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Case #1: A colleague accidentally leaves their computer unlocked with patient records visible
Case #1: A colleague accidentally leaves their computer unlocked with patient records visible. You notice this breach of security and have the choice to report it to higher-ups or ignore it to avoid causing trouble for your colleague. The AHIMA Code of Ethics underscores the importance of safeguarding health information. How do you reconcile your duty to protect patient data with your professional relationship with your colleague?
Provide specific information from the AHIMA Code of Ethics to support your answer. Discuss how you would resolve this concern.
Case #2: A coding professional works in a healthcare facility that emphasizes high productivity. The coder is under pressure to meet coding quotas, but rushing through the coding process may lead to inaccuracies. The ethical dilemma here involves the conflict between the AHIMA Standards of Ethical Coding, which stress the importance of accurate coding, and the pressure to meet productivity targets.
Discuss what strategies the coder should use to balance the need for accuracy with productivity. Should the coder talk to their supervisor? Why or why not?
Full Answer Section
Report the Incident:
If the colleague is unwilling to address the issue or continues to leave their computer unsecured, it is essential to report the incident to your supervisor or the appropriate security officer.
Document the incident and your actions to protect yourself and demonstrate your commitment to ethical conduct.
Reconciling Duty and Relationship:
While maintaining a positive working relationship with colleagues is important, it should not compromise patient safety and ethical obligations.
Open and honest communication, combined with a focus on patient well-being, can help navigate this delicate situation.
Case 2: Coding Accuracy vs. Productivity
AHIMA Standards of Ethical Coding Guidance:
The Standards emphasize the importance of accuracy, completeness, and consistency in coding and abstracting health information.
They also highlight the need for professional judgment and adherence to coding guidelines and regulations.
Balancing Accuracy with Productivity:
Prioritize Accuracy: Coding accuracy should always be the top priority. Inaccurate coding can lead to incorrect reimbursement, inappropriate treatment decisions, and potential harm to patients.
Focus on Efficiency:
Utilize available resources effectively, such as coding manuals, online resources, and coding software.
Develop and refine coding skills through continuing education and training.
Implement efficient workflow strategies to minimize interruptions and maximize productivity.
Communicate with Supervisor:
If the pressure to meet quotas is creating undue stress and compromising accuracy, the coder should discuss the situation with their supervisor.
Explain the concerns regarding the impact of excessive pressure on coding quality.
Explore potential solutions, such as adjusting quotas, providing additional resources, or reviewing coding processes for efficiency improvements.
Importance of Communication:
Open and honest communication with the supervisor is crucial to address the ethical dilemma effectively.
By raising the concerns about the impact of productivity pressure on coding accuracy, the coder can contribute to a more sustainable and ethical coding environment.
Disclaimer: This information is for general knowledge and informational purposes only and does not constitute legal or professional advice.
Key Takeaways:
Adherence to ethical principles is paramount in the healthcare field.
Prioritizing patient safety and data security is essential.
Open communication and collaboration are crucial for resolving ethical dilemmas.
Striking a balance between productivity and accuracy is vital for maintaining the integrity of health information.
Sample Answer
Case #1: Unsecured Patient Records
AHIMA Code of Ethics Guidance:
Principle 1: Integrity: This principle emphasizes honesty and ethical behavior in all professional activities. It mandates that health information professionals "shall safeguard the integrity of health information."
Principle 2: Individual Responsibility and Accountability: This principle states that health information professionals are accountable for their actions and their impact on the privacy and security of health information.
Resolving the Concern:
Prioritize Patient Safety: The primary concern must be the protection of patient data. Ignoring the security breach would be a serious ethical violation.
Approach Colleague Privately:
Begin by speaking to the colleague privately and respectfully.
Gently explain the potential consequences of leaving their computer unlocked, emphasizing the importance of data security.