Ethical Challenges in the Management of Health Information

Front Cover
Jones & Bartlett Learning, 2001 - Medical - 387 pages
Ethical Challenges in the Management of Health Information is the first book that provides comprehensive evaluation and guidance on the ethical issues emerging as a result of technological advances in health information management. It provides a framework to guide individuals in deciding the best course of action for ethical dilemmas in health information management. Attorneys, ethicists, clinicians, physicians, and health information management professionals and academics contributing to the book will explore issues such as data storage, telemedicine and genetic testing. Real-world scenarios are included in all chapters to provide the reader with an opportunity to evaluate and resolve ethical questions. Appendixes with suggested policies and procedures are provided.

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Contents

Part IPROFESSIONAL ETHICS
1
Professional Values
10
Intersection of HIM and Ethics
16
1998 American Health Information Management
22
Chapter 2Ethical DecisionMaking Guidelines and Tools
25
Moral Distress
34
Family and Friends Should I Tell?
40
Part IIUSES OF HEALTH INFORMATION
47
Responsibilities of the Information Security Manager
204
A Model Outline for an Information Security Program
211
Chapter 12Software Development and Implementation
215
Conclusion
221
Chapter Summary
227
Data Resource Management Tools
234
Research Access to AdmissionDischargeRegistration Data
240
Scheduling Clerk Has Access to All Clinical Information
246

Dilemmas in Practice
60
Chapter 5Coding
67
Applying the Standards of Ethical Coding
73
Discovering Miscoding by Other Staff
82
The Future of Coding
88
QM Ethical Issues Facing HIM Professional
94
Enabling Ethical Conduct
100
Audit Results Indicate Inappropriate Health Care
106
Facing QM Ethical Dilemmas
109
Roles of the RS and DSS
115
Chapter Summary
129
Ethical Challenges in Public Health
142
When Duty to Ones Employer Conflicts with a Duty Owed to the Public
148
Chapter 9Managed Care
155
The Role of Information and HIM Professionals in a Managed Care Environment
162
Policies for Which the HIM Professional Can Advocate
168
Chapter Summary
170
Patient Record Integrity and Patient Security
176
EHR Technology and Ethical Issues
182
Differences When Linking EHR Systems
188
Conclusion
194
Skills for HIM Professionals in the IDS
252
EHealth and the Changing Health Care System
259
Conclusion
266
Part IVMANAGEMENT OF SENSITIVE HEALTH INFORMATION
271
Research Records
277
Ethical Issues for the HIM Professional
283
Historical and Emerging Ethical Issues
290
An Adoptee Seeks Information on Her Biological Family
296
Chapter Summary
302
Patient Confesses to the Nurses Aid
310
Conclusion
316
Competing Constituencies
322
The Intersection of Ethics and HIM Entrepreneurship
331
Negotiating Contracts
340
Chapter Summary
346
Compassion in Action for an Alcoholic Peer
354
Advocating for Ones Self
360
Precepts of Effective HIM Advocacy
366
Index
379
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