Health & SafetyComprehensive Study Set

Hipaa Is Designed To Protect

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QUESTION 1

HIPAA

ANSWER

Federal law passed by Congress in 1996 Regulations promulgated 颁布 by the Dept of Health and Human Services Guidelines implemented in April, 2003

QUESTION 2

HIPAA regulations were designed to:

ANSWER

1) protect individuals' rights to privacy and confidentiality 2) assure the security of electronic transfer of personal information

QUESTION 3

The first, protecting privacy and confidentiality rights, is the subject of this instructional program.

ANSWER

HIPAA regulations 法规

QUESTION 4

Differentiate individuals 区分个人

ANSWER

who have a 'need to know' from those who don't. This determines those with whom you

QUESTION 5

This determines those with whom

ANSWER

you can discuss protected health information

QUESTION 6

List , , and of violating HIPAA rules

ANSWER

legal, professional, academic consequences

QUESTION 7

as more is known about our genetic predisposition to diseases, HIPAA will ensure that, for example, an individual is not denied insurance because the company knows that she may eventually develop MS.

ANSWER

Genetic advancements

QUESTION 8

Why HIPAA??

ANSWER

Marketing - as information is more easily captured concerning, for example, the prescriptions we purchase, HIPAA is designed to prevent marketing of unsolicited products or services based on harvested marketing data.

QUESTION 9

as information is more easily captured concerning, for example, the prescriptions we purchase

ANSWER

Marketing

QUESTION 10

HIPAA is designed to prevent of unsolicited products or services based on harvested marketing data.

ANSWER

marketing

QUESTION 11

as information is quickly and sometimes loosely moved around networks, HIPAA standards will hold violators accountable for accidental or intentional 'interception' of protected health information (PHI).

ANSWER

Technology

QUESTION 12

When and How Often do I need to be Trained?

ANSWER

The law requires that we comply with the regulations and adhere to agency guidelines. Be aware that individual agencies may have unique HIPAA policies, and it is your responsibility to know and implement those policies.

QUESTION 13

What Objectives do the Privacy Regulations Accomplish for Patients?

ANSWER

Give patients more control over their health information. Set boundaries on the use and disclosure of health records. Establish appropriate safeguards for all people who participate in or are associated with the provision of healthcare to ensure that they honor patients' rights to privacy of their PHI. Hold violators accountable through civil and criminal penalties. Strike a balance when public responsibility requires disclosure of some forms of data--for example, to protect public health.

QUESTION 14

Set boundaries on the of health records.

ANSWER

use and disclosure

QUESTION 15

for all people who participate in or are associated with the provision of healthcare to ensure that they honor patients' rights to privacy of their PHI.

ANSWER

Establish appropriate safeguards

QUESTION 16

With HIPAA we now have new terms and abbreviations to learn!!

ANSWER

Protected Health Information (PHI) or Protected Medical Information (PMI)

QUESTION 17

Privacy Officer (PO)

ANSWER

Each facility will have an employee who is responsible for implementing and enforcing this law

QUESTION 18

This includes any health plan, healthcare provider, agency that processes claims, and any company that subcontracts with them are covered by this law.

ANSWER

Covered Entity (CE)

QUESTION 19

And more new terms and abbreviations to learn!!

ANSWER

Release/Disclosure, Accounting of Disclosure (AOD) , Directory

QUESTION 20

These are terms used in describing the release of PHI to other CEs for TPO, treatment. payment, or health care operations.

ANSWER

Release

QUESTION 21

What are terms used in describing the release of PHI to other CEs for TPO, . or ?

ANSWER

Release, treatment payment, or health care operations.

QUESTION 22

The patient has the right to have an AODs for his PHI or PMI.

ANSWER

Accounting of Disclosure (AOD)

QUESTION 23

The patient has the right to have an AODs for his PHI or PMI. True or False

ANSWER

True

QUESTION 24

Accounting of Disclosure (AOD)

ANSWER

The patient has the right to have an AODs for his PHI or PMI.

QUESTION 25

This is CE's census or list of patients used by volunteers and operators to direct visitors.

ANSWER

Directory

QUESTION 26

patients more control over their health information.

ANSWER

Give

QUESTION 27

What do we do on the use and disclosure 透露;公開 of health records?

ANSWER

Set boundaries

QUESTION 28

What for all people who participate in or are associated with the provision of healthcare to ensure that they honor patients' rights to privacy of their PHI?

ANSWER

Establish appropriate safeguards 建立适当的保障措施

QUESTION 29

? violators accountable through civil and criminal penalties.

