The responsibility to protect privacy was clearly defined in the 1934 pledge. Identifies core values on which the HIM mission is based. 13.1. 6th ed., p. 126. In addition to AHIMA’s ethical code of conduct, coders should be aware that confidentiality in all patient recordkeeping is legally required by HIPPA. AHIMA Code of Ethics and Bylaws. Adapted with permission from the 1999 Code of Ethics of the National Association of Social Workers. 4th ed. The American Medical Association’s code of ethics did not address research on humans until 1946. There is no linear path that can predict the requirements of each new code of ethics. Ethical behaviors result from a personal commitment to engage in ethical practice. Respond promptly and appropriately to consumer requests to exercise their privacy rights (e.g., access, amendments, restriction, confidential communication, etc.). A profession develops in the context of the world, not in an isolated silo. A Code of Ethics is important in helping to guide the decision- Some highlights of this code of ethics include the following principles: The 1977 code of ethics highlighted service to the professional organization by placing this principle first in the code. 2.4. Ensure all voices are listened to and respected. The ethical decision is what should be done (the best action), given the competing interests, obligations, and values of others involved in making the decision. 2nd ed. For example, for Principle II (“Put service and the health and welfare of persons before self-interest and conduct themselves in the practice of the profession so as to bring honor to themselves, their peers, and to the health information management profession”), the code included that HIM professionals shall “act with integrity, behave in a trustworthy manner, elevate service to others above self-interest, and promote high standards of practice in every setting” and shall not “take unfair advantage of any professional relationship or exploit others to further their personal, religious, political, or business interests.”30 The preamble, values, and statements related to ethical behaviors attested to the power of the individual to make a difference. 1988. AHIMA initially developed its "Standards of Ethical Coding" in 1991. 15 American Health Information Management Association. Ethical obligations are central to the professional's responsibility, regardless of the employment site or the method of collection, storage, and security of health information. A health information management professional shall: 1.1. 12.1. Compromise the integrity of healthcare data through any intentional acts or acts that are generally known to create risks to data integrity. 2nd ed. 3rd ed. The American Information Management Association (AHIMA) in Chicago has recently revised its ethics policy for coding practices, as well. The terms "shall” and “shall not" are used as a basis for setting high standards for behavior. 16  American Health Information Management Association. 9.3. Ethical principles such as beneficence, autonomy, justice, and fidelity will be challenged as electronic health information systems evolve. It is important for HIM professionals who work on each code of ethics to be aware of the changes in the political, social, and healthcare environment that may need to be addressed in the principles and guidelines for action. 4.1. 11.4. Britain launched the Motability program to provide cars for disabled people. 1.6. The association changed its name several times over the years: the Association of Record Librarians of North America (ARLNA) 1928; American Associ… Individuals of good character who discern moral questions and, in good faith, seek to make reliable ethical judgments, must apply ethical principles. The AHIMA Code of Ethics serves six purposes: The code includes principles that are enforceable and aspirational. New York: Cambridge University Press, 2008. Available in the AHIMA Body of Knowledge. 2.7. A Code of Ethics sets forth professional values and ethical principles and offers ethical guidelines to which professionals aspire and by which their actions can be judged. Harman, L. B., and V. L. Mullen. An introduction that described the role of the HIM practitioner and the professional association was added. “Ethical Issues and the Electronic Health Record.” Health Care Manager 27, no. Provides ethical principles by which the general public can hold the HIM professional accountable. Act in a professional and ethical manner at all times. 17  American Health Information Management Association. A profession develops in the context of the world, not in an isolated silo. Professional values form the basis for the principles that are included in a code of ethics. Kathleen M. La Tour and Shirley Eichenwald Maki. Base practice decisions on recognized knowledge, including empirically based knowledge relevant to health information management and health information management ethics. Professional values could require a more comprehensive set of values than an individual’s need to be an ethical agent in one’s own personal life. 2.2. The pledge identified the responsibility of the medical record professional to protect privacy and to release information only if authorized. It included a reference to the professional ethics committee’s policies and procedures to help navigate issues that may include potential ethics violations, and it encouraged all members to actively recruit and mentor students, peers, and colleagues. 