The Certificate in Healthcare Ethics, Law, Management and Policy recognizes rehabilitation professionals who successfully complete a MedBridge Education-sponsored, self-reflective 5-course sequence covering vital topic areas (see list below) . Focus topics include, among others, systematic ethical decision-making, codes of ethics and core values, fiduciary duties, pro bono service delivery and expectations, health care malpractice and liability risk management, business contracts, restrictive employment contractual covenants, legal aspects of patient care documentation, HIPAA, HITECH and their 2013 amendments, “people” management, civil rights and employment antidiscrimination laws, sexual harassment and misconduct (including patient-initiated sexual behaviors), reimbursement issues, the federal Affordable Care Act, and World Health Organization health policy standards.Who Should Get Certified
Clinicians and HealthCare administrators looking to further their knowledge in HealthCare Ethics, Law, Management and Policy.
16 hours of online video lectures and patient demonstrations.
Recorded Q&A sessions between instructors and practice managers.
Case-based quizzes to evaluate and improve clinical reasoning.
In General Legal Principles analyze the civil law system and evaluate the effectiveness of its primary purpose of promoting orderly resolution of interpersonal disputes. Next, compare and contrast health care practice settings in which constitutional “due process” of law does or does not apply. During this chapter learn how to become an advocate for, and participate in, alternatives to litigation for patient-provider disputes in order to help diminish the “litigation crisis.” Lastly, evaluate the effectiveness and fairness of recent tort reform measures undertaken by courts and legislatures, and comply with ethical and legal patient informed consent mandates.
In this chapter, learn to execute professional responsibility when engaging in professional advertising of health services. In addition, compare and contrast the 3 principle forms of intellectual property. Learn to practice cost-effective business self-protection by proactively seeking out legal counsel through bar association “lawyer referral services." Lastly, synthesize knowledge gained about business contracting into everyday health professional practice in all settings.
In this chaper, evaluate the effectiveness of the Individuals with Disabilities Education Act, and the relevant professional roles of rehabilitation professionals under its mandates. In addition, compare and contrast the 2 principle types of professional liability insurance, and decide, in consultation with legal counsel, whether and which type is best for your practice. Next, examine the key federal employment nondiscrimination statutes and ensure your (and your health care organization’s) compliance. Lastly, learn to effectively prevent workplace sexual harassment and PISBs.
In the final chapter of this course, learn to assess the effectiveness of key health care statutes, including: EMTALA, HIPAA, MH Parity Act, NPDB, PSDA, SOX and the SMDA. Gain an understanding and comply with the letter and spirit of HIPAA/HITECH in clinical practice. Comply with legal mandates and ethical fiduciary duties of the PSDA, in applicable care settings. Lastly, critique the current labor-management relations model under the NLRA, and advocate for recommended changes in the system.
A panel discussion on business, employment, health and labor law between course instructor Ron Scott, Scott Spradley (Clinic Administrator for Movement Systems Physical Therapy) and Julie Barnett (Director of the non-surgical center of Texas in San Antonio).
A panel discussion on business, employment, health and labor law between course instructor Ron Scott, Kelley Clancey (Occupation Therapist and certified Hand Therapist) and Julie Barnett (Director of the non-surgical center of San Antonio).
In this first chapter, analyze national health policy in terms of core values and ethics. Evaluate the factors that constitute an acceptable health care delivery system and learn how to become an advocate for improved patient-centered care, and protection of health care professionals’ business and proprietary interests.
Recognize the importance of accurate, concise, thorough and timely communication of vital patient information to other HCPs having a need to know, through patient care documentation. Learn how to execute legally-compliant and self-protective incident reports in clinical practice. Analyze documentation errors presented, so as to avoid them in clinical practice, and examine the advantages and disadvantages of EMRs.
Ron Scott leads you through an evaluation of the factors precipitating the HCM crisis. Next he provides a compare and contrast of legal duties owed to patients under care and relevant third parties. In this chapter synthesize your knowledge gained into fulfilling civic expectations as expert and fact witnesses. Lastly, delineate professional negligence and care-related intentional misconduct.
Evaluate your clinic’s structures, processes and outcomes to assess and improve quality care delivery to patients. Determine how to have in place evidence-based, state-of-the-art clinic guidelines, policies, procedures and protocols to optimize quality patient care delivery. Incorporate legal counsel and risk managers in in-service education to keep staff current on liability risk management avoidance tactics and strategies that comport with PCC. Lastly, reflect on and regularly reassess your personal RM profile.
A panel discussion on health policy, legal aspects of documenting patient care, and quality and risk management between course instructor Ron Scott, Scott Spradley (Clinic Administrator for Movement Systems Physical Therapy) and Julie Barnett (Director of the non-surgical center of Texas in San Antonio).
A panel discussion on health policy, healthcare malpractice, and quality and risk management between course instructor Ron Scott, Kelley Clancy(Occupation Therapist and certified Hand Therapist) and Julie Barnett (Director of the non-surgical center of San Antonio).
Evaluate HRM’s importance in health care organizations (HCOs). Examine the attributes of a “profession.” Develop “best (organizational culture) practices” to recognize and support one another in rehabilitation work settings.
Understand key quantitative HR recruitment tools: yield ratios, Markov analysis. Review and perfect your professional resume. Achieve and facilitate co-professionals’ achievement of self-actualization.
