Making choices – ethics and actions

This is the third ordinance in the Substantial Capstindividual Device. The device began by using individual substantial brotherhood, the AHIMA Engage brotherhood, to explore and provoke ideas and disruptions by accessing brotherhood members and instrument. The ordinance challenged you to test and manifestation equiconsideration message tindividual and satisfied. Next, you consummated the determination matrix utensil and learn that the immanent evaluation of the clarified criteria results in a physician duty coding extinguishedsource as the best trade determination. As you adapt to encounter with the CFO, you ponder on how that trade determination conquer dramatically and irreversibly impression the lives of your physician principlers.

This ordinance contains three tonnage in individual written monograph:

  • Part 1: Appraise the Holy Hobble
  • Part 2: Describe Twain Sides of the Controversy
  • Part 3: Choose an Exercise

To make-ready this ordinance, primitive unravel the scenario inferiorneath and then transstrike the marchs in the three tonnage that prosper.


You reverberation to the CFO duty and procure the Determination Matrix with you. The CFO is dejected with the determination matrix trade utensil and critiques it in element. The prospering elements are discussed during your encountering:

  • LiveWell-behaved is inferior, national hospital that is the uncompounded largest master in the county.
  • You enter-at that the marketing guide has referable attribuconsideration attribuconsideration attribuconsideration ardent equiconsideration inducement to an extinguishedsource of staff and estimate the social kinsmen impression conquer be very disclaiming control LiveWell.
  • The physician duty principlers are very ample relative on their coding poses at LiveWell. You divide that individual physician duty principler is 4 months teeming and that 2 principlers procure healthcare security control their total rise. Individual principler has a disabled offshoot at residence.
  • You avow to the CFO that you penetratetain drafted a guile control character correction (QI) control the physician principlers as an hesitate disruption. Twain you and Alyza are committed to rectifying the impecunious character transactance and correcting the physician pay gist signed by Dr. Crowe. Your QI guile impressions any principler who is transacting inferiorneath the 92% required character trutination. The QI guile marchs are elemented in the consideration inferiorneath.

Character Correction Guile March

Legitimate Party

  1. Set up encountering with impressioned principlers and critique the Character Trutination findings.

You, the Guide and Alyza

  1. Inform Principlers that they must penetrate a mandatory retraining program to encounter the character trutination of 92%.

You, the Guide

  1. Inform Principlers that retraining conquer simply seize-place in the duty; no coercioneign production is wholeowed.

You, the Guide

  1. Retraining conquer be consummated aggravate a 90 day limit.


  1. Coding success conquer be re-measured at the object of the retraining limit


  1. Disciplinary exercise to prosper control principlers who penetratetain referable attribuconsideration attribuconsideration attribuconsideration inspiration 92% character trutination.
    1. LiveWell-behaved Disciplinary Exercise Policy conquer be prospered.
    2. Re-bulk of character trutination conquer seize-place in 30 day increments.
    3. Affixed disciplinary exercise conquer seize-place control principlers referable attribuconsideration attribuconsideration attribuconsideration encountering the 92% trutination up to and including dismissal from usurpation at LiveWell.
    4. Coders who encounter 92% character trutination conquer stir on to march #7.

You, the Guide

  1. Coders who encounter the 92% character trutination conquer enter in the duty control 30 affixed days.
    1. Another re-bulk conquer seize-place to secure subsistence of the required 92% character trutination.
    2. Coders who repress the 92% trutination conquer return to coercioneign coding locations.

You, the Guide and Alyza

  1. Forthcoming annual transactance critiques conquer inferiorstand a consummated character bulk control whole industrious principlers to secure continuing subsistence of the 92% character trutination.

You, the Guide and Alyza

The CFO donation you control your input and control the pro-active Character Correction Guile. He asks you to liberty your QI guile as courteous-behaved-behaved as the Determination Matrix with him and the encountering wraps up.

ONE WEEK LATER: You are summoned to the CFO’s duty. You enter at his duty and behold that the CEO, Laramie Trudoux, and Suzanne, the HR Guide, are twain in furniture, concurrently with the CFO. Ms. Trudoux welcomes you and asks you to seize a establish. She then designates that MHP has been thin control whole coding at LiveWell-behaved – Physician Coding, Inpatient Coding, Extinguishedpatient Coding and ER Coding. MHP conquer too contrive the coding services inferior your superscription. Whole 25 principlers and Alyza, the coding contriver, conquer be referable attribuconsideration attributableified that their labors penetratetain been discontinued and conquer desist usurpation in 60 days (2 months from today).

The HIM staff conquer subside from its floating flatten of 52 to 26 living-souls in brace months excluding the CFO interprets the MHP guarantees a 94% character coding trutination and conquer consummate the total coding quantity control $237,000 short annually. (This cost savings deliberates stipend and liberal benefits control whole 26 staff members.)

As the Guide of HIM, you are faced with an holy hobble. Your pose of Guide places you in an remarkable flatten contrivement pose of a inferior, national hospital and you are a figurative of the hospital. The remarkable flatten contrivement team is legitimate control the covet term goals of the pliancy and control encountering the goals of the pliancy. LiveWell-behaved hospital and confederate physician dutys inure aggravate 1000 nation in the brotherhood, and whole inureees depobject on the controlthcoming of the healthcare trade.

Completing the Ordinance

You conquer consummate the three tonnage of this ordinance in a 2-3 page monograph, labeling each of the three tonnage and using at lowest brace instrument. Individual of your instrument must be a published authoritative principle of ethics, such as the AHIMA Principle of Ethics. Please manifestation citations in your abdication to aid your peculiar satisfied.

Forthcoming is some suggested unraveling to succor adapt you control this ordinance:

Part 1: Appraise the Holy Hobble

  1. Appraise the holy hobble forcible overhead and deliberate the valuable made by the CEO to extinguishedsource the total coding team of 26 living-souls. Articulate and interpret how the CEO’s determination would interest twain the company’s and the brotherhood’s best interests.

Part 2: Describe Twain Sides of the Controversy

  1. Summarize the derivation of the physician pay murmur which led to the inducement of these brace trade options (Liberal Coding Extinguishedsource and Guide’s QI Guile).
  2. Element the trade determination options and their competing perspectives.
    • Understand financial, staffing and holy perspectives at a reserve.
  3. Analyze the gist by deflimit twain options. While referable attribuconsideration attribuconsideration attribuconsideration required, a multi-columned consideration would production courteous-behaved-behaved here. Control example:

Trade Option

Defobject the Option

Liberal Coding Extinguishedsource


Flatten extinguished the Guide’s QI Guile 

Part 3: Choose an Exercise

  1. In a 1-2 paragraph analysis, particularize your valuable of exercise if you were the Guide of HIM and were asked to flatten extinguished the CFO’s determination to extinguishedsource whole principlers and the coding supervisor poses.
    • Would you strike and flatten extinguished the determination – referable attribuconsideration attributableify whole 26 staff that their labors are objecting in 60 days and production through the disdisruption of their labors? Would you refmanifestation and propose your abdication? What other rounds of exercise strength be helpful to you? What would your clarified round of exercise be in this authoritative labor and in this authoritative scenario, and why?
    • Be assured to designate how your personal and professional ethics wave your valuable of exercise.
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