ANSWER

Hold

QUESTION 30

? when public responsibility requires disclosure of some forms of data--for example, to protect public health.

ANSWER

Strike a balance

QUESTION 31

PHI

ANSWER

Protected Health Information

QUESTION 32

PMI

ANSWER

Protected Medical Information

QUESTION 33

What are the Seven Patient Rights Regarding Privacy of PHI (Protected Health Information)

ANSWER

1. Receive notice, 2. Know that an agency will use its PHI, 3. Consent to and control the use and disclosure of their PHI. 4. Access their protected health information (PHI), 5. Request amendment 6. Receive accountings of disclosures 7. File privacy complaints to agency officer

QUESTION 34

Individuals have the right to: of an agency's privacy practices.

ANSWER

Receive notice

QUESTION 35

What patient Rights regarding privacy of PHI ONLY for treatment, payment, operations (TPO), certain other permitted uses and uses as required by law?

ANSWER

Know that an agency will use its PHI

QUESTION 36

What protected health information (PHI), except for psychotherapy notes (they might be charged for copies)

ANSWER

Access their

QUESTION 37

? or addendum 增补版 [əˋdɛndəm] 補篇;附錄 to their PHI (not always

ANSWER

Request amendment

QUESTION 38

HIPAA Restricts Sharing PHI What cannot be released to individuals or companies interested in marketing ventures, without the patient's written permission?

ANSWER

Personal information

QUESTION 39

HIPAA Restricts Sharing PHI-Names of patients on antihypertensive drugs

ANSWER

cannot be released to a company marketing nutritional products to lower blood pressure.

QUESTION 40

What cannot be provided to infant formula companies?

ANSWER

Who has Access to PHI? The 'Need-to-Know' Principle

QUESTION 41

What cannot be used to raise money for a hospital building campaign.

ANSWER

Who has Access to PHI? The 'Need-to-Know' Principle

QUESTION 42

PHI should be shared with as a needed to ensure patient care and then only to the extent demanded by the individual's role.

ANSWER

PHI

QUESTION 43

the nursing assistant 'needs to know' only the facts concerning the patient's current admission is example of ?

ANSWER

-identify the patient/client by initials only -use other demographic data only to the extent necessary to identify the patient and his/her needs to the instructor. -protect the computer screen, PDA, clip board, or notes from other individuals who don't have a 'need to know' -protect your printer output from others who don't have a 'need to know' -protect your flash drive/CD-ROM/PDA from loss consider using Webspace to save your documents

QUESTION 44

For example, the nursing assistant 'needs to know' only concerning the patient's current admission.

ANSWER

PHI, student , photoduplicate

QUESTION 45

As a student, you will discuss ? only as it applies to your education or your patient's care.

ANSWER

Legal consequences, Professional consequences, Academic consequences

QUESTION 46

Protecting your patient's PHI When preparing care plans or other course required documents take extra care to:

ANSWER

Civil or criminal penalties 民事或刑事处罚 Fines plus imprisonment 罚款及监禁

QUESTION 47

Protecting your patient's ? In the what role you are NOT to do what or fax patient documents

ANSWER

Disciplinary action by the TDH Respiratory Board

QUESTION 48

DO NOT

ANSWER

Reprimands 谴责 Loss of points toward grade or failure of course Dismissal from this Program

QUESTION 49

Potential Consequences of HIPAA Violations

ANSWER

Sharing this information with the other parents is a violation of the HIPAA statute--ensuring the child's/family's right to privacy and confidentiality.

QUESTION 50

Legal consequences

ANSWER

The other parents did not 'need to know' this information. Really, nobody has the 'need to know

QUESTION 51

Professional consequences

ANSWER

to look into the day care's first aid policies and help them develop policies that observe universal precautions in the care of all children and staff. This should be done even if you didn't know that one of the children were HIV positive

QUESTION 52

Academic consequences

ANSWER

Report it to your instructor or preceptor.

QUESTION 53

Johnny, an active 4 year old, has an asthma attack while at his daycare. As the student caring for him in the ER, you know that he is HIV positive. Your daughter attends the same daycare. You alert some of the other moms at that center. What's wrong with this scenario?

ANSWER

Remind her of HIPAA and tell her that you shouldn't discuss this type of information.

QUESTION 54

Who in this setting has a 'need to know' the HIV status of this child?

ANSWER

Reasonable; report it to the head nurse or the floor/agency privacy officer.

QUESTION 55

A good action on your part as a therapist (or student) would be

ANSWER

After obtaining sufficient info to know that it is Dr. Han, you can share the requested information

QUESTION 56

While working a 3-11 shift as a student in the city/county health clinic, you see some patient data in the trash can. What should you do?