7.4. Perform responsibly all duties as assigned by the professional association operating within the bylaws and policies and procedures of the association and any pertinent laws. Report only those continuing education units actually earned for the recertification cycle and correct any inaccuracies occurring regarding CEUs. You are advised to visit this page periodically to review the policy because it is binding on you. 13.2. This pledge was written and read by Grace Whiting Myers at the first annual professional association meeting in Boston as follows: The pledge was expanded in 1935 as follows: “Principle #1:   Place service before material gain, the honor of the profession before personal advantage, the health and welfare of patients above all personal and financial interests, and conduct himself in the practice of this profession so as to bring honor to himself, his associates, and to the medical record profession.”, “Principle #3:  Serve his employer loyally, honorably discharging the duties and responsibilities entrusted to him…”. 36 Harman, L. B., and V. L. Mullen. 11.2. Patients must have the right to review and make corrections in their electronic record, and this right must be honored especially as states and organizations develop health information exchanges (HIEs). A profession develops in the context of the world, not in an isolated silo. by Cathy A. Flite, MEd, RHIA, FAHIMA, and Laurinda B. Harman, PhD, RHIA, FAHIMA. Take reasonable steps to ensure that health information is stored securely and that consumers’ data and information is not available to others who are not authorized to have access. Engage in social and political action that supports the protection of privacy and confidentiality and be aware of the impact of the political arena on the health information issues for the healthcare industry and the public. The 1930s was marked by the Depression, unemployment, and a lack of healthcare coverage. An HIM professional is tasked with producing accurate, timely, and responsible reviews of patient health records, protecting that health record, and operating with integrity in all areas of the role assigned. The American Health Information Management Association (AHIMA) is the leading voice and authority in health information, wherever it is found.Our people work at the intersection of healthcare, technology, and business. The 1998 code of ethics included language that supported “striving” to provide professional excellence and accurate and timely information and had eliminated the principle related to refusing to participate in or conceal unethical practices and procedures. The American Health Information Management Association (AHIMA) is the premier association of health information management (HIM) professionals worldwide. Perform honorably health information management association responsibilities, either appointed or elected, and preserve the confidentiality of any privileged information made known in official capacity. By entering and using the website, you acknowledge that you have read and understood the terms and conditions and that you agree to abide by them. Computer viruses started to surface. While our patients don’t often see us, we see our patients in a way no other healthcare professional does. 1988. Promote the value of self-determination for each individual. The ethical pledge was written and presented by Grace Whiting Myers at the first annual professional convention.11 This pledge was expanded in 1935 and used by members of the professional association until 1957, at which time the first code of ethics was approved.12 Five codes of ethics were subsequently adopted by the association, with the most recent code of ethics approved in 2011.13-17 The health information professional has had a stable and consistent connection with the importance of values and ethical decision-making throughout this timeframe. 300 words please These activities may include teaching, research, consultation, service, legislative testimony, advocacy, presentations in the community, and participation in professional organizations. 21  Twitty, M. E. “Ethics for Medical Records Library Personnel.” Journal of the American Association of Medical Record Librarians 27, no. 4.5. The 2004 code of ethicsincluded a preamble that highlighted the ethical obligations of the HIM professional, the importance of professional values, the purposes of the code of ethics, and how the code should be used by HIM professionals and others who use health information on behalf of patients. 33  Layman, E. J. The AHIMA also provides credentials on records management. 1957. The 1998 code of ethics appropriately emphasized the dignity of all individuals. The 1998 code of ethics “advocated patient privacy rights and confidentiality of health information,”27 as noted in earlier codes and the 1934 pledge. Resign from an association position if unable to perform the assigned responsibilities with competence. For example, genetic discrimination and medical identity theft had to be dealt with far in advance of legislation or policies and procedures to guide actions. Anticipate, clarify, and avoid any conflict of interest, to all parties concerned, when dealing with consumers, consulting with competitors, in providing services requiring potentially conflicting roles (for example, finding out information about one facility that would help a competitor), or serving the Association in a volunteer capacity. 