BLANCA PEREZARCE- SERENILWEEK 2 PRESENTATION

BSHS 335BEATRIZ ZAYAS

• Shandra • Senior in her final semester with 4.00 grade • Health Information Management (HIM) program• Final courses

Health information management

Organization management theories

Professional practice experience• Health Insurance Portability and account specialist after graduation• Complete her professional experience at St. James Medical center and

try to cover the position available• Andre, Shandra fiancé• Andre – Assistant Director of Respiratory Therapy at St. James Medical

center• Henri Pioche- Director of Respiratory Therapy

FINAL LESSON BEFORE GRADUATION

Sandra completed all her assigned task during the professional practice experience at St. James Medical Center. Where she became really close with many staff members in the HIM department and in other areas of the facility. She also enjoyed lunch and break time with her fiancé and his friend for the hospital. During break and lunch time Sandra heard a variety of conversation among hospital staff and sometimes they would discuss interdepartmental issues and random time they would gossip about the hospital staff and physicians. But one day the conversation was focused on a rumor around Henri Pioche, that had been diagnosed with some kind of malignant condition and brain metastasis (cancer that metastasized to the brain from another location in the body). Sandra and her fiancé Andre took their afternoon break alone to talk about the rumor that is around Pioche. Andre was so curious to make sure about the rumor because it depended of his medical condition of Pioche he can be the next Director. When she come back for break she pull up Pioche’s records and saw that he had recently had a series of outpatient test at the facility and tell Andre that all rumors are right. So next Andre show approach to Pioche in regards to his illness. Pioche denied the illness and be concerned about Andre confident, so he contact the Director of Health Information management to investigate who may have had access to his health record. Everything showed that the last person that had access to his health records was Shandra, so the Director of Information Management questioned Shandra about the dilemma about broking the health information of Director Pioche. Shandra decide to be honest and admitted that she had looked to see if whether the rumors were true.

SUMMARIZE THE SITUATION

• The ethical dilemma is that Shandra going to the personal health record of Henri Pioche.(She broke the confidentiality)

• AMA’s code of medical ethics

• Option 5.07: Confidentiality: computer

* section 2 and section 4 • Option 5.075: Confidentiality: Disclosure of records to

Data collection companies

IDENTIFY THE ETHICAL CODE DILEMMA

• Explain her why she is on trouble?• Help to understand the ethics values and how she can

apply in her future• Explain her the importance to have ethics and values in

her live as well in the professional area.

IMPLEMENTING THE LEAST INTRUSIVE INTERVENTION

• Shandra broke the confidentiality going to the health records of the Director Henri Pioche.

RESPECTING CONFIDENTIALITY

I do not h

ave barri

ers to

help her

• Picture slide 2: http://gradshop.com/blog/wp-content/uploads/2013/06/Rudiments-of-the-Academic-Regalia-for-Masters-Graduation.jpg

• PictureSlide2: http://woodwardmark.files.wordpress.com/2012/06/codeofethics.jpg • Pictureslide3 http://

cambridgemedicine.files.wordpress.com/2013/10/shutterstock_132031295.jpg• Slide 3: http://

www.ama-assn.org/ama/pub/physician-resources/medical-ethics/code-medical-ethics.page• Slide 3: http

://www.ama-assn.org/ama/pub/physician-resources/medical-ethics/code-medical-ethics/opinion507.page?

• Slide 3: http://www.ama-assn.org/ama/pub/physician-resources/medical-ethics/code-medical-ethics/opinion5075.page?

• Slide 5: http://www.jcsu.edu/uploads/ae/6d/ae6d9f21f36c1c04cfdd6cafed9680dd/Counseling-and-Testing-Landing-Page.jpg

• Slide 6: http://canyonwalkerconnections.com/wp-content/uploads/2013/02/trust1.jpg

• Slide 7: http://www.ricenpeas.com/Images/2009/May/Films/multiculturalism.jpg

REFERENCES