Week 2 HMGT 372
Patients have a bill of rights. Patients also consent to care and have a right to self-determine their
care. Those who care for patients are to keep information protected.
Select one of the patient rights (ethical or legal issues) from readings this week. Discuss with
your colleagues the right, the legal and/or ethical basis for this right and how this translates into
responsibility for a specific health service organization setting. Provide two specific real life case
examples that you find on the internet or in the print media. Examples: assisted living facilities
for disabled, long term care facility, a home care nursing association, a small physician practice,
a hospital, a rehabilitation center, or a first responder/ambulance. Remember:
1.
The patient right (with proper legal citation);
Guarantee You a Right to Appeal-
S.1012(109
th
): Patients’ Bill of Rights Act of 2005
Title 1-Improving Managed Care
Sec. 103. Internal appeals of claims denials
Sec.104. Independent external appeals procedures
The patient bill of right to a fair, fast, and objective review of any compliant against their
health plan, doctors, hospitals, or other health care personnel was discussed with managed
care colleagues.
This right includes complaints about waiting time, operating hours, the
actions of health care personnel, and adequacy of health care facilities
(healthsourceglobal.com).
The ethical basis for this right is a health care provider and or a
health service organization ethically should hold standards or professionalism and provide
the upmost quality of care.
Ethically if an organization/coverage makes a decision regarding
your care and you are not satisfied with the decision, ethically you have the right to challenge
and ask the health organization to review and change the decision.
Legal Case:
Boyd vs. Albert Einstein Medical Center HMO 1988- Denial of Hospital Admission
Mrs. Boyd discovered a lump in her breast, sought consultation from her physician.
The
physician ordered a biopsy in which she was punctured and obtained a hemothorax.
She was
hospitalized and later discharged to recover at home.

