Summary Ethics, Jurisprudence, & Practice Management in Dental Hygiene Third Edition

Ethics, Jurisprudence, & Practice Management in Dental Hygiene Third Edition Ethics, Jurisprudence, & Practice Management in Dental Hygiene CHAPTER Third Edition Copyright ©2012 by Pearson Education, Inc. All rights reserved. Ethics, Jurisprudence, and Practice Management in Dental Hygiene, Third Edition Vickie J. Kimbrough-Walls • Charla J. Lautar Core Values and Additional Ethical Principles 2Copyright ©2012 by Pearson Education, Inc. All rights reserved. Ethics, Jurisprudence, and Practice Management in Dental Hygiene, Third Edition Vickie J. Kimbrough-Walls • Charla J. Lautar ADHA Code of Ethics • Preamble • Purpose • Key concepts • Basic beliefs • Fundamental principles • Core values • Standards of professional responsibilityCopyright ©2012 by Pearson Education, Inc. All rights reserved. Ethics, Jurisprudence, and Practice Management in Dental Hygiene, Third Edition Vickie J. Kimbrough-Walls • Charla J. Lautar CDHA Code of Ethics • Preamble • Principles – Beneficence – Autonomy – Privacy and confidentiality – Accountability – ProfessionalismCopyright ©2012 by Pearson Education, Inc. All rights reserved. Ethics, Jurisprudence, and Practice Management in Dental Hygiene, Third Edition Vickie J. Kimbrough-Walls • Charla J. Lautar CDHA Code of Ethics • Standards • Appendices • ReferencesCopyright ©2012 by Pearson Education, Inc. All rights reserved. Ethics, Jurisprudence, and Practice Management in Dental Hygiene, Third Edition Vickie J. Kimbrough-Walls • Charla J. Lautar IFDH Code of Ethics • Introduction • Values – Integrity – RespectCopyright ©2012 by Pearson Education, Inc. All rights reserved. Ethics, Jurisprudence, and Practice Management in Dental Hygiene, Third Edition Vickie J. Kimbrough-Walls • Charla J. Lautar IFDH Code of Ethics • Principle Elements – Dental hygienists and people/society – Dental hygienists and practice – Dental hygienists and co-workers – Dental hygienists the professionCopyright ©2012 by Pearson Education, Inc. All rights reserved. Ethics, Jurisprudence, and Practice Management in Dental Hygiene, Third Edition Vickie J. Kimbrough-Walls • Charla J. Lautar Autonomy • Self-determination • Kantian respect for individual • Paternalism/parentalism • Competency • Respect • Informed consentCopyright ©2012 by Pearson Education, Inc. All rights reserved. Ethics, Jurisprudence, and Practice Management in Dental Hygiene, Third Edition Vickie J. Kimbrough-Walls • Charla J. Lautar Autonomy • A person should be free to act in accordance with a well-chosen and informed plan—even if it involves considerable risk to himself or herself, and even if others consider the action to be foolish, as long as the action does no harm to othersCopyright ©2012 by Pearson Education, Inc. All rights reserved. Ethics, Jurisprudence, and Practice Management in Dental Hygiene, Third Edition Vickie J. Kimbrough-Walls • Charla J. Lautar Confidentiality • Promise • Privacy • Legal duty – Health Insurance Portability and Accountability Act (HIPAA) – Criminal code of Canada • DisclosureCopyright ©2012 by Pearson Education, Inc. All rights reserved. Ethics, Jurisprudence, and Practice Management in Dental Hygiene, Third Edition Vickie J. Kimbrough-Walls • Charla J. Lautar Confidentiality • Status of information about a person and the way it is managed • Keeping within proper bounds • Medicine, law, religion • What about this information – Shameful – Embarrassing – Harmful  Libel vs. slanderCopyright ©2012 by Pearson Education, Inc. All rights reserved. Ethics, Jurisprudence, and Practice Management in Dental Hygiene, Third Edition Vickie J. Kimbrough-Walls • Charla J. Lautar Confidentiality • Confidentiality – A person must keep secret all information which has been confided unless there is a morally justified or mandatory reason for disclosure • Privacy – A person ought to have the right of determining to what extent thought, sentiments, and emotions shall be communicated to othersCopyright ©2012 by Pearson Education, Inc. All rights reserved. Ethics, Jurisprudence, and Practice Management in Dental Hygiene, Third Edition Vickie J. Kimbrough-Walls • Charla J. Lautar HIPAA • Title I: Continuation of health insurance • Title II: Protects identifiable health information or PHI (protected health information) – Privacy standards – Covered entities (TPO) – Business associates – Patient rights – Administrative requirementsCopyright ©2012 by Pearson Education, Inc. All rights reserved. Ethics, Jurisprudence, and Practice Management in Dental Hygiene, Third Edition Vickie J. Kimbrough-Walls • Charla J. Lautar HIPAA • Ensures that the minimal necessary information is to be used and disclosed, thereby protecting one’s identity and health informationCopyright ©2012 by Pearson Education, Inc. All rights reserved. Ethics, Jurisprudence, and Practice Management in Dental Hygiene, Third Edition Vickie J. Kimbrough-Walls • Charla J. Lautar Covered Entities (TPO) • Treatment • Payment • Health care operations • Any one or any organization such as health plans, health care clearinghouses, and health care providers that transmit standard transactions in electronic formatsCopyright ©2012 by Pearson Education, Inc. All rights reserved. Ethics, Jurisprudence, and Practice Management in Dental Hygiene, Third Edition Vickie J. Kimbrough-Walls • Charla J. Lautar Business Associates • Persons who perform a function or activity on behalf of