PHT 2143C Florida International University Health Care Legal Action Plan

Objective Determine and implement a moral plan of action in response to ethically challenging situations that demonstrates adherence to professional ethical guidelines and values.

Objective  Describe the process for reporting suspected abuse of vulnerable populations, as well as fraud and abuse related to the utilization of, and payment for, physical therapy and health care services.

Required Readings: 

• Clinical Decision Making in Ethical Provision of Physical Therapy Services (Clinical Decision Making for the PTA, chapter 3 p. 21)

• Realm-Individual Process-Situation (RIPS) Model of Ethical Decision-Making https://www.apta.org/uploadedFiles/APTAorg/Practic…

 

CASE SCENARIO 

Scenario 9

The daughter of your patient, Ms. Garcia, is very concerned that her mother is being discharged at the end of the week.  You have been treating the patient at facility ABC for the past 3 weeks since her CVA.  Although the patient has made significant progress she still requires assistance for transfers and gait.  The patient’s daughter would like you to treat her mother 3 to 4 times a week after you get out of work and continue with the plan of care that you are doing now.  She is willing to pay you double what you make an hour.

1.What is the problem?

2.What are the facts of the situation?

3.Using the RIPS model, how would this situation be classified on the: Realm? Individual Process? and Situation?

4.Who are the interested parties?

5.Which and why ethical standards are potentially violated? (List ethical standards using the APTA documents)

6.Is there a legal issue and why? What does the Florida Law say? (provide exact information: Website title and active link) 

8.List and analyze potential solutions. What options do you have? 

9.Choose a course of action and describe your rationale

Scenario 10

You are a CI for a PTA student. The student comes very well recommended from the ACCE. One day you notice that the patient is doing a different exercise from what you had recommended the student to present to the patient. When you ask the student, the student tells you that he found better exercises to do with the patient that are better supported by research. At this point you let it go. Another day, a colleague tells you that the student was telling a patient “I really knowabout exercises because I have the experience, I am going teach you another exercise that will really help you”. When you confronted the student, the student denied having said that but agreed that he taught the patient a similar exercise than the one you both had previously discussed.

1.What is the problem?

2.What are the facts of the situation?

3.Using the RIPS model, how would this situation be classified on the: Realm? Individual Process? and Situation?

4.Who are the interested parties?

5.Which and why ethical standards are potentially violated? (List ethical standards using the APTA documents)

6.Is there a legal issue and why? What does the Florida Law say? (provide exact information: Website title and active link) 

8.List and analyze potential solutions. What options do you have? 

9.Choose a course of action and describe your rationale

Scenario 12

Describe the process for the following:

A. Reporting suspected abuse of children and elderly patients in the state of Florida (signs of abuse, when to report, laws, what to do and who to contact), 

B. Reporting fraud and abuse related to the utilization of, and payment for, physical therapy and health care services.

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