RT Book, Section A1 Parmley, C. Lee A2 Longnecker, David E. A2 Mackey, Sean C. A2 Newman, Mark F. A2 Sandberg, Warren S. A2 Zapol, Warren M. SR Print(0) ID 1144138277 T1 Legal Issues in Anesthesiology T2 Anesthesiology, 3e YR 2017 FD 2017 PB McGraw-Hill Education PP New York, NY SN 9780071848817 LK accessanesthesiology.mhmedical.com/content.aspx?aid=1144138277 RD 2024/04/20 AB KEY POINTSACA. The Patient Protection and Affordable Care Act (ACA), voted into law in 2010 with implementation through 2014, has been upheld by the US Supreme Court, but continues to face challenges on the political front.HIPAA/HITECH. The Health Insurance Portability and Accountability Act (HIPAA) protects healthcare information while asking for acknowledgment that it may be released for uses related to medical treatment, payment, and/or healthcare operation, such as auditing performance evaluation and training program. The Health Information Technology for Economic and Clinical Health (HITECH) initiative promotes development of the Electronic Health Records (EHR) initiative with ongoing protection afforded by HIPAA.Exclusive Contracts. Exclusive arrangements are used by hospitals to contract for anesthesiology service, which may be challenged on allegation of violation of federal antikickback prohibitions and Stark Law.Medical Negligence. To succeed in a medical malpractice action, the plaintiff must prove four elements by preponderance of the evidence: (a) duty—the defendant owed a duty of care to the plaintiff, (b) breach of duty—the defendant failed to act consistently with the standards of care, (c) causation—the injury suffered by the plaintiff is linked to or caused by the defendant’s breach of duty, and (d) damages—there is actual compensable loss resulting from the defendant’s breach of duty.Guardianship. Parents are the natural guardians of their children and are expected to seek care that is in their children’s best interest when needed. Courts usually appoint a guardian other than the parent and support decisions for medical care deemed to be clearly in the child’s best interest.