Health information is central to changes in healthcare: A clinician’s view

Hoyle, Philip

doi:10.1177/1833358317741354

Cited by 13 publications

(20 citation statements)

References 3 publications

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“…One of the articles talks about Big Data, referring to data in the electronic medical record. 31 The strictly juridical aspects concern the violation of secrecy and privacy, resulting in a criminal, civil, and deontological crime. 26 Botrugno asserts that no system is absolutely safe and mentions the peculiarity of genetic data.…”

Section: Protection Of Data and Confidentialitymentioning

confidence: 99%

“…In most cases, the section was summarized by referring it as being purely ethical in nature and not being elaborated in detail. 16,18,20,28,30,31 The discussion on malpractice can be classified into two segments: (1) telemedicine introduces a new form of malpractice 25,32,33 or (2) there is no difference with the normal malpractice with the patient being present. 15,18 Interpretation is left to the imagination of the end user.…”

Section: Physician's Malpractice and Liabilitymentioning

confidence: 99%

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Telemedicine Practice: Review of the Current Ethical and Legal Challenges

Nittari

Khuman

Baldoni

et al. 2020

Telemedicine and e-Health

306

207

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Background: Telemedicine involves medical practice and information and communications technology. It has been proven to be very effective for remote health care, especially in areas with poor provision of health facilities. However, implementation of these technologies is often hampered by various issues. Among these, ethical and legal concerns are some of the more complex and diverse ones. In this study, an analysis of scientific literature was carried out to identify the ethical and legal challenges of telemedicine. Materials and Methods: English literature, published between 2010 and 2019, was searched on PubMed, Scopus, and Web of Science by using keywords, including ''Telemedicine,'' ''Ethics,'' ''Malpractice,'' ''Telemedicine and Ethics,'' ''Telemedicine and Informed consent,'' and ''telemedicine and malpractice.'' Different types of articles were analyzed, including research articles, review articles, and qualitative studies. The abstracts were evaluated according to the selection criteria, using the Newcastle-Ottawa Scale criteria, and the final analysis led to the inclusion of 22 articles. Discussion: From the aforementioned sample, we analyzed elements that may be indicative of the efficacy of telemedicine in an adequate time frame. Ethical aspects such as informed consent, protection data, confidentiality, physician's malpractice, and liability and telemedicine regulations were considered. Conclusions: Our objective was to highlight the current status and identify what still needs to be implemented in tele-medicine with respect to ethical and legal standards. Gaps emerged between current legislation, legislators, service providers, different medical services, and most importantly patient interaction with his/her data and the use of that data.

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Section: Protection Of Data and Confidentialitymentioning

confidence: 99%

Section: Physician's Malpractice and Liabilitymentioning

confidence: 99%

Telemedicine Practice: Review of the Current Ethical and Legal Challenges

Nittari

Khuman

Baldoni

et al. 2020

Telemedicine and e-Health

306

207

View full text Add to dashboard Cite

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“…HIM professionals involved in the clinical coding process can greatly impact the amount of funding provided to a healthcare organization. Hoyle 49 and Shepherd 50 argued that HIM professionals are positioned as advocates for the ethical use of technology and data. HIM professionals must urge healthcare organizations to consider the ethical frameworks and practice guides not just deemed appropriate for health information professionals, but also for CAC and AI technologies.…”

Section: Legal Ethical and Regulatory Data Challengesmentioning

confidence: 99%

Health Information Management: Implications of Artificial Intelligence on Healthcare Data and Information Management

