Book description
Ethical Informatics is an invaluable resource for HIM, the healthcare team (nursing, physical therapy, occupational therapy et al.), information technology (IT) students (associate, baccalaureate and graduate) and practitioners. Each chapter includes ethical “real life” scenarios, a discussion of the issues, and a decision-making matrix for each scenario that facilitates an understanding of ethical ways to respond to the problem and actions that would not be considered ethical.
Table of contents
- Cover Page
- Title Page
- Copyright Page
- Dedication
- Contents
- Contributors
- Foreword
- Preface
- Acknowledgments
-
SECTION I Professional Ethics
-
Chapter 1 Professional Values and the Code of Ethics
- Learning Objectives
- Introduction
- Ethical Dilemmas for the HIM Professional
- The Health Information System: Then and Now
- Role of the HIM Professional
- HIM Profession and Ethical Pledge
-
Professional Codes of Ethics
- AHIMA Code of Ethics
- Preamble
- Patients and the Healthcare Team
- Employer
- Public Interest
- Professional Associations and Peers
- Accountability to the AHIMA Code of Ethics
- Policy and Procedure
- Ethical Tools
- Consequences of Unethical Behavior
- American Nurses Association Code of Ethics
- Principles of Medical Ethics for Physicians
- Shared Professional Values
- Building an Ethical Health Information System
- Conclusion
- Key Terms
- Chapter Summary
- References
- Appendix 1-A: 1957 Code of Ethics for the Practice of Medical Record Science
- Appendix 1-B: 1998 American Health Information Management Association Code of Ethics
- Preamble
- Appendix 1-C: 2011 American Health Information Management Association Code of Ethics
- Preamble
- Purpose of the American Health Information Management Association Code of Ethics
- The Code of Ethics and How to Interpret the Code of Ethics
- The Use of the Code
- Code of Ethics 2011 Ethical Principles
- Resources
- Appendix 1-D: Common Values of Health Care Regulators
- Values of Health Care Professionals
- Appendix 1-E: Ethical Challenges Chapter Abstracts
- Professional Ethics
- Uses of Information
-
Electronic Health Information
- Chapter 12: Electronic Health Records
- Chapter 13: Information Security
- Chapter 14: Information Technology and Biomedical Instrumentation
- Chapter 15: Information Governance and Management
- Chapter 16: Integrated Delivery Systems
- Chapter 17: Digital Health: Health Information Technology and Information Exchange
- Sensitive Health Information
- Consumer and Professional Informatics
-
Chapter 2 Ethical Decision-Making Guidelines and Tools
- Learning Objectives
- Introduction
- What Is an Ethical Issue?
- Why Do Ethical Issues Need to Be Addressed?
- But You Can’t Teach Ethics, Can You?
- The Process of Ethical Decision Making
- Justification in Ethical Reasoning: How Do You Know What Is Best?
- Moral Distress
- Ethics Resources
- Conclusion
- Key Terms
- Chapter Summary
- References
- Blank Ethical Decision-Making Matrix
- Ethical Decision-Making Matrices
-
Chapter 3 Privacy and Confidentiality
- Learning Objectives
- Introduction
- Protecting Health Information
- Privacy and Confidentiality
- Release of Information
- The HIPAA Privacy Rule
- Blanket Authorizations
- Breaches
- Patient Concerns
- Professional Concerns
- Ethical Challenges
- Conclusion
- Key Terms
- Chapter Summary
- References
- Ethical Decision-Making Matrices
-
Chapter 1 Professional Values and the Code of Ethics
-
SECTION II Uses of Information
-
Chapter 4 Data Analytics
- Learning Objectives
- Introduction
- The Role of Data Analytics in Health Care
- Medical Data and the Data Collection Process
- Ethical Dilemmas Associated with Big Data and Data Analytics
- Big Data Analysis Techniques Used to Analyze Medical Data
- Conclusion
- Key Terms
- Chapter Summary
- References
- Ethical Decision-Making Matrices
-
Chapter 5 Compliance, Fraud, and Abuse
