Ethical and Legal Issues in Health Informatics

Ethical and Legal Issues in Health Informatics

Case Study: Applying Ethics (MLO 1)

Jan Geisler is the HIM director at Hillside Medical Center. The administration at Hillside has just approved the budget, which includes a new electronic health record. They assign Jan as the project manager and give her the task of reviewing and selecting the company (vendor) with the EHR that best suits the hospital’s needs. Jan immediately thinks of her college roommate Ana. Ana also majored in HIM and now works for a large EHR vendor in California. Jan sends a quick email to Ana to catch up and asks about her company’s EHR system. Ana responds immediately with updated pictures of her family and some general information about the EHR her company sells. Ana offers for her company to fly Jan to California so she can see the system and have a live demonstration. As an added bonus, Ana cannot wait to see her friend, take her to dinner, and catch up. Jan goes to California and enjoys her time with Ana, but she is a little disappointed with the EHR system. She just doesn’t think it will meet the needs of her hospital. Jan has a meeting with the chief information officer today and is expected to present her recommendations. She feels obligated to recommend Ana’s company but she also has major concerns about their product.


  1. What ethical issues can be found in Jan’s investigation of EHRs?
  2. Was it a conflict of interest for Jan to do business with a personal friend?
  3. Using the ethical decision making matrix, analyze the scenario and recommend a decision.

For every case study, be sure to utilize the ethical decision-making matrix. In every answer, keep in mind the following questions:

  1. What is the question?
  2. What is my “gut” reaction?
  3. What are the facts?
  4. What are the values?
  5. Who are the stakeholders?
  6. What are my options?
  7. What should I do?
  8. What justifies my choice?
  9. How can I prevent this problem from happening again
    2nd assignment -discussion

    Your institution has been working on developing a patient portal for your EMR. You are a member of the task force along with several other HIM professionals. The question of what access adolescents should have come up in the discussion. It is a challenging question ethically and technically. Privacy and confidentiality concerns related to EMRs are already difficult. In your opinion, what is your recommendation to your fellow task force members of how this should be handled? Support your reasoning. M1 DF: Access by Adolescents to Patient Portals (MLO 2)7373 unread replies.7373 replies.


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