Law and Ethics for the Health Professions Chapter 4

The three branches of government

Legislative, executive, and judicial

Legislative Branch

Comprised of the Senate and House of Representatives; write, debate and pass bills

Executive Branch

President; orders become law without approval of Congress

Judicial Branch

Supreme Court; interprets and oversees laws

State Legislative Branch

Has those responsibilities not governed by the federal government

State Executive Branch

Governor of the state

Constitutional law

Derives from federal and state constitutions

Case Law

Established from common law and legal precedent

Common law

Body of unwitten law formed in England

Four types of law

Constitutional, case (or common), statutory, and administrative

Statutory law

Law passed by the U.S. Congress or state legislatures

Administrative law

Statutes enacted to define powers and procedures when an agency is created

Substantive law

Statutory or written law that defines and regulates legal rights and obligations

Procedural law

Defines rules used to enforce substantive law (i.e. laws that require law enforcement officers to read suspects their rights, and govern the arrest and trial process)

Criminal law

Law involving crimes against the state

Civil Law

Involves wrongful acts against persons; these often include disputes over issues of contract violation, slander, libel, trespassing, product liability, or automobile accidents; often require the payment of a sum of money to the injured party

State criminal offenses

Murder, burglary, robbery, arson, rape, larceny, mayhem, and practicing medicine without a license

Federal criminal offenses

Matters affecting national security (treason), crimes involving the country's borders, and illegal activities that cross state lines (such as kidnapping and hijacking)

Felony

An offense punishable by death or by imprisonment in a state or federal prison for more than one year

Misdemeanor

A crime punishable by fine or by imprisonment in a facility other than a prison for less than a year

Tort

A civil wrong committed against a person or property, excluding breach of contract; maybe me intentional (willful) or unintentional (accidental); must involve injury, damage to property, or deprivation of civil liberties

Tortfeasor

Person guilty of a tort

Examples of intentional torts

Assault, battery, defamation of character, false imprisonment, fraud, invasion of privacy

Unintentional torts

Acts that are not intended to cause harm but are committed unreasonably or with a disregard for the consequences; negligence

Negligence

An unintentional tort alleged when one may have performed or failed to perform an act that a reasonable person would or would not have done in similar circumstances

Jurisdiction

The power of a court to hear and decide a case before it

Plaintiff

The person bringing charges in a lawsuit

Prosecution

The government as plaintiff in a criminal case

Defendant

The person or party against whom charges are brought in a criminal or civil lawsuit

Evidence of medical malpractice

Expert testimony; existing federal and state laws; hospital bylaws; custom and community practice; accreditation standards

Contract

A voluntary agreement between two parties

Federal courts

Jurisdiction: power to hear a case

State courts

local trial, appellate, Supreme Court

4 Essential elements of contracts

Agreement, consideration, legal subject matter, contractual capacity

Expressed contracts

Written or oral agreement in which all terms are explicitly stated

Implied contracts

Unwritten or unspoken agreement whose terms result from the actions of the parties involved

Termination of contracts

Failure to pay for services; failure to keep appointments; failure to follow physician instructions; patient seeks services of another physician

Aspects of physician/patient contract

Third party payment contract (insurance); implied contracts; managed care plan contracts

Contractual rights of physicians

Make reasonable limitations on physician/patient relationship; set up a practice based on credentials; set up an office and determine hours; specialize; decide what seervices will be provided and how they will be provided

Agreement

One party makes an offer, and another party accepts it

Consideration

Something of value is bargained for as part of the agreement

Legal subject matter

Contracts are not valid and enforceable in court unless they are for legal services or purposes

Contractual capacity

Parties who enter into the agreement must be capable of fully understanding all of its terms and conditions

Breach of contract

Failure of either party to comply with the terms of a legally valid contract

Mentally incompetent

Unable to fully understand all the terms and conditions of a transaction, and therefore unable to enter into a legal contract

Voidable

Able to be set aside or to be revalidated at a later date

Minor

Anyone under the age of majority

Third-party payer contract

A written agreement signed by a party other than the patient who promises to pay the patient's bill

Patient care partnership/rights

Considerate and respectful care; information on diagnosis and treatment; information to give informed consent; right to refuse treatment; confidentiality; continuity of care; knowledge of hospital rules

Implied duties of patient

Follow physician instructions and cooperate as well as able; give all relevant information to the physician to form diagnosis; follow physician orders for treatment; pay fees for services rendered

Law of Agency

Law governing relationship between principle and agent; may be expressed on implied

