Course Details
Course Outline
10 days course
The History of helthcare
- Early Hindu and Egyptian hospitals.
- Greek and Roman Hospitals.
- Hospitals of the early Christian era.
- Islamic hospitals.
- Medieval hospitals.
- Hospitals of the renaissance.
- Hospitals of the 18th century.
- Early hospitals in the United Kingdom.
- Late 19th century renaissance.
- 20th century progress.
- Health care and hospitals in the 21st century.
- History’s common theme: recurring infections.
- History challenges us to do better.
Government, Law, and Ethics
- Development of Law.
- Sources of Law.
- Government organization.
- Department of health and human services.
- Government ethics.
- Political malpractice.
Health Ethics
- Ethics.
- Morality.
- Ethical theories.
- Principles of healthcare ethics.
- Virtue ethics and values.
- Religious ethics and spirituality.
- Secular ethics.
- Ethics committee.
- Reasoning and decision making.
- Moral compass gone astray.
- Summary thought.
Tort Law – Negligence
- Objectives of Tort Law.
- Negligence.
- Forms of negligence.
- Degrees of negligence.
- Elements of negligence.
- Summary case.
Intentional Torts
- Assault and battery.
- False imprisonment.
- Defamation of character.
- Fraud.
- Invasion of privacy.
- Infliction on mental distress.
- Products liability.
Criminal Aspects of Health Care
- Criminal procedure.
- Healthcare fraud.
- Kickbacks.
- Tampering with drugs.
- Internet pharmacy and sale of drugs.
- Falsification of records.
- Patient abuse.
- Criminal negligence.
- Manslaughter.
- Murder.
- Rape and sexual assault.
- Theft.
Contracts and Anti-trust
- What is a contract?
- Types of contracts.
- Elements of a contract.
- Breach of a contract.
- Corporate contracts.
- Partnerships.
- Independent contractor.
- Legality of object.
- Conditions.
- Performance.
- Non-performance defences.
- Remedies.
- Employments contracts.
- Medical staff bylaws: A contract.
- Exclusive contracts.
- Restraint of trade.
- Hospital staff privileges.
- Transfer agreements.
- Insurance contract.
Civil Procedure and Trial Practice
- Pleadings.
- Discovery.
- Motions.
- Pretrial conference.
- Notice of trial.
- Memorandum of law.
- The courtroom and the judge.
- The jury.
- Subpoenas.
- Burden of proof.
- Res Ipsa Loquitur.
- Opening statements.
- Examination of witnesses.
- Judicial notice rule evidence.
- Defences against plaintiff’s allegations.
- Closing statements.
- Judge’s charge to the jury.
- Jury deliberation and determination.
- Awarding damages.
- Joint and several liabilities.
- Appeals execution of judgments.
Corporate Structure and Legal Issues
- Authority of corporations.
- Corporate committee structure.
- Corporate ethics.
- Corporate negligence.
- Doctrine of respondent superior.
- Governing body responsibilities.
- Corporate reorganization.
Medical Staff Organization and Physician Liability
- Principles of medical ethics.
- Medical staff organization.
- Medical director.
- Medical staff privileges.
- Common medical errors.
- Patient assessments.
- Diagnosis.
- Treatment.
- Discharge and follow-up care infections.
- Psychiatry.
- Physician-patient relationship.
Nursing and the Law
- Scope of practice.
- Nurse licensure.
- Nursing careers.
- Advanced practice nurses.
- Legal risks of nurses.
- Duty to question discharge.
- Duty to report physician negligence.
Hospital Departments and Allied Professional
- Emergency department.
- Chiropractor.
- Dentistry.
- Laboratory.
- Medical assistant.
- Medical imaging.
- Nutritional services.
- Paramedic.
- Pharmacy.
- Physical therapy.
- Physician’s assistant.
- Podiatrist.
- Respiratory therapist.
- Security.
- Certification of healthcare professionals.
- Helpful advice for caregivers.
Patient Consent
- Introduction.
- Informed consent.
- Physicians and informed consent.
- Hospitals and informed consent.
- Nurses and informed consent.
