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Ethics and Law/Technology

Ethics and Law/Technology

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Ethics and Law/Technology

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Presentation Transcript

  1. Ethics and Law/Technology H Edu 4790/6790

  2. Technology - History • Growth of 1950s • Immunizations • MRI … an example

  3. Types of technology • Definitive • Halfway • Deferral • Competing • Cost-saving

  4. Effects of Technology • Morbidity • Mortality

  5. Forces affecting Technology • Education and practice • Reimbursement • The public • Competition

  6. Responses to Use of Technology • Public sector activities • FDA • PSRO/PRO • CON • Private sector • JCAHO • ISO 9000 • Tort law

  7. Questions to ask

  8. Managing Biomed Equipment • Planning • Service

  9. Health Information Systems • Process management • Care management • Demand management • Health management

  10. Philosophical Bases • Respect for persons • Autonomy • Truth telling • Confidentiality • Fidelity • Beneficence • Nonmaleficence • Justice

  11. Views of Ethical Behavior • Teleology – Utilitarian • Deontology • Individualism • Moral-rights • Justice

  12. Ethical Dilemma • A situation that although offering potential benefit or gain is also unethical.

  13. Some theories… • James Childress • Nicholas Rescher

  14. What is an ethical dilemma?

  15. Ethical Problems • Discrimination • Sexual harassment • Conflicts of Interest • Customer confidence • Organizational resources

  16. Maintaining Ethics • Mission, vision, values • Patient’s Bill of Rights • Codes of ethics • Ethics committee • Advance medical directives • Training

  17. Patient Bill of Rights • Right to considerate and respectful care • Right to information • Make decisions • Advance directives • Privacy • Confidentiality • Review Records

  18. University Hospital • It is our goal to provide… • Your help is needed to achieve these goals by…

  19. Codes of Ethics • AMA • ANA

  20. Advanced Medical Directives • Personal Medical Decisions • Medical Treatment Plan • Living Will • Special Power of Attorney

  21. Public Health Policy • Public versus private • Authoritative Decisions

  22. Forms of Health Policy • Laws • Rules/regulations • Operational decisions • Judicial decisions • Macro policies

  23. Categories • Allocative (distributive) • Regulatory • Redistributive

  24. Garbage Can Model Policies Problems Politics

  25. Rulemaking • Implementation • Legislative to Executive • Legal effect

  26. Policy Outcomes • Individuals • Health-related organizations • Interest groups

  27. Contracts • Offer and acceptance • Consideration • Legal capacity • Lawful

  28. Torts • Civil wrong • Results • Punitive • Actual • Intentional torts • Types • Consent

  29. Negligence • Duty • Breach of that duty • Substantial factor in harm • Injury

  30. Agency/Corporate Liability • Respondeat superior • Corporate liability

  31. Some specifics… • Antitrust • Emergency Medical Treatment • ERISA • Medicare and Medicaid Fraud • Tax exempt status

  32. Record Keeping!