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Bellwork. Get Unit 3: Legal Concerns & Insurance Issues Book Chapter Outline. Categorize the essential insurance requirements for the protection of the patient The state of being legally responsible for the harm one causes another person Legal wrongs committed against a person
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Bellwork • Get Unit 3: Legal Concerns & Insurance Issues Book Chapter Outline
Categorize the essential insurance requirements for the protection of the patient • The state of being legally responsible for the harm one causes another person • Legal wrongs committed against a person • Provides limited protection against legal liability to any individual who voluntarily chooses to provide first aid • Torts • Nonfeasance • Malfeasance • Misfeasance
HMO, PPO, POS, EPO, PHO, TPA, Medicare, Medicade, Workers Compensation, Indemnity Plan, Capitation • A provision in an insurance policy requiring the policyholder to pay a specific percentage of each medical claim • The amount owed by the insured on a yearly basis before the insurance company will begin to pay for services rendered • A periodic payment made to an insurance company by an individual policy • Description of Billing Codes used by Athletic Trainers
Objective • Topic: Legal Concerns & Insurance Issues • Do: Describe parts of negligence & Create a scenario on negligence • L.O.T: Creating
Legal Concerns for the Athletic Trainer • Lawsuits have become the rule rather than the exception • Athletic trainers are held accountable for their patient care • What they do and don’t do
New Vocab Word • Receive a new unit vocabulary sheet
Liability • Definition • The state of being legally responsible for the harm one causes another person
Liability • Uses/ Elaboration: • Athletic Trainers are liable for their actions- can be sued
Negligence • Definition • The failure to use ordinary or reasonable care
Negligence • Uses/ Elaboration: • Care that persons would normally do to avoid injury to themselves or others • Commonsense approach to the situation • Operate within limits of educational background/ license
Duty of Care • Definition • Part of the official job description
Duty of Care • Uses/ Elaboration: • What the person is suppose to do
To Prove Negligence • Duty to Care • Breach of duty (Conduct fell short) • Damages (Injury/ $)
Think, Pair, Share • Think of a person/ entity in sports (coach, athletic director, ATC, team doctor, school) and create a scenario on how they could get sued for negligence • Need to show: • Duty to Care • Breach of Duty • Damages
Bellwork • What are the 3 things one must prove in order to successfully sue for negligence? • Duty to Care • Beach of Duty • Damages
Objective • Topic: Torts (Legal Wrongs) & Legal Protection • Do: Examine & Analyze if there is a Tort • L.O.T.: Analyzing
New Vocab Word • Get out your vocab sheet
Torts • Definition: • Legal wrongs committed against a person or property of another
Torts • Uses/ Elaborations: • Doing something wrong intentionally or by negligence • Torts serve as a deterrent as stating what is acceptable
Nonfeasance • Definition: • When an individual fails to perform a legal duty
Nonfeasance • Uses/ Elaboration: • Also known act of omission • They do not do something they are suppose to do
Malfeasance • Definition: • An individual commits an act that is not legally his to perform
Malfeasance • Uses/ Elaboration: • Act of commission • Doing something outside of their duty
Misfeasance • Definition: • An individual improperly does something he or she has the legal right to do
Misfeasance • Uses/ Elaboration • Does something wrong they have the legal right to do and there are damages
Proving Negligence • Negligence suit to be successful • Prove the athletic trainer had a duty to exercise reasonable care • The athletic trainer breached that duty • Connection between the failure to use reasonable care and the injury
Other Legal Aspects • Individual with higher level of training will possess higher level of competence • Doctor vs. Athletic Trainer vs. Coach • Once an individual assumes duty of care for athlete that person has an obligation to provide appropriate care
Legal Protection* New Vocab • Sovereign Immunity • Good Samaritan Law
New Vocab Word • Get out your vocab sheet
Sovereign Immunity • Definition: • Neither the government nor any individual who is employed by the government can be held liable for negligence
Sovereign Immunity • Uses/ Elaboration: • Employed by a public school or state funded college/ university • Varies from state to state
Good Samaritan Law • Definition: • Provides limited protection against legal liability to any person who voluntarily chooses to provide first aid
Good Samaritan Law • Uses/ Elaboration: • Acts within their education and gives reasonable care
Scenario- Baseball Lawsuit • Receive Baseball Lawsuit Scenario • Answer Yes, No & Why
Bellwork • Define in your own words: • Nonfeasance • Malfeasance • Misfeasance
Objective • Topic: Legal Protection & Case Studies • Do: Evaluate, Assess & Discuss Various Case Studies • L.O.T.: Evaluating
Statutes of Limitation • Length of time an individual can sue for negligence • Varies by state (usually 1-3 years) • Time the negligent act to the lawsuit or from the time injury is discovered following negligent act • Minors have generally have an extension
New Vocab Word • Get out your vocab sheet
Assumption of Risk • Definition: • The individual, through express or implied agreement, assumes that some risk or danger will be involved in the particular undertaking.
Assumption of Risk • Uses/ Elaboration: • A person takes his/ her own chances