1. Ethics and Law/Technology H Edu 4790/6790

2. Technology - History Growth of 1950s Immunizations MRI … an example

3. Types of technology Definitive Halfway Deferral Competing Cost-saving

4. Effects of Technology Morbidity Mortality

5. Forces affecting Technology Education and practice Reimbursement The public Competition

6. Responses to Use of Technology Public sector activities –FDA –PSRO/PRO –CON Private sector –JCAHO –ISO 9000 –Tort law

7. Questions to ask

8. Managing Biomed Equipment Planning Service

9. Health Information Systems Process management Care management Demand management Health management

10. Philosophical Bases Respect for persons –Autonomy –Truth telling –Confidentiality –Fidelity Beneficence Nonmaleficence Justice

11. Views of Ethical Behavior Teleology – Utilitarian Deontology Individualism Moral-rights Justice

12. Ethical Dilemma A situation that although offering potential benefit or gain is also unethical.

13. Some theories… James Childress Nicholas Rescher

14. What is an ethical dilemma?

15. Ethical Problems Discrimination Sexual harassment Conflicts of Interest Customer confidence Organizational resources

16. Maintaining Ethics Mission, vision, values Patient’s Bill of Rights Codes of ethics Ethics committee Advance medical directives Training

17. Patient Bill of Rights Right to considerate and respectful care Right to information Make decisions Advance directives Privacy Confidentiality Review Records

18. University Hospital It is our goal to provide… Your help is needed to achieve these goals by…

19. Codes of Ethics AMA ANA

20. Advanced Medical Directives Personal Medical Decisions Medical Treatment Plan Living Will Special Power of Attorney

21. Public Health Policy Public versus private Authoritative Decisions

22. Forms of Health Policy Laws Rules/regulations Operational decisions Judicial decisions Macro policies

23. Categories Allocative (distributive) Regulatory Redistributive

24. Garbage Can Model Problems Policies Politics

25. Rulemaking Implementation Legislative to Executive Legal effect

26. Policy Outcomes Individuals Health-related organizations Interest groups

27. Contracts Offer and acceptance Consideration Legal capacity Lawful

28. Torts Civil wrong Results –Punitive –Actual Intentional torts –Types –Consent

29. Negligence Duty Breach of that duty Substantial factor in harm Injury

30. Agency/Corporate Liability Respondeat superior Corporate liability

31. Some specifics… Antitrust Emergency Medical Treatment ERISA Medicare and Medicaid Fraud Tax exempt status

32. Record Keeping!