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Ethical Challenges in the Management of Health Information

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ISBN-10: 0763747327

ISBN-13: 9780763747329

Edition: 2nd 2006 (Revised)

Authors: Laurinda Beebe Harman

List price: $179.95
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NEW!This title is now available as a set withnbsp;Medical Records and the Law. Perfect for your courses dealing with both the law and the ethics of health information management. Contact yournbsp; publisher's representative to learn more The protection of privacy and confidential information is the primary ethical obligation of the health information management (HIM) professional and this obligation is central to the decisions that are made on behalf of patients.nbsp; Published in conjunction with the American Health Information Management Association (AHIMA), Ethical Challenges in the Management of Health Information, Second Edition addresses HIPAA and contains all new chapters on…    
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Book details

List price: $179.95
Edition: 2nd
Copyright year: 2006
Publisher: Jones & Bartlett Learning, LLC
Publication date: 3/16/2006
Binding: Paperback
Pages: 656
Size: 10.25" wide x 7.00" long x 1.50" tall
Weight: 3.256

Contributors
Foreword
Preface
Acknowledgments
Professional Ethics
Professional Values and the Code of Ethics
Learning Objectives
Abstract
Ethical Dilemmas For The HIM Professional
The Health Information System: Then And Now
Role of the HIM Professional
Professional Code of Ethics
Professional Values
Building an Ethical Health Information System
The Intersection of HIM and Ethics
Key Terms
Chapter Summary
1957 Code of Ethics for the Practice of Medical Record Science
1977 American Medical Record Association Bylaws and Code of Ethics
1988 American Medical Record Association Code of Ethics and Bylaws
1998 American Health Information Management Association Code of Ethics and Bylaws
2004 American Health Information Management Association Code of Ethics
Ethical Decision-Making Guidelines and Tools
Learning Objectives
Abstract
Documentation and DRG Assignment
What Is an Ethical Issue?
Why Is it Important to Identify and Address Ethical Issues?
But You Can't Teach Ethics, Can You?
The Process of Ethical Decision-Making
Justification in Ethical Reasoning: How Do You Know What Is Best?
Moral Distress
Retrospective Documentation to Increase Reimbursement
Ethics Resources
Conclusion
Key Terms
Chapter Summary
Ethical Decision-Making Matrices
Blank Ethical Decision-Making Matrix
Privacy and Confidentiality
Learning Objectives
Abstract
Family and Friends: Should I Tell?
Privacy and Confidentiality
Release of Information
The HIPAA Privacy Rule
Blanket Authorizations
Patient Concerns
Professional Concerns
Ethical Challenges
Conclusion
Key Terms
Chapter Summary
Ethical Decision-Making Matrix
Uses of Health Information
Compliance, Fraud, and Abuse
Learning Objectives
Abstract
Documentation Does Not Justify Billed Procedure
Traditional Regulations that Guide HIM Professionals
More Recent Regulations That Guide HIM Professionals
HIPAA Administrative Simplification Standards
Roles for HIM Professionals
Compliance Programs to Prevent Fraudulent Behaviors
Dilemmas in Practice
Accepting Money for Information
Retrospective Documentation to Avoid Suspension
Coder Assigns Code Without Physician's Documentation
Conclusion
Key Terms
Chapter Summary
Ethical Decision-Making Matrices
Clinical Code Selection and Use
Learning Objectives
Abstract
Coding an Inappropriate Level of Service
HIPAA and Billing Activities
Ethical Approaches to Coding Situations
Applying the AHIMA Standards of Ethical Coding
Ethical Dilemmas for the Coding Professional
Discovering Misrepresentation in Physician Documentation
Miscoding to Avoid Conflicts
Discovering of Miscoding by Other Staff Members
Lacking the Tools to do One's Job
Being Required by the Employer to Engage in Negligent Coding Practices
Supporting Application Software that Facilitates Questionable Results
