Preliminary Report

HIT272-PracticumHandbook2023.pdf

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DEVRY UNIVERSITY HIT 272

PRACTICUM HANDBOOK

Table of Contents INTRODUCTION .......................................................................................................................... 4

THE PRACTICUM EXPERIENCE ........................................................................................... 5

THE HANDBOOK ................................................................................................................. 5

THE PROFESSION ................................................................................................................ 5

The University ................................................................................................................................ 6

MISSION .................................................................................................................................... 7

DEVRY PURPOSES: ................................................................................................................. 7

PRACTICUM ............................................................................................................................. 7

ORGANIZATIONAL STRUCTURE ........................................................................................ 9

Health Information Technology Program ..................................................................................... 10

HISTORY AND OVERVIEW ................................................................................................. 11

HEALTH INFORMATION TECHNOLOGY PROGRAM .................................................... 11

PROGRAM OUTCOMES ........................................................................................................ 11

ACCREDITATION .................................................................................................................. 12

FACULTY ................................................................................................................................ 12

Course Description (HIT272) ....................................................................................................... 13

Course Description: .................................................................................................................. 14

SCOPE ...................................................................................................................................... 14

LEVEL ...................................................................................................................................... 14

RATIONALE ............................................................................................................................ 14

Placement and Supervision ....................................................................................................... 15

Contact Hours ........................................................................................................................... 15

Methods of Instruction .............................................................................................................. 15

ETHICAL BEHAVIOR ............................................................................................................ 15

Course Objectives: .................................................................................................................... 16

COURSE REQUIREMENTS ................................................................................................... 17

Evaluation by Practicum Director ......................................................................................... 17

Time on-site .......................................................................................................................... 17

Practicum Objectives ............................................................................................................ 17

Presentation ........................................................................................................................... 19

Portfolio ................................................................................................................................ 20

Student Evaluation of Practicum site .................................................................................... 20

Grading ..................................................................................................................................... 20

RHIT COMPETENCIES .......................................................................................................... 22

POLICIES ..................................................................................................................................... 23

ELIGIBILITY FOR INTERNSHIP .......................................................................................... 24

SCHEDULING ......................................................................................................................... 24

SITE SELECTION ................................................................................................................... 24

INTERVIEW ............................................................................................................................ 25

ROLES AND RESPONSIBILITIES ........................................................................................ 25

PRE-PRACTICUM PREPARATION .......................................................................................... 27

Orientation ................................................................................................................................ 28

Application Process .................................................................................................................. 28

ACTIVITIES DURING PRACTICUM ........................................................................................ 29

Activities During Practicum ..................................................................................................... 30

ADA Accommodations ............................................................................................................. 30

Appendix ....................................................................................................................................... 31

Appendix A ............................................................................................................................... 32

Appendix B ............................................................................................................................... 35

Appendix C ............................................................................................................................... 37

INTRODUCTION

THE PRACTICUM EXPERIENCE THE HANDBOOK This handbook defines the practicum requirements for the Associate of Applied Science degree in Health Information Technology at DeVry University. The handbook serves as a guide for students, preceptors, and faculty to provide the highest educational value in the practicum experience. THE PROFESSION Health Information Technology (HIT) is a rapidly changing field. The speed and direction of major alterations in the healthcare industry including utilization, reimbursement, operations, competition, regulation, and technology, make it difficult for HIT students to learn from a series of academic courses alone to be adequately prepared for success in today’s environment. Additionally, traditional HIM functions are being revolutionized to an eHIM world and a paperless landscape where the consumer is an active participant in healthcare documentation as never before. A graduate of a HIT program must possess the knowledge and theory necessary to understand and adapt to these rapidly changing times. At a minimum, a student should be prepared to deal effectively with: Change as a constant Increasing standardization Economic Impact on healthcare facilities Improving information technologies Increasing volume and detail of data Clinical and Business data applications Privacy Issues Capital Scarcity Managed Care Utilization and access to healthcare facilities Demographic Trends Governmental Regulation Productivity Challenges Shift from paper to hybrid to the EHR

The University

MISSION: DeVry University strives to close our society’s opportunity gap by preparing learners to thrive in careers shaped by continuous technological change. Through innovative programs, relevant partnerships and exceptional care, we empower students to meaningfully improve their lives, communities, and workplaces.

DEVRY PURPOSES: • To offer applications-oriented undergraduate education that includes a well-designed liberal arts and sciences component to broaden student learning and strengthen long-term personal and career potential. • To offer practitioner-oriented graduate education that focuses on the applied concepts and skills required for success in a global economy. • To provide market-driven curricula developed, tested, and continually improved by faculty and administrators through regular outcomes assessment and external consultation with business leaders and other educators. • To continually examine the evolving needs of students and employers for career-oriented higher education programs as a basis for development of additional programs. • To promote teaching excellence through comprehensive faculty training and professional development opportunities. • To provide an interactive and collaborative educational environment that strengthens learning, provides credentialing opportunities, and contributes to lifelong educational and professional growth. • To provide student services that contribute to academic success, personal development, and career potential. • To serve student and employer needs by offering effective career entry and career development services.

PRACTICUM Toward this end, DeVry recognizes that merely possessing knowledge and theory, however, does not ensure that students can successfully translate what they have learned into practice. The process of translation is the function of the practicum assignment. The experience facilitates the synthesis of classroom theory into practical application and better prepares the graduate to enter the workforce. The practicum is an integral part of the HIT Program designed to supplement coursework and give each student the opportunity to receive guidance from a well-qualified, practicing Health Information Management (HIM) professional; to apply and test administrative theory in practical work situations; and to develop the ability to refine HIT entry-level competencies. The practicum demands that the student demonstrate competencies that contribute to the profession of Health Information Technology. The preceptor (Practicum Director) becomes a key player in this transition. The preceptor is an advisor, teacher, role model, tutor, mentor, and guide. The preceptor works with the faculty to assist the student in developing a philosophy of professionalism, a code of values and ethics, and a life-long pursuit of learning. In this role, the preceptor will guide the intern toward:

Improved skills and capabilities Strengthening interpersonal attributes Becoming a HIT professional

ORGANIZATIONAL STRUCTURE The University’s central administration seeks to provide effective support and leadership for the teaching and learning process. Functional-area managers and specialists are designated to provide this support and leadership. The National Dean, College of Health Sciences provides central academic support for the HIT Program and is responsible for university-wide leadership of program curriculum and plan of study design; coordinates the HIT Program accreditation effort and facilitates ongoing communication. Communication vehicles include monthly videoconferences, online Resource Shell and face-to-face meetings in Chicago.

