HIPAA 101 | Patient Rights | Employee Responsibility | Incident Management | Training application |
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What is the Heath Insurance and Portability and Accountability Act
A series of national standards that health care organizations must have in place in order to safeguard the privacy and security of protected health information (HHS.gov, 2013).
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What is the Notice of Privacy Practices
Patients will be provided the opportunity to obtain, read, ask questions, and sign an acknowledgement of receipt of this document prior to or on their first visit (Sterling, 2015).
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What is the Minimum Necessary Standard
When a patient's PHI is used or disclosed only the information necessary for that individual to carry out their job function should be provided (HIPAA Journal, 2018).
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What are common nursing HIPAA violations
Forgetting to lock out your computer, improper disposal of patient records, discussing PHI with coworkers, speaking with a patient's family without patient authorization, taking photos that may include PHI, and failing to report violations in a timely manor (Sterling, 2015).
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What is lack of employee training
One of the most common reasons for a HIPAA violation (Sterling, 2015).
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What is Protected Health Information (PHI)
Information the covered entity creates or receives that identifies the patient, including demographic information (HHS.gov, 2013).
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What is the patient's right regarding amendment of medical records
Patient's may request their medical record be amended if they believe there is an error or missing information (HIPAA Journal, 2018).
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What is completion of an authorization
You are requested to release a patient's medical record for a reason other than treatment, payment, or healthcare operations (Sterling, 2015). You must first do this.
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What are minor breaches
A data breach that affects less than 500 individuals in a single jurisdiction. Individuals must be notified (HIPAA Journal, 2018).
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What is HIPAA compliance
Fulfilling patient privacy and security requirements, amendments, and related legislation (HIPAA Journal, 2018)
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What is the HIPAA Privacy Rule
Sets national standards for privacy, integrity, and availability of PHI. Outlines safeguards that must be in place to ensