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MedOff Module 4 Unit 1 Review

AB
LawA binding set of rules created and enforced to regulate behaviour, maintain order, and protect individual rights.
Medical Office Administrator Legal RoleThe MOA supports legal and ethical practice through careful scheduling, communication, documentation, and handling of patient information.
AgentA staff member who represents the healthcare facility; the organization or provider may be responsible for their actions.
Ask Document EscalateA practical approach used when unsure: ask questions, document concerns appropriately, and escalate to a supervisor or provider.
ContractA legally binding agreement between two or more parties that creates mutual obligations.
Provider-Patient RelationshipA special contractual and fiduciary relationship between a healthcare provider and patient.
Offer and AcceptanceA requirement for a valid contract in which one party offers something and the other accepts.
Legal CapacityThe ability to understand and agree to a contract, treatment, or decision.
ConsiderationSomething of value exchanged between parties in a contract.
Fiduciary RelationshipA relationship where one party has a responsibility to act in the best interests of another party.
FiduciaryThe person or party responsible for acting in the best interests of another.
BeneficiaryThe person who receives protection or benefit in a fiduciary relationship.
TrustAn important feature of the fiduciary provider-patient relationship.
Professional ResponsibilityThe obligation to act ethically, carefully, and within the expectations of the healthcare role.
Imbalance of PowerA situation where one party has more knowledge, authority, or control than another, as in the provider-patient relationship.
Honest and Ethical BehaviourConduct that supports trust, fairness, and professional responsibilities in healthcare.
Best InterestsThe requirement that providers act in a way that supports the patient’s welfare.
Reasonable CareCare using the caution and concern an ordinarily prudent and rational physician would use in similar circumstances.
AbandonmentEnding or interrupting care without giving the patient reasonable notice or support to find another provider.
ConfidentialityThe responsibility to protect patient information from unauthorized access, use, or disclosure.
Informed ConsentConsent based on understanding the nature, benefits, risks, alternatives, and consequences of treatment or information sharing.
Patient ResponsibilitiesResponsibilities such as cooperating with care plans, communicating honestly, and maintaining healthcare coverage information.
Ending the Provider-Patient RelationshipThe process of ending care, usually requiring written notice, reasonable time to find another provider, and transition support.
Withdrawal of ServicesA provider’s decision to discontinue care for a patient while following appropriate legal and professional procedures.
Immediate TerminationEnding the provider-patient relationship right away in situations such as threats of violence, fraud, theft, or unsafe behaviour.
De-RosterTo remove a patient from a provider’s roster or patient list, sometimes required before seeking care elsewhere.
Legal RiskA situation or action that may create legal consequences for healthcare workers, providers, or organizations.
Medical NegligenceWhen a provider fails to meet the accepted standard of care, resulting in patient harm or injury; generally unintentional.
Standard of CareThe accepted level of care expected from a healthcare provider in similar circumstances.
Medical MalpracticeActions or omissions resulting in patient harm when there is intentional wrongdoing or reckless disregard for patient safety.
Reckless DisregardIgnoring standards or risks in a way that may harm patient safety.
AssaultThreatening, attempting, or applying force to another person without consent.
Assault in HealthcareA legal risk that may occur when treatment is performed without consent, a patient is touched without permission, or force is used inappropriately.
Assault Causing Bodily Harm / BatteryApplication of force that causes significant harm affecting a person’s health and well-being.
Canada Health ActA law outlining federal and provincial responsibilities for publicly funded healthcare in Canada.
Regulated Health Professions LegislationLaws that regulate healthcare professions and define scopes of practice.
Scope of PracticeThe range of activities and responsibilities a regulated healthcare professional is authorized to perform.
Hospital and Public Hospital LegislationProvincial laws that govern hospital administration, management, and patient care standards.
Mandatory ReportingLegal requirements for healthcare providers to report certain situations to government agencies or regulatory bodies.
Duty to ReportA legal obligation to report specific concerns or events, such as some safety or public health issues.
Permission to WarnA situation where a provider may share limited information to help prevent harm to a patient or others.
Consent ActLegislation that sets requirements and parameters for consent to medical care or treatment.
Privacy LegislationLaws that set rules for how personal health information is collected, used, disclosed, protected, or discarded.
Personal Health Information Privacy ActLegislation that governs privacy rules for personal health information.
ConsentPermission for treatment or information sharing that must be informed, capable, voluntary, and specific.
Informed Consent RequirementThe requirement that a patient understand the treatment or information sharing before agreeing.
Voluntary ConsentConsent given freely, without coercion or pressure.
Specific ConsentConsent that applies to a particular treatment or specific information to be shared.
Consent FormA document used to record consent for treatment or disclosure of personal health information.
Disclosure of PHISharing personal health information with another person or organization when authorized or legally permitted.
Personal Health Information (PHI)Recorded, identifiable information about a person’s physical or mental health, healthcare history, or provision of services.
Release of Information (ROI)The authorized sharing or disclosure of patient information to another individual or organization.
Privileged CommunicationProtection of information shared between patients and healthcare providers; information cannot be shared without proper protocols.
Substitute Decision Maker (SDM)A person authorized to make personal care and healthcare decisions for an incapable patient.
Power of Attorney (POA)A legal document authorizing another person to make certain decisions on someone’s behalf.
Health Care Proxy (HCP)A person who may make healthcare decisions when a patient cannot communicate or decide independently.
Power of Attorney for Personal Care (POAPC)A person or document authorizing someone to make personal care decisions when a patient cannot do so.
Advance Healthcare DirectiveA document that records a patient’s wishes about future healthcare decisions and end-of-life care.
Personal Care DirectiveA document that may record a person’s wishes and decision maker for future personal or healthcare decisions.
Circle of CareHealthcare professionals directly involved in a patient’s care who may share relevant patient information to provide treatment and services.
Express ConsentConsent clearly and directly communicated by the patient, either verbally or in writing.
Implied ConsentConsent assumed based on a patient’s actions, behaviour, or the situation.
Need-to-Know PrincipleThe principle that staff should only access or share information needed to perform their role.
Privacy BreachAn incident where personal health information is accessed, used, disclosed, or exposed improperly.
Minimum Necessary InformationOnly the smallest amount of information needed for the purpose should be shared.
Sensitive InformationInformation that requires extra care because disclosure could affect privacy, dignity, or safety.
Workplace Privacy PolicyAn organizational policy that guides staff in protecting patient privacy and handling personal health information.
Physical SafeguardA physical measure used to protect information, such as locking screens or preventing others from viewing documents.
Electronic SafeguardA technology-based measure used to protect information, such as logging out of workstations or limiting access.
ROI FormA form commonly used to document authorization for release of patient information.
Written AuthorizationWritten permission to disclose information or proceed with a specific action.
Reasonable Time to RespondA period allowed for a clinic to process requests, such as requests for copies of health records.
Front Desk PrivacyProtecting personal health information during reception interactions by using neutral language and avoiding public discussion of sensitive details.
Voicemail PrivacyLeaving only minimal information on voicemail unless workplace policy or patient consent allows more detail.
Mature MinorA minor who may be considered capable of making certain healthcare decisions, depending on jurisdiction and provider assessment.
Legal AuthorityProper legal permission, such as a warrant, subpoena, patient consent, or law permitting disclosure.
Confidentiality ResponseThe process of verifying consent, following policy, documenting concerns, and escalating when unsure.
Health Care Consent ActOntario legislation related to consent for healthcare treatment.
Medical Consent of Minors ActNew Brunswick legislation related to medical consent for minors.
Advance Health Care Directives ActNew Brunswick legislation related to advance healthcare decision-making.
Medical Consent ActNova Scotia legislation related to consent to medical treatment.
PHIPAPersonal Health Information Protection Act in Ontario.
PHIPPAPersonal Health Information Privacy and Access Act in New Brunswick.
PHIAPersonal Health Information Act in Nova Scotia.



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