Legal Aspects of Health Care Administration

by Pozgar, George D.; Pozgar, Nina Santucci; Santucci, Nina M.

• ISBN13: 9780834203600
• ISBN10: 083420360X
• Edition: 5th
• Format: Hardcover
• Copyright: 1993-04-01
• Publisher: Wolters Kluwer Law & Business

Summary

This widely adopted text has been revised cover-to-cover, and updated with new case illustration and new points reflecting the ever-evolving nature of both law and the health care industry. The text gives students the broad base of information and specific answers they will 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 risk-reducing recommendations for everything from handling patient valuables to complying with the Americans with Disabilities Act.

Author Biography

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

Table of Contents

Preface	p. ix
Acknowledgments	p. xiii
Introduction to Law	p. 1
Sources of Law	p. 1
Government Organization	p. 7
Administrative Departments and Agencies	p. 11
Tort Law	p. 18
Introduction	p. 19
Intentional and Negligent Wrongdoing	p. 19
Negligence	p. 20
Intentional Torts	p. 30
Products Liability	p. 40
Criminal Aspects of Health Care	p. 47
Introduction	p. 48
Criminal Procedure	p. 48
Case Reviews	p. 49
Patient Abuse	p. 59
Contracts and Antitrust	p. 69
Introduction	p. 70
Purpose of a Contract	p. 70
Types of Contracts	p. 70
Elements of a Contract	p. 71
Competent Parties	p. 72
Legality of Object	p. 73
Statute of Frauds	p. 73
Conditions	p. 74
Performance	p. 74
Nonperformance Defenses	p. 74
Remedies	p. 74
State Laws/Uniform Commercial Code	p. 75
Contracts of Adhesion	p. 75
Guaranty and Warranty	p. 75
Employment Contracts	p. 75
Exclusive Contracts	p. 77
Restraint of Trade	p. 80
Hospital Staff Privileges	p. 83
Patient Transfer	p. 84
Insurance Denials	p. 86
Civil Procedure and Trial Practice	p. 89
Introduction	p. 90
Pleadings	p. 90
Discovery and Examination before Trial	p. 92
Motions	p. 94
Notice of Trial	p. 94
Memorandum of Law	p. 95
The Court	p. 95
The Jury	p. 95
Subpoenas	p. 96
Opening Statements	p. 96
Burden of Proof	p. 96
Evidence	p. 100
Defenses against Recovery	p. 106
Closing Statements	p. 114
Judge's Charge to the Jury	p. 115
Jury Deliberation and Determination	p. 115
Damages	p. 116
Appeals	p. 119
Execution of Judgments	p. 120
Corporate Liability	p. 124
Introduction	p. 124
Authority of Health Care Corporations	p. 125
Corporate Organization and Committee Structure	p. 126
Doctrine of Respondeat Superior	p. 128
Corporate Negligence	p. 131
Duties of Health Care Corporations	p. 133
CEO/Administrator's Role and Responsibility	p. 141
Medical Staff	p. 143
Medical Staff	p. 146
Introduction	p. 146
Medical Staff Organization	p. 146
Medical Staff Privileges	p. 148
Delineation of Clinical Privileges	p. 150
Appeal Process	p. 152
Physician Supervision and Monitoring	p. 152
Reappointments	p. 153
Medical Director	p. 153
Negligent Acts	p. 154
Physician-Patient Relationship	p. 178
Nursing and the Law	p. 181
Historical Perspective	p. 182
The Practice of Nursing	p. 182
The Broadening Scope of Practice	p. 183
Nurse Licensure	p. 184
American Nurses Association	p. 185
National League for Nursing	p. 185
Nurse Practice Roles	p. 185
Negligent Acts	p. 192
Liability by Departments and Health Care Professionals	p. 213
Introduction	p. 214
Ambulatory Care Centers	p. 214
Anesthesia	p. 214
Chiropractor	p. 215
Dentistry	p. 216
Emergency Department	p. 217
Environment of Care	p. 227
Laboratory	p. 234
Medical Imaging	p. 235
Nutritional Services	p. 238
Paramedic	p. 238
Pharmacy	p. 239
Physical Therapy	p. 242
Physician's Assistant	p. 243
Podiatrist	p. 243
Respiratory Therapist	p. 243
Sexual Improprieties	p. 243
Surgery	p. 244
Certification of Health Care Professionals	p. 245
Licensing of Health Care Professionals	p. 245
Helpful Advice for All Health Care Professionals	p. 246
Information Management and Health Care Records	p. 249
Introduction	p. 249
Managing Information	p. 249
Medical Records	p. 250
Patient Consent	p. 273
Introduction	p. 274
Consent--A Definition	p. 274
Patient Self-Determination Act	p. 274
Informed Consent	p. 275
Right To Refuse Treatment	p. 283
Proof of Consent	p. 284
Who May Consent	p. 285
Religious Beliefs	p. 288
Refusal of Treatment	p. 289
Release Form	p. 289
Exculpatory Agreement	p. 289
Statutory Consent	p. 290
Consent and Judicial Intervention	p. 290
Defense and Failure To Inform	p. 290
Legal Reporting Requirements	p. 294
Introduction	p. 294
Child Abuse	p. 294
Elder Abuse	p. 296
Communicable Diseases	p. 296
Births and Deaths	p. 296
Suspicious Deaths	p. 296
