legal and ethical aspects of health information management

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LEGAL AND ETHICAL ASPECTS OF HEALTH INFORMATION MANAGEMENT Important aspects and understanding ethical and legal management in work areas

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Page 1: Legal and Ethical Aspects of Health Information Management

LEGAL AND ETHICAL ASPECTS OF HEALTH INFORMATION

MANAGEMENT

Important aspects and understanding ethical and legal management in work areas

Page 2: Legal and Ethical Aspects of Health Information Management

LEGAL AND ETHICAL ASPECTS OF HEALTH INFORMATION MANAGEMENT

Providing good patient care and avoiding harm are

the cornerstones of ethical practice.

Healthcare workers want to do the right thing, but it

isn’t always clear how they should proceed. Every

situation is somewhat different, and ethical dilemmas

can arise even when a hospital has policies in place to

address them.

Page 3: Legal and Ethical Aspects of Health Information Management

LEGAL AND ETHICAL ASPECTS OF HEALTH INFORMATION MANAGEMENT

How do you see yourself overwhelmed with your decisions, who will listen to you, how keep peace of mind?

Page 4: Legal and Ethical Aspects of Health Information Management

LEGAL AND ETHICAL ASPECTS OF HEALTH INFORMATION

MANAGEMENT Ethical dilemmas

need additional discussion relate to opt-out provisions that exclude patients from

electronic record storage, sale of DE identified patient data by EHR vendors,

adolescent control of access to their data, and use of electronic data repositories to

redesign the nation's health care delivery and payment mechanisms on the basis of

statistical analyses.

Understand the overwhelming financial question is who should pay for EHR

implementation .

Dalrymple, P. W.  (2011).  Data, information, knowledge: The emerging field of health informatics.  

Page 5: Legal and Ethical Aspects of Health Information Management

LEGAL AND ETHICAL ASPECTS OF HEALTH INFORMATION MANAGEMENT

Susan A. Sallaaday, RN,PhD www.springnet.com (2000)

Ethical Problems, how to listen, answer, react to situations

Page 6: Legal and Ethical Aspects of Health Information Management

LEGAL AND ETHICAL ASPECTS OF HEALTH INFORMATION MANAGEMENT

Value Attitude Ethical Behavior

Wisdom and KnowledgeExperience promotes wisdom that helps convert information to knowledge.

Using knowledge to solve problems ethically and to do what is right.

Self-ControlSelf-control means effectively managing reactions to challenging situations and temptations.

Putting personal motivations aside and acting with objectivity by doing what is right.

JusticeActing justly and fairly is a long-term driver of ethical behavior; remember the “Golden Rule.”

Establishing just and mutually agreed upon criteria and administering them fairly to all people.

TranscendenceThe belief in a power and source outside oneself reduces self-serving actions and increases humility.

Putting institutional and/or stakeholder interests above self interests. Identifying a personal purpose that is aligned with organizational mission.

Love and KindnessTreating people with kindness helps increase the reservoir of positive affection and love.

Recognizing and encouraging others for their contributions.

Courage and IntegrityEthics requires the courage to do the right things consistently without regard to personal consequences.

Making unpopular decisions based on fair consideration of the facts.

Kerns, Charles, PHD,MA, Creating and Sustaining an Ethical Workplace (2010)

Table 1: Values —> Attitude —> Ethical Behavior Chain

Page 7: Legal and Ethical Aspects of Health Information Management

LEGAL AND ETHICAL ASPECTS OF HEALTH INFORMATION

MANAGEMENT

1-Avoiding Conflicts of Interest

2-Balancing profit with serving patients and providing charity care.

3-Wrestling with equal treatment vs. VIP treatment for donors and other

influential people.

4-Managing pediatric and geriatric patients who may not have decision-making

capacity.

5-Addressing nurses’ moral distress about providing care with minimal benefit.

Five Ethical Challenges in Healthcare

Larson, Jennifer, INTELECOM-contributor March 6, 2013

Page 8: Legal and Ethical Aspects of Health Information Management

LEGAL AND ETHICAL ASPECTS OF HEALTH INFORMATION

MANAGEMENT

Page 9: Legal and Ethical Aspects of Health Information Management

LEGAL AND ETHICAL ASPECTS OF HEALTH INFORMATION

MANAGEMENT

American Medical Association.  (2012). Meaningful use glossary and requirements table 2011-2012. Retrieved from http://www.ama-assn.org/resources/doc/hit/meaningful-use-table.pdf.iwnew

INTELECOM.  (2012).   Unethical behavior.   [Video].  Retrieved from http://searchcenter.intelecomonline.net/playClipDirect.aspx?id=E22DB555B562B463DAF364B5D1D06C253BD7A6A19A90B497470AD403278B820D2B7C05668A3E416DF7FAFB7BE2D59763

Larson, Jennifer, March 6, 2013 Five Top Ethical Issues in Healthcare, contributor. Retrieved from: http://www.amnhealthcare.com/latest-healthcare-news/five-top-ethical-issues-healthcare/

Sittig, D. F., & Singh, H.  (2011).  Legal, ethical, and financial dilemmas in electronic health record adoption and use.  Pediatrics, 127(4):e1042-7.  Retrieved from PubMed Central database.

Telemedicine technology is ready but deployments need a boost to meet exploding demand for health care access around the world, say IEEE experts.  (2011). PR Newswire.  [New York].  Retrieved from: ProQuest database

Salladay, Susan, RN, PHD, Ethical Dilemmas, Retrieved from: www. sprin^nei. com Hiirslng2000. Juh-

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