Analyze workplace gender discrimination, and be prepared to be part of its solution. Evaluate the two forms of sexual harassment. Resolve relevant cases presented.
Reflect on team management problems you have experienced, and their resolution. Incorporate new ideas presented herein. Assess you leadership style, and that of your work colleagues. Appreciate and advocate for workplace diversity among staff in rehabilitation settings.
Evaluate performance appraisal methods, and select the optimal one for your staff. Understand progressive discipline, and meet ethical & legal standards when implementing it. Take appropriate steps to optimize employee job satisfaction (morale) and productivity.
Analyze and satisfactorily resolve complex cases presenting HRM issues. Achieve, and facilitate the achievement in workplace colleagues, of self-actualization. Synthesize principles learned into clinical practice.
A panel discussion between Ron and colleagues on healthcare human resource management.
Expand your understanding of the principles and background of coding for outpatient physical therapy and occupational therapy practices. Discuss current healthcare trends and their impact on outpatient practice. Upon completion, demonstrate knowledge of codes related to diagnosis, treatment procedures and the billing.
In this chapter on Medicare, discover practical resources for current Medicare updates and the impact on clinical practice. Describe new healthcare reform issues and potential changes required for reports.
Explore how to use correct CPT and supply coding and documentation practices, while describing CPT applications for clinical practice, challenges and reimbursement implications. Gain further understanding of HCPCS codes in billing for supplies, while checking contract language for limitations for charging for supplies or equipment. Upon completion of this chapter, become knowledgeable of Medicare guidelines for use of timed codes.
In this chapter, make decisions regarding PQRS participation benefits and minuses. In addition, gain further understanding of out-of-network options for cash services, and compliance with Medicare regulations for beneficiaries receiving services or items.
Enhance your knowledge of policy changes for functional limitation reporting. Learn what to include in a letter of medical necessity, and determine how to negotiate managed care contracts.
Understand practice value of collecting patient fees at time of service. Learn what a collection agency is and how this influences patient credit reports, and learn effective front desk strategies when collecting fees.
In this chapter, discuss how to prepare for possible audits by knowing regulatory policy and rules. Identify key components of letters of medical necessity when responding to denial of payments with an appeal letter. Address how to appeal denied claims and steps to improve the process. Ultimately, define fraud and abuse and which federal agencies are involved in utilization and investigations.
An open discussion between Julie Barnett and Ron Scott, PT, EdD, JD, LLM, MA (Spanish), MSBA, MSPT, BS (HRP) regarding staying updated on policies and regulations; as well as providing tips and recommendations for the online learner to stay current on regulatory information.
An in-depth discussion on managed care contracts with Kelly Clancy, OTR/L, CHT, SMS. Included in this segment is a first-hand look at how to successfully negotiate contracts, as well as a look at differences experienced in occupational therapy.
Julie Barnett and Scott Spradling (Clinic Administrator for the Movements Systems Physical Therapy - Seattle, WA) have a discussion on practical issues that affect clinical practices that relate to insurance reimbursement, documentation, and Medicare changes.
Assess knowledge of health professional ethics via a pre-assessment and explore classical ethical theories, including deontology, teleology, utilitarianism and virtue ethics, as well as situational ethics. Evaluate similarities and differences among business, organizational and professional ethics in diverse rehabilitation practice settings. Define and distinguish morals, ethics and legal obligations as they impact rehabilitation professionals, compare and contrast professional association ethical standards and state licensing board legal and ethical standards. Examine and apply the four foundational biomedical ethical principles of beneficence, nonmaleficence, autonomy and justice, and apply them to practice.
Evaluate relevant special topics related to autonomy, nonmaleficence, and justice. Apply systematic ethical decision-making models to real and hypothetical cases involving current practice issues. Analyze and internalize core values applicable to rehabilitation professional disciplines. As well as, compare and contrast rehabilitation professional and attorney pro bono expectations.
Understand and comply with HIPAA Privacy Rule mandates in clinical practice. Review existing or develop and utilize an easy-to-administer clinical patient informed consent protocol. Take appropriate measures to prevent or minimize allegations of sexual harassment and misconduct (including patient-initiated sexual behaviors) in clinical rehabilitation practice settings.
Evaluate the concurrent and sometimes conflicting standards for delegation and supervision of patient care in rehabilitation practice settings. Comply with ethical and legal standards for delegating patient care to extenders in clinical practice and actively advocate for changes to suboptimal or ineffective standards for delegation and supervision of care, as appropriate.
Evaluate and resolve rehabilitation practice-related case problems, including, among others, gifts receipt, independent professional judgment, over- and underutilization of services, pro bono service delivery, professional advertising, professional relations, reimbursement fraud, sexual harassment and misconduct, and supervision & delegation. Synthesize concepts learned into everyday professional rehabilitation practice.
Analyze the APTA Code of Ethics, Guide for Professional Conduct and Standards of Ethical Conduct for the Physical Therapist Assistant. Evaluate the range of disparate supervision and delegation rules for physical therapy extenders across the United States. Compare and contrast APTA ethical and regulatory standards to those of other representative rehabilitation disciplines. Execute ethical and legal duties to maintain lifelong continuing clinical competence.
Amy Lee, MPT, OCS
Physical Therapy Central
Zach Steele, PT, DPT, OCS
Outpatient Physical Therapy & Rehabilitation Services
Grant R. Koster, PT, ATC, FACHE
Vice President of Clinical Operations, Athletico Physical Therapy