Health Information Technology Program

HISTORY AND OVERVIEW In 2003, DeVry University entered a new market with the launch of the Health Information Technology (HIT) Associate of Applied Science degree. DeVry’s entry into the health care education area is consistent with the University’s mission and purposes and with its strategy to identify high-growth, high-demand areas for future academic offerings. The addition of HIT strengthens the University’s new role in health education, and its long- standing position in technology education. A program such as HIT offers potential to increase student enrollments, with appeal to individuals attracted to health service occupations who previously would not have looked to DeVry for their education.

HEALTH INFORMATION TECHNOLOGY PROGRAM DeVry’s Health Information Technology program prepares graduates to work with health data, applications systems and electronic health information databases. Given the importance of information accuracy, privacy and security, HIT graduates are prepared for involvement in regulatory compliance and quality assessment activities designed to ensure that health information systems support patient care and safety. They work with nurses, physicians, other healthcare providers, and managers and technical specialists in a variety of settings such as hospitals, long-term-care facilities, insurance and managed care organizations, government agencies and vendor firms.

PROGRAM OUTCOMES The program is designed to produce graduates who are able to: • Evaluate healthcare data to apply diagnosis and procedure codes, ensure integrity of healthcare documentation, validate secondary data sources, and ensure compliance with standards. • Understand and apply legal concepts to protect the confidentiality, privacy, and security of protected health information. • Support healthcare data utilization, health information management functions, research, and health information exchange through the use of information systems and data analytics. • Explain and apply reimbursement processes, methodologies, and revenue cycle. • Analyze and apply legal and regulatory requirements to ensure organizational compliance. • Understand and apply organizational leadership, change management and process improvement. As identified by the American Health Information Management Association (AHIMA), the domains, subdomains and tasks for the RHIT drive curriculum content and delivery. Teaching to these competencies supports the achievement of the Program Learning Objectives. Practicum students are expected to engage in activities that address all the required learning domains: Domain 1: Data Content, Structure, and Information Governance Domain 2: Access, Disclosure, Privacy, and Security Domain 3: Data Analytics and Use Domain 4: Revenue Cycle Management Domain 5: Compliance Domain 6: Leadership

ACCREDITATION The Health Information Technology is fully accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM).

FACULTY The HIT Program Director reports to the National Dean in the College of Health Sciences. The Dean provides resources and support for the Program. The Assistant National Dean and Program Director are responsible for recruitment of qualified instructors and continuing faculty support; program quality assessment including classroom observation and curricular feedback; student advising and assistance with career counseling; and relationship development within the local HIM community. The Program Director assures that regular faculty and Advisory Board meetings occur, and that sufficient number and quality of practicum sites are available for students. Leading the campus effort to achieve outcomes established in the HIT Program Goals, the Program Director is key to the program’s success. All faculty employed at DeVry University are required to hold at least a master’s degree. Additionally, HIT adjunct faculty are hired based on content expertise and credentials.

Course Description (HIT272)

HIT272: Health Information Practicum Contact Hours = 3 Credit Hours = 3

Course Description: This course provides further supervised practice experience in a health information setting at an approved external site. A minimum of 80 clock hours is required at a site, generally completed during traditional business hours. Skills in areas such as data abstraction and analysis are practiced, and knowledge of record retention and release of information is applied. Application of coding skills, and observation of supervisory and planning activities, are documented. Students prepare a written report and present a summary of their practical learning experience in class. Pre-requisite: Permission from the appropriate academic administrator upon completion of, or concurrent enrollment in all other HIT courses in the program, except HIT274.

SCOPE Opportunities for health information practice can be found across a continuum of practice settings in a variety of locations. Examples include acute care hospitals and hospital systems; insurance and managed care organizations; physician office practices; long term care and rehabilitation facilities; home health and medical equipment agencies; mental health service providers; outpatient and ambulatory care settings; correctional facilities; local, state and federal healthcare agencies. Regardless of setting, during the practicum course term, the student should have the opportunity to work in a supervised setting, “…concerned with health related information and the management of systems to collect, store, process, retrieve, analyze, disseminate and communicate information related to the research, planning, provision, financing and evaluation of health care services.”1 This course is meant to offer practice work experience; host sites are expected to support student learning, not use students as a substitute for paid employees. Although students are not prohibited from seeking out paid internships in health information and informatics management, student placement through the University usually results in an unpaid experience. This course is designed to provide the student with the opportunity to apply those theoretical concepts learned in the classroom. It is to be the capstone course in which all of the skill areas necessary to be able to work in the Health Information field are tested and evaluated.

LEVEL This health information practicum course, taken in the Associate Degree student’s final semester, provides the student an opportunity to apply knowledge and practice functional skills learned in courses across the curriculum and to observe the roles and responsibilities of health information professionals in an actual practice setting. The student should be able to demonstrate ability to speak the language of health information technology and be comfortable working at a clinical site.

RATIONALE

1 Entry-Level Associate Degree Education, Health Information Management Reform for the 21st Century. Assembly on Education, American Health Information Management Association, Melanie Brodnik, PhD, RRA and others, 1995

This practicum course offers students an opportunity to apply critical thinking skills and to relate theoretical content, as presented in prior or concurrent courses, to real practice situations. Prior to this unique practicum course, practical experiences are offered within other courses throughout the program via exploration of actual practice settings or through lab simulations, case studies and outside speakers to assure real-world applicability of course content. This final, concentrated professional experience helps to further prepare students for entry level positions in the health information field. On a larger scale, it allows the student to enhance skills in communication, teamwork, critical thinking, and professionalism.

Placement and Supervision Students work with their Practicum Coordinator to identify an appropriate location for the practicum experience; the student must take a proactive role in this process to assure that an acceptable site is found. A formal letter of agreement between the school and a representative of the practicum site, outlining student expectations for the practicum course, must be on file prior to the start of the term in which the student is enrolled in HIT272. Designation of who is to act as the on-site supervisor (Practicum Director) must be included in this agreement. The student is responsible for making travel arrangements to get to the site and for related expenses. At the conclusion of the term, the Practicum Director will be asked to complete an evaluation of the student’s quality and quantity of participation and submit this to the HIT272 course instructor.