Professional Practice Solutions
The Future of Coding
Key Terms
Chapter Summary
Ethical Decision-Making Matrices
Questionable Results
Quality Review
Learning Objectives
Abstract
Quality Management
Inaccurate Performance Data
QM Ethical Issues Facing HIM Professionals
Home Health Care and Central-Line Infections
Ethical Standards Affecting QM Activities
Failure to Check Physician's Licensure Status
Hiding Incomplete Medical Records
Making Ethical Decisions
Audit Results Indicate Inappropriate Health Care
QM Situations that Raise Ethical Questions
Enabling Ethical Conduct
Conclusion
Key Terms
Chapter Summary
Scenarios-Survey Results and Ethical Decision-Making Matrices
Research and Decision Support
Learning Objectives
Abstract
Designing a Survey to Bias the Results
Roles of the RS and DSS
Ethical Responsibilities of the RS and DSS
Conclusion
Key Terms
Chapter Summary
Ethical Decision-Making Matrix
Public Health
Learning Objectives
Abstract
Reporting HIV Status
Public Health: An Overview
Ethical Challenges in Public Health
When Duty to One's Employer Conflicts with a Duty Owed to the Public
The HIM Professional's Role and Responsibility as an Advocate
Emerging Issues: Bioterrorism and Global Infections
The Terrorism Preparedness Act
Conclusion
Key Terms
Chapter Summary
Ethical Decision-Making Matrices
Managed Care: Lessons of Integration
Learning Objectives
Abstract
Complexity of Choosing a Managed Care Plan
What Is Managed Care?
Growth of Managed Care
Managed Care Strategies
The Role of Information and HIM Professionals in a Managed Care Environment
Ethical Dilemmas for HIM Professionals
Provision of Information by Physician Practices
HIM Professionals in Provider Organizations
Policies for Which the HIM Professional Can Advocate
Conclusion
Key Terms
Chapter Summary
Ethical Decision-Making Matrices
Clinical Care: End of Life
Learning Objectives
Abstract
Bad News
Aging, Frailty, and Information Ethics
Evolution of Autonomy
Cultural Influences on Autonomy
Physician Bias and Equity: A Systems Issue
Treatment Choices
Information Across a Healthcare Continuum
Treatment Goals and Beneficence
Advance Care Planning
Advance Care Planning: An Opportunity
The Meaning of Terminal
Advance Care Planning and Law
Palliative Care
Managing Pain
Ethics Committees
Palliative Care
Emerging Issues
Key Terms
Chapter Summary
Ethical Decision-Making Matrices
Computerized Health Information
Electronic Health Records
Learning Objectives
Abstract
Patient Record Integrity and System Security
EHR Systems: Functions and Expected Features
EHR Systems in the Twenty-First Century
EHR Technology and Ethical Issues
Differences when Linking EHR Systems
Conclusion
Key Terms
Chapter Summary
Ethical Decision-Making Matrices
Information Security
Learning Objectives
Abstract
A Curious Human Resource Employee
The Healthcare Information Revolution
The Role of the ISO
Concepts in Information Security
Privacy-Related Security
Establishing a Security Baseline
Failure to Log Off of the System
Storing Data on a Laptop Computer
Key Terms
Chapter Summary
Ethical Decision-Making Matrices
Software Development and Implementation
Learning Objectives
Abstract
Planning the EHR: Competing Interests
Consultant's Approach
Information Gathering
Conclusion
Key Terms
Chapter Summary
Ethical Decision-Making Matrix
Data Resource Management
Learning Objectives
Abstract
Data Resource Management in Health Care
Impact of HIPAA Regulations on Data Resource Management
Data Resource Management Tools
The Physicians Resist a New Password Policy
Ethical Dilemmas for Data Resource Managers
Threat to Integrity of the CDR
Research Access to Admission/Discharge/Registration Data
Conclusion
Key Terms
Chapter Summary
Ethical Decision-Making Matrices
Integrated Delivery Systems
Learning Objectives
Abstract
Scheduling Clerk Has Access to All Clinical Information
Privacy and Security Issues
Data Quality Issues
Inconsistencies in the MPI
Required Skills for HIM Professionals
Conclusion
Key Terms
Chapter Summary
Ethical Decision-Making Matrices
