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Case Management · CCM

Case Management: Ethics and Legal Issues

Confidentiality, informed consent, and ethical decision-making concepts for the certified case manager tested on the CCM exam.

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What is informed consent in case management?
A patient's voluntary agreement to a course of action based on full understanding of the relevant facts.
What are the three key elements required for valid informed consent?
Capacity, disclosure of information, and voluntariness.
What is decisional capacity?
A patient's ability to understand, appreciate, and reason through information to make a specific decision.
How does legal competency differ from decisional capacity?
Competency is a legal determination made by a court; capacity is a clinical judgment about a specific decision.
Confidentiality in case management means protecting a client's ____ from unauthorized disclosure.
personal health information
What federal law sets national standards for protecting patient health information?
HIPAA (Health Insurance Portability and Accountability Act).
What is the HIPAA minimum necessary standard?
Only the minimum amount of protected health information needed to accomplish a task should be used or disclosed.
Name one common exception to a client's right to confidentiality.
Imminent risk of serious harm to the client or to another identifiable person.
What duty did the Tarasoff case establish for mental health professionals?
A duty to warn or protect an identifiable third party from a client's credible threat of violence.
What is a Release of Information (ROI) form used for?
To obtain a client's written authorization to share their protected health information with a specified party.
What is the difference between confidentiality and privileged communication?
Confidentiality is an ethical duty to protect information; privilege is a legal right that can be invoked to prevent disclosure in court.
Besides children, case managers have a legal duty to report suspected abuse of which vulnerable population?
Elderly or dependent adults.
What ethical principle refers to a client's right to self-determination?
Autonomy.
What ethical principle means "do no harm"?
Nonmaleficence.
What ethical principle obligates a case manager to act in the client's best interest?
Beneficence.

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