You are the Director for Operations at a general hospital. You are responsible for the Health information Management
Department (HIM [the department formally known as Medical Records}). The supervisor of the HIM Department calls for
an immediate appointment. The supervisor states that she received a complaint and doesn’t know how to handle the
The complainant stated that:
1.Her friend. an employee in the HIM Department, told her confidential information about a mutual friend.
2.The complainant said that the employee told her that she (the employee) typed the patient’s discharge papers. The
employee shared that their mutual friend was admitted to the psychiatric unit for depression. Later in the conversation Ms.
Smith stated that she had heard the information from another source.
3.The complainant also stated that the employee texted the information to other friends as well.
4.The complainant said that she is contacting the patient to let her know of the situation.
5.In addition, the comptainant said that she wouid like to know the outcome of the investigation.
The supervisor interviewed the employee. The highlights of the conversation are:
1.The employee said that she was aware of her friend’s admission but had heard the information from other sources. She
said that a friend of the patient’s boyfriend was the one that fold her (the employee) the information.
2.The employee added that the patient’s mother accused her of spreading the information around town and at school. The
employee said that she called the mother to tell her she wasn’t the source of the information.
3.When the employee was asked if she discussed the patient’s admission with anyone, the employee said that she talked
with her friend. The supervisor asked the friend’s name and the friend was the complainant. She denied texting
information to friends. But, she said she ONLY shared the information she heard from her discussion with the friend of the
- She stated that she is very clear about HIPAA guidelines and confidentiality. She said that she handled the patient’s
record while carrying-out her usual job functions.
5.The employee said that she probably shouldn’t have called the patient’s mother but should have reported it to her
The supervisor doesn’t know what to do next. Please advise her and provide your answer using the analysis format below.
Establish the foundation for the analysis. Set the stage for the sections to follow. Be concise: highlight the
Problem Identification: Identify the major issues or problems to be solved in the analysis. List the steps in your
Analyze the major issues and discuss the implications. Discuss the outcome. Is the issue critical? What changes
should be made. How do you address this issue? What steps will you take to decrease the potential of this occurring
State and support your recommendations for solving the major problems identified in the analysis.
Apply the background given in your analysis to justify your recommendations. Consider personnel behavior changes
If chosen to plug into the experience machine, we can strongly agree that the agent is choosing for hedonic illusion in order to achieve happiness. As hedonist would say the simulation of pleasure is qualitatively the same as real experiences of pleasure. I will discuss the two main factors which conclude that one would not be happy when plugged into the Experience Machine. According to Haybron, hedonism is not a sufficient condition to achieve happiness and the life satisfaction theory is absent when one is the Experience Machine. First, we need to identify what happiness is. Taken by Daniel M. Haybron, Happiness A Very Short Introduction, he identifies three basic theories about happiness. Emotional state theory: ‘happiness as a positive emotional condition,’ Hedonism: ‘happiness as pleasure’ and Life satisfaction theory: ‘happiness as being satisfied with your life.’ Both emotional state theory and hedonism identify happiness in terms of feelings, while the life satisfaction theory identifies happiness in terms of judgments about one’s life. To be satisfied with one’s life is to regard it as going well by one’s standard. By considering all things together, one sees its life as having enough of the things one care about. Thus, life satisfaction is the overall evaluation of one’s life. Haybron mentions that life satisfaction should not be taken together with pleasure. The focus of life satisfaction which Haybron describes is not about a question of pleasure as people care about other things besides their own pleasure, but to track people’s value. An example can be given by a high achieving artist or scientist who might be satisfied with their life even it is not terribly pleasant, she is getting what she cares about. Haybron categorized three terms to describe happiness under life satisfaction theory. Endorsement: “feeling happy and other classic emotions.” This is an emotional state which signifies one’s life as good. Engagement: “vitality and flow.” This term concerns the engagement with one’s life in the form of energetic, interested, and engaged. However, this can occur even when events are not going well, as an example: when struggling to accomplish a difficult goal. There are two types of engagement. The first concerns on the states of energy or “vitality.” An example was given by Haybron of a concentrated orchestra conductor who might be cheerful or even happy without being obviously cheerful or happy. The second concerns the notion of “flow,” developed by Csikszentmihalyi. Flow is the state one experience when fully engaged in an activity, typically a challenging activity performed well. Athletes and musicians describe it as being ‘in the zone’. In this state of flow, one loses the sense of self-awareness. To the individual, time tends to pass different to reality and is not aware of feeling anything at all. Yet Csikszentmihalyi describes it as a highly pleasant state, which an individual is happy. It is opposite to boredom. Attunement: “peace of mind, confidence, expansiveness.” To understand this one should understand the aspect of tranquillity. It is similar to ‘feeling at home,’ not entirely a peace of mind but a kind confidence, and stability. In this state, one feels relaxed, living seems natural without inhibition. One of the main arguments of Haybron is that hedonism lacks mental state, as pleasure alone cannot prove happiness because pleasure lacks causal depth. I agree on the Haybron’s notion that hedonism itself does not constitute happiness. “The pleasure of happiness are not the only pleasures to be had,” (Haybron, 143) Hedonism focuses happiness on a matter of pleasure, and may have a certain kind of “deep” (Haybron, 143) pleasure, or the Epicurean pleasures of tranquillity. Ho>