For an organization, understanding the issues around regulatory compliance can be a difficult and frustrating attempt. A short-term action an organization has to use to come into regulatory compliance is identifying standards of care. An understanding of professional practices is a key element of the review of professional liability exposures. Knowledge of such standards is crucial in controlling risk during the development and implementation of new and alternative treatment regimens. A long-term action is ensuring that the regulatory approval process is conducted in a timely and cost-effective manner. The primary purpose of measuring consumer satisfaction is to improve the quality of care provided should always be kept in mind. This principle should guide in what data are collected, how they are collected and most importantly, how they are analyzed and reported.…
The Current Procedural Terminology, or CPT for short, was first introduced by the American Medical Association (AMA) in 1966. And throughout the years there have been many updates, revisions, and subsequent editions. In 1983 CPT became part of the Healthcare Common Procedure Coding System or HCPCS to report Medicare Part B physician’s services. In 1986 Medicaid required HCPCS for reporting and by 1986 the Omnibus Budget Reconciliation Act required CPT codes for any outpatient hospital surgical procedures. In 1996 after the start of the Health Insurance Portability and Accountably Act (HIPAA), both CPT and HCPCS were named the procedural code sets for physician services, physical and occupational therapy services, radiological procedures, clinical…
This theory is a result of previous work done by both Marion Good and Shirley Moore. One previous work is entitled Clinical Practice Guidelines as a New Source of Middle-Range…
1. Define “standard of care.” How would appropriate “standard of care” be determined in this case?…
Accurate documentation in clinical practice is a significant component of the delivery of quality patient care. Evaluation and management (E&M) codes comprise to assist providers adequately . In order to receive reimbursement from health insurance companies, APNs must accurately use E&M codes to bill for services they provide during patient encounters. Hence, the significance for APNs to be knowledgeable in the use of E&M codes to bill for patient care services provided and stay abreast on current and future guidelines. For new APNs, understanding the history, purpose, and components of E&M coding is fundamental in avoiding legal and ethical dilemmas that may arise throughout their practice. The following discussion will address the issues…
CO 8: Apply concepts of quality and safety using structure, process, and outcome measures to identify clinical questions as the beginning process of changing current practice. (PO #8)…
Interpretations of Rules of Conduct consist of interpretations which have been adopted, after exposure to state societies, state boards, practice units and other interested parties, by the professional ethics division 's executive committee to provide guidelines as to the scope and application of the Rules but are not intended to limit such scope or application. A member who departs from such guidelines shall have the burden of justifying such departure in any disciplinary hearing. Interpretations which existed before the adoption of the Code of Professional Conduct on January 12, 1988, will remain in effect until further action is deemed necessary by the appropriate senior technical committee.…
1.2 Summarise the main points of legal requirements and codes of practice for handling information in health and social care.…
Codes of Practice set out the criteria against which providers are assessed by. They also describe the standards of conduct and practice with which workers must carry out their activities and ensure that what they do is competent and consistent with the values of their employer. These standards are how…
Clinical guidelines are systematically developed statements to assist practitioners and patients in making decisions about appropriate health care for specific circumstances (Reames, Krell, Ponto, & Wong, 2013). Healthcare providers rely on guidelines to implement evidence-based practice protocols. The process of developing protocols requires an interprofessional collaborative team which includes hospital administration working with and supporting physicians, nurses, patient advocates and other staff members (n.d., 2015).…
They limit the role of paramedics as care providers being dictated by the physicians. There is no doubt that evidence based guidelines are required and should be used by the paramedics equivalent to any other health care practitioner. However, there must be some margin and space within these guidelines for the paramedics who are often faced with unusual and exceptional circumstances so that they can adapt and apply the guidelines in that particular…
I completely agree with all of you. As a nurse practitioner, I strongly believe in evidence based practice guidelines, but on the other hand I do not believe in "cookbook medicine". I advocate to the patient that they should play a key role in their OWN health care and decision making. My job is to deliver the best possible care to each individual and I tell my patient's that it is their job to meet me half way so that the best possible outcome is reached. I try to provide my patients with resource that are reputable sources such as the American College of Cardiology and the American Heart Association. I also challenge the patient to be proactive in their own healthcare and to not be afraid to ask questions and to not be afraid to ask…
This means the decision to proceed must be in accordance with practise accepted by a responsible body of professional opinion and be in the best interest of the patient. (Griffiths 2007)…
Guidelines could include the Nursing Midwifery Guidelines for the management of medicine administration - registered nurses have to abide by this set of guidelines and for paid carers, the General Social Care Council's Code of Conduct will have something which could relate to medication.…
Ethics are rules of conduct and moral principles of an individual which have various origins such as family, culture, and social environment. Given the diversity of people in the healthcare profession and the importance of providing care that is ethically sound and within legal bounds, it is necessary to have standard of care guidelines that outline healthcare ethics. “The goal of health care ethics is to provide health care professionals with moral guidelines that any rational person would recognize as worthy ones to follow” (Tong, 2007, p.6).…