Legal Issues in Health Administration Essay

Legal Issues in Health Administration Essay ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Legal Issues in Health Administration Essay Question: Explain the concepts of exhaustion of remedies and ripeness for review as it applies to administrative law ? Legal Issues in Health Administration Essay 1.What are the basics? 2.What are the concerns 3.Why is this a major issue in health administration? Requirements: 1- Write a three page discussion of this topic. APA Style. 2- Minimum 3 references. “NOT textbook” 3- Minimum 2 references from the Textbook “Attached” the_law_of_healthcare_administration___pdfdrive.com__.pdf eighth Edition Eighth Edition The Law of Healthcare Administration Highlights of the eighth edition include: n The status of ACA implementation following NFIB v. Sibelius and King v. Burwell, the two most serious legal challenges to the reform law n The history of nursing, added to the history of medicine chapter n The status of Medicare’s inpatient admission standards and the two-midnight rule n Prominent antitrust cases from Ohio, Idaho, and North Carolina n End-of-life issues, including the Physician Orders for Life-Sustaining Treatment (POLST) paradigm and death-with-dignity laws n The Whole Woman’s Health case, in which the Supreme Court reaffirmed the essential holdings of Roe v. Wade and its progeny n The Supreme Court’s decision on implied certification, plus other issues related to false claims and fraud J. Stuart Showalter, JD, MFS, has spent most of his career dealing with health law issues. He has a law degree from Washington University in St. Louis, Missouri, and a master’s degree in forensic science from George Washington University in Washington, DC. He served in the US Navy in various positions for 18 years, including as counsel to the US Navy Surgeon General, and spent 16 years as vice president and in-house counsel to the Catholic Health Association of the United States, headquartered in St. Louis. Subsequently, he was a partner in a St. Louis law firm, where he specialized in health law and corporate compliance, and later was chief compliance officer for health systems in Orlando, Florida, and Baton Rouge, Louisiana. Mr. Showalter has taught health law and public policy in the health administration program at Washington University School of Medicine and was twice named teacher of the year. He has also taught health law at St. Louis University, the University of Central Florida, San Diego State University, and La Sierra University. He is a contributing editor to the Legal and Regulatory Forum of the Healthcare Financial Management Association. The Law of Healthcare Administration offers a thorough examination of health law in the United States from a management perspective. Using plain language accessible to nonlawyers, the book moves from broad-brush treatments of the US legal system and the history of medicine to specific issues that affect healthcare leaders daily, including contracts, torts, taxation, antitrust laws, regulatory compliance, and, most pressing, health insurance reform and the important changes that have taken place since the Affordable Care Act (ACA) became law in 2010. The legal concepts discussed in the book are amply supported by real-life examples, detailed explanations, and excerpts from decisions of federal and state courts. Showalter One North Franklin Street, Suite 1700 Legal Issues in Health Administration Essay Chicago, Illinois 60606-3529 Phone: (301) 362-6905 | Fax: (240) 396-5907 ache.org/HAP Order code: 2326 HAP_The Law of Healthcare Management_Showalter_#2326_70 3 100_656-pages_Hardcover AUPHA The Law of Healthcare Administration J. Stuart Showalter AUPHA/HAP Editorial Board for Graduate Studies Nir Menachemi, PhD, Chairman Indiana University LTC Lee W. Bewley, PhD, FACHE University of Louisville Jan Clement, PhD Virginia Commonwealth University Michael Counte, PhD St. Louis University Joseph F. Crosby Jr., PhD Armstrong Atlantic State University Mark L. Diana, PhD Tulane University Peter D. Jacobson, JD University of Michigan Brian J. Nickerson, PhD Icahn School of Medicine at Mount Sinai Mark A. Norrell, FACHE Indiana University Maia Platt, PhD University of Detroit Mercy Debra Scammon, PhD University of Utah Tina Smith University of Toronto Carla Stebbins, PhD Des Moines University Cynda M. Tipple, FACHE Marymount University Health Administration Press, Chicago, Illinois Association of University Programs in Health Administration, Washington, DC Your board, staff, or clients may also benefit from this book’s insight. For more information on quantity discounts, contact the Health Administration Press Marketing Manager at (312) 424–9450. This publication is intended to provide accurate and authoritative information in regard to the subject matter covered. It is sold, or otherwise provided, with the understanding that the publisher is not engaged in rendering professional services. If professional advice or other expert assistance is required, the services of a competent professional should be sought. The statements and opinions contained in this book are strictly those of the author and do not represent the official positions of the American College of Healthcare Executives, the Foundation of the American College of Healthcare Executives, or the Association of University Programs in Health Administration. Copyright © 2017 by the Foundation of the American College of Healthcare Executives. Printed in the United States of America. All rights reserved. This book or parts thereof may not be reproduced in any form without written permission of the publisher. 