Contact Hours During the HIT272 term, the student must be scheduled for a minimum of eighty (80) hours of on-site practical experience in an approved and supervised setting. The scheduled hours can be arranged in conjunction with the practice site as is reasonable to satisfy the practice exposure requirement. The University allows flexibility in scheduling these hours. The requirement can be met with full days, partial days or consecutive days as agreed upon with the affiliation site. In addition, classes will be held each week during the eight-week session for instruction, reporting on and processing the practical experience as well as preparation for the RHIT certification exam.

Methods of Instruction Given the unique nature of this course, the role of the instructor becomes a combination of facilitator, organizer, professional relations coordinator, role model, coach, and counselor. The Practicum Coordinator’s role as liaison between the school and the practicum sites is of paramount importance, as is the ability to maintain ongoing and effective communication with each student outside the classroom setting.

ETHICAL BEHAVIOR Students are expected to present professional demeanor, behavior, appearance, and communication at all times. Students are bound by the AHIMA Code of Ethics. Students also sign a waiver agreeing to abide by all the rules and regulations of the affiliation site.

Course Objectives: Demonstrate professional communication and ethical behavior. Knowledge, Skills and Abilities Adhere to organizational rules, regulations, and policies. Demonstrate professionalism in attire, attitude, and communication. Demonstrate accountability for actions and initiative in accomplishing tasks. Demonstrate understanding of documentation requirements and information governance. Knowledge, Skills and Abilities: Explain the process used in the selection and implementation of health information management systems. Apply information technology to health information processes. Validate content of the health record and determine completion of the legal health record. Apply access, disclosure, privacy, and security standards. Knowledge, Skills and Abilities: Collect and maintain health data. Apply policies and procedures to ensure the accuracy and integrity of health data. Apply laws, regulations, and guidelines pertaining to the disclosure of PHI. Demonstrate understanding of data use and types of analytics skills in abstracting, managing, and using data to support various needs of healthcare organizations. Knowledge, Skills and Abilities: Analyze data to identify trends. Apply graphical tools for data presentation. Abstract data from the medical records as needed to meet requirements for Medicare, Medicaid, or other health reporting. Demonstrate understanding of revenue cycle management. Knowledge, Skills and Abilities: Identify a complete health record according to organizational policies, external regulations, and standards. Analyze the documentation in the health record to ensure it supports the diagnosis and reflects the patient's progress, clinical findings, and discharge status. Apply policies and procedures pertaining to the use of health data required for reimbursement. Demonstrate understanding of compliance aspects, assess risks, and ensure compliance with standards. Knowledge, Skills and Abilities: Describe and evaluate standards for HIM functions. Appraise HIM Department compliance. Assess risks in patient care and legal areas. Demonstrate understanding of collaboration, leadership and management structure, training needs, creation of policies and procedures, and the overall process of establishing standards. Knowledge, Skills and Abilities: Review, evaluate, and revise HIM policies and procedures. Review and describe HIM processes.

Identify education and training needs pertaining HIM laws and regulations.

COURSE REQUIREMENTS

Evaluation by Practicum Director Criteria are outlined within the Performance Evaluation Report form; (see Appendix A). Students are expected to discuss results with Practicum Director. Students are expected to earn an average rating of 3.5 or above.

Time on-site Students are expected to spend a minimum of 80 hours on-site during the session, as approved by Instructor and documented by Practicum Director. Weekly time logs and journal of activities must be submitted each week and reviewed with instructor via the weekly course discussions. Documentation must demonstrate activities related to course objectives and RHIT competencies. Attendance: Students are expected to report on time for scheduled time. If a student MUST be absent, notify the site director. Students are required to be punctual and maintain perfect attendance.

Practicum Objectives Students are expected to complete eight Practicum Objectives during their practicum experience. Students are encouraged to meet with their Practicum Director at the start of their practicum to review each one and create an action plan to accomplish them. Practicum Objectives are to be included as part of the Portfolio. Identify facility standards in regards to healthcare documentation. Meet with your Practicum Director (or designee) and inquire about your facility's documentation standards. Determine the documentation standards your facility complies with and identify their origin. These would include Conditions of Participation, Conditions for Coverage, medical staff bylaws, policies and procedures, and state statutes. Include any documents you obtain as artifacts in your portfolio. Perform 10 chart audits and identify all deficiencies. Request from your Practicum Director (or designee) to audit 10 patient records for deficiencies. You are to use the organization's chart audit tool. If they do not have one, use the chart audit form located under 'files'. It is recommended to incorporate your 'predetermined data element' (from PO #3) in your audits. Include the chart audits as artifacts in your portfolio and provide a brief summary of the process. Ensure you do not include any PHI in your audits. Perform an analysis of one predetermines data element. Have a discussion with your Practicum Director (or designee) to identify one quality indicator for analysis. For example, the selected quality indicator could be a data element such as the number of days after discharge until the physician signed the discharge summary. Your data element may be an element of the chart audit. It is recommended that you compile information on your data element while you perform your chart audits (PO #2). Analyze the information you have gathered and provide a summary. Your summary should identify what you have learned about the data element. It should also reference the chart/graph you have created for PO #4. For example, does the data show the organization is in compliance (remember back to the HIT226 course project), or have you identified a trend (positive or negative), etc. Create a chart/graph.

Use the results you have gathered on your data element and create a chart or graph. Your chart or graph should be applicable to the type of data you are displaying and follow the proper guidelines for presenting information. Your graph/chart should tie directly to your summary in PO #3. Perform a summary of data entry. Have a discussion with your Practicum Director (or designee) and request to perform data entry into an information system. It can be any information system with the facility. For example, release of information, revenue cycle management, coding, chart tracking, index, registry, or transcription. You may substitute manual data entry in place of electronic data entry. If you are unable to perform data entry, request to shadow an employee who does. Identify the system you used and provide a summary of the data entry process. Your summary should include the type of data you entered (clinical, administrative, or both), potential users of the data (internal and external), and any other pertinent information. Perform an evaluation on facility documentation compliance. You may choose one of the following: Evaluate how the facility complies with documentation standards. This evaluation should include pertinent information about your organizational compliance program. This could include policies and procedures, information about the compliance officer, staff education and internal monitoring (see the chapter on Fraud and Abuse Compliance in your Health Information Management Technology: An Applied Approach textbook as a reference). Or: Create a policy addressing documentation requirements for your facility. Your policy should identify internal and external standards and guidelines. See PO #1 for documentation standards. Go to 'files' to see a policy template. Recommend one health information system. While at your facility make sure to take notes on the current information systems used in the HIM (or applicable) Department. If necessary, request some time with your Practicum Director (or designee) to discuss these systems. Recommend one new, or update to an existing, health information management system. Explain why you are making this recommendation. Describe what impact it will have on the HIM Department, facility, and patient. Identify a problem and provide a technology solution. Identify a problem within the HIM Department or the facility. Then provide a solution which involves technology. For example, nurses are currently using COWs (computers on wheels) to perform data entry. Pushing the bulky carts from room to room is time consuming and creates awkward patient interaction. Therefore, your recommendation is to implement handheld devices for data entry. Your solution for PO #8 must be different than your recommended health information management system from PO #7. The grade for the practicum objectives will be based on the following rubric:

Graded Aspects Points 1. Identify facility standards in regards to healthcare documentation

2. Perform 10 chart audits and identify all deficiencies

3. Perform an analysis of one predetermined data element

4. Create a chart/graph 15 5. Perform a summary of data entry 15 6. Perform an evaluation on facility documentation compliance

7. Recommend one health information management system

8. Identify a problem and provide a technology solution

Total 120

Presentation A final summary Presentation (WebEx recording and/or multimedia piece such as a narrated PowerPoint) is also required upon completion of the practicum. Your multimedia presentation should be well organized, visually appealing, and approximately 10 minutes. It should reflect your overall experience and lessons learned. The grade for the presentation will be based on the following rubric:

Graded Aspects Points Quality of the Presentation (content, writing quality, organization, information selection, and arrangement)

Visual Appeal 10 Quality of the oral presentation 30 Quality of the recording 10 Citation 10 Total 100

Portfolio To support learning during the practicum, and because it will be valuable for future documentation of this experience, the Portfolio should include examples of all forms received, all minutes prepared, all assignments and evaluations completed while at the clinical site. The completed Student Activities Log and all written documents concerning the site visit, including journal entries, are to be included. The Portfolio should be well organized and neatly assembled. Reference this checklist to assure that critical elements are present in the Portfolio: Completed Performance Evaluation Report Completed Activities Logs with site director signatures Description of the facility and department Narrative summary of practicum experience and activities completed Completed Practicum Objectives All forms or other printed information collected relative to the practicum site experience Evidence of professional development including workshops attended Copies of introduction and thank you letters sent to the practicum director Personal career goals Reflection The grade for the portfolio will be based on the following rubric:

Graded Aspects Points Completed and signed activity log 50 Description of the facility and the department (HIM or other dept. you primarily worked)

Personal career goals and reflections 10 Writing (organization, grammar, visual appeal) 10 Total 80

Student Evaluation of Practicum site Students complete a Student Evaluation Questionnaire during week 8 of the course.

Grading The required course work will be evaluated in the following manner:

TOPIC Weight Discussions (20 Points, Weeks 1-7) 14% Milestone Test 4 and Remediation Presentation Attendance Quiz

Preliminary Report 2% Practicum Director Evaluation 42% Student Evaluation 5% Portfolio 8% Practicum Objectives 12% Presentation 10% Total 100%

RHIT COMPETENCIES To be addressed in Practicum

Domain I. Data Structure, Content, and Information Governance I.1 Describe healthcare organizations from the perspective of key stakeholders I.2 Apply policies, regulations, and standards to the management of information I.3 Identify policies and strategies to achieve data integrity I.4 Determine compliance of health record content within the health organization I.5 Explain the use of classification systems, clinical vocabularies, and nomenclatures I.6 (DM ONLY) Evaluate data dictionaries and data sets for compliance with governance standards Domain II. Information Protection: Access, Use, Disclosure, Privacy, and Security II.1 Apply privacy strategies to health information II.2 Apply security strategies to health information II.3 Identify compliance requirements throughout the health information life cycle Domain III. Informatics, Analytics, and Data Use III.1 Apply health informatics concepts to the management of health information III.2 Utilize technologies for health information management III.3 Calculate statistics for healthcare operations III.4 Report health care data through graphical representations III.5 Describe research methodologies used in healthcare III.6 (DM ONLY) Manage data within a database system III.7 (DM ONLY) Identify standards for exchange of health information Domain IV. Revenue Cycle Management IV.1 (RM ONLY) Determine diagnosis and procedure codes according to official guidelines IV. 2 (RM ONLY) Evaluate revenue cycle processes IV.3 (RM ONLY) Evaluate compliance with regulatory requirements and reimbursement methodologies

Domain V. Health Law and Compliance V.1 Apply legal processes impacting health information V.2 Demonstrate compliance with external forces V.3 Identify the components of risk management related to health information management V.4 Identify the impact of policy on health care Domain VI. Organizational Management and Leadership VI.1 Demonstrate fundamental leadership skills VI.2 Identify the impact of organizational change VI.3 Identify human resource strategies for organizational best practices VI.4 Utilize data-driven performance improvement techniques for decision making VI.5 Utilize financial management processes VI.6 Examine behaviors that embrace cultural diversity VI.7 Assess ethical standards of practice VI.8 Describe consumer engagement activities VI.9 Identify processes of workforce training for healthcare organizations

POLICIES

ELIGIBILITY FOR INTERNSHIP Meet Prerequisite Requirements: All HIT courses should be successfully completed Preferably, each course should have been completed with a minimum grade of a C. A cumulative GPA of 2.0 is required. Complete Intent to Register Application Complete Practicum Application at least eight weeks before anticipated start date. Sign student waiver. Indicate agreement to abide by site policies and procedures. Comply with workplace rules and regulations Agree to unpaid experience Indemnity for site and university against claims Maintain confidentiality of healthcare and business information Additional requirements could include: Liability Insurance – Background Check – Cost covered by DeVry Physical Examination – Each student is responsible for providing current health status information from their individually selected healthcare provider. Drug Screen and/or Fingerprinting Current Immunizations or vaccinations - Each student is responsible for providing current immunization information from their individually selected healthcare provider.

In addition, the student may also be required to satisfy items not mentioned in this handbook that are either required by (1) the site, (2) site supervisor, and/or (3) local, state, federal laws, policies, or regulations. For example, if there is a global pandemic and the Department of Labor requires all businesses to have their workforce tested weekly or show proof of a vaccination, then the student must comply.

Although students are not prohibited from seeking out paid internships in health information and informatics management, student placement through the university typically results in an unpaid experience. A paid internship can only be arranged before the start of HIM460 and only used for completion of the 80 contact hours on-site when a paid intern is not used to replace staff. SCHEDULING Students are permitted flexibility in scheduling the 80 on-site hours. Time can be scheduled in any approved increment: one day per week, 4-5 hours per day or other arrangement. 80 hours need to be completed within the 8-week session.