11 Huffman, E. K. Manual for Medical Record Librarians. This code strengthened guidelines to prevent inappropriate use of electronic and written information and addressed concerns related to the Health Insurance Portability and Accountability Act (HIPAA). Promote the obligation to respect privacy by respecting confidential information shared among colleagues, while responding to requests from the legal profession, the media, or other non-healthcare related individuals, during presentations or teaching and in situations that could cause harm to persons. Everyday Ethics: AHIMA Code of Ethics Guides Daily Work, Complex Situations. Justice can also be demonstrated by allowing access to health information for all individuals and reducing disparities. Revised & adopted by AHIMA House of Delegates – (April 29, 2019). 4.7. Adherence to AHIMA Code of Ethics ... Adherence to AHIMA Code of Ethics/Professionalism The new HIM director recently relocated from another state. Answer truthfully all consumers’ questions concerning their rights to review and annotate their personal biomedical data and seek to facilitate consumers’ legitimate right to exercise those rights. Purpose of the American Health Information Management Association Code of Ethics. 26  American Medical Record Association. It strengthened guidelines to support operations within the professional association and continuing education efforts. Release information only with valid authorization from a consumer or a person legally authorized to consent on behalf of a consumer or as authorized by federal or state regulations. Code of Ethics, 1957, 1977, 1988, 1998, and 2004, 2011. Participate in and contribute to decisions that affect the well-being of consumers by drawing on the perspectives, values, and experiences of those involved in decisions related to consumers. 1 (2000). The code established guidelines for fair work practices and encouraged improvement of colleagues’ skills and knowledge. I choose one of the guidelines about how a health information management professional should be more unselfish, respective, honorable, and … A professional HIM code of ethics is shaped by the context of the times, changes in the healthcare system, and the issues faced by the profession and the public at large. A health information management professional shall: 5.1. All Rights Reserved. Take action through appropriate formal channels, such as contacting an accreditation or regulatory body and/or the AHIMA Professional Ethics Committee if needed. 4 (1956): 185–87, quote at 187. 12.2. 2016. 2. In the early days of the United States, Benjamin Franklin created the first patient information register at what is now Pennsylvania Hospital in Philadelphia with the “…patient’s name, address, disorder, the dates of admission and discharge with the result on discharge….”1 The health information system of today is incredibly complex, and a code of ethics is an important resource for the decisions that must be made at work. HIM professionals face many ethical problems, including issues related to privacy and confidentiality; compliance, fraud, and abuse; clinical code selection and use; quality review; research and decision support; public health; managed care; clinical care; electronic health information systems, including information security, software development and implementation, data resource management, integrated delivery systems, e-health, information technology, and information exchange; management of sensitive information (genetic, adoption, and behavioral health); management; entrepreneurship; vendor management; and advocacy.10 The problems that emerge can be solved using technical or administrative standards or criteria as described above; however, the decisions can be strengthened for the professional if a code of ethics is used. These credentials, collectively termed as CCS, are focused on mastery of in- and out-patient coding. “Professional Values and the Code of Ethics.” In L. B. Harman (Editor), Ethical Challenges in the Management of Health Information, p. 17. Mentors practitioners new to the field to HIM's mission, values, and ethical principles. Code of Ethics. The 1980s offered a time of regulation and deregulation as the federal government increased regulation on health reimbursement. 4 AHIMA. Contribute time and professional expertise to activities that promote respect for the value, integrity, and competence of the health information management profession. Engage in evaluation and research that ensures the confidentiality of participants and of the data obtained from them by following guidelines developed for the participants in consultation with appropriate institutional review boards. Since its adoption at the founding meeting of the American Medical Association in 1847, the AMA Code of Medical Ethics has articulated the values to which physicians commit themselves as members of the medical profession.. The HIM professional has an obligation to demonstrate actions that reflect values. Be an advocate for the profession in all settings and participate in activities that promote and explain the mission, values, and principles of the profession to the public. The code of ethics dealt with association responsibilities (the larger community within which HIM professionals functioned) and moved beyond the focus on the patient to others in the world of work and the professional communities. Protect the confidentiality of all information obtained in the course of professional service. Be aware of the profession's mission, values, and ethical principles, and practice in a manner consistent with them by acting honestly and responsibly. 