Carol has a master’s degree in health information management and is a registered health information administrator (RHIA). For 10 years she has been director of a health information managemen

Scenario 1: Carol has a master’s degree in health information management and is a registered health information administrator (RHIA). For 10 years she has been director of a health information management (HIM) department, responsible for 45 employees. Her scope of duties includes management, budgeting, monitoring, planning, as well as directing the functions of coding and reimbursement, release of information, document imaging, chart deficiency analysis, physician record completion, transcription, and master patient index (MPI) maintenance. Carol has avoided stretching herself professionally. In the past when career advancement opportunities have risen, Carol always gets a sinking feeling in her stomach and believes she does not have the skills for success. Afraid of failing, Carol never takes advantage of advancing her career. A corporate director of HIM services position opened recently in her health system with oversight of four acute-care facilities and 200 employees. However, Carol doubts she can handle a larger scope of responsibility and is hesitant to apply for the job. She fears she does not have the capabilities to assume this level of responsibility or initiate changes to challenge the status quo.