Reporting Professional Misconduct--National Practitioner Data Bank	p. 297
Risk Management/Incident Reporting	p. 298
Sentinel Event Reporting/Joint Commission	p. 299
Corporate Compliance Programs	p. 300
Issues of Procreation	p. 303
Introduction	p. 304
Abortion	p. 304
Circuit Court Decisions	p. 306
State Regulation	p. 308
Sterilization	p. 312
Artificial Insemination	p. 313
Wrongful Birth, Wrongful Life, and Wrongful Conception	p. 314
Patient Rights and Responsibilities	p. 321
Introduction	p. 322
Patient Rights	p. 322
Admission	p. 322
Discharge	p. 324
Transfer	p. 326
Patient Bill of Rights	p. 326
Patient Responsibilities	p. 327
Patient Advocacy	p. 328
Acquired Immune Deficiency Syndrome	p. 331
Introduction	p. 331
Spread of AIDS	p. 332
AIDS and Health Care Workers	p. 334
Suspension of Surgical Privileges	p. 334
Confidentiality	p. 334
Medical Records	p. 336
AIDS and the Right To Know	p. 336
AIDS--The Right To Treatment	p. 336
Mandatory Testing	p. 336
News Media and Confidentiality	p. 336
Discrimination	p. 337
Negligence	p. 338
Criminal Actions	p. 338
Reporting Requirements	p. 339
AIDS Emergency Act	p. 339
Occupational Safety and Health Act	p. 339
AIDS Education	p. 339
Health Care Ethics	p. 342
Introduction	p. 343
Ethics Committee	p. 343
End-of-Life Issues	p. 345
Autopsy	p. 363
Organ Donations	p. 365
Experimentation	p. 367
Malpractice Insurance	p. 374
Introduction	p. 374
The Insurance Policy	p. 375
Liability of the Professional	p. 375
The Insurance Agreement	p. 376
Medical Liability Insurance	p. 378
Medical Malpractice Insurance Associations	p. 379
Self-Insurance	p. 379
Trustee Coverage	p. 379
Mandated Medical Staff Insurance Coverage	p. 380
Investigation and Settlement of Claims	p. 380
Labor Relations	p. 382
Introduction	p. 383
Unions and Health Care Organizations	p. 383
Federal Labor Acts	p. 383
State Laws	p. 390
Labor Rights	p. 392
Management Rights	p. 392
Equal Employment Opportunity--Affirmative Action Plan	p. 393
Patient Rights during Labor Disputes	p. 394
Injunctions	p. 394
Administering a Collective Bargaining Agreement	p. 394
Employment, Discipline, and Discharge	p. 397
Introduction	p. 398
Employment at Will	p. 398
Public Policy Issues	p. 399
Interference with Employment Activities	p. 402
Defamation Actions	p. 402
Retaliatory Discharge	p. 402
Fairness--The Ultimate Test	p. 403
Unemployment Compensation	p. 404
Termination	p. 405
Effective Hiring Practices	p. 408
Managed Care and Organizational Restructuring	p. 411
Introduction	p. 411
Common Models of Managed Care Organizations	p. 412
Horizontal Consolidations	p. 413
Federally Qualified HMOs	p. 413
State Laws	p. 414
Case Management Firms	p. 414
Third-Party Administrators	p. 414
Utilization Review	p. 414
Liability for Nonparticipating Physicians	p. 415
Employee Retirement Insurance Security Act	p. 415
Reducing Exposure to Liability	p. 415
Health Care Quality Improvement Act of 1986	p. 415
Managed Care and Legal Actions	p. 416
Antitrust	p. 418
Corporate Reorganization	p. 420
Restructuring Alternatives	p. 422
General Considerations	p. 423
Medical Staff and Restructuring	p. 424
Fund-Raising	p. 424
Regulatory Authority Checklist	p. 425
Anticompetition	p. 425
Safe-Harbor Regulations	p. 426
Statements of Antitrust Enforcement Policy in the Health Care Area	p. 427
Tort Reform and Reducing the Risks of Malpractice	p. 431
Introduction	p. 431
Arbitration and Mediation	p. 431
Structured Awards	p. 431
Pretrial Screening Panels	p. 432
Collateral Source Rule	p. 432
Contingency Fee Limitations	p. 433
Frivolous Claims	p. 434
Joint and Several Liability	p. 434
Malpractice Caps/Award Limitations	p. 434
No-Fault System	p. 435
Peer Review Organizations	p. 435
Medical Misconduct	p. 436
Regulation of Insurance Practices	p. 436
Setting Standards of Medical Care	p. 436
National Health Care Reform	p. 436
Risk Management	p. 437
Continuous Quality Improvement	p. 437
Zero Tolerance	p. 442
Introduction	p. 442
Leadership	p. 443
Planning	p. 443
Resource Allocation	p. 444
Performance Improvement (PI)	p. 444
Human Resources	p. 445
Infection Control	p. 446
Information Management	p. 446
Patient Assessment	p. 446
Emergency Department	p. 447
Environmental Safety	p. 448
Laboratory	p. 450
Medical Staff	p. 450
Medication Use	p. 451
Pastoral Care Services	p. 452
Patient Complaint Process	p. 453
Patient Care Unit	p. 453
Patient and Family Education	p. 453
Patient Rights	p. 453
Radiology	p. 454
Resource Center	p. 454
Respiratory Care	p. 454
Sterile Supply	p. 454
Surgery	p. 454
Web Sites	p. 455
Glossary	p. 456
Index of Cases	p. 462
Index	p. 470
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