facilities throughout the county. The administrator has designated the Health Information Department to be the reporting department. The Health Information Department will be responsible for entering the data into a nationally recognized program. The administrator has directed the Health Information Department pick the cases that will provide the best scores. (However the guidelines from the reporting agency state that the hospital is to choose a random sample in order for the data to reflect an accurate picture of outcomes). The data reported will include: ICD- 10 codes, Length of stay (in days), and disposition.
Research and Reporting Dilemma #3 (cont.) Why is this dilemma a concern for the HIM profession? 1. This is considered falsifying the results in order for the hospital to look good when compared to other hospitals nationwide. 2. It is the responsibility of the Health Information department to follow the reporting agency’s guidelines in order to maintain the integrity of the reporting. Ethical Issues in Health Information Management (Morely L. Gordon, RHIT and Leslie L. Gordon MS,RHIA, FAHIMA
Question #3 -Research and Reporting Dilemma What would you do if you were the one facing this situation ? 1. Would you feel comfortable enough to speech with the administrator and express your concerns? 2. Would you speak with your immediate supervisor and ask for their direction? 3. What would you do?
1. Speak with your immediate supervisor for professional guidance on what you should do? 2. Perform this function to the best of your ability (A ccording to AHIMA’s CoE II – 2.1 and IV) 3. Report the Administrator for unethical directives.
References Miriam Webster Dictionary AHIMA Code of Ethics (2011) Ethical Issues in Health Information Management Morely L. Gordon, RHIT and Leslie L. Gordon MS, RHIA, FAHIMA - 8/cfi/948!/4/[email protected]:0.00
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- Ethics, health information, AHIMA