure without yielding, to remain stable. What we want to do
Guidelines to abide with
Recognize your own feelings and fear
Encourage sessions in your workplace where everyone can share their feelings
