Chapter 16, pages 549-552 and page 628
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| one of top ranking challenges faced by most providers | timeliness & efficiency of shared access to patient information
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| patients are misdiagnosed/mistreated due to lack of | timely & easily available information at point of care
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| 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.
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| an Internet-based architecture linking disparate health care info system together allowing sharing of clinical info securely | concept of NHIN as defined by DHHS
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| was identified as critical environmental force that would significantly improve health care | HIT
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| beneficence | refers to actions that promote the well being of others; taking actions that serve the best interests of patients
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| 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
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| ethics | formal process of intentionally & critically analyzing, w/respect to clarity & consistency, the basis for one's moral judgments
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| end values | terminal values or goals that most of us strive for
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| laws | system of rules, usually enforced through a set of institutions, primary social mediator of relations between people
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| mission | broad-term statement of organization's purpose
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| defines geographical environment & population that organization serves | mission statement
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| morals | motivation based on ideas of right and wrong
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| Normative Ethics | arriving at moral standards that regulate right and wrong conduct; search for an ideal litmus test of proper behavior
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| 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
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| justice | concept of moral rightness based on ethics, rationality, law, natural law, religion, fairness, or equity
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| power | ability of one person to influence another person to do something he/she would otherwise not decide to do
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| utilitarianism | actions are to extent that they tend to promote happiness & wrong to extent that they tend to promote reverse of happiness
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| value | fundamental beliefs.truths that organization adheres to
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| 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
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| refers to your own moral choices | morality
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| refers to formal process of intentionally & critically analyzing basis for your moral judgments for clarity & consistency | ethics
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| ethics provides a formal way to | step back from conflict, search for reasons to support one choice over another, & apply reasoning in future
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| you should use an ethical decision making process to ensure that you | make reliable moral judgments in your professional practice
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| organizing structures that help us identify important language & key concepts & provide for systemic reflection & dialogue | ethical theories
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| "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
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| it supports common moral intuitions about the absolute value of persons and not only the instrumental value | advantage of deontological theory
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| 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
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| in recent years, a number of philosophers have come to doubt that there can be | only one correct ethical theory
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| ethical theories cannot | provide us with certain truths
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| ethical theories can | guide/direct our moral reasoning while striving to make reliable moral judgments
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| ethical approach characterized as abstract, impartial & detached | principle-based analysis
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| principle-based analysis involving consequences | beneficence & nonmaleficence
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| principle-based analysis involving duties | respect for autonomy & justice
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| powerful moral claim that others are obligated to respect | rights
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| ethical approach based on consideration of whether an action affirms/violates basic human rights | analysis of rights
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| considers emotional commitment & a willingness of individuals in relationships to act unselfishly for benefit of others | ethics of care
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| values sympathy, compassion, fidelity, discernment, & love | ethics of care analysis
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| ethics of care analysis does not include | well-developed basis for providing justification of courses of action
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| habit of behaving in a good way | virtue
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| ethical approach that examines feelings, motivations, & duties; examines not only actions, but individual’s character as well | virtue-based analysis
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| tools used to analyze a problem & build moral justification in a clinical setting | bioethicist’s toolbox
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| necessary part of moral analysis | disagreement
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| confronting counterarguments & responding to them makes an argument | stronger
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| during analysis should always make strongest argument possible for other choice, & then | show why your original argument is stronger
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| people can disagree about each of the steps in the | ethical decision making process
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| disagreements in the ethical decision making process include: | steps, facts, values involved, or application of moral reasoning.
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| resolution of the disagreement of the application of moral reasoning, in ethical decision making process requires | skills of respectful attention, patience & open inquiry
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| being thorough & clear thinking, challenge assumptions, figure out where disagreements lie, & striving to resolve them | responsibility in moral reasoning process
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| we must help build moral consensus when possible and | respect moral freedom when not
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| conscientious objection is | an essential ethical concept
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| withdrawing from participation in certain situations because of personal moral beliefs | conscientious objection
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| ethical issues is not what is the right thing to do rather how to do it, given the practice environment | moral distress
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| JCAHO standards require _____ to help patients, families & staff address ethical issues in clinical care | ethics mechanism
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| 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
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| coding professionals are charged with | linking documentation to the cod that reflect its meaning
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| for physicians, operative services are billed using | global packages
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| for hospitals, operative services are billed using | facility fees
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| 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
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| incidents/practices of physicians/ broker of equipment that, although not typically deemed fraudulent, are conflicting w/acknowledged sound medical, business or fiscal practices | abuse
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| responsible to ensure most current coding/billing guidelines for Medicare are comprehended by themselves, as well as will administrative staff | providers
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