E-Health for Consumers, Patients, and Caregivers
Learning Objectives
Abstract
Equity and Privacy
E-Health and the Changing Healthcare System
E-Health and National Policy
E-Health and the HIM Professional
Some E-Health Ethical Issues
Ensuring Online Quality and Privacy Protections
Emerging Issues
Conclusion
Key Terms
Chapter Summary
Examples of Guidelines, Policies, and Codes of Conduct for Health Websites
Ethical Decision-Making Matrices
E-HIM: Information Technology and Information Exchange
Learning Objectives
Abstract
Introduction
The HIM Professionals' Role in eHIM
Conclusion
Key Terms
Chapter Summary
Management of Sensitive Health Information
Genetic Information
Learning Objectives
Abstract
Genetic Privacy
The Issue of Genetic Information
The Relationship Between Genetic Information and Generic Medical Information
What Do We Mean by Privacy of Medical Information?
Research Records
The Misuse of Genetic Information and Discrimination
Federal Legislative Protections
State Legislative Protections
Legislation on Research Record Privacy
Ethical Issues for the HIM Professional
Conclusion
Key Terms
Chapter Summary
Ethical Decision-Making Matrix
Adoption Information
Learning Objectives
Abstract
Seeking Information Many Years Later
Adoption: Historical and Emerging Ethical Issues
Who's Who in Adoption: Some Explanations of Terminology
Ethical Issues for HIM Professionals
An Adoptee Seeks Information on Her Biological Family
A Birth Mother Seeks Information on Her Biological Son
Future Issues
Key Terms
Chapter Summary
Ethical Decision-Making Matrices
Drug, Alcohol, Sexual, and Behavioral Information
Learning Objectives
Abstract
The Arrest Warrant: Is This Person in Your Facility?
Substance Abuse Treatment, Health Information, and the Law
Ethical Challenges in Behavioral Health and Substance Abuse Treatment
Safety of a Citizen versus Privacy of a Patient
Patient Confesses to a Psychiatrist
Patient Confesses to the Nurse's Aide
Verifying Admission Can Violate Privacy
A Prisoner Who May Have AIDS
Workers' Compensation Case
Children's Protective Services
Conclusion
Key Terms
Chapter Summary
Ethical Decision-Making Matrices
Roles
Management
Learning Objectives
Abstract
Lateness and Absenteeism
Moral Development and Awareness
National Convention Misadventures
Orientation of New Employees
Avoiding the Employee Who Will Be Fired
The Code of Ethics is Not Enough
When Leadership Fails
Failure to Document Poor Work Performance for a Friendly Employee
Moral Muteness
Conclusion
Key Terms
Chapter Summary
Ethical Decision-Making Matrices
Entrepreneurship
Learning Objectives
Abstract
Competing Constituencies
Entrepreneurship in Health Information Management
Entrepreneur versus Intraprenuer
Business Ethics: Concepts and Principles
The Intersection of Ethics and HIM Entrepreneurship
Negotiating Contracts
Unrealistic Client Expectations
Discovering Sensitive Information about a Client, Competitor, or Colleague
Conclusion
Key Terms
Chapter Summary
Ethical Decision-Making Matrices
Vendor Management
Learning Objectives
Abstract
Vendor Request
Vendor Relations
Vendors as Friends
Gifts
Preferred Vendors
Request for Proposals
Negotiating
Negotiation
Enhancement of Vendor Relationships
Ethical Behavior
Conclusion
Key Terms
Chapter Summary
Sample Gifts Policy
Ethical Decision-Making Matrices
Advocacy
Learning Objectives
Abstract
Violating Privacy of a Prominent Citizen
Advocacy: The Choice of Ethics in Action
Advocating for Patients
Compassion in Action for an Alcoholic Peer
Advocating for Peers
Cockroaches in the HIM Department
Advocating for Staff
Unfair Treatment of Part-time Workers
Small Print on a Consent Form
Advocating for the Healthcare Organization
The Data Warehouse Wants to Sell Patient Information
Advocating for the Larger Community and Society
Advocating for One's Self
Conclusion
Key Terms
Chapter Summary
Example of Organizational Engagement in Societal Advocacy
Precepts of Effective HIM Advocacy
Ethical Decision-Making Matrices
Glossary
Index
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