CODES OF GOOD PRACTICE: HEALTHCARE PROVIDER'S PERSPECTIVE - Dr Munyadziwa Kwinda Ombudsman & Acting Registrar/CEO, Health Professions Council of ...
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CODES OF GOOD PRACTICE: HEALTHCARE
PROVIDER’S PERSPECTIVE
Dr Munyadziwa Kwinda
Ombudsman & Acting Registrar/CEO, Health Professions Council of South Africa
INTRODUCTION • Mankind was never created to rule over each other. • Unfortunately, we have more consumers than producers. Consumers always look at the world through the lens of what they can get from it, instead of what they can give to it. Producers always look at the world through the lens of what they can give to it, instead of what they can get from it: they strive to make something valuable to others…including themselves
HPCSA COMPLAINTS STATISTICS
35,0%
NATURE OF COMPLAINTS
30,0%
25,0%
20,0%
15,0%
10,0%
5,0%
0,0%PROPORTIONAL DISTRIBUTION OF COMPLAINTS PER BOARD
3.5
3
3
2.5
2
1.7
1.5
1.1
1
1 0.8 0.8
0.5 0.5
0.5 0.4 0.4
0.3 0.3
0.2 0.1 4 0.2 0.2
0.1 0.1 0.13 0.1
0 0.03 0.03 0.0 2
0
DNB DOH EHP EMB MDB MTB OCP ODO PPB PSB RCT SLH
2019/2020 2020/2021FRAUD RELATED COMPLAINTS: APRIL 2020 – FEBRUARY
2021
FRAUD CASES APRIL 2020-FEBRUARY 2021
FRAUD CASES APRIL 2020-FEBRUARY 2021
FRAUD CASES APRIL 2020-FEBRUARY 202
6# OF FRAUD CASES RECEIVED
100 94
90
80
70
60
50
40
30
20 17 17
13
10 8
10 5 7 7
3 3 4
0# OF COMPLAINTS RECEIVED PER COMPLAINT
SOURCE
100 94
90
80
70
60
50
40
40 37
30
20
12
10 5
0
TOTAL MOP MEDICAL AID PRACTITIONERS INSPECTORATE
SCHEMESDISTRIBUTION OF FRAUD CASES PER MEDICAL
AID SCHEME
40
37
35
30
25
20
20
15
10
5 4 4 4
2 2
1
0
TOTAL MEDSCHEME GEMS PLATINUM DISCOVERY LIBERTY LIFE MEDIHELP GENESIS
HEALTHDISTRIBUTION OF FRAUD CASES PER BOARD
60
54
50
40
30
20
10 8 8
6 5
3 3 3 2 2
0
MDB OCP SLH PSB ODO RCT DNB PPB EMB DOHPROPORTION OF FRAUD CASES PER BOARD
DISTRIBUTION
Chart Title
0,25
0,22
0,2
0,15
0,12
0,11
0,1
0,1
0,08
0,05
0,05
0,03 0,03 0,03
0,004
0
MDB OCP SLH PSB ODO RCT DNB PPB EMB DOHCODES OF GOOD PRACTICE
• The first booklet on general ethical guidelines contains value-oriented
principles and express the most honorable ideals to which
members of the health profession should subscribe in terms of their
conduct.
• Hence the Health Professions Act defines “unprofessional
conduct” as improper or disgraceful or dishonourable or
unworthy conduct or conduct which, when regard is had to the
profession of a person who is registered in terms of this Act, is
improper or disgraceful or dishonourable or unworthy
• Everything ethically required of a professional to maintain good
professional practice is grounded in core ethical values and standards
• The core ethical values and standards include the following: Respect
for persons, Beneficence, Non-Maleficence, Integrity, truthfulness,
compassion, justice, etc.
12INTEGRITY
• In terms of ethical rule 27A(c) of the ethical and professional
rules, a practitioner shall at all times maintain the highest
standards of personal conduct and integrity.
• Integrity includes:
Attributes such as honesty, truthfulness,
straightforwardness
Absence of lying, cheating, theft
Holding oneself to consistent moral and ethical
standards.
13MANAGING POTENTIAL CONFLICTS OF INTERESTS(Clause 5.8)
Health care practitioners should:
• Always seek to give priority to the investigation and treatment of
patients solely on the basis of clinical need
• Avoid over-servicing: they should recommend or refer patients for
necessary investigations and treatment only, and should prescribe only
treatment, drugs or appliances that serve the needs of their patients
• Declare to their patients – verbally and by a displayed notice – any
financial interest they may have in institutions, diagnostic equipment,
or the like to which they make referrals.
• Refrain from coercing patients or their family members to provide
them with gifts or any other undue benefit
14OVERSERVICING
Health care practitioners shall not:
• Provide a service or perform or direct certain procedures to be
performed on a patient that are neither indicated nor scientific or have
been shown to be ineffective, harmful or inappropriate through evidence-
based review
• Refer a patient to another health care practitioner for a service or a
procedure that is neither indicated nor scientific or have been shown to be
ineffective, harmful or inappropriate through evidence-based review
Overservicing by ordering or providing more tests, procedures or care than
is strictly necessary, is a common problem in modern healthcare and health
care practitioners must therefore not engage in any act that would
constitute overservicing of patients
15CONCLUSION “DO UNTO OTHERS WHAT YOU LIKE THEM DO UNTO YOU”
THE END
• THANK YOU
• DR KWINDA M.A
• Tel: 012 338 9388
• Cell: 0820523580
• Email: MunyadziwaK@hpcsa.co.zaYou can also read
