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40 Cards in this Set
- Front
- Back
advance directive
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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.
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authorization form
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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
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consent form
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One-time signed document required before physicians use or disclose personally identifiable health information for treatment, payment, or routine health care operations.
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contract
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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.
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deposition
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testifying especially before a court
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emancipated minors
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Children of any age who fall outside the jurisdiction and custody of their parents or guardians and who may make financial and medical decisions
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4 parts of a contract
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1. Legal Age
2. Sound mind (not under the influence) 3. Offer and acceptance 4. Exchange of value |
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health care power of attorney
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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.
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litigation
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Lawsuit
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living will
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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.
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malfeasance
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Unlawful or improper treatment of the patient.
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mandated reporting
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laws requiring certain people to report concerns of child abuse and neglect, does not require patients consent
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misfeasance
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Lawful treatment that has been done in the wrong way.
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nonfeasance
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Failure to act when the physician has a duty to do so.
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plaintiff
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patient
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privileged information
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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.
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respondeat superior
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"let the master answer"; employer is responsible for employee's actions if within scope of practice/training
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subpoena
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"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.
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subpoena duces tecum
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"under penalty in his possession" a subpoena that requires a witness to appear in court with his or her records
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tort
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Wrongful act or injury to a person that is grounds for legal action
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callbacks
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Term indicating that a return telephone call is necessary.
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compliance plan
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Written protocol outlining practice standards that include federal and state mandates
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empathy
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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)
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empahty
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Being able to able to put yourself in the patient's situation or understandingt their point of view.
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housekeeping
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Responsibility assigned to medical assistant to creat a comfortable place for patients to wait.
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office emergency
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i.e. patient arrives without scheduled appointment or calls about an accident or sudden illness
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patient instruction form
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Checklist of topics and fill-in sheet used by the physician summarizing a patient's office visit and outlining instructions and treatment plan
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patient/practice information information brochure
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Printed material explaining office policies and procedures.
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preregistration
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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.
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professionalism
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Conduct, aspirations, and qualities characteristic of a profession.
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reception room
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Outer office provided for patients who are awaiting appointments.
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verbal communication
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The use of language or spoken words to transmit messages
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pager
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simple personal telecommunications device for short messages
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protocol
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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
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screening
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Asking a series of specific questions to determine the caller's needs, urgency, and required level of care
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screening checklist
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The list of questions and or actions required for screening telephone calls
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Telephone log
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List of all incoming calls with date, time, and brief comment on action taken.
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triage
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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. |
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voice mail
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Storing and forwarding of one-way messages combining elements of the telephone, the computer, and a recording device.
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