Component 1; Unit 6: Regulating Health Care

Component 1; Unit 6: Regulating Health Care

Description:

This unit provides an overview of the regulation of health care, including regulatory and professional organizations, the regulation of safety in medicine, and key legal aspects of medicine. This unit also covers compliance issues including privacy violations, reimbursement, and fraud and abuse.

Objectives:

  1. Describe the role of accreditation, regulatory bodies, and professional associations in health care in the U.S.
  2. Describe the basic concepts of law in the U.S.: the legal system, sources of law, classification of laws, the court system, and the trial process.
  3. Describe legal aspects of medicine involving the Affordable Care Act, professional standards in health care, medical malpractice, tort reform, and Medicare and Medicaid fraud and abuse.
  4. Describe key components of the Health Insurance Portability and Accountability Act (HIPAA) and efforts to promote patient safety in the U.S.
  5. Discuss the need for quality clinical documentation for the use of the health record as a legal document, communication tool, and a key to prove compliance for health care organizations.

Component 1; Unit 6; Lecture 6a comp1_unit6a_lecture_slides

Nonprofit Accrediting Orgs, Regulatory Bodies, and Professional Associations in U.S. Health Care (20:12)

Component 1; Unit 6; Lecture 6b comp1_unit6b_lecture_slides

Branches of Government and the Configuration of the U.S. Judicial System (17:47)

Component 1; Unit 6; Lecture 6c Comp1_unit6c_Lecture_Slides

Legal Aspects of Medicine (17:01)

Component 1; Unit 6; Lecture 6d Comp1_unit6d_Lecture_Slides

Health Insurance Portability and Accountability Act (19:06)

Component 1; Unit 6; Lecture 6e Comp1_unit6e_Lecture_Slides

The Role of Medical Records in U.S. Health Care (14:55)

Suggested Readings

Walshe, Kieran. Regulating Healthcare: A Prescription for Improvement? Maidenhead: McGraw-Hill Education, 2003. Print.

McLean, S. A. M., and Mason, J. K. Legal and Ethical Aspects of Healthcare. Cambridge: Cambridge UP, 2003. Print.


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