ANSWER

Refer the request to your instructor or preceptor.

QUESTION 57

You work on the neuro unit at the public hospital. You were able to convince your best friend to move to Austin and work with you. In the cafeteria, she begins telling you about this handsome guy that was just admitted to her unit after a bad car wreck. She continues to tell you some of the gory details including 'driving while intoxicated' (DWI). What should you do?

ANSWER

True

QUESTION 58

While assisting Mrs. Johnson with her I.S., she tells you that she would like remove her name from the patient data that the volunteers have at the reception desk. Is this a reasonable request? What would you do with this request?

ANSWER

False

QUESTION 59

Consulting Physician Calls You are the student caring for Mr. Sanchez. His physician has called in several consultants to assist with his care. One of the physicians, Dr Han, a neurologist, calls to get some information about Mr. Sanchez. Can you release information to her?

ANSWER

False

QUESTION 60

Patient's Spouse Wants to Read the Chart Your patient, Ms Johnson, has confided in you that she and her husband have been having marital problems. One day while she is at x-ray, her husband asks to see the chart. You think that she might not want him to see it, but you're not exactly sure how to handle the situation. What would you as the student do?

ANSWER

True

QUESTION 61

Patients have a right to see their chart?

ANSWER

False

QUESTION 62

Patients can ask that parts of their health record be amended?

ANSWER

True

QUESTION 63

All PHI is in the patient's chart?

ANSWER

True

QUESTION 64

I can talk with my instructor about my patient's medical history?

ANSWER

An understanding of legal and ethical codes is essential to practice safely and to protect the rights of patients and co-workers.

QUESTION 65

As a student questions or concerns about HIPAA policies or infractions should be directed to your instructor or preceptor.

ANSWER

We work in situations that give us the privilege (permission to do what is usually not permitted in other circumstances) to a patient's body and emotions.

QUESTION 66

Personal digital assistants (PDAs), clipboards, flash drives and CD-ROMs used for storing PMI, care plans, process recordings, or patient assessments forms must be protected as we protect the patient's chart?

ANSWER

Laws define the boundaries of that privilege and make clear the healthcare worker's rights and responsibilities

QUESTION 67

Complying with HIPAA guidelines is an important part of a healthcare provider's role. As a student, failure to comply can result in academic, professional, civil, or criminal consequences.

ANSWER

are different from laws, and are important because not all situations are covered by a law, and there may not be one right action.

QUESTION 68

Medical and Legal Aspects

ANSWER

ethical principles (rules of right and wrong from a moral view)

QUESTION 69

Medical and Legal Aspects Ethical codes (actions and beliefs approved of by a particular group of people)

ANSWER

Accountability

QUESTION 70

In these situations, what are applied, very often by a committee formed to consider ethical problems.

ANSWER

Professional accountability

QUESTION 71

What are rules of conduct that are established by our government.

ANSWER

Discrimination 辨別, Race, Religion, Sex

QUESTION 72

What is determined by each state's board, usually involving completion of an approved educational program?

ANSWER

age

QUESTION 73

What is taking responsibility for one's action's?

ANSWER

Disability

QUESTION 74

What is your responsibility to meet the health care needs of the patient in a safe and caring way.

ANSWER

Physical impairment 障碍 Mental impairment People with human immunodeficiency (HIV) Recovering alcohol and drug addictions

QUESTION 75

What is making a decision or treating a person based on a class or group to which he or she belongs, such as what?

ANSWER

When a person enters the health care system to visit a doctor, clinic, hospital, or emergency room or to receive some healthcare, a record is begun that documents the person's health status or problem and the care given.

QUESTION 76

The law has been amended to include the protection for people with disabilities, as well as discrimination based on what?

ANSWER

legal document, confidential

QUESTION 77

What has been broadly interpreted to include: Physical impairment Mental impairment People with human immunodeficiency (HIV) Recovering alcohol and drug addictions

ANSWER

NOT THE PATIENT

QUESTION 78

Disability as been broadly interpreted to include:

ANSWER

A consent

QUESTION 79

Legal documents:

ANSWER

releases

QUESTION 80

That record is a and is to be kept .

ANSWER

Consents

QUESTION 81

The chart is the property of the hospital or agency or physician—

ANSWER

A Release

QUESTION 82

What is permission given by the patient or his or her legal representative.

ANSWER

Advance directives

QUESTION 83

Consents, or , are legal documents that record the patient's permission to perform a treatment or surgery, or to give information to insurance companies or other health care providers.

ANSWER

Durable Medical Power of Attorney

QUESTION 84

What must be freely signed without threat or pressure, and must be witnessed by another adult.