Respondeat superior

Let the master answer;" physician is responsible for acts of employees

The three branches of government

Legislative, executive, and judicial

Legislative Branch

Comprised of the Senate and House of Representatives; write, debate and pass bills

Executive Branch

President; orders become law without approval of Congress

Judicial Branch

Supreme Court; interprets and oversees laws

State Legislative Branch

Has those responsibilities not governed by the federal government

State Executive Branch

Governor of the state

Constitutional law

Derives from federal and state constitutions

Case Law

Established from common law and legal precedent

Common law

Body of unwitten law formed in England

Four types of law

Constitutional, case (or common), statutory, and administrative

Statutory law

Law passed by the U.S. Congress or state legislatures

Administrative law

Statutes enacted to define powers and procedures when an agency is created

Substantive law

Statutory or written law that defines and regulates legal rights and obligations

Procedural law

Defines rules used to enforce substantive law (i.e. laws that require law enforcement officers to read suspects their rights, and govern the arrest and trial process)

Criminal law

Law involving crimes against the state

Civil Law

Involves wrongful acts against persons; these often include disputes over issues of contract violation, slander, libel, trespassing, product liability, or automobile accidents; often require the payment of a sum of money to the injured party

State criminal offenses

Murder, burglary, robbery, arson, rape, larceny, mayhem, and practicing medicine without a license

Federal criminal offenses

Matters affecting national security (treason), crimes involving the country's borders, and illegal activities that cross state lines (such as kidnapping and hijacking)

Felony

An offense punishable by death or by imprisonment in a state or federal prison for more than one year

Misdemeanor

A crime punishable by fine or by imprisonment in a facility other than a prison for less than a year

Tort

A civil wrong committed against a person or property, excluding breach of contract; maybe me intentional (willful) or unintentional (accidental); must involve injury, damage to property, or deprivation of civil liberties

Tortfeasor

Person guilty of a tort

Examples of intentional torts

Assault, battery, defamation of character, false imprisonment, fraud, invasion of privacy

Unintentional torts

Acts that are not intended to cause harm but are committed unreasonably or with a disregard for the consequences; negligence

Negligence

An unintentional tort alleged when one may have performed or failed to perform an act that a reasonable person would or would not have done in similar circumstances

Jurisdiction

The power of a court to hear and decide a case before it

Plaintiff

The person bringing charges in a lawsuit

Prosecution

The government as plaintiff in a criminal case

Defendant

The person or party against whom charges are brought in a criminal or civil lawsuit

Evidence of medical malpractice

Expert testimony; existing federal and state laws; hospital bylaws; custom and community practice; accreditation standards

Contract

A voluntary agreement between two parties

Federal courts

Jurisdiction: power to hear a case

State courts

local trial, appellate, Supreme Court

4 Essential elements of contracts

Agreement, consideration, legal subject matter, contractual capacity

Expressed contracts

Written or oral agreement in which all terms are explicitly stated

Implied contracts

Unwritten or unspoken agreement whose terms result from the actions of the parties involved

Termination of contracts

Failure to pay for services; failure to keep appointments; failure to follow physician instructions; patient seeks services of another physician

Aspects of physician/patient contract

Third party payment contract (insurance); implied contracts; managed care plan contracts

Contractual rights of physicians

Make reasonable limitations on physician/patient relationship; set up a practice based on credentials; set up an office and determine hours; specialize; decide what seervices will be provided and how they will be provided

Agreement

One party makes an offer, and another party accepts it

Consideration

Something of value is bargained for as part of the agreement

Legal subject matter

Contracts are not valid and enforceable in court unless they are for legal services or purposes

Contractual capacity

Parties who enter into the agreement must be capable of fully understanding all of its terms and conditions

Breach of contract

Failure of either party to comply with the terms of a legally valid contract

Mentally incompetent

Unable to fully understand all the terms and conditions of a transaction, and therefore unable to enter into a legal contract

Voidable

Able to be set aside or to be revalidated at a later date

Minor

Anyone under the age of majority

Third-party payer contract

A written agreement signed by a party other than the patient who promises to pay the patient's bill

Patient care partnership/rights

Considerate and respectful care; information on diagnosis and treatment; information to give informed consent; right to refuse treatment; confidentiality; continuity of care; knowledge of hospital rules

Implied duties of patient

Follow physician instructions and cooperate as well as able; give all relevant information to the physician to form diagnosis; follow physician orders for treatment; pay fees for services rendered

Law of Agency

Law governing relationship between principle and agent; may be expressed on implied

Respondeat superior

Let the master answer;" physician is responsible for acts of employees