- Learning Objectives
- Introduction
- Regulations that Guide HIM Professionals
- Compliance Programs to Prevent Fraudulent Behaviors
- Dilemmas in Practice
- Conclusion
- Key Terms
- Chapter Summary
- References
- Ethical Decision-Making Matrices
-
Chapter 6 Coding
- Learning Objectives
- Introduction
- The Function of Coding
- Legal Foundation and Framework for Ethical Coding
- Ethical Foundations and Ethical Standards
- Main Ethical Challenges
- Making a Decision and Making Your Case
- Conclusion
- Key Terms
- Chapter Summary
- References
- Appendix 6-A: American Health Information Management Association Code of Ethics
- Preamble
- Purpose of the American Health Information Management Association Code of Ethics
- The Code of Ethics and How to Interpret the Code of Ethics
- The Use of the Code
- Code of Ethics 2011 Ethical Principles
- Resources
- Appendix 6-B: American Health Information Management Association Standards of Ethical Coding
- Introduction
- Standards of Ethical Coding
- Resources
- How to Interpret the Standards of Ethical Coding
- Ethical Decision-Making Matrices
-
Chapter 7 Quality Management
- Learning Objectives
- Introduction
- Quality Management
- Ethical Issues Facing QM Professionals
- Ethical Standards Affecting QM Activities
- Making Ethical Decisions
- QM Situations Raising Ethical Questions
- Enabling Ethical Conduct
- Conclusion
- Key Terms
- Chapter Summary
- References
- Ethical Decision-Making Matrices
- Chapter 8 Research and Decision Support
- Chapter 9 Public Health and Informatics
-
Chapter 10 Longitudinal Coordinated Care
- Learning Objectives
- Introduction
- The Ever-Changing Healthcare Scene
- Health Care in Transition
- Exploring the Ethical Dimensions of PCMH and Longitudinal Care
- Conclusion
- Key Terms
- Chapter Summary
- References
- Ethical Decision-Making Matrices
-
Chapter 11 Clinical Care: End-of-Life
- Learning Objectives
- Introduction
- Autonomy and Beneficence
- Are Physicians Getting the Right Message Out to Patients?
- Physician Bias and Equity: A Systems Issue
- Information Across a Healthcare Continuum
- Treatment Goals and Beneficence
- Advance Care Planning: An Opportunity
- The Meaning of Terminal
- Managing Pain
- Palliative Care
- Emerging Issues
- Conclusion
- Key Terms
- Chapter Summary
- References
- Ethical Decision-Making Matrices
-
Chapter 4 Data Analytics
-
SECTION III Electronic Health Information
-
Chapter 12 Electronic Health Records
- Learning Objectives
- Introduction
- EHR Systems: Functions and Expected Features
- EHR Systems in the Twenty-First Century
-
EHR Technology and Ethical Issues
- Patient Privacy
- Data Quality
- Patient Interest
- Organizational Values
- Making Ethical Decisions
- Ethical Issues in Implementation
- Additional Ethical Issues in Implementation Planning
- Clinical Care Process
- Data Correction and Editing Process
- System Problems
- Health Information Access Capabilities
- Scenario 12-B: Parent Access to Child’s Health Information
- Expanded Use of Health Information
- Infrastructure Strengths and Weaknesses
- New Opportunities for Vendors and Healthcare Organizations
- Scenario 12-C: Differences When Linking EHR Systems
- User Access
- Security Practices
- Data Quality/Integrity
- Confidentiality Agreements
- Notifying Patients About Information Practices
- Audit Trails and Email
- Conclusion
- Key Terms
- Chapter Summary
- References
- Ethical Decision-Making Matrices
-
Chapter 13 Information Security
- Learning Objectives
- Introduction
- The Healthcare Information Revolution
- The Role of the CIO
- Access and Information Security
- Privacy-Related Security
-
Establishing a Security Baseline
- Policies and Procedures
- Need to Know and Data Sharing
- Access Control
- Unique User Identification
- Scenario 13-B: Failure to Log Out of the System
- Audit Trails
- Workstation Use and Security
- The Internet, Email, and E-Health
