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prudent layperson standard

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prudent layperson standard
Emergency medicine A standard for determining the need to visit the ER, which defines an emergency as a condition that a prudent lay person, 'who possesses an average knowledge of health and medicine.' expects, may result in 1. placing the Pt in serious jeopardy, 2. serious impairment of bodily function, or 3. serious dysfunction of any bodily organs


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KEY CONCEPTS * Tort Reform * Prudent Layperson Standard for Emergency Care * Managed Care (HMO) Reform * Bipartisan Patient Protection Act of 2001 * Employee Retirement Income Security Act (ERISA) * External and Internal Appeals Process Breaking gridlock on managed care reform, a bipartisan coalition in Congress introduced the newest version of a patient bill of rights.
Reforms include: SB 50, that sets up a three-step process for denied care; HB 185, that sets up a prudent layperson standard for judging emergency medical treatment; and HB 186, that requires companies to have a process for referral to specialized physicians.
Prudent layperson standard for emergencies: Thirty-one state laws specify automatic coverage for emergency medical conditions "of sufficient severity, including severe pain, that a prudent layperson, who possesses an average knowledge of health and medicine, could reasonably expect the absence of medical attention to result in placing the person's health in jeopardy.
 
 
 
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