Legal Aspects of Health Care Administration

by Pozgar, George D.; Pozgar, Nina S.

• ISBN13: 9780834211971
• ISBN10: 0834211971
• Edition: 7th
• Format: Hardcover
• Copyright: 1999-01-01
• Publisher: Wolters Kluwer

Summary

This highly regarded guide has been revised cover-to-cover, and updated with new case illustrations and new points reflecting the ever-evolving nature of both law And The health care industry. Legal Aspects gives practitioners and students alike the broad base of information and specific answers they need to safely direct their careers and their facilities. Legal Aspects of Health Care Administration is filled with concise, constructive, realistic recommendations for preventive action. it provides risks-reducing recommendations for everything from handling patient valuables to complying with the Americans with Disabilities Act. An Instructor's guide is available.

Author Biography

George D. Pozgar, MBA, CHE, is President of his own firm, Gp Health Care Consulting, in Annapolis, Maryland

Table of Contents

Preface	xiii	(4)
Acknowledgments	xvii
Chapter 1--Introduction to Law	1	(26)
Sources of Law	3	(10)
Government Organization	13	(6)
Administrative Departments and Agencies	19	(8)
Chapter 2--Tort Law	27	(40)
Negligence	29	(18)
Intentional Torts	47	(14)
Products Liability	61	(4)
Conclusion	65	(2)
Chapter 3--Criminal Aspects of Health Care	67	(27)
Arrest	69	(1)
Arraignment	69	(1)
Conference	70	(1)
The Prosecutor	70	(1)
The Defense Attorney	70	(1)
The Criminal Trial	70	(1)
Drugs	71	(1)
Child Abuse	71	(2)
Criminal Negligence	73	(1)
Falsification of Records	73	(1)
Fraud	74	(8)
Murder	82	(2)
Patient Abuse	84	(4)
Case Reviews	88	(3)
Petty Theft	91	(1)
Trespass/Antiabortion Demonstrations	92	(2)
Chapter 4--Contracts and Antitrust	94	(18)
Purpose of a Contract	96	(1)
Types of Contracts	96	(2)
Elements of a Contract	98	(1)
Competent Parties	99	(2)
Legality of Object	101	(1)
Statute of Frauds	101	(1)
Conditions	101	(1)
Performance	101	(1)
Nonperformance Defenses	101	(1)
Remedies	102	(1)
Arbitration	102	(1)
State Laws/Uniform Commercial Code	102	(1)
Contracts of Adhesion	102	(1)
Guaranty and Warranty	102	(1)
Employment Contracts	103	(1)
Exclusive Contracts	104	(1)
Restraint of Trade	105	(2)
Hospital Staff Privileges	107	(1)
Restricting Privileges	108	(2)
Transfer Agreements	110	(2)
Chapter 5--Civil Procedure and Trial Practice	112	(41)
Pleadings	115	(2)
Discovery and Examination Before Trial	117	(2)
Motions	119	(2)
Notice of Trial	121	(1)
Memorandum of Law	121	(1)
The Court	121	(1)
The Jury	121	(1)
Subpoenas	122	(1)
Opening Statements	123	(1)
Burden of Proof	123	(4)
Evidence	127	(7)
Defenses Against Recovery	134	(10)
Closing Statements	144	(1)
Judge's Charge to the Jury	144	(2)
Jury Deliberation and Determination	146	(1)
Damages	146	(4)
Appeals	150	(1)
Execution of Judgments	151	(2)
Chapter 6--Corporate Liability	153	(30)
Authority of Health Care Corporations	155	(2)
Corporate Organization and Committee Structure	157	(3)
Doctrine of Respondeat Superior	160	(2)
Corporate Negligence	162	(3)
Duties of Health Care Corporations	165	(13)
CEO/Administrator's Role and Responsibility	178	(2)
Medical Staff	180	(1)
Conclusion	181	(2)
Chapter 7--Medical Staff	183	(53)
Medical Staff Organization	187	(3)
Medical Staff Privileges	190	(1)
Appointments--The Screening Process	191	(3)
Delineation of Clinical Privileges	194	(2)
Appeal Process	196	(1)
Negligent Granting of Privileges	197	(1)
Physician Supervision and Monitoring	198	(1)
Suspension and Termination of Privileges	199	(1)
Reappointments and Peer Review	200	(1)
Medical Director	200	(1)