SITE SELECTION

Practicum Coordinator will discuss requirements and needs from the student when it comes to a practicum site (i.e. distance to location, need to take public transit, etc). A Practicum Coordinator will do their best to meet these needs with selecting a site for the student. It is important to remember the practicum gives facilities the opportunity to observe the student as a potential employee during the practicum. Sites must agree to fulfill their responsibilities by signing an affiliation agreement and must be capable of providing the student with a meaningful learning experience. Although specific accreditation is not required, the site must be able to offer experience in RHIT competency areas. It is preferred that the student be supervised by a credentialed HIM professional.

INTERVIEW After site selections have been approved, the student may be required to schedule an interview with the practicum director. The student should take a current resume, Practicum Handbook and other information requested by the site. During the interview, suitability of the site for the student will be determined.

ROLES AND RESPONSIBILITIES Sites are required to sign an affiliation agreement outlining the roles and responsibilities of both the healthcare facility and the University. Responsibilities of University: Assure students have met all University eligibility requirements prior to practicum assignment. Define competencies to be addressed during Practicum assignment. Suggest activities to enhance the educational experience. Provide a Practicum Coordinator to serve as liaison with the Facility. Supply adequate orientation to students and facility personnel. Instruct students to abide by Facility policies and procedures, rules, and regulations. Consider promptly any complaints by facility or student. Supply Facility with evaluation tools to assess student performance. Shall not unlawfully discriminate by race, creed, color, sex or national origin. Evaluate academic performance of students in the HIT program. Responsibilities of the Facility: Cooperate with University Faculty to promote success of the HIT Program. Notify University of all requirements for students to participate in practicum. Maintain applicable licenses, accreditations, approvals to fulfill educational purpose. Provide equipment & supplies necessary for clinical instruction at the Facility. Instruct students on workplace rules and policies and provide to the University. Design suitable experience situations as prescribed by the University curriculum. Share guidelines and procedures for developing HIT competencies. Mentor students in professional development. Will not use students to replace paid staff. Evaluate student performance using University-designed forms.

Will not disclose any personal identifying information on students nor records of students’ participation except as set forth by an agreement or required by law. Shall not unlawfully discriminate by race, creed, color, sex or national origin. Responsibilities of the Student: Meet eligibility and course requirements Be familiar with all procedures and content for practicum experience. Meet deadline dates for all activities Demonstrate competence in practicum assignments. Abide by facility rules and regulations Conduct him/her self in a professional manner during the practicum assignment. Accept instruction from facility personnel as a learning opportunity. Evaluate the practicum experience Perform a self-evaluation on the practicum assignment. Maintain communication with the site director, course professor, and Practicum Coordinator. Responsibilities of University and Facility Mutually agree upon the number of students to be placed in Facility for practicum prior to the beginning of each semester in which students are assigned. If needed, Facility can schedule an orientation with students before the practicum begins. Enforce no exchange of monies between the University and the Facility. Revise or modify the affiliation agreement in writing if both parties agree. Comply with all applicable federal and state laws, rules and regulations.

PRE-PRACTICUM PREPARATION

Orientation During HIT170, students are given an orientation on the practicum site application process. This orientation will preview the requirements and clarify all expectations, roles and responsibilities associated with the Practicum course. All students planning on enrolling in Practicum for the subsequent session are required to attend the orientation. In preparation for Practicum, each student must review the Handbook and follow the guidelines as outlined. The Handbook is also available to Affiliation site directors.

Application Process Submit Practicum Application at least eight weeks prior to beginning Practicum: It is important for students to submit the application at least eight weeks prior to planning on beginning the Practicum. This time is needed to confirm the willingness of the site to participate. The following information will be obtained during the pre-practicum period: Practicum Application (verifying eligibility) Current Résumé Waiver/agreement, signed by student Criminal Background Check Report (if required by site) Liability Insurance Physical Exam Findings and current TB test (if required by site) Drug Screen (if required by site) Receive approval from Practicum Coordinator. Following receipt of a completed application, the Practicum Coordinator will contact the potential sites on behalf of the student. Affiliation agreements will be signed and willingness to participate ascertained. Every effort will be made to place the student within a 50-mile radius of their home. Contact with potential site director. Upon confirmation of placement, the student will contact the potential site director. The student will submit a letter of introduction and resume. Scheduling of the 80 required hours should be discussed and approved by the site director. The Practicum Coordinator should be notified of the results of the interview. Both the student and the site director must agree to the practicum assignment.

ACTIVITIES DURING PRACTICUM

Activities During Practicum Document time and activities. Students will use the weekly discussions to report on their weekly activities to the professor and class. They will share their weekly activities, reflect upon their experiences, and provide feedback to classmates. Each week students will identify specific activities they completed, how they relate to the program outcomes, hours completed on site for the week as well as total number of hours completed to date. Compile Portfolio. The portfolio is the documentation of the practicum experience. It should completely report the breadth and depth of the experience. The student should collect samples during the experience and other items that attest to the experience gained. Student should complete practicum objectives during their time at the facility. Each practicum objective must be addressed in their portfolio. The student should also write narrative reports of every assignment, project and activity describing observations, participation, and activities to develop entry-level competencies for an RHIT. In addition to documenting accomplishments for HIT272, the portfolio provides evidence of experience for the student’s initial job search. Maintain Professionalism. Practicum students are expected to be professional at all times. Students must comply with all site policies and procedures including keeping healthcare information confidential. Professionalism includes communication style, demeanor, and performance of work. Students are bound by the AHIMA Code of Ethics. To begin the practice of lifelong learning, students are required to attend at least one professional development activity during the semester and to work with the other practicum students to present a display of current events using the HIT bulletin board on campus. Components of professionalism include: Ethical Behavior Appearance & demeanor Punctuality Excellence in work Attend workshop Current Events Communicate regularly with professor. The student must keep the instructor informed of progress in the assignment. The student is welcome to contact the instructor whenever there is a question or assistance is needed and the site director can contact the Practicum Coordinator.

ADA Accommodations Virtual practicum options are available for those students with ADA accommodations. Please contact your Practicum Coordinator for further information.

Appendix Performance Evaluation Report Activity Log by CO for HIT272 AHIMA Code of Ethics

Appendix A Performance Evaluation Report DeVry University Health Information Technology Program Health Information Practicum HIT272 Student D# ____________________ Student evaluated___________________________ Date ______________________________ Organization_______________________________ Practicum Director___________________ Type(s) of practice exposure during term (i.e., acute inpatient, physician office, etc.) ______________ _________________________________________________________________________________ For each of the behaviors and attitudes below, please rate the student on a scale of 1–5, with a score of 5 being excellent; check N/A if “not observed” in this situation. Use the comments section to elaborate or make additional observations.

