Ch. 6 Ethical Decisions & Challenges Flashcards
ethical decision making
individual level
affect personal life
ethical decision making
organizational or group level
affecting others
decision maker must consider
factors that influence decision making
process to be followed
factors that may influence decision maker
ethical concepts or theories
religious belief
personal experience
professional code of ethics
code of ethics
written list of a profession’s values and standards of conduct
code of ethics embody professional concepts
members of profession differentiate themselves from other occupations
-present professional autonomus decision maker
-endorse promise of loyalty
-elevate client above interest of self or fellow professionals
codes of ethics considered living documents meaning
can change over time
historically code of ethics were
more a statement that limited competition and promoted image
impose restrictions
modern code of ethics
statement of ethical and moral principles
govern conduct of members
physician code of ethics
obligation to provide competent medical service
safeguard patient confidences
study/advance scientific knowledge
recognize pt right to choose physician
cannot discriminate
health information manager ethics are a
cornerstone of the profession
American Health Information Management Association AHIMA
HIM has ethical obligation to
self
patient
members of health care team
emploer
peers
professional association
the public
effective way to communicate code of ethics
professional education:
applicability of code in workplace
consequences of unethical behavior
case by case analysis
ethics committee is used to
enforce code of ethics
establish and evaluate ethics code and related corporate policies
address ethical issues
patient rights
limitation on patient participation in care
physician must approve admission to hospital
insurance may require preapproval
third party control funding for care
patient rights
expanded recognition of rights
rise in consumer culture
move away from paternalism in medicine
patient rights
recognition pt is entitiled to decide for themselves including
consent to treatment and refuse care
patient bills of rights (1970)
privacy, confidentiality, and informed consent
patient care partnership (today)
expanded to cover what to expect in hospitals
how and where to express concerns
patient self determination act (PSDA)
right to determine extent of care
make advance directives
right to accept or refuse care
hospital must inform pt of rights
hospital must have related policies and procedures
HIPPA
federal law protect health information
pt has the right to:
access, inspect, maintain copies of PHI
notification of privacy practices
limited use or disclosure to PHI
request steps taken to keep confidential
request accounting of disclosed PHI
file complaint
American recovery and reinvestment act (ARRA)
patient have right to obtain copies PHI in electronic format
Other factors that can influence
religious
advances in science/technology
legal factors
first four steps in ethical decision making
clearly define issue
determine facts of situation
determine who the stakeholders (values at stake, obligations/interests)
determine what options are available
step 5 ethical decision making
decide what should be done
analogous situations?
legal implications?
sensibility?
feelings?
step 6-9 ethical decision mkaing
justify decision
implement decision
evaluate outcome
examine how to prevent from recurring
general challeges in workplace
conflict of interest
impaired colleague
disparagement
truth telling and disclosure
conflict of interest
self interest vs obligation to group
use position to promote self interest
appearance of impropriety
ex: accepting favors from vendor, second job with competitor
Impaired colleague
impede performance and safety risk
balance between no tolerance and support person with substance abuse
disparagement
criticizing skills of another professional
code of ethics consider personal attacks to be professional misconduct
truth telling
lack of full disclosure vs protecting trade secrets or security
deceptive communication vs puffery
plagiarism
unethical practice leading to erosion of trust
role ethics in supervision
-role model
set good example, accountability
-encouraging ethical behavior
communicate and enforce standards
-monitor employee conduct
review compliance and explicit part of performance evaluation
health care challenges
-conflict of interest
joint ventures and self referral practice
inappropriate relationship with Pt
-substance abuse/imparied colleague
increased risk
-financial issue
third party affecting medical decisions
-bioethical issue
-copy and paste of EHR
HIM challenges
-changes in care environment
-requirement for documentation, acesss to and release of information
-technology developements
-changes in reimbursement/coding system
