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Legal Aspects of Health Information HI 130
Instructor: Alisa Hayes, MSA, RHIA, CCRC
School of Health Sciences
Welcome Students!
Introduction
 Instructor
 Alisa Hayes, MSA, RHIA, CCRC
 Contact Information
 AIM:AlisaCHayes
 Email: [email protected]
 Office Hours
 By appointment
School of Health Science
Syllabus Information
 Location
 Course Home>syllabus
 Course Home>doc sharing
 Recommend downloading for reference
 Outcomes
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HI 135-1:
Apply the US legislative and regulatory processes to the health record-keeping
process.-Unit 2 Discussion Board
HI 135-2:
Explain legal terminology used by health information professionals.-Unit 2 Seminar
HI 135-3:
Summarize HIPAA and state/federal regulations which govern the release of
protected health information.- Unit 4 Learning Activity
HI 135-4:
Manage health care data , assuring that health care information regulations and
Standards are met. – Unit 7 Quiz
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HI135-5
Compute health care vital statistics from health care data. – Unit 9 quiz
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Syllabus Information (cont.)
•Books for course
•Course Calendar
•Discussion Boards
•Research Project
•Assignments
•Seminar
•Seminar option 2
•Discussion participation
•Grading /Timetable-by Sunday after unit end date
•Criteria and grading scale
•Timetable for grading of assignments
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Syllabus Information (cont.)
• Research Paper- Due at Unit 9
• Other
• Late arrival to seminar
• Asking questions/making comments during seminar
• Netiquette
• Plagiarism
• Questions?????
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Welcome/Background
 My Background
 Education
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Undergraduate – Indiana University Purdue University
Indianapolis (IUPUI)
Graduate – Central Michigan University
 Work History
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Medical Records Specialist
Surveillance and Utilization Reviewer
Clinical Research: Data Management, Regulatory Specialist and
Clinical Research Coordinator
School of Health Science
Welcome/Background cont.
• Future Plans
• Teaching
• Personal
• Iwakuni, Japan
• Family
• Feedback Welcome !
Let’s Begin!
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Course Home
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Announcements
SHS on Facebook
Help with Kaplan
Seminar Information
Course Level Assessments (CLAs)
Course questions area
Gradebook/DocSharing/Webilography area of course
Dropbox for assignments
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Chapter 5
Ethical Standards
 Ethics is comprised of various
 Models
 Concepts
 Theories
 Definition of ethics:
 The formal study of moral choices that conform to
standards of conduct
 Listening to one’s conscience
 Making judgments between right and wrong
School of Health Science
Chapter 5
Ethical Standards
• Morals
• Values
• Etiquette
• Law
School of Health Science
Chapter 5
Ethical Standards
 Ethical concepts: abstract ideas are
part of the values that form the basis
for decisions
 Multiple approaches to ethical reasoning
 Autonomy
 Beneficence / nonmaleficence
 Best interest standard
 Fidelity
 Justice
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Chapter 5
Ethical Standards
 Rights may vary with the moral values of
a culture
 Right to confidentiality
 Obligation of health care provider to protect health
information from improper disclosure
 Right to privacy:
 Right to be left alone or to control
personal information
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Chapter 6
Ethical Decisions and Challenges
 Challenges confronting the HIM professional are
almost limitless
 Decisions are made
 Individual level: affecting personal life
 Organizational level: affecting others
 No one right answer that applies to
every situation
 Decision maker must consider:
 Factors that influence decision making
 Process to be followed
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Chapter 6
Ethical Decisions and Challenges
•Code of Ethics- Written list of a profession’s values and
standards of conduct
•Health information manager
-Ethics are a cornerstone of the profession.
-AHIMA has promulgated the code of ethics.
•HIM has ethical obligations
-To the patient
-To other members of the health care team
-To her professional association
-To the public
-To her/himself
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Chapter 6
Ethical Decisions and Challenges
•Patient Rights
•Patient Self Determination Act (PSDA)
-Right to determine extent of care
-Right to make advanced directives (per state
law)
-Right to accept or refuse care
-Hospitals must inform patients of rights
-Hospitals must have related policies and
procedures
School of Health Science
Chapter 6
Ethical Decisions and Challenges
•General challenges in work place
-Conflict of Interest
-Impaired colleague
-Disparagement
-Truth telling and disclosure
•Role model
-Set a good example
-Accept responsibility for mistakes
•Encouraging ethical behavior
-Communicate ethical standards clearly
-Enforce standards fairly
-Respect, rewards, and punishment
•Monitoring employee conduct
-Review compliance with policies and procedures
-Explicit part of performance evaluation
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Chapter 6
Ethical Decisions and Challenges
• HIM Challenges
-Changes in care environment
-Documentation, access to, and release of
information
-Technology developments
-Changes in reimbursement systems
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Chapter 7
Bioethics Issues
•Bioethics involves:
-Ethical issues that result from technological or scientific
advances in biology and medicine
-Multiple complex issues
-Public policy questions that arise from the ethical dilemmas
Examples:
-Family Planning
-Abortion
-Perinatal Ethics
-Eugenics
-HIV/AIDS
-Organ Transplant
-Genetic Science
-Planning for End of Life
-Withholdind/Withdrawing Treatment
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Current Week
 5/18/11-5/24/11
 Complete Reading (ch 5,6,7 (pages 93-127)
 Discussion participation- Introductions & Ethics
question
 Case scenarios on ethical decisions
 Learning Activity: gives case scenarios
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Next Week
• 5/25/11-5/31/11
 Unit 2: chapters 1,2 and 4
 Select one of the case studies at the end of chapter
1, 2, or 4. Respond thoroughly to the question
posed at the end of the case study.
 Back up your answer with facts learned in the readings
 ANY QUESTIONS???
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