Behaviors and Attitudes Observed

N/A 1 Poor

2 Below Average

3 Average (Satisfactory)

4 Good

5 Excellent

Adjusted quickly to practicum assignment

Maintained cooperative relationships within the organization

Accepted responsibility and demonstrated accountability for actions

Showed initiative by volunteering to perform tasks or help with projects

Exhibited poise, professionalism, self- confidence

Accepted constructive criticism and feedback

Adhered to organization’s rules, regulations, and policies

Maintained confidentiality of patient and business information

Comments: ________________________________________________________________________ ________________________________________________________________________________

Knowledge, skills, and abilities consistent with course objectives (COs) demonstrated during this practicum experience: For each area listed below, please rate the student.

CO Area of Knowledge, Skill, or Ability

N/A 1 Poor

2 Below Average

3 Average (Satisfactory)

4 Good

5 Excellent

1, 3 Applied laws, regulations, and ethical principles in regard to health information use, release, and protection

2, 4 Performed data input and retrieval accurately, using electronic health record, or other record management systems

2 Reflected knowledge of health record content in the process of quantitative and qualitative analysis

2 Practiced or observed activities involving the master population or other types of indexes

2 Contributed to data abstraction or other activities related to the organization’s registries or programs

3, 6 Demonstrated knowledge of accreditation, licensing standards, or other relevant regulations

4 Use database tools or performed other analytical activities to manage health data and information

2, 5 Coded health records accurately and demonstrated competent use of the coding software or coding manuals

5 Participated in activities in support of billing and reimbursement process

6, 7 Demonstrated understanding of the quality assessment activities

1, 7 Demonstrated leadership and organizational skills in regard to readiness for meetings, trainings, and evaluations

4 Demonstrated technical skills in using applications software to accomplish tasks

7 Performed other tasks relevant to the organization

For each of the communication skill areas below, please rate the student on a scale of 1–5, with a score of 5 being excellent; check N/A if “not observed” in this situation.

Communication and Teamwork skills

N/A 1 Poor

2 Below Average

3 Average (Satisfactory)

4 Good

5 Excellent

Demonstrated effective written communication skills

Demonstrated effective oral communication skills

Demonstrated ability to work effectively in a team

SUMMARY/COMMENTS ON PERFORMANCE: Will this student be an asset to the HIT profession? Comment on strengths and weaknesses. ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ If you had an opening in your organization, would you consider this student a potential candidate? Why or why not? ______________________________________________________________________________ ______________________________________________________________________________ Have you discussed this evaluation with the student? Yes______ No______ __________________________ _____ __________________________ Practicum Director Date ______________________________ __________________________ Student Date

Appendix B Student CO Activity Log

DeVry University Health Information Technology Program Health Information Practicum HIT272

Student Name _______________________ Dates of Practicum _______________________ Name of Facility______________________ Practicum Director _______________________ Students are required to spend a minimum of 80 hours at their practicum site during the current term/semester. The CO Activity Log must be completed in its entirety and demonstrate specific practicum activities related to the course COs.

ATTENDANCE DATE & TIME

HOURS & MINUTES WORKED

COURSE OBJECTIVES

(COs)

ACTIVIITES PERFORMED RELATED TO SPECIFIC COs

TOTAL PRACTICUM HOURS: _____________________

This verifies that the above activities are accurate and reflect actual time spent at the practicum conducting HIM activities. The onsite practicum director has discussed this evaluation with the student. Actual signatures are required to validate above. Student Signature_______________________________________________Date_________________ Practicum Director Signature _______________________________________Date ________________ * Make additional copies as needed

Appendix C AHIMA Code of Ethics Preamble The ethical obligations of the health information management (HIM) professional include the safeguarding of privacy and security of health information; appropriate disclosure of health information; development, use, and maintenance of health information systems and health information; and ensuring the accessibility and integrity of health information. Healthcare consumers are increasingly concerned about security and the potential loss of privacy and the inability to control how their personal health information is used and disclosed. Core health information issues include what information should be collected, how the information should be managed, who should have access to the information, under what conditions the information should be disclosed, how the information is retained, when it is no longer needed, and how is it disposed of in a confidential manner. All of the core health information issues are addressed in compliance with state and federal regulations, and employer policies and procedures. 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. In addition, sensitive information (e.g., genetic, adoption, substance use, sexual health, and behavioral information) requires special attention to prevent misuse. In the world of business and interactions with consumers, expertise in the protection of information is required. Purpose of the American Health Information Management Association Code of Ethics The HIM professional has an obligation to demonstrate actions that reflect values. The American Health Information Management Association (AHIMA) Code of Ethics sets forth these principles. (See also AHIMA Mission, Vision, Values) The code is relevant to all AHIMA members, non-members with the Commission on Certification for Health Informatics and Information Management (CCHIIM) certifications, and students enrolled in a formal certificate or degree granting program directly relevant to AHIMA’s Purpose regardless of their professional functions, the settings in which they work, or the populations they serve. These purposes strengthen the HIM professional’s efforts to improve overall quality of healthcare. The AHIMA Code of Ethics serves six purposes: Promotes high standards of HIM practice. Summarizes broad ethical principles that reflect the profession's core values. Establishes a set of ethical principles to be used to guide decision-making and actions. Establishes a framework for professional behavior and responsibilities when professional obligations conflict or ethical uncertainties arise. Provides ethical principles by which the general public can hold the HIM professional accountable. Mentors practitioners new to the field to HIM's mission, values, and ethical principles. The code includes principles that are enforceable and aspirational. 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. Principles The following principles are based on the core values of the American Health Information Management Association and apply to all AHIMA members, non-members CCHIIM certifications, and students. Advocate, uphold, and defend the consumer's right to privacy and the doctrine of confidentiality in the use and disclosure of information. Put service and the health and welfare of persons before self-interest and conduct oneself in the practice of the profession so as to bring honor to oneself, their peers, and to the health information management profession. Preserve, protect, and secure personal health information in any form or medium and hold in the highest regard health information and other information of a confidential nature obtained in an official capacity, taking into account the applicable statutes and regulations.