Stanfill¹,

Marc

2019

Yearb Med Inform

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Objective: This paper explores the implications of artificial intelligence (AI) on the management of healthcare data and information and how AI technologies will affect the responsibilities and work of health information management (HIM) professionals. Methods: A literature review was conducted of both peer-reviewed literature and published opinions on current and future use of AI technology to collect, store, and use healthcare data. The authors also sought insights from key HIM leaders via semi-structured interviews conducted both on the phone and by email. Results: The following HIM practices are impacted by AI technologies: 1) Automated medical coding and capturing AI-based information; 2) Healthcare data management and data governance; 3) Fbtient privacy and confidentiality; and 4) HIM workforce training and education. Discussion: HIM professionals must focus on improving the quality of coded data that is being used to develop AI applications. HIM professional’s ability to identify data patterns will be an important skill as automation advances, though additional skills in data analysis tools and techniques are needed. In addition, HIM professionals should consider how current patient privacy practices apply to AI application, development, and use. Conclusions: AI technology will continue to evolve as will the role of HIM professionals who are in a unique position to take on emerging roles with their depth of knowledge on the sources and origins of healthcare data. The challenge for HIM professionals is to identify leading practices for the management of healthcare data and information in an AI-enabled world.

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“…Philip Hoyle (2019) in his article entitled "Health Information is Central to Changes in Healthcare: A Clinician's View" presents a well-constructed and compelling argument for the significant role health information management now plays in many aspects of our healthcare system, stating that "Information about health, healthcare and healthcare delivery has never been so valued and so valuable." He makes the point that "the ethical oversight of how health-related information is used remains ill-defined."…”

Section: Introductionmentioning

confidence: 99%

“…Philip Hoyle (2019) in his article entitled “ Health Information is Central to Changes in Healthcare: A Clinician’s View ” presents a well-constructed and compelling argument for the significant role health information management now plays in many aspects of our healthcare system, stating that “Information about health, healthcare and healthcare delivery has never been so valued and so valuable.” He makes the point that “the ethical oversight of how health-related information is used remains ill-defined.” I agree with him. In Australia, we have established systems for the collection and release of health-related information, but the analysis and interpretation of this information is generally undertaken by those with an immediate and highly specific end purpose in mind, who operate independently of any guidelines about how their analyses should be undertaken.…”

Section: Introductionmentioning

confidence: 99%

Ethical leadership and why health information management professionals need to be involved. Commentary on Health information is central to changes in healthcare: a clinician’s view (Hoyle, 2019)

Shepheard¹

2018

HIM J

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Philip Hoyle presents a compelling argument for the significant and highly valued role that the management of health information plays in the Australian healthcare system and the delivery of health services in this country. However, he also brings to our attention the ill-defined nature of the ethical oversight of this very information. Hoyle uses words such as "honesty," "commitment to beneficence," "commitment to equity" and "respect for variation" when describing the characteristics of ethical leadership. He singles out health information management professionals-Health Information Managers (HIMs) and Clinical Coders (CCs)-as the key professional group who need to step up and seize the initiative, get conversations going, form partnerships, do research and publish findings, so the knowledge and insights that the health information management profession has the potential to offer are not only more widely known and understood but also more useful to others working in the healthcare arena. Hoyle calls on health information management professionals to step out from behind the scenes and take responsibility for the ethical use of the information they help produce. Hoyle's words resonated powerfully with me, particularly with respect to the clinical coding workforce in Australia, which is made up of trained CCs and qualified HIMs. In a truly ethical environment, HIMs and CCs would not be asked to meet performance indicators for increased funding metrics or to change codes to avoid triggering certain indicators; they would simply be asked to ensure complete, accurate coding for every episode of care. This is what ethical leadership would look like. I am concerned about our clinical coding workforce. I am now asking, are our CCs and HIMs up to the task of taking back absolute and unchallenged ownership of their particular skill set, which makes them the keepers of the clinical coding standards and the experts in accurate and complete code assignment?

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Health information is central to changes in healthcare: A clinician’s view

Cited by 13 publications

References 3 publications

Telemedicine Practice: Review of the Current Ethical and Legal Challenges

Telemedicine Practice: Review of the Current Ethical and Legal Challenges

Health Information Management: Implications of Artificial Intelligence on Healthcare Data and Information Management

Ethical leadership and why health information management professionals need to be involved. Commentary on Health information is central to changes in healthcare: a clinician’s view (Hoyle, 2019)

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