Qualification for the Medical Director	201	(1)
Physician Liability	201	(32)
Oath of Hippocrates	233	(3)
Chapter 8--Nursing and the Law	236	(33)
Historical Perspective	238	(1)
The Practice of Nursing	239	(2)
The Ever-Broadening Scope of Practice	241	(1)
Nurse Licensure	242	(1)
American Nurses Association	243	(1)
National League for Nursing	244	(1)
Chief Nursing Officer and Nursing Supervisors	244	(1)
Failure To Supervise	245	(1)
Nurse Practitioner	245	(1)
Clinical Nurse Specialist	246	(1)
Nurse-Anesthetist	246	(1)
Nurse Midwife	247	(1)
Nursing Assistants	247	(1)
Special Duty Nurse	248	(1)
Student Nurses	248	(1)
Administration of Drugs	249	(5)
Burns	254	(1)
Duty To Follow Established Nursing Procedures	255	(1)
Duty To Follow Instructions	256	(3)
Duty To Monitor Patient's Vital Signs	259	(1)
Duty To Report Physician Negligence	260	(1)
Duty To Question Patient Discharge	260	(1)
Failure To Note Changes in a Patient's Condition	260	(1)
Failure To Report Changes in a Patient's Condition	261	(1)
Failure To Report Defective Equipment	262	(1)
Failure To Take Correct Telephone Orders	263	(1)
Nursery--Switching of Infants	263	(1)
Patient Falls	263	(2)
Inadequate Staffing	265	(1)
Sponge and/or Instrument Miscounts in the Operating Room	266	(1)
Negligent Procedure/Cutting an IV Tube	267	(2)
Chapter 9--Liability by Department and Health Professional	269	(27)
Dentistry	272	(1)
Dietary	272	(1)
Emergency Department	273	(8)
Environment of Care	281	(4)
Laboratory	285	(1)
Pharmacy	285	(4)
Physical Therapy	289	(1)
Chiropractor	290	(1)
Nurse's Aide/Patient Neglect	290	(1)
Paramedic	290	(1)
Physician's Assistant	291	(1)
Podiatrist	291	(1)
Respiratory Therapist	292	(1)
Sexual Improprieties	292	(1)
Certification of Health Professionals	293	(1)
Licensing of Health Professionals	294	(1)
Helpful Advice for All Health Professionals	294	(2)
Chapter 10--Information Management and Health Care Records	296	(18)
Information Management	298	(1)
Clinical Applications	298	(1)
Development of an Information Management Plan	298	(1)
Medical Records	299	(15)
Chapter 11--Patient Consent	314	(21)
Patient Self-Determination Act	316	(1)
Informed Consent	316	(4)
Right to Refuse Treatment	320	(1)
Proof of Consent	320	(1)
Liability Issues	321	(1)
No Consent/Wrong Procedure	322	(1)
Who May Consent	323	(5)
Religious Beliefs	328	(1)
Refusal of Treatment	329	(1)
Release Form	329	(1)
Exculpatory Agreement	330	(1)
Statutory Consent	331	(1)
Consent and Judicial Intervention	331	(1)
Lack of Consent	331	(1)
Defense and Failure To Inform	332	(1)
Conclusion	333	(2)
Chapter 12--Legal Reporting Requirements	335	(13)
Child Abuse	337	(2)
Elder Abuse	339	(1)
Communicable Diseases	339	(1)
Births and Deaths	339	(1)
Suspicious Deaths	339	(1)
Criminal Acts	340	(1)
Reporting Professional Misconduct--National Practitioner Data Bank	340	(2)
Risk Management/Incident Reporting	342	(2)
Sentinel Event Reporting/Joint Commission	344	(1)
Corporate Compliance Programs	345	(3)
Chapter 13--Issues of Procreation	348	(17)
Abortion	350	(6)
Sterilization	356	(2)
Artificial Insemination	358	(1)
Wrongful Birth, Wrongful Life, and Wrongful Conception	359	(6)
Chapter 14--Patient Rights and Responsibilities	365	(8)
Patient Rights	366	(1)
Admission	366	(2)
Discharge	368	(1)
Transfer	368	(1)
Patient Bill of Rights	369	(1)
Patient Responsibilities	370	(1)
Patient Advocacy	371	(2)
Chapter 15--Acquired Immune Deficiency Syndrome	373	(14)
Spread of AIDS	375	(2)
AIDS and Health Care Workers	377	(1)
Suspension of Surgical Privileges	377	(1)
Confidentiality	377	(1)
Medical Records	378	(1)
AIDS and the Right To Know	378	(1)