Refuse to participate in or conceal unethical practices or procedures and report such practices. Use technology, data, and information resources in the way they are intended to be used. Advocate for appropriate uses of information resources across the healthcare ecosystem. Recruit and mentor students, peers and colleagues to develop and strengthen professional workforce. Represent the profession to the public in a positive manner. Advance health information management knowledge and practice through continuing education, research, publications, and presentations. Perform honorably health information management association responsibilities, either appointed or elected, and preserve the confidentiality of any privileged information made known in any official capacity. State truthfully and accurately one’s credentials, professional education, and experiences. Facilitate interdisciplinary collaboration in situations supporting ethical health information principles. Respect the inherent dignity and worth of every person. AHIMA Code of Ethics Guidelines Violation of principles in the Code of Ethics does not automatically imply legal liability or violation of the law. Such determination can only be made in the context of legal and judicial proceedings. Alleged violations of the code are subject to a peer review process. Such processes are generally separate from legal or administrative procedures and insulated from legal review or proceedings to allow the profession to counsel and discipline its own members. Although in some situations, violations of the code would constitute unlawful conduct subject to legal process. Guidelines for ethical and unethical behavior are provided to assist with the interpretation of the American Health Information Management Association (AHIMA) Code of Ethics. The terms "shall” and “shall not" are used as a basis for setting high standards for behavior. This does not imply that everyone "shall” or “shall not" do everything that is listed. This concept is true for the entire code. If someone engages in the stated activities, ethical behavior is the standard. The guidelines are not a comprehensive list. For example, the statement "safeguard all confidential consumer information to include, but not limited to, personal, health, financial, genetic and outcome information" can also be interpreted as "shall not fail to safeguard all confidential consumer information to include personal, health, financial, genetic, and outcome information." A code of ethics cannot guarantee ethical behavior. Moreover, a code of ethics cannot resolve all ethical issues or disputes or capture the richness and complexity involved in striving to make responsible choices within a moral community. Rather, a code of ethics sets forth values and ethical principles to which a Health Information Management (HIM) professional can aspire and by which actions can be judged. Ethical behaviors result from a personal commitment to engage in ethical practice. Professional responsibilities often require an individual to move beyond personal values. For example, an individual might demonstrate behaviors that are based on the values of honesty, providing service to others, or demonstrating loyalty. In addition, professional values may require promoting confidentiality, facilitating interdisciplinary collaboration, and refusing to participate or conceal unethical practices. 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. 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. The AHIMA Code of Ethics reflects the commitment of all to uphold the profession's values and to act ethically. Individuals of good character who discern moral questions and, in good faith, seek to make reliable ethical judgments, must apply ethical principles.

The code does not provide a set of rules that prescribe how to act in all situations. Specific applications of the code must consider the context in which it is being considered and the possibility of conflicts among the values and principles. How to Interpret the Code of Ethics Principles and Guidelines The following ethical principles are based on the core values of the American Health Information Management Association and apply to all AHIMA members, non-members with CCHIIM certifications, and students enrolled in a formal certificate or degree granting program directly relevant to AHIMA’s Purposes. Guidelines included for each ethical principle are a non-inclusive list of behaviors and situations that can help to clarify the principle. They are not meant to be a comprehensive list of all situations that can occur. Advocate, uphold, and defend the consumer's right to privacy and the doctrine of confidentiality in the use and disclosure of information. A health information management professional shall: 1.1. Safeguard all confidential consumer information to include, but not limited to, personal, health, financial, genetic, and outcome information. 1.2. 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. 1.3. Advocate for changes in policy and legislation to ensure protection of privacy and confidentiality, compliance, and other issues that surface as advocacy issues and facilitate informed participation by the public on these issues. 1.4. Protect the confidentiality of all information obtained in the course of professional service. Disclose only information that is directly relevant or necessary to achieve the purpose of disclosure. 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. The minimum necessary standard is essential when releasing health information for disclosure activities. 1.5. 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. 1.6. Respond promptly and appropriately to consumer requests to exercise their privacy rights (e.g., access, amendments, restriction, confidential communication, etc.). 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. 2. Put service and the health and welfare of persons before self-interest and conduct oneself in the practice of the profession so as to bring honor to oneself, peers, and to the health information management profession. A health information management professional shall: 2.1. Act with integrity, behave in a trustworthy manner, elevate service to others above self-interest, and promote high standards of practice in every setting. 2.2. Be aware of the profession's mission, values, and ethical principles, and practice in a manner consistent with them by acting honestly and responsibly. 2.3. 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. The conflicting roles or responsibilities must be clarified and appropriate action taken to minimize any conflict of interest. 2.4. Ensure that the working environment is consistent and encourages compliance with the AHIMA Code of Ethics, taking reasonable steps to eliminate any conditions in the organizations that violate, interfere with, or discourage compliance with the code.

2.5. Take responsibility and credit, including authorship credit, only for work one actually performs, or to which one contributed. Honestly acknowledge the work of and the contributions made by others verbally or written, such as in publication. A health information management professional shall not: 2.6. Permit one’s private conduct to interfere with the ability to fulfill one’s professional responsibilities. 2.7. Take unfair advantage of any professional relationship or exploit others to further one’s own personal, religious, political, or business interests. Preserve, protect, and secure personal health information in any form or medium and hold in the highest regard health information and other information of a confidential nature obtained in an official capacity, taking into account the applicable statutes and regulations. A health information management professional shall: 3.1. Safeguard the privacy and security of written and electronic health information and other sensitive information. 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. Prevent inappropriate disclosure of individually identifiable information. 3.2. Take precautions to ensure and maintain the confidentiality of information transmitted, transferred, or disposed of in the event of termination, incapacitation, or death of a healthcare provider to other parties through the use of any media. 3.3. Inform recipients of the limitations and risks associated with providing services via electronic or social media (e.g., computer, telephone, fax, radio, and television). Refuse to participate in or conceal unethical practices or procedures and report such practices. A health information management professional shall: 4.1. Act in a professional and ethical manner at all times. 4.2. Take adequate measures to discourage, prevent, expose, and correct the unethical conduct of colleagues. If needed, utilize the AHIMA Policy and Procedures for Disciplinary Review and Appeal for potential ethics complaints. 4.3. Be knowledgeable about established policies and procedures for handling concerns about colleagues' unethical behavior. These include policies and procedures created by AHIMA, licensing and regulatory bodies, employers, supervisors, agencies, and other professional organizations. 4.4. Seek resolution if there is a belief that a colleague has acted unethically or if there is a belief of incompetence or impairment by discussing one’s concerns with the colleague when feasible and when such discussion is likely to be productive. 4.5. 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. 4.6. Take action through appropriate formal channels, such as contacting an accreditation or regulatory body and/or the AHIMA Professional Ethics Committee if needed. 4.7. Cooperate with lawful authorities as appropriate. A health information management professional shall not: 4.8. Participate in, condone, or be associated with dishonesty, fraud and abuse, or deception. A non- inclusive list of examples includes: Allowing patterns of optimizing or minimizing documentation and/or coding to impact payment Assigning codes without provider documentation Coding when documentation does not justify the diagnoses or procedures that have been billed Miscoding to avoid conflict with others Engaging in negligent coding practices Hiding or ignoring review outcomes, such as performance data Failing to report licensure status for a provider through the appropriate channels Recording inaccurate data for accreditation purposes Allowing inappropriate access to genetic, adoption, health, or behavioral health information Misusing sensitive information about a competitor