21 20 19 18 17 5 4 3 2 1 Library of Congress Cataloging-in-Publication Data Names: Showalter, J. Stuart, author. Title: The law of healthcare administration / J. Stuart Showalter. Description: Eighth Edition. Legal Issues in Health Administration Essay | Chicago, Illinois : Health Administration Press; Washington, DC : Association of University Programs in Health Administration, 2017. Identifiers: LCCN 2016045989 (print) | LCCN 2016046145 (ebook) | ISBN 9781567938760 (print : alk. paper) | ISBN 9781567938777 (Ebook) | ISBN 9781567938784 (Xml) | ISBN 9781567938791 ( Epub) | ISBN 9781567938807 (Mobi) Subjects: LCSH: Medical care—Law and legislation—United States. | Hospitals—Law and legislation—United States. | Medical laws and legislation—United States. Classification: LCC KF3825 .S65 2017 (print) | LCC KF3825 (ebook) | DDC 344.7303/21 dc23 LC record available at https://lccn.loc.gov/2016045989 The paper used in this publication meets the minimum requirements of American National Standard for Information Sciences—Permanence of Paper for Printed Library Materials, ANSI Z39.48-1984. ? ™ Acquisitions editor: Janet Davis; Project manager: Theresa L. Rothschadl; Cover designer: James Slate; Layout: Cepheus Edmondson Found an error or a typo? We want to know! Please e-mail it to [email protected], mentioning the book’s title and putting “Book Error” in the subject line. For photocopying and copyright information, please contact Copyright Clearance Center at www.copyright.com or at (978) 750-8400. Health Administration Press Association of University Programs A division of the Foundation of the American ? in Health Administration College of Healthcare Executives 1730 M Street One North Franklin Street, Suite 1700 Suite 407 Chicago, IL 60606-3529 Washington, DC 20036 (312) 424-2800 (703) 894-0940 BRIEF CONTENTS Preface………………………………………………………………………………………….xv Chapter 1. The Anglo-American Legal System……………………………….1 Chapter 2. A Brief History of Medicine………………………………………27 Chapter 3. Health Reform, Access to Care, and Admission and Discharge……………………………………………………………….61 Chapter 4. Contracts and Intentional Torts……………………………….113 Chapter 5. Negligence……………………………………………………………141 Chapter 6. The Organization and Management of a Corporate Healthcare Institution…………………………………………….181 Chapter 7. Liability of the Healthcare Institution……………………….217 Chapter 8. Medical Staff Privileges and Peer Review……………………253 Chapter 9. Health Information Management……………………………..301 Chapter 10. Emergency Care…………………………………………………….347 Chapter 11. Consent for Treatment and Withholding Consent……….379 Chapter 12. Taxation of Healthcare Institutions…………………………..439 Chapter 13. Competition and Antitrust Law………………………………..469 Chapter 14. Issues of Reproduction and Birth……………………………..505 Chapter 15. Fraud Laws and Corporate Compliance……………………..547 Glossary……………………………………………………………………………………..585 Case Index………………………………………………………………………………….591 Index…………………………………………………………………………………………603 About the Author Legal Issues in Health Administration Essay …………………………………………………………………………635 v DETAILED CONTENTS Preface………………………………………………………………………………………….xv Chapter 1. The Anglo-American Legal System……………………………….1 Some History……………………………………………………………1 Anglo-American Law…………………………………………………2 The Definition of Law……………………………………………….4 Types and Sources of Law…………………………………………..4 The Court System……………………………………………………10 Alternative Dispute Resolution…………………………………..15 Legal Procedure………………………………………………………15 Summary……………………………………………………………….19 Discussion Questions……………………………………………….19 The Court Decides………………………………………………….21 Simkins v. Moses H. Cone Mem. Hosp…………………………….21 Planned Parenthood of S.E. Pennsylvania v. Casey…………..24 Notes…………………………………………………………………….25 Chapter 2. A Brief History of Medicine………………………………………27 Early History………………………………………………………….29 Health Reform Arrives at Last (Apparently)…………………49 From the Past to the Future………………………………………50 Summary……………………………………………………………….51 Discussion Questions……………………………………………….51 Notes…………………………………………………………………….51 Appendix 2.1: A Select Timeline of the History of Medicine……………………………………….56 Chapter 3. Health Reform, Access to Care, and Admission and Discharge……………………………………………………………….61 The “Right” to Healthcare………………………………………..61 The Affordable Care Act…………………………………………..62 Traditional Principles on Access to Healthcare………………70 Admission and Treatment of Mentally Ill Patients…………79 vii viii Det a iled C o n te n ts Discharge from the Hospital……………………………………..84 Utilization Review: Controls on Admission and Discharge……………………………………………………..87 Summary……………………………………………………………….91 Discussion Questions……………………………………………….92 The Court Decides………………………………………………….93 King v. Burwell…………………………………………………………..93 Statutory Provisions Referred to in King v. Burwell…..100 Hill v. Ohio County………………………………………………….. 101 Notes…………………………………………………………………..102 Appendix 3.1: History of Health Reform Efforts………..108 Appendix 3.2: Select ACA Reform Provisions…………….110 Chapter 4. Contracts and Intentional Torts……………………………….113 Think Like a Lawyer………………………………………………113 Contracts and Intentional Torts as Bases of Liability……114 Elements of a Legal Issues in Health Administration Essay Contract…………………………………………..114 The Physician–Patient Relationship…………………………..115 Liability for Breach of Contract………………………………..124 Liability for Breach of Warranty……………………………….125 Intentional Torts……………………………………………………126 Summary……………………………………………………………..133 Discussion Questions……………………………………………..134 The Court Decides………………………………………………..135 Stowers v. Wolodzko…………………………………………………… 135 Notes…………………………………………………………………..138 Chapter 5. Negligence……………………………………………………………141 Duty……………………………………………………………………141 Breach of Duty……………………………………………………..149 Injury and Causation………………………………………………157 Defenses……………………………………………………………….159 Liability for Acts of Others: Vicarious Liability……………164 Countersuits by Physicians………………………………………165 Reforming the Tort System……………………………………..166 Summary……………………………………………………………..168 Discussion Questions……………………………………………..169 The Court Decides………………………………………………..170 Helling v. Carey………………………………………………………. 170 Perin v. Hayne…………………………………………………………. 171 Notes…………………………………………………………………..175 D etailed C ontents Chapter 6. The Organization and Management of a Corporate Healthcare Institution…………………………………………….181 Formation and Nature of a Corporation…………………….182 Responsibilities of Management……………………………….193 Piercing the Corporate Veil……………………………………..195 Multi-institutional Systems and Corporate Reorganization: The Independent Hospital as Anachronism…………………………………………………….197 Alternative Corporate Strategies……………………………….200 Collaborative Strategies with Physicians……………………..201 Summary……………………………………………………………..205 Discussion Questions……………………………………………..206 The Court Decides………………………………………………..207 Charlotte Hungerford Hospital v. Mulvey…………………… 207 Stern v. Lucy Webb Hayes National Training School for Deaconesses and Missionaries……………………………. 208 Woodyard, Insurance Commissioner v. Arkansas Diversified Insurance Co……………………………………… 211 Notes…………………………………………………………………..213 Chapter 7. Liability of the Healthcare Institution……………………….217 Respondeat Superior Versus Independent Contractor Status………………………………………………219 Erosion of Physicians’ Independent Contractor Status………………………………………………………………220 Erosion of Captain-of-the-Ship and Borrowed-Servant Doctrines………………………………………………………….224 Doctrine of Corporate Liability……………………………….. Legal Issues in Health Administration Essay 226 Liability of Managed Care Organizations…………………..232 Summary……………………………………………………………..238 Discussion Questions……………………………………………..238 The Court Decides………………………………………………..240 Norton v. Argonaut Insurance Co……………………………… 240 Johnson v. Misericordia Community Hospital………………. 244 Notes…………………………………………………………………..248 Chapter 8. Medical Staff Privileges and Peer Review……………………253 The Medical Staff Organization………………………………..254 Relationships Among Board, Management, and Medical Staff…………………………………………………….255 Appointment of the Medical Staff…………………………….256 ix x Det a iled C o n te n ts Standards for Medical Staff Appointments………………….258 Peer Review, Discipline, and the Health Care Quality Improvement Act………………………………………………262 Quality Issues and Accountable Care Organizations…….275 Summary……………………………………………………………..283 Discussion Questions……………………………………………..283 The Court Decides………………………………………………..284 Kadlec Medical Center v. Lakeview Anesthesia Associates………………………………. 284 Notes…………………………………………………………………..288 Appendix 8.1: Healthcare Quality Improvement Act of 1986, as Amended……………………………………294 Chapter 9. Health Information Management……………………………..301 Covered Entity, Protected Health Information, and De-identification………………………………………………..302 Form and Content of Records………………………………….303 Access to Health Information…………………………………..309 Use of Health Records in Legal Proceedings………………327 Federal Government’s Access to Personal Health Information………………………………………………………328 State Open Meeting and Public Records Laws……………330 Summary……………………………………………………………..331 Discussion Questions……………………………………………..331 The Court Decides………………………………………………..333 Opis Management Resources, LLC v. Secretary, Fla. Agency for Healthcare Admin………………………… 333 Tarasoff v. Regents of the University of California……….. 335 Notes………………………………………………………………….. Legal Issues in Health Administration Essay 340 Chapter 10. Emergency Care…………………………………………………….347 The Need for Emergency Care Facilities…………………….347 Duty to Treat and Aid…………………………………………….348 Duty to Exercise Reasonable Care…………………………….362 Good Samaritan Statutes…………………………………………366 Summary……………………………………………………………..368 Discussion Questions……………………………………………..368 The Court Decides………………………………………………..370 Moses v. Providence Hospital and Medical Centers, Inc……………………………………………. 370 D etailed C ontents Beller v. Health and Hospital Corp. of Marion County………………………………………………… 372 Notes…………………………………………………………………..374 Chapter 11. Consent for Treatment and Withholding Consent……….379 Types of Consent and Recommended Procedures……….380 The Healthcare Institution’s Role in Consent Cases…….384 How “Informed” Must Informed Consent Be?…………..385 Consent of a Spouse or Relative……………………………….390 Life-o … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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