AIDS--The Right to Treatment	379	(1)
Mandatory Testing	379	(1)
News Media and Confidentiality	379	(1)
Discrimination	380	(2)
Negligence	382	(1)
Criminal Actions	383	(1)
Reporting Requirements	383	(1)
AIDS Emergency Act	384	(1)
Occupational Safety and Health Act	384	(1)
AIDS Education	384	(3)
Chapter 16--End of Life Issues	387	(38)
Defining Euthanasia	389	(3)
Classifying Euthanasia	392	(2)
Constitutional Considerations	394	(3)
Defining Death	397	(2)
The Legislative Response	399	(6)
Feeding Tubes	405	(3)
Assisted Suicide	408	(1)
Do-Not-Resuscitate Orders	409	(1)
Health Care Ethics	410	(1)
Ethics Committees	410	(3)
Autopsy	413	(3)
Organ Donations	416	(3)
Unclaimed Dead Bodies	419	(1)
Experimentation	420	(5)
Chapter 17--Malpractice Insurance	425	(14)
The Insurance Policy	428	(1)
Liability of the Professional	428	(2)
The Insurance Agreement	430	(3)
Medical Liability Insurance	433	(1)
Medical Malpractice Insurance Associations	434	(1)
Self-Insurance	434	(1)
Other Insurance Coverages	435	(1)
Trustee Coverage	435	(1)
Mandated Medical Staff Insurance Coverage	436	(1)
Investigation and Settlement of Claims	436	(3)
Chapter 18--Labor Relations	439	(21)
Unions and Health Care Organizations	441	(1)
Federal Labor Acts	441	(11)
State Laws	452	(2)
Labor Rights	454	(1)
Management Rights	455	(2)
Equal Employment Opportunity--Affirmative Action Plan	457	(1)
Patient Rights During Labor Disputes	458	(1)
Injunctions	458	(1)
Administering a Collective Bargaining Agreement	458	(2)
Chapter 19--Employment, Discipline, and Discharge	460	(18)
Employment at Will	462	(1)
Public Policy Issues	463	(3)
Interference with Employment Activities	466	(1)
Defamation Actions	467	(1)
Retaliatory Discharge	467	(1)
Fairness--The Ultimate Test	468	(1)
Unemployment Compensation	469	(1)
Termination	470	(5)
Effective Hiring Practices	475	(3)
Chapter 20--Managed Care and Organizational Restructuring	478	(30)
Managed Care	481	(1)
Common Models of Managed Care Organizations	481	(2)
Vertically Integrated Delivery System	483	(1)
Horizontal Consolidations	483	(1)
Federally Qualified HMOs	483	(1)
State Laws	484	(1)
Case Management Firms	484	(1)
Third-Party Administrators	485	(1)
Utilization Review	485	(1)
Liability for Nonparticipating Physicians	486	(1)
Employee Retirement Insurance Security Act of 1974	486	(1)
ERISA Preempts State Law	486	(1)
Reducing Exposure to Liability	487	(1)
Health Care Quality Improvement Act of 1986	488	(1)
Managed Care and Legal Actions	488	(4)
Antitrust	492	(3)
Corporate Reorganization	495	(3)
Restructuring Alternatives	498	(2)
General Considerations	500	(1)
Medical Staff and Restructuring	501	(1)
Fund-Raising	501	(1)
Regulatory Authority Checklist	502	(1)
Anticompetition	502	(1)
Safe-Harbor Regulations	503	(2)
Statements of Antitrust Enforcement Policy in the Health Care Area	505	(3)
Chapter 21--Tort Reform and Reducing the Risks of Malpractice	508	(22)
Mediation and Arbitration	512	(1)
Structured Awards	513	(1)
Pretrial Screening Panels	513	(1)
Collateral Source Rule	514	(1)
Contingency Fee Limitations	514	(1)
Precalendar Conference	515	(1)
Discovery Proceedings	515	(1)
Expert Witnesses	515	(1)
Statutes of Limitations	515	(1)
Frivolous Claims	516	(1)
Joint and Several Liability	517	(1)
Malpractice Caps/Award Limitations	517	(1)
No-Fault System	518	(1)
Peer Review Organizations	519	(1)
Professional Misconduct	520	(1)
Regulation of Insurance Practices	521	(1)
Setting Standards of Medical Care	521	(1)
National Health Care Reform	521	(1)
Risk Management	522	(2)
Continuous Quality Improvement	524	(6)
Glossary	530	(11)
Index of Cases	541	(8)
Index	549