Developing a “record set” that excludes meaningful consumer information to be shared with consumers to protect the health system or specific providers Violating the privacy of individuals Refer to the AHIMA Standards of Ethical Coding for additional guidance. 4.9. Engage in any relationships with a consumer where there is a risk of exploitation or potential harm to the consumer. Use technology, data, and information resources in the way they are intended to be used. A health information management professional shall: 5.1. Use healthcare employer technology resources within the confines of organizational policies. 5.2. Ensure all data and resulting information accessed and derived from healthcare technology resources are not used outside of the scope of the job. A health information management professional shall not: 5.3. Compromise the integrity of healthcare data through any intentional acts or acts that are generally known to create risks to data integrity. Advocate for appropriate uses of information resources across the healthcare ecosystem. A health information management professional shall: 6.1. 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. 6.2. Educate stakeholders about the need to maintain data integrity and the potential impacts should data integrity not be maintained. A health information management professional shall not: 6.3. Manipulate information systems to produce or display data and resulting information that is intentionally misleading Recruit and mentor students, staff, peers, and colleagues to develop and strengthen professional workforce. A health information management professional shall: 7.1. Provide directed practice opportunities for students. 7.2. Be a mentor for students, peers, and new health information management professionals to develop and strengthen skills. 7.3. Be responsible for setting clear, appropriate, and culturally sensitive boundaries for students, staff, peers, colleagues, and members within professional organizations. 7.4. Evaluate students' performance in a manner that is fair and respectful when functioning as educators or clinical internship supervisors. 7.5. Evaluate staff's performance in a manner that is fair and respectful when functioning in a supervisory capacity. 7.6. Serve an active role in developing HIM faculty or actively recruiting HIM professionals. A health information management professional shall not: 7.7. Engage in any relationships with a person (e.g. students, staff, peers, or colleagues) where there is a risk of exploitation or potential harm to that other person. Represent the profession to the public in a positive manner. A health information management professional shall: 8.1. 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. Advance health information management knowledge and practice through continuing education, research, publications, and presentations. A health information management professional shall:

9.1. Develop and enhance continually professional expertise, knowledge, and skills (including appropriate education, research, training, consultation, and supervision). Contribute to the knowledge base of health information management and share one’s knowledge related to practice, research, and ethics. 9.2. Base practice decisions on recognized knowledge, including empirically based knowledge relevant to health information management and health information management ethics. 9.3. Contribute time and professional expertise to activities that promote respect for the value, integrity, and competence of the health information management profession. These activities may include teaching, research, consultation, service, legislative testimony, advocacy, presentations in the community, and participation in professional organizations. 9.4. 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. 9.5. Report evaluation and research findings accurately and take steps to correct any errors later found in published data using standard publication methods. 9.6. Design or conduct evaluation or research that is in conformance with applicable federal or state laws. 9.7. 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. Perform honorably health information management association responsibilities, either appointed or elected, and preserve the confidentiality of any privileged information made known in any official capacity. A health information management professional shall: 10.1. 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. 10.2. Uphold the decisions made by the association. 10.3. Speak on behalf of the health information management profession and association, only while serving in the role, accurately representing the official and authorized positions of the association. 10.4. Disclose any real or perceived conflicts of interest. 10.5. Relinquish association information upon ending appointed or elected responsibilities. 10.6. Resign from an association position if unable to perform the assigned responsibilities with competence. 10.7. Avoid lending the prestige of the association to advance or appear to advance the private interests of others by endorsing any product or service in return for remuneration. Avoid endorsing products or services of a third party, for-profit entity that competes with AHIMA products and services. Care should also be exercised in endorsing any other products and services. State truthfully and accurately one’s credentials, professional education, and experiences. A health information management professional shall: 11.1. Make clear distinctions between statements made and actions engaged in as a private individual and as a representative of the health information management profession, a professional health information association, or one’s employer. 11.2. Claim and ensure that representation to consumers, agencies, and the public of professional qualifications, credentials, education, competence, affiliations, services provided, training, certification, consultation received, supervised experience, and other relevant professional experience are accurate. 11.3. Claim only those relevant professional credentials actually possessed and correct any inaccuracies occurring regarding credentials. 11.4. Report only those continuing education units actually earned for the recertification cycle and correct any inaccuracies occurring regarding CEUs. Facilitate interdisciplinary collaboration in situations supporting ethical health information principles. A health information management professional shall: 12.1. 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.

12.2. Establish clearly professional and ethical obligations of the interdisciplinary team as a whole and of its individual members. 12.3. Foster trust among group members and adjust behavior in order to establish relationships with teams. Respect the inherent dignity and worth of every person. A health information management professional shall: 13.1. Treat each person in a respectful fashion, being mindful of individual differences and cultural and ethnic diversity. 13.2. Promote the value of self-determination for each individual. 13.3. Value all kinds and classes of people equitably, deal effectively with all races, cultures, disabilities, ages and genders. 13.4. Ensure all voices are listened to and respected. Acknowledgement Adapted with permission from the 1999 Code of Ethics of the National Association of Social Workers. Resources National Association of Social Workers. Code of Ethics. 2017. Available online on the NASW web site. AHIMA. Code of Ethics, 1957, 1977, 1988, 1998, and 2004, 2011. AHIMA. Standards of Ethical Coding. 2016. Available in the AHIMA Body of Knowledge. Harman L., Cornelius F. Ethical Health Informatics: Challenges and Opportunities (formerly titled Ethical Challenges in the Management of Health Information). 3rd ed. Burlington, Massachusetts: Jones & Bartlett Learning; 2017. McWay, D.C. Legal and Ethical Aspects of Health Information Management, 4th ed. Clifton Park, NY: Cengage Learning; 2014. Revised & adopted by AHIMA House of Delegates – (April 29, 2019)