- Validity of consent.
- Assessing decision-making capacity.
- Admission consent forms.
- Consent for specific procedures.
- Limited power of attorney.
- Who may consent.
- Incompetent patients.
- Right to refuse treatment.
- Exculpatory agreements.
- Proving lack of consent.
- Informed consent claims and defences.
Legal Reporting Requirements
- Abuse.
- Child abuse
- Senior abuse.
- Communicable diseases.
- Hospital-acquired diseases.
- Hospital-acquired infections.
- Births and deaths.
- Adverse drug reactions.
- Physician competency.
- Incident reporting.
- Sentinel events.
- Look closer, see me.
Medical Records
- Information management.
- Medical record contents.
- Documentation of care.
- Privacy act of 1974.
- Health insurance portability and accountability act.
- Ownership and release of medical records.
- Failure to use patient data gathered.
- Retention of records.
- Electronic medical records.
- Legal proceedings and the medical records.
- Confidential and privileged communications.
- Charting: some helpful advice.
Procreation and Ethical Dilemmas
- Abortion.
- Sterilization.
- Artificial insemination.
- Surrogacy.
- Wrongful birth, life, and conception.
Acquired Immune Deficiency Syndrome
- Spread of AIDS.
- Healthcare workers transmission.
- Confidentiality.
- Discrimination.
- AIDS-related lawsuits.
- AIDS treatment.
- AIDS education.
End-of-Life Issues
- Patient autonomy and case law.
- Constitutional right to refuse care.
- Legislative response.
- Defining death.
- Futility of treatment.
- Do-not-resuscitate orders.
- Withholding and withdrawal of treatment.
- Euthanasia.
- Physician-assisted suicide.
- Advance directives.
- Autopsy.
- Organ donations.
- Research, experimentation, and clinical trials.
- Human genetics.
- Stem cell research.
Patient Rights and responsibilities
- Patient rights.
- Patient responsibilities.
Labour relations
- UK department of labour,
- Unions and healthcare organizations.
- National labour relations act.
- Norris-LaGuardia Act.
- Labour-management reporting and disclosure act.
- Fair labour standards act.
- Occupational safety and health act.
- Rehabilitation act.
- Family and medical leave act.
- State labour laws.
- Workers’ compensation.
- Labour rights.
- Management rights.
- Affirmative action plan.
- Patient rights during labour disputes.
- Injunctions.
- Administering collective bargaining agreement.
- Discrimination in the workplace.
Employment at Will and Discharge
- Employment at will.
- Public policy issues and termination.
- Termination.
- Unemployment compensation denials.
- Wrongful discharge.
- Defending a claim for unfair discharge.
- Fairness: The ultimate test.
- Effective hiring practices.
Employee Rights and Responsibilities
- Employee rights.
- Employee responsibilities.
- The Caregiver’s Pledge.
Professional Liability Insurance
- Insurance policies.
- Liability of the professional
- The insurance agreement.
- Intentional Torts: coverage denied.
- Conditions of insurance policies.
- Medical liability insurance.
- Self-insurance.
- Trustee coverage.
- Mandated medical staff insurance coverage.
- Investigation and settlement of claims.
National Health Insurance Managed Care
- National health insurance.
- Veteran care.
- Managed care.
- Models of managed care organizations.
- Federally qualified HMO.
- State laws.
- Case management firms.
- Third-party administrators.
- Utilization review.
- Liability for nonparticipating physicians.
- Employee retirement income security act.
- Reducing exposure to liability.
- Healthcare quality improvement act of 1986.
- Ethics in patient referral act 1989.
- Managed care and legal actions.
- Price fixing.
- Market power.
Tort Reform and Risk Reduction
- Mediation and arbitration.
- Structured awards.
- Pretrial screening panels.
- Collateral source rule.
- Contingency fee limitations.
- Countersuits: Frivolous Claims.
- Joint and several liabilities.
- Malpractice caps.
- No-Fault System.
- Regulation of insurance practices.
- Statutes of limitations.
- Reducing the risks of malpractice.
- Physician participation in Tort Reform.