- Conducting a Risk Analysis
- Identifying Vulnerabilities
- Scenario 13-C: Storing Data on a Laptop Computer
- Interoperability
- Patient Notification and Informed Consent
- Conclusion
- Key Terms
- Chapter Summary
- References
- Ethical Decision-Making Matrices
-
Chapter 14 Information Technology and Biomedical Instrumentation
- Learning Objectives
-
Introduction
- Biomedical Instrumentation and Interoperability
- Scenario 14-A: Lack of Interoperability
- Medical Device Interoperability Defined
- The Need for Interoperability
- Codes of Ethics
- Ethical Issues for Interface Development
- Interface Development and Biomedical Device Integration
- Functional Medical Device Interoperability
- Scenario 14-B: Data Interface Decisions
- Consultant’s Perspective
- Information Gathering
- Key Considerations
- Benefits of Functional Device Interoperability
- Prioritizing Device Integration
- A Collaborative Approach to Decision Making
- Scenario 14-C: Data Interface Quality
- Conclusion
- Key Terms
- Chapter Summary
- References
- Ethical Decision-Making Matrices
- Chapter 15 Information Governance and Management
- Chapter 16 Integrated Delivery Systems
-
Chapter 17 Digital Health: Information Technology and Information Exchange
- Learning Objectives
- Introduction
- Goals and Objectives
- Health Information Technology and Health Information Exchange
- Health Information Exchange
- Data and Information Governance
- Evolving Roles, Responsibilities, and Challenges
- Background and History of Public- and Private-Sector Activities
- Ethical Challenges
- Conclusion
- Key Terms
- Chapter Summary
- References and Resources
- Ethical Decision-Making Matrices
-
Chapter 12 Electronic Health Records
-
SECTION IV Management of Sensitive Health Information
- Chapter 18 Genetic Information
- Chapter 19 Adoption Information
-
Chapter 20 Substance Abuse, Behavioral Health, and Sexual Information
- Learning Objectives
- Introduction
- Substance Abuse Treatment, Health Information, and the Law
-
Ethical Challenges in Behavioral Health and Substance Abuse Treatment
- Law Enforcement Requests Patient-Identifying Information
- Scenario 20-B: Safety of a Citizen Versus Privacy of a Patient
- Law Enforcement Requests Patient Information for Public Safety Reasons
- Scenario 20-C: Patient Confesses to a Psychiatrist
- A Behavioral Health Patient Confesses to a Staff Member That He Has Committed a Crime
- Scenario 20-D: Patient Confesses to the Nurse’s Aide
- Protecting Information About a Patient’s Admission to a Behavioral Health Unit of a General Hospital
- Scenario 20-E: Verifying Admission Can Violate Privacy
- Requests for Information on Sexually Transmitted Diseases (STDs)
- Conclusion
- Key Terms
- Chapter Summary
- References
-
Ethical Decision-Making Matrices
- Scenario 20-A: The Arrest Warrant: Is This Person in Your Facility?
- Scenario 20-B: Safety of a Citizen Versus Privacy of a Patient
- Scenario 20-C: Patient Confesses to a Psychiatrist
- Scenario 20-D: Patient Confesses to the Nurse’s Aide
- Scenario 20-E: Verifying Admission Can Violate Privacy
- Scenario 20-F: A Prisoner Who May Have AIDS
- Scenario 20-G: Workers’ Compensation Case
- Scenario 20-H: Children’s Protective Services
-
SECTION V Consumer and Professional Informatics
-
Chapter 21 Digital Health Technologies for Consumers, Patients, and Caregivers
- Learning Objectives
- Introduction
- The HIM Professional and Consumer, Patient, and Caregiver Digital Health Technologies
- Consumer, Patient, and Caregiver Digital Health Technologies
- Benefits and Risks of Digital Health Technologies
- Special Considerations for Privacy and Security Management in Digital Health Technologies
- Patient Portals and Their Special Significance for HIM Professionals
- National Policy Related to Digital Health Technology for Consumers, Patients, and Caregivers
- Information Access and the HIM Professional
