Ch. 6 Ethical Decisions & Challenges

Question 1

ethical decision making
individual level

Answer 1

affect personal life

Question 2

ethical decision making
organizational or group level

Answer 2

affecting others

Question 3

decision maker must consider

Answer 3

factors that influence decision making
process to be followed

Question 4

factors that may influence decision maker

Answer 4

ethical concepts or theories
religious belief
personal experience
professional code of ethics

Question 5

code of ethics

Answer 5

written list of a profession’s values and standards of conduct

Question 6

code of ethics embody professional concepts

Answer 6

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

Question 7

codes of ethics considered living documents meaning

Answer 7

can change over time

Question 8

historically code of ethics were

Answer 8

more a statement that limited competition and promoted image
impose restrictions

Question 9

modern code of ethics

Answer 9

statement of ethical and moral principles
govern conduct of members

Question 10

physician code of ethics

Answer 10

obligation to provide competent medical service
safeguard patient confidences
study/advance scientific knowledge
recognize pt right to choose physician
cannot discriminate

Question 11

health information manager ethics are a

Answer 11

cornerstone of the profession
American Health Information Management Association AHIMA

Question 12

HIM has ethical obligation to

Answer 12

self
patient
members of health care team
emploer
peers
professional association
the public

Question 13

effective way to communicate code of ethics

Answer 13

professional education:
applicability of code in workplace
consequences of unethical behavior
case by case analysis

Question 14

ethics committee is used to

Answer 14

enforce code of ethics
establish and evaluate ethics code and related corporate policies
address ethical issues

Question 15

patient rights
limitation on patient participation in care

Answer 15

physician must approve admission to hospital
insurance may require preapproval
third party control funding for care

Question 16

patient rights
expanded recognition of rights

Answer 16

rise in consumer culture
move away from paternalism in medicine

Question 17

patient rights
recognition pt is entitiled to decide for themselves including

Answer 17

consent to treatment and refuse care

Question 18

patient bills of rights (1970)

Answer 18

privacy, confidentiality, and informed consent

Question 19

patient care partnership (today)

Answer 19

expanded to cover what to expect in hospitals
how and where to express concerns

Question 20

patient self determination act (PSDA)

Answer 20

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

Question 21

HIPPA

Answer 21

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

Question 22

American recovery and reinvestment act (ARRA)

Answer 22

patient have right to obtain copies PHI in electronic format

Question 23

Other factors that can influence

Answer 23

religious
advances in science/technology
legal factors

Question 24

first four steps in ethical decision making

Answer 24

clearly define issue
determine facts of situation
determine who the stakeholders (values at stake, obligations/interests)
determine what options are available

Question 25

step 5 ethical decision making

Answer 25

decide what should be done
analogous situations?
legal implications?
sensibility?
feelings?

Question 26

step 6-9 ethical decision mkaing

Answer 26

justify decision
implement decision
evaluate outcome
examine how to prevent from recurring

Question 27

general challeges in workplace

Answer 27

conflict of interest
impaired colleague
disparagement
truth telling and disclosure

Question 28

conflict of interest

Answer 28

self interest vs obligation to group
use position to promote self interest
appearance of impropriety
ex: accepting favors from vendor, second job with competitor

Question 29

Impaired colleague

Answer 29

impede performance and safety risk
balance between no tolerance and support person with substance abuse

Question 30

disparagement

Answer 30

criticizing skills of another professional
code of ethics consider personal attacks to be professional misconduct

Question 31

truth telling

Answer 31

lack of full disclosure vs protecting trade secrets or security
deceptive communication vs puffery
plagiarism
unethical practice leading to erosion of trust

Question 32

role ethics in supervision

Answer 32

-role model
set good example, accountability
-encouraging ethical behavior
communicate and enforce standards
-monitor employee conduct
review compliance and explicit part of performance evaluation

Question 33

health care challenges

Answer 33

-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

Question 34

HIM challenges

Answer 34

-changes in care environment
-requirement for documentation, acesss to and release of information
-technology developements
-changes in reimbursement/coding system