13.4. Consult with a colleague when feasible and assist the colleague in taking remedial action when there is direct knowledge of a health information management colleague's incompetence or impairment. 11.1. The dilemmas faced today require interdisciplinary ethical collaboration with clinicians, administrators, ethicists, lawyers, policy makers, accreditation agencies, patients, and patients’ advocates. Take reasonable steps to provide or arrange for continuing education and staff development, addressing current knowledge and emerging developments related to health information management practice and ethics. The guidelines are not a comprehensive list. Moral Intelligence: Enhancing Business Performance and Leadership Success. In terms of accuracy, AHIMA’s ethical standards require honest reporting of medical records to accurately reflect the work performed by a provider. 2 (February 2012): 40. Provide directed practice opportunities for students. Principles of Biomedical Ethics. Professional values for HIM include the importance of education and technical competency, patient safety, data validity and accuracy, truthfulness, compassion, and dedication to providing quality services in professional roles. Chicago: Physician’s Record Company, 1972, p. 135. Highlights of some changes in the healthcare delivery system are identified as a general context for the codes of ethics. The code of ethics’ main purpose is to strengthen and improve the provision of quality care in the healthcare sector. Information Technology and Moral Philosophy. This code of ethics reinforced the integrity and trustworthiness of the HIM professional.26. Get Your Custom Essay on AHIMA Professional Code of Ethics 2004. The AHIMA Code of Ethics is to be used by AHIMA members, non-members with the Commission on Certification for Health Informatics and Information Management (CCHIIM) certifications, students enrolled in a formal certificate or degree granting program directly relevant to AHIMA’s Purposes, and consumers, agencies, organizations, and bodies (such as licensing and regulatory boards, insurance providers, courts of law, government agencies, and other professional groups) that choose to adopt it or use it as a frame of reference. Design or conduct evaluation or research that is in conformance with applicable federal or state laws. Ethical actions at work always require courage.”36 The founders of the association recognized the importance of balancing the protection of privacy and the need to access health information. Bylaws and Code of Ethics. This pledge was written and read by Grace Whiting Myers at the first annual professional association meeting in Boston as follows: I pledge myself to give out no information from any clinical record placed in my charge, or from any other source to any person whatsoever, except upon order from the chief executive officer of the institution which I may be serving.18. 4.9. 35 Van den Hoven, J., and J. Weckert. 12.3. 10. Engage in any relationships with a person (e.g. 29  American Health Information Management Association. AHIMA AND AAPC In this paper I’m going to talking about what AHIMA (American Health Information Management Association) and APPC(American Academy of Professional Coders) code of ethics are and the relevance that these two have to the coding profession. The AHIMA Code of Ethics reflects the commitment of all to uphold the profession's values and to act ethically. The code is relevant to all AHIMA members and credentialed HIM professionals and students, regardless of their professional functions, the settings in which they work, or the populations they serve. “Professional Values and the Code of Ethics.” In L. B. Harman (Editor), Ethical Challenges in the Management of Health Information. National Association of Social Workers. Evaluate students' performance in a manner that is fair and respectful when functioning as educators or clinical internship supervisors. Autonomy must be addressed in bills of patient rights. Verify requests for data and information are based on appropriate, verifiable needs and conditions and fall within the confines of organizational policies, regulations, and laws. Manipulate information systems to produce or display data and resulting information that is intentionally misleading. The Nuremberg Code, often considered the … Together, the Principles of Medical Ethics and the Opinions of the AMA's Council on Ethical and Judicial Affairs make up the Code. Grace Whiting Myers and the other visionary leaders who launched the HIM professional association recognized a core ethical principle of the profession—to protect patient information—and the need to demonstrate “behavior that reflects integrity, supports objectivity, and fosters trust in professional activities.”32 In writing the first pledge, they recognized the importance of competency, integrity, truthfulness, trust, compassion, dedication to others, and courage in carrying out the responsibilities of a HIM professional. This started from the premise that the “Health Information Management” has the commitment and responsibility of displaying acts which mirror “values, ethical principles, as well as, ethical guidelines” (American.., 2004). Her position is critical for accurate reimbursement from payors and must clearly reflect the care given. Take responsibility and credit, including authorship credit, only for work one actually performs, or to which one contributed. 