- Ethical Issues Related to Consumer, Patient, and Caregiver Digital Technology Access
- Emerging Issues
- Conclusion
- Key Terms
- Chapter Summary
- References
- Ethical Decision-Making Matrices
-
Chapter 22 Management and Leadership
- Learning Objectives
- Introduction
- Moral Development and Moral Awareness
- Moral Awareness
- Moral Muteness
- Orientation of New Employees
- Ethical Organizational Leadership: Beyond a Mission Statement and Code of Ethics
- Ethical Frameworks for Diversity Management
- The Ethical Leader: Doing the Right Thing
- Conclusion
- Key Terms
- Chapter Summary
- References
-
Ethical Decision-Making Matrices
- Scenario 22-A.1: Lateness and Absenteeism—Fire the Employee
- Scenario 22-A.2: Lateness and Absenteeism—Don’t Fire the Employee
- Scenario 22-B: Concerns in Telecommuting
- Scenario 22-C: Failure to Document Poor Work Performance for a Friendly Employee
- Scenario 22-D: Avoiding the Employee Who Will Be Fired
-
Chapter 23 Entrepreneurship
- Learning Objectives
- Introduction
- Entrepreneurship in Health Information Management
-
Entrepreneur versus Intrapreneur
- Function-Based Issues for the Consultant
- Rights of the Independent Contractor
- The Expert Role
- Delivering a Difficult Message
- Advice Not Taken
- Conflicts of Interest
- The Collaborative Role
- Scapegoating
- Special Opportunities for the Consultant to Act as Moral Voice
- Relationship-Based Issues for the Independent Contractor
- Social Isolation
- Business Ethics: Concepts and Principles
- The Intersection of Ethics and HIM Entrepreneurship
- Conclusion
- Key Terms
- Chapter Summary
- References
- Ethical Decision-Making Matrices
-
Chapter 24 Vendor Management
- Learning Objectives
- Introduction
- Vendor Relations
- Requests for Proposals
- Negotiation
- Enhancement of Vendor Relationships
- Ethical Behavior
- Conclusion
- Key Terms
- Chapter Summary
- References
- Appendix 24-A: Sample Gifts Policy
- Appendix 24-B: Sample Conflict of Interest Policy
- Ethical Decision-Making Matrices
-
Chapter 25 Advocacy
- Introduction
- Advocacy: The Choice of Ethics in Action
- Advocating for Patients
- Patient Rights
- Health Information: Individual Patient and Collective Patient Stories
- Advocating for Peers
- Advocating for Staff
- Advocating for the Healthcare Organization
- Advocating for the Larger Community and Society
- Advocating for One’s Self
- Conclusion
- Key Terms
- Chapter Summary
- References
- Appendix 25-A: Example of Organizational Engagement in Societal Advocacy
- Appendix 25-B: Precepts of Effective HIM Advocacy
-
Ethical Decision-Making Matrices
- Scenario 25-A: Violating the Privacy of a Prominent Citizen
- Scenario 25-B: Compassion in Action for an Alcoholic Peer
- Scenario 25-C: Cockroaches in the HIM Department
- Scenario 25-D: Unfair Treatment of Part-Time Workers
- Scenario 25-E: Small Print on a Consent Form
- Scenario 25-F: The Data Warehouse Wants to Sell Patient Information
-
Chapter 21 Digital Health Technologies for Consumers, Patients, and Caregivers
-
SECTION VI Looking to the Future
-
Chapter 26 Future Challenges and Opportunities
- Learning Objectives
- Introduction
- Uses of Information
- Professional Roles
-
Emerging Trends
- Technology Explosion
- Digital Health: Health Information Technology and Information Exchange
- Digital Health Technologies for Consumers, Patients, and Caregivers
- Electronic Health Records
- Integrated Delivery Systems
- Biomedical Instrumentation and Interoperability
- Growth for Healthcare Expenditures
- Growth for HIT
- Challenges
- Opportunities
- Conclusion
- Key Terms
- Chapter Summary
- References
-
Chapter 26 Future Challenges and Opportunities
- Glossary
- Index
Product information
- Title: Ethical Health Informatics, 3rd Edition
- Author(s):
- Release date: December 2015
- Publisher(s): Jones & Bartlett Learning
- ISBN: 9781284053715
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