ANSWER

Orders are written by a doctor when the patient has indicated a desire to be allowed to die if she stops breathing or her heart stops.

QUESTION 85

What is a legal form used to excuse one party from liability 傾向, 責任(responsibility).

ANSWER

patient advocate

QUESTION 86

What sometimes called a "living will', is a consent that has been constructed before the need for it arises. It spells out the wishes of the patient regarding surgery or diagnostic and therapeutic treatment.

ANSWER

Negligence 疏忽

QUESTION 87

What is a document that gives legal power to the health care proxy 代理, who is is a person chosen by the patient to follow the patient's advance directives.

ANSWER

Malpractice

QUESTION 88

Do Not Resuscitate (DNR):(使)復活 [rɪˋsʌsə͵tet]

ANSWER

1. Maintain composure 2. Document fully: 3. Establish rapport: 4. Communicate effectively

QUESTION 89

There are a number of civil laws that need to be known, You need to know not only the laws in regard to your own practice but also how to act as a , one who speaks for and protects the rights of the patient.

ANSWER

Maintain composure

QUESTION 90

What is simply defined as failing to do something a reasonably prudent 審慎的(sensible and careful) person would do, or doing something reasonably prudent person would NOT do.

ANSWER

Document fully

QUESTION 91

What is negligence by a professional person. The person does not act according to professional standards of care as a reasonable prudent processional would.

ANSWER

Establish rapport

QUESTION 92

Guidelines to Reduce Legal Risk

ANSWER

Communicate effectively

QUESTION 93

Learn skills thoroughly Know the laws Follow institution's policies Improve your weak areas of performance Attend continuing education programs Keep records Familiarize yourself with your environment and equipment

ANSWER

IDENTIFICATION OF DISSATISFIED PATIENTS 鉴定不满意病患者

QUESTION 94

There is a saying- "If you didn't chart it, it didn't get done"

ANSWER

Legal responsibilities, ethics, patient's rights, and advance directives all help determine the type of care provided by health care workers.

QUESTION 95

Develop rapport and treat each patient with respect. Identify yourself, smile, and listen.

ANSWER

By following certain standards at all times, you can protect yourself, your employer, and the patient.

QUESTION 96

Allow the patient to express themselves without making them feel incompetent

ANSWER

1. Perform only those procedures for which you have been trained and are legally permitted to do.

QUESTION 97

POTENTIAL LAWSUITS MAY BE AVOIDED BY EARLY

ANSWER

2. Use approved, correct methods while performing any procedure.

QUESTION 98

Professional Standards

ANSWER

4. Identify the patient and obtain the patient's consent before performing any procedure. 5. Observe all safety precautions.

QUESTION 99

Think

ANSWER

dress, language, manners, and actions.

QUESTION 100

Treat

ANSWER

meeting legal responsibilities, ethics, and patient's rights.

QUESTION 101

Accept

ANSWER

all times.

QUESTION 102

If any error occurs or you make a mistake

ANSWER

respective occupations.

QUESTION 103

Behave professionally in

ANSWER

Abuse

QUESTION 104

Professional standards of care help provide guidelines for

ANSWER

Physical abuse, Verbal abuse, Psychological abuse, Sexual abuse, Domestic abuse, Child abuse, Elder abuse

QUESTION 105

Every health care worker should follow these standard at

ANSWER

Verbal abuse

QUESTION 106

All health care workers should know and follow the state laws that regulate their

ANSWER

Physical abuse

QUESTION 107

includes any care that results in physical harm, pain or mental anguish.

ANSWER

Psychological abuse

QUESTION 108

Examples of Abuse

ANSWER

Sexual abuse

QUESTION 109

Speaking harshly, swearing or shouting, using inappropriate words to describe a person's race or nationality, and or writing threats or abusive statements.

ANSWER

Domestic abuse

QUESTION 110

Hitting, forcing people against their will, restraining movement, depriving people of food or water or simply not providing care

ANSWER

-Unexplained bruises, fractures, burns, or injuries -Sign of neglect such as poor hygiene -Irrational fears or change of personality -Aggressive or withdrawn behavior -Patient statements that indicate abuse or neglect

QUESTION 111

Threatening harm, denying rights, belittling, 小看的,輕視的 intimidation, ridiculing the person, threatening to reveal information about the person

ANSWER

Law

QUESTION 112

Any unwanted sexual touching or act, using sexual gestures, suggesting sexual behavior

ANSWER

any signs or symptoms of abuse to their immediate supervisor or to the individual in the health care facility responsible for reporting to the proper authorities.

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