a covered entity – Those whose jobs require reviewing at health information – Vendors, auditors, attorneys, consultants, billing services, transcriptionists, practice management companies – Covered entities are required to obtain contractsCopyright ©2012 by Pearson Education, Inc. All rights reserved. Ethics, Jurisprudence, and Practice Management in Dental Hygiene, Third Edition Vickie J. Kimbrough-Walls • Charla J. Lautar Patients’ Rights • Access medical and dental records • Amendment to medical and dental records • Accounting of disclosures • File complaint • Restricting information • Protocols and time framesCopyright ©2012 by Pearson Education, Inc. All rights reserved. Ethics, Jurisprudence, and Practice Management in Dental Hygiene, Third Edition Vickie J. Kimbrough-Walls • Charla J. Lautar Administrative Requirements • Designated privacy officer or contact person • Training for employees • Safeguards to protect PHI • Computer passwords • Identify and track users/detect activity of electronically transmitted informationCopyright ©2012 by Pearson Education, Inc. All rights reserved. Ethics, Jurisprudence, and Practice Management in Dental Hygiene, Third Edition Vickie J. Kimbrough-Walls • Charla J. Lautar The American Recovery and Reinvestment Act of 2009 • Updates to HIPAA • Business associates have same requirements as covered entities • Individuals notified if breach of PHI • Patients can request electronic copy • Enforcement and penalties are increasedCopyright ©2012 by Pearson Education, Inc. All rights reserved. Ethics, Jurisprudence, and Practice Management in Dental Hygiene, Third Edition Vickie J. Kimbrough-Walls • Charla J. Lautar Societal Trust • Maintain trust (specialized knowledge/skill) • Gatekeepers • For profit • Confidentiality • Society trusts professionalsCopyright ©2012 by Pearson Education, Inc. All rights reserved. Ethics, Jurisprudence, and Practice Management in Dental Hygiene, Third Edition Vickie J. Kimbrough-Walls • Charla J. Lautar Professional Accountability • A person ought to be responsible for the consequences of professional practiceCopyright ©2012 by Pearson Education, Inc. All rights reserved. Ethics, Jurisprudence, and Practice Management in Dental Hygiene, Third Edition Vickie J. Kimbrough-Walls • Charla J. Lautar Nonmaleficence • To do no harm • Primum non nocere/first do no harm • Above all, do no harm • Part of Hippocratic oath • A person should act so that whatever else you do, do no harm or inflict no harm while also acting to prevent and remove harm when it is presentCopyright ©2012 by Pearson Education, Inc. All rights reserved. Ethics, Jurisprudence, and Practice Management in Dental Hygiene, Third Edition Vickie J. Kimbrough-Walls • Charla J. Lautar Beneficence • Provision of benefit • Preventing evil or harm • Promoting good • Part of Hippocratic oath—to helpCopyright ©2012 by Pearson Education, Inc. All rights reserved. Ethics, Jurisprudence, and Practice Management in Dental Hygiene, Third Edition Vickie J. Kimbrough-Walls • Charla J. Lautar Justice • Fairness • A person ought to be just, fair, or impartial; give fair treatment and due reward • Distribution of public funds to meet the needs of the under servedCopyright ©2012 by Pearson Education, Inc. All rights reserved. Ethics, Jurisprudence, and Practice Management in Dental Hygiene, Third Edition Vickie J. Kimbrough-Walls • Charla J. Lautar Veracity • Telling the truth, truth telling • Best interest of patient • Therapeutic deception/privilege – Deception as therapy – Delay telling • A person has a duty to tell the truth and not to lie or deceive othersCopyright ©2012 by Pearson Education, Inc. All rights reserved. Ethics, Jurisprudence, and Practice Management in Dental Hygiene, Third Edition Vickie J. Kimbrough-Walls • Charla J. Lautar Veracity • Informed consent vs. – Not telling all the facts – Communication • Advertising and marketingCopyright ©2012 by Pearson Education, Inc. All rights reserved. Ethics, Jurisprudence, and Practice Management in Dental Hygiene, Third Edition Vickie J. Kimbrough-Walls • Charla J. Lautar Fidelity • Faithful • Closely related to other principles/values • A person ought to keep promises and obligations to others and abide by rules and regulationsCopyright ©2012 by Pearson Education, Inc. All rights reserved. Ethics, Jurisprudence, and Practice Management in Dental Hygiene, Third Edition Vickie J. Kimbrough-Walls • Charla J. Lautar Paternalism • Paternalism/parentalism • To act as a parent • Make decisions for another • Override autonomous decisions for benefitCopyright ©2012 by Pearson Education, Inc. All rights reserved. Ethics, Jurisprudence, and Practice Management in Dental Hygiene, Third Edition Vickie J. Kimbrough-Walls • Charla J. Lautar Utility • Usefulness • A person ought to weigh both burdens and benefits to ensure the best balance of benefits over harmsCopyright ©2012 by Pearson Education, Inc. All rights reserved. Ethics, Jurisprudence, and Practice Management in Dental Hygiene, Third Edition Vickie J. Kimbrough-Walls • Charla J. Lautar Public Health Ethical Principles • Beneficence • Nonmalficence • Autonomy • JusticeCopyright ©2012 by Pearson Education, Inc. All rights reserved. Ethics, Jurisprudence, and Practice Management in Dental Hygiene, Third Edition Vickie J. Kimbrough-Walls • Charla J. Lautar Summary • Code of ethics provides ethical core values and principles to guide professional behavior • HIPAA uphold confidentiality