| Course | HI570 Legal and Ethical Issues in Health Information |
|---|---|
| Unit | Unit 1 |
| Paper type | Discussion board argument |
| Length | About 580 words, 3 pages double-spaced |
| Format | APA 7 discussion post |
| School | Purdue University Global |
| Program | MS in Health Informatics |
| Updated | October 2026 |
Free sample paper for HI570 Unit 1
Permitted Is Not the Same as Wise: A Unit 1 Discussion Argument on Listing an Unconscious Assault Patient in the Hospital Directory
HI570 · Unit 1 Discussion Board Argument
Posted by [Student Name]
Larchmere Health, the patient, the classmates and every time are composite; the rule and sources cited are real.
Initial Post
My position: the Privacy Rule leaves the directory decision to professional judgment, and for this patient that judgment should have been to withhold her listing until she could decide for herself.
The facts are short. An ambulance brought a woman to Larchmere's emergency department at 2:10 a.m., unconscious, with injuries the physician documented as consistent with assault by a partner. She was admitted to a surgical floor at 5:00. At 8:15 a caller asked the switchboard for her by name and was told her room number and that she was in fair condition.
The rule permits a hospital to keep a facility directory with a patient's name, location and general condition, and normally requires that the patient be told and given a chance to object. When a patient is incapacitated, the hospital may still list her if that is consistent with any preference she expressed earlier and is in her best interest as a matter of professional judgment, and it must offer the chance to object once she is able (45 C.F.R. § 164.510, 2024). Nothing in the rule requires a listing at all. The question is who exercises that judgment, and with what default.
For a patient whose injuries suggest a partner assault, the default should be no listing. The person most likely to call a hospital the morning after such an assault is the person who caused it, and confirming her room tells him where to find her. Nonmaleficence, the duty not to cause harm, weighs heavily when the harm is foreseeable and the benefit of disclosure is small (Beauchamp & Childress, 2019). The AHIMA Code of Ethics also asks health information professionals to protect confidential information from disclosure that could harm the person it describes (American Health Information Management Association [AHIMA], 2019).
A rule that allows disclosure in a patient's best interest cannot be satisfied by a switchboard operator who never saw her chart.
This default has a cost. A worried sister calling the same morning would also hear nothing, and that matters. But a sister can be reached through a social worker once the patient wakes, while a disclosed location cannot be taken back.
So who decides? I would assign the decision to the attending physician or charge nurse at admission, with a no-information status set automatically when the emergency record documents suspected intimate partner violence, reviewed when the patient can express a preference. What default would you set, and who on your own unit actually makes this call?
Reply to Keisha
Keisha, you argued that the directory is a convenience for families and that most callers are loved ones. I agree for most patients. My question is whether the probability matters when the harm is this severe. If one caller in ten after a partner assault is the assailant, would you still list her?
Reply to Tomás
Tomás, you suggested asking callers to identify themselves before confirming anything. That is better than nothing, but the switchboard cannot verify a name over the phone, and an abuser can easily give a sister's name. Would a no-information status that only the patient can lift be simpler and safer?
References
American Health Information Management Association. (2019). AHIMA code of ethics. AHIMA.
Beauchamp, T. L., & Childress, J. F. (2019). Principles of biomedical ethics (8th ed.). Oxford University Press.
45 C.F.R. § 164.510 (2024). https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-C/part-164/subpart-E/section-164.510
HI570 Unit 1 instructions, in plain terms
The first unit typically asks for a discussion post that stakes out and defends a view on a privacy or confidentiality problem in records work. Prompts usually want a clear thesis, the applicable rule stated accurately, ethical reasoning, an acknowledgment of the other side and a question for classmates. Initial posts often run 400 to 500 words, with two replies of about 150. Open with your position rather than background. State what the rule permits and requires in precise terms, and say where it leaves room for judgment. Name at least one ethical principle and apply it to the facts. Admitting a real cost of your position makes the argument stronger. Replies should test a classmate's reasoning with a specific scenario.
Inside the HI570 Unit 1 example
The post opens with a one-sentence thesis, then gives the composite facts in four sentences, from the 2:10 a.m. arrival to the morning call. The rule paragraph sets out the directory provision, including the conditions for listing an incapacitated patient and the fact that nothing requires a listing. A third paragraph argues the default, applying nonmaleficence and the AHIMA Code of Ethics to the likelihood that the caller is the assailant. The highlighted sentence points out that a switchboard operator cannot exercise the professional judgment the rule requires. The cost to a worried sister gets its own short paragraph. The closing paragraph assigns the decision to the attending physician or charge nurse with an automatic no-information status. Replies test a probability argument and a caller identification idea.
HI570 Unit 1 rubric: what earns full points
In HI570 a discussion argument tends to be marked on how plainly the position is held, the accuracy of the legal analysis, the depth of ethical reasoning, the replies and the writing. Legal accuracy carries real weight: getting the directory conditions wrong costs marks however careful the ethics are. The position earns credit when it is stated first and defended consistently. Ethical reasoning is rewarded when a principle is applied to the specific facts, not just named. Replies score when they push a classmate with a case their view does not handle. Many sections also count timeliness. Correct citation of the regulation and the code completes the rubric. A post that only paraphrases the regulation, with no claim of its own, forfeits most of the argument marks.
Common HI570 Unit 1 mistakes, and how to avoid them
Drafts of this post usually stumble by explaining the directory rule and never arguing for anything. Another is stating that the rule requires or forbids a listing, when it actually leaves the choice to judgment. Some students cite an ethics principle in passing but never apply it to the patient. Others ignore the cost of their position, which makes the argument look one-sided. Replies that agree without adding a challenge earn little. If your course gave you a different privacy dilemma, such as a celebrity admission or a minor's visit, share the scenario and the prompt, and a custom Unit 1 argument can be written around it.
Get an HI570 Unit 1 example written to your instructions
Which demand or disclosure does your Unit 1 prompt put before the class, and is a particular state specified? Paste that wording with the rubric and the rules for replies. A first custom sample follows within 24-48h at no cost, keeping the rule's permission apart from the judgment a professional still has to make, replies included. The paper above is an original model document written by our desk, not a submitted student paper and not an official Purdue University Global document.
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- HI570 Unit 8: Seminar Reflection
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HI570 Unit 1 questions, answered
Does the argument have to cite the regulation number?
Citing 45 CFR 164.510(a) helps, because the unit turns on exactly what that provision permits, and a precise citation shows the argument read the rule rather than a summary of it. One citation with its conditions is enough for a discussion post. The example reflects the federal rule in 2026 on composite facts, and it is coursework, not legal advice.
What is no-information status?
A setting that removes a patient from the facility directory, so the switchboard and information desk say they have no information about anyone by that name. Patients may request it, and many hospitals apply it by policy to certain admissions, such as suspected violence or behavioral health, until the patient can decide. The Privacy Rule permits it; each hospital sets its own rules.
Do I need an ethics framework in a discussion board argument?
Usually a brief one helps, as long as it does work. Name the principle or code provision and apply it to the facts in a sentence or two, as the example does with nonmaleficence and the AHIMA Code of Ethics. A paragraph defining ethical theories without touching the case reads as filler to most graders, whatever its accuracy.
Where can I find a free HI570 Unit 1 sample paper?
The complete Unit 1 argument and both replies are on this page, built around a directory listing for an unconscious assault patient.
Does the Privacy Rule require a hospital to list patients in its directory?
No. It permits a directory and sets conditions, including a chance to object, but nothing obliges a hospital to list any particular patient.