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Organ Donation And Its Impact On Him Professionals

1736 words - 7 pages

Organ Donation and its Impact on HIM and Documentation
Kathleen Gallagher
Rasmussen College

Author Note
This research is being submitted on November 25, 2012, for Kathleen M. Gallagher’s M243/HIM2410 Health Information Law and Ethics course.

Organ Donation and its Impact on HIM and Documentation
Health information professionals provide many basic and supporting functions that are critical in health care. One of the major job requirements is the professional’s responsibility for the patients’ legal record. The American Health Information Management Association and the Health Information Portability and Accountability Act (HIPAA) set guidelines for ensuring the quality, integrity, ...view middle of the document...

Individuals have the opportunity to choose to donate by way of their drivers license, advanced directive or living will. The principle of autonomy also relates to the choice to receive a donation based on informed consent when patient receives information from his physician about treatments, risks, and chances for success of an organ or tissue donation.
One of the biggest concerns of those who choose to donate is that all life saving efforts will not be performed when the possibility of procuring organs is at stake. Another concern for all involved is knowing what exactly brain death or cardiac death means for organ donation. The Uniform Determination of Death Act (1990) defines death as “ an individual who has sustained either (1) irreversible cessastion of circulatory and repiratory functions or (2) irreversible cessation of all functions of the entire brain, including the brain stem”(Hedges, 1999, p. 80). During the time surrounding our untimely death federal law allows disclosure of our health information to the local Organ Procurement Organizations if there is a potential for organ donation. These allowances can be found under the Exceptions to the HIPAA Privacy Rule (HIPAA Privacy Brief, 1999).
The supply of organs for transplantation is inadequate to meet the clinical need. Therefore, physicians should support the development of policies that will increase the number of organ donors. One proposal aimed at increasing organ donation would change the approach to presumed consent for deceased donation (Goldrich, JAMA, 2005). The concept of presumed consent was adopted by many states and countries that states that if you did not make your wishes known not to donate or to “opt-out” that the presumption is that you would, and therefore it is understood that you “opted-in” for donation (Gill, 2004). The HIM professional needs to ensure that confidentiality of the patient record is upheld by the procurement agencies handling the case. The legal health record will need to include proper documentation of informed consent for donation, record of brain or cardiac death, and proper consent forms. The HIM professional needs to be familiar with the Uniform Anatomical Gift Act which was the first major law in the United States that addressed organ donation. It also sets the policy on how cadaveric organs and tissues are identified and obtained (Hedges, 1999).
The principle of non-maleficence, or the “right to do no harm” vs. the “right to do good” with beneficence is used as a reference when dealing with the potential for living organ donation. Making the decision to be a living donor to benefit another requires careful consideration on the part of the donor and recipient. When a person decides to be a donor there is always a risk of potential harm. The ideal outcome would be to provide as much benefit with as little harm as
possible. For example, when a person undergoes a surgical procedure it is usually to benefit the...

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