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40 Cards in this Set

  • Front
  • Back
advance directive
Document stating an individual's preference about tratment if the person becomes incompetent or unable to communicate with medical personnel. i.e. living will and (durable) power of attorney.
authorization form
Document for use and disclosure of protected health information not included in a consent form that indicates the purpose for which the health care information is to be used and disclosed
consent form
One-time signed document required before physicians use or disclose personally identifiable health information for treatment, payment, or routine health care operations.
contract
A medical contract exists when a physician performs a service after a patient has requested it. Can be expressed, as in a direct verbal or written statement, or can be implied.
deposition
testifying especially before a court
emancipated minors
Children of any age who fall outside the jurisdiction and custody of their parents or guardians and who may make financial and medical decisions
4 parts of a contract
1. Legal Age
2. Sound mind (not under the influence)
3. Offer and acceptance
4. Exchange of value
health care power of attorney
Document that names another individual as a decision-maker for the patient when the patient is terminally ill or in a coma. Also known as a durable powerof attorney for health care.
litigation
Lawsuit
living will
Document, not legally binding, stating the desires of an individual sould he or she become incompenent because of injury or illness when death is imminent.
malfeasance
Unlawful or improper treatment of the patient.
mandated reporting
laws requiring certain people to report concerns of child abuse and neglect, does not require patients consent
misfeasance
Lawful treatment that has been done in the wrong way.
nonfeasance
Failure to act when the physician has a duty to do so.
plaintiff
patient
privileged information
Data or confidential exchange between a physidian and a patient, related to the treatmetn and progress of the patient, may be released or disclosed only when written authorization of the patient or guardian is obtained.
respondeat superior
"let the master answer"; employer is responsible for employee's actions if within scope of practice/training
subpoena
"under penalty" a writ that commands a witness to appear at a trial or other proceeding and give testimony, the disobedience to which may be punishable as a contempt of court.
subpoena duces tecum
"under penalty in his possession" a subpoena that requires a witness to appear in court with his or her records
tort
Wrongful act or injury to a person that is grounds for legal action
callbacks
Term indicating that a return telephone call is necessary.
compliance plan
Written protocol outlining practice standards that include federal and state mandates
empathy
pertaining to projection of one's own consciousness into another person's situation. (Being able to put yourself in the other person's shoes and understand how they are feeling)
empahty
Being able to able to put yourself in the patient's situation or understandingt their point of view.
housekeeping
Responsibility assigned to medical assistant to creat a comfortable place for patients to wait.
office emergency
i.e. patient arrives without scheduled appointment or calls about an accident or sudden illness
patient instruction form
Checklist of topics and fill-in sheet used by the physician summarizing a patient's office visit and outlining instructions and treatment plan
patient/practice information information brochure
Printed material explaining office policies and procedures.
preregistration
Getting the patient's registration information over the phone prior to first appointment, or mailing preregistration packet to patient to fill out before their visti.
professionalism
Conduct, aspirations, and qualities characteristic of a profession.
reception room
Outer office provided for patients who are awaiting appointments.
verbal communication
The use of language or spoken words to transmit messages
pager
simple personal telecommunications device for short messages
protocol
special set of rules that guides poicy, procedure, and rules of an office or clinic. i.e. a telephone protocol would be to answer the phone by the 3rd ring
screening
Asking a series of specific questions to determine the caller's needs, urgency, and required level of care
screening checklist
The list of questions and or actions required for screening telephone calls
Telephone log
List of all incoming calls with date, time, and brief comment on action taken.
triage
principle of triage involves dividing patients into 3 groups:
1. those who will die anyway whether they receive medical attention or not; 2. those who will survive anyway whether they receive medical attention or not, 3. those who will survive only if they receive timely medical attention.
voice mail
Storing and forwarding of one-way messages combining elements of the telephone, the computer, and a recording device.