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Legal and Ethical Aspects of Health Information- Ch 6

Compare the steps typically taken in the ethical decision-making process shown in Table 6-2 with the additional steps listed in the last section of the chapter.
This is stating the proper steps to take in making an ethical decision with the addition of challenges of doing so. It is telling us that with every ethical decision there are always going to be challenges that arise as health information management changes. What may be the proper process of making an ethical decision may change as the policies and procedures change. You must be able to stay alert and adapt to such changes.
Name the three direct ethical roles that supervisors play in organizations.
Serve as a role model, encourage ethical behavior, and monitor employee conduct.
Name five of the most frequent ethical challenges in health information management as presented in your text.
-Requirements for documentation and access to the release of information.
-Developments in technology including sharing of information.
-Changes in reimbursement systems and their coding systems.
-Impaired co-workers
How can health information managers experience ethical challenges when dealing with third parties?
Third parties who seek inappropriate access to genetic, adoption or behavioral health records, and pressure to ‘fudge’ codes to collect maximum payment.
List, in order, the steps for making ethical decisions.
1. Clearly define the issue.
2. Determine the facts of the situation.
3. Determine who the stakeholders are, the values at stake, and the obligations and interests of each stakeholder.
4. Determine what options are available and evaluate them.
5. Decide what should be done.
6. Justify the decision made by identifying the reasons that support the decision.
7. Implement the decision.
8. Evaluate the outcome of the decision.
9. Examine how to prevent the issue from recurring.
Codes of ethics are living documents.
Patients’ control over whom they seek for health care has been limited by HMOs and PPOs.
code of ethics
written lists of a profession’s values and standards of conduct
deciding what is best for a patient’s welfare without being required to consult with the patient, as in the role of a father
patient rights
entitlement to determine for herself/himself the extent of care and treatment
ethical challenge
no clear and “right” answer exists
conflict of interest
clash between obligation and self-interest
belittling or criticizing skills, knowledge, or qualifications of another professional
Patient Self-Determination Act (PSDA)
Patient’s right to determine extent of care and treatment.
Health Insurance Portability and Accountability Act (HIPAA)
Patient’s right to restrict uses or disclosures, amend, and inspect/copy his or her health information.
American Recovery and Reinvestment Act (ARRA)
Patient’s right of access to his/her electronic health information.
The effectiveness of ethics codes is greatly increased when the codes are communicated widely to its members, staff, and customers.

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