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Wk 3 Hlth Info Mngmt

Chapter 16, pages 549-552 and page 628

one of top ranking challenges faced by most providers timeliness & efficiency of shared access to patient information
patients are misdiagnosed/mistreated due to lack of timely & easily available information at point of care
National Health Information Infrastructure NHIN endeavor working toward vision of an effective, efficient, high-quality health care system harnessing power of shared data to improve hlth of all Americans.
an Internet-based architecture linking disparate health care info system together allowing sharing of clinical info securely concept of NHIN as defined by DHHS
was identified as critical environmental force that would significantly improve health care HIT
beneficence refers to actions that promote the well being of others; taking actions that serve the best interests of patients
Code of Ethics guides the practice of people who choose given profession & sets forth values & principles defined by professions as acceptable behavior within practice setting
ethics formal process of intentionally & critically analyzing, w/respect to clarity & consistency, the basis for one's moral judgments
end values terminal values or goals that most of us strive for
laws system of rules, usually enforced through a set of institutions, primary social mediator of relations between people
mission broad-term statement of organization's purpose
defines geographical environment & population that organization serves mission statement
morals motivation based on ideas of right and wrong
Normative Ethics arriving at moral standards that regulate right and wrong conduct; search for an ideal litmus test of proper behavior
nonmaleficence one of the principal precepts of medical ethics; Latin phrase that means "First, do no harm." The phrase is sometimes recorded as primum nil nocere
justice concept of moral rightness based on ethics, rationality, law, natural law, religion, fairness, or equity
power ability of one person to influence another person to do something he/she would otherwise not decide to do
utilitarianism actions are to extent that they tend to promote happiness & wrong to extent that they tend to promote reverse of happiness
value fundamental beliefs.truths that organization adheres to
Values Clarification idea that reflecting on & understanding our own value commitments & priorities is an essential process as a precondition for ethically responsive decision making & leadership
refers to your own moral choices morality
refers to formal process of intentionally & critically analyzing basis for your moral judgments for clarity & consistency ethics
ethics provides a formal way to step back from conflict, search for reasons to support one choice over another, & apply reasoning in future
you should use an ethical decision making process to ensure that you make reliable moral judgments in your professional practice
organizing structures that help us identify important language & key concepts & provide for systemic reflection & dialogue ethical theories
"Can I as a rational person, consistently will that everyone in a similar situation will act the same way? is an example of deontological theory
it supports common moral intuitions about the absolute value of persons and not only the instrumental value advantage of deontological theory
inability to decide among duties when they conflict and inability to take some consideration of consequences when they seem to be particularly important disadvantage of deontological theory
in recent years, a number of philosophers have come to doubt that there can be only one correct ethical theory
ethical theories cannot provide us with certain truths
ethical theories can guide/direct our moral reasoning while striving to make reliable moral judgments
ethical approach characterized as abstract, impartial & detached principle-based analysis
principle-based analysis involving consequences beneficence & nonmaleficence
principle-based analysis involving duties respect for autonomy & justice
powerful moral claim that others are obligated to respect rights
ethical approach based on consideration of whether an action affirms/violates basic human rights analysis of rights
considers emotional commitment & a willingness of individuals in relationships to act unselfishly for benefit of others ethics of care
values sympathy, compassion, fidelity, discernment, & love ethics of care analysis
ethics of care analysis does not include well-developed basis for providing justification of courses of action
habit of behaving in a good way virtue
ethical approach that examines feelings, motivations, & duties; examines not only actions, but individual’s character as well virtue-based analysis
tools used to analyze a problem & build moral justification in a clinical setting bioethicist’s toolbox
necessary part of moral analysis disagreement
confronting counterarguments & responding to them makes an argument stronger
during analysis should always make strongest argument possible for other choice, & then show why your original argument is stronger
people can disagree about each of the steps in the ethical decision making process
disagreements in the ethical decision making process include: steps, facts, values involved, or application of moral reasoning.
resolution of the disagreement of the application of moral reasoning, in ethical decision making process requires skills of respectful attention, patience & open inquiry
being thorough & clear thinking, challenge assumptions, figure out where disagreements lie, & striving to resolve them responsibility in moral reasoning process
we must help build moral consensus when possible and respect moral freedom when not
conscientious objection is an essential ethical concept
withdrawing from participation in certain situations because of personal moral beliefs conscientious objection
ethical issues is not what is the right thing to do rather how to do it, given the practice environment moral distress
JCAHO standards require _____ to help patients, families & staff address ethical issues in clinical care ethics mechanism
in order to uphold public's trust in HIM profession, the goal of the study of ethics is to enable HIM professionals to make reliable moral judgments
coding professionals are charged with linking documentation to the cod that reflect its meaning
for physicians, operative services are billed using global packages
for hospitals, operative services are billed using facility fees
deliberate deception /falsification that person knows false/doesn’t believe to be true, & that they still make, distinguishing deception could result in an unauthorized benefit to person who commits act fraud
incidents/practices of physicians/ broker of equipment that, although not typically deemed fraudulent, are conflicting w/acknowledged sound medical, business or fiscal practices abuse
responsible to ensure most current coding/billing guidelines for Medicare are comprehended by themselves, as well as will administrative staff providers