7.2. Sudbury, MA: Jones and Bartlett, 2006, p. 10. Adapted from. A non-inclusive list of examples includes: Refer to the AHIMA Standards of Ethical Coding for additional guidance. The code does not provide a set of rules that prescribe how to act in all situations. The AHIMA Code of Ethics serves seven purposes: Promotes high standards of HIM practice. It would be feasible for the association to review and approve a new code of ethics in 2028, the 100th anniversary of the founding of the association. The American Health Information Management Association, AHIMA code of ethics is formulated for controlling the ethical behaviors of members and non-members who are obliged to undertake health information management. A review of codes of ethics from 1957 to 2004 revealed the following values: providing service to others; protecting information; promoting confidentiality and teaching others of the importance of this principle; preserving and securing health information; promoting the quality and advancement of healthcare; reporting data with integrity and accuracy; promoting interdisciplinary cooperation and collaboration; demonstrating loyalty; complying with laws, regulations, and policies; recognizing the authority and responsibilities of the HIM professional; advocating for needed changes in the health information system; refusing to participate in or to conceal unethical or illegal activities; reporting violations of practice standards to the proper authorities; being honest about credentials, degrees, certifications, and work experiences; bringing honor to self, peers, and the profession; committing to continuing education and lifelong learning; discharging association duties honorably; strengthening professional membership; representing the role of the profession to the public; and promoting and participating in research.8 The code of ethics of the American Health Information Management Association (AHIMA) that was passed in 2011 includes these same values.9. Finally, breaches in the electronic health record can destroy the principle of fidelity.33, Moral intelligence is also important for understanding the complexity of the issues that are faced.34 There is an increased understanding that technological systems require moral guidance in design and application. Establishes a set of ethical principles to be used to guide decision-making and actions. 1957. Foster trust among group members and adjust behavior in order to establish relationships with teams. Historical Environment of the Codes of Ethics. 6th ed. The code also dealt with formalizing processes given the growth of the profession and the complexity of electronic health information systems and the external systems that influence these systems. Burlington, Massachusetts: Jones & Bartlett Learning; 2017. American Health Information Management Association Chicago, IL, USA Tel: +1 312 233 1908 Email: patricia.shank@ahima.org. Uphold the decisions made by the association. Professional responsibilities often require an individual to move beyond personal values. Decision-making criteria for work decisions can include technological feasibility, reasonable cost, legality, available personnel expertise, standards of care, and organizational goals. Immediately upon her Participate in, condone, or be associated with dishonesty, fraud and abuse, or deception. 2nd ed. 7th ed. Callie is a Health Information Management (HIM) professional who is responsible for the medical coding of patient's records based on diagnosis. 2004. The language and sequence included the following items: In 2000, the certification titles changed from registered record administrator (RRA) to registered health information administrator (RHIA) and from accredited record technician (ART) to registered health information technician (RHIT). AHIMA Code of Ethics American Health Information Management Association Standards of Ethical Coding [2016 version] Ethical Standards for Clinical Documentation Improvement (CDI) Professionals (2016) Developing a Coding Compliance Policy Document (2010 update) In the Winds of Change, Principles Provide a Steady Course 30  American Health Information Management Association. In 2003, the government implemented the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA). 2017. Disclose only information that is directly relevant or necessary to achieve the purpose of disclosure. Bylaws and Code of Ethics. Clifton Park, NY: Cengage Learning; 2014. 1977. Crack (a derivative of cocaine) was available to the public. People have been creating medical records since antiquity, as evidenced by the drawings of medical conditions and surgeries in the cave wall paintings created by early humans. The extent to which each principle is enforceable is a matter of professional judgment to be exercised by those responsible for reviewing alleged violations of ethical principles. 6.3. Three scenarios illustrate how the AHIMA Code of Ethics provides a guide for examining ethical issues. 1977. Although in some situations, violations of the code would constitute unlawful conduct subject to legal process. Check back for further updates. It added AHIMA’s mission, guiding principles, and values to the introduction and added a statement indicating that the code of ethics was binding for all who hold an AHIMA credential. The first laser eye surgery was performed in the United States. In 1912, a “Club of Record Clerks” met at Massachusetts General Hospital to study clinical records, and Grace Whiting Myers attended the meetings. 13  American Medical Record Association. The confidentiality of all individuals and reducing disparities an ethical pledge was written in 1934 guide. 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