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Week 3 – Discussion 2

Your initial discussion thread is due on Day 3 (Thursday) and you have until Day 7 (Monday) to respond to your classmates. Your grade will reflect both the quality of your initial post and the depth of your responses. Reference the Discussion Forum Grading Rubric for guidance on how your discussion will be evaluated.

Ethical Challenges and Dilemmas

This discussion has two options.  Please choose either Option A or Option B to respond to and indicate within your post which you chose.  For both options, please use the AHIMA Code of Ethics as a reference (see Fig. 6.2 in Chapter 6).

Option A: Imagine you are a supervisor in the Health Information Services Department of a facility with a policy prohibiting secondary employment with a competitor.  One of the employees you supervise is a coder who has just begun the process of repaying student loan debt.  The coder has decided that she needs a second job to help defray expenses.  She has been offered a position as a coder for one eight-hour shift per weekend at a doctor’s office.  This doctor is a member of your facility’s medical staff.  Because you addressed the issue of secondary employment in the coder’s entrance interview, she comes to you now seeking advice. (Case Study, p. 126)

As the direct supervisor, how should you respond to this employee?  What legal issues are present in this case?
What ethical considerations should you take into account before providing guidance to this employee?  Please thoroughly explain your rationale.

Option B: Pretend you are a new manager in a health care facility, you have recently completed an ethics training for your company.  You are now expected to communicate this information to your staff to ensure that they are aware of the current ethical issues facing the facility.  Your supervisor has requested that you cover the following:
 
Discuss the primary ethical challenges in the health care field.  How do we address generalized challenges, the role of ethics in supervision, health care challenges, and health information management challenges?  What are the reasons for these challenges, and how can they be resolved?

Guided Response (for Option A and Option B): Review several of your classmates’ posts.  Provide a substantive response to at least two of your peers, one who selected Option A and one who selected Option B.  Consider the extent to which the Code of Ethics guides our actions in health information management.  Did your classmate adequately address the ethical challenges in their response?  Describe 1-2 strengths and weaknesses of their response.  Would you suggest anything different?  Why?  After reading their post, would you change anything about your initial response?

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