Overview
Chapter 6 Physician Impairment: University Hospital Case Study from The Tracks We Leave: Ethics and Management Dilemmas in Health Care, 3rd. ed.
1. Discuss usual requirements for informed consent for surgery. Assume that at some point the patient was not conscious and couldn't consent. What is required for consent in an emergency?
2. Discuss patient rights, patient safety, and disruptive physician guidelines.
3. Discuss medical negligence and vicarious liability and how they would apply.
4. Discuss the Emergency Medical Treatment and Active Labor Act (EMTALA) requirements, including emergency call requirements for physicians.
5. Discuss Health Care Quality Improvement Act (HCQIA), Patient Safety Quality Improvement Act (PSQIA), and National Practitioner Data Bank (NPDB) reporting and when reporting would be required.
6. Discuss medical record access by the following: • CEO request for the patient and physician medical records • Medical staff peer review committee access request for the patient and physician medical records (including psychiatric records) as part of peer review of the provider, What medical records could be released or shared? How should they be released? When would redaction of personal health information (PHI) apply to records being released? What privileges would apply to limit release? When would work product exclusion from discovery apply?
7. Discuss how two professional Codes of Ethics apply.
8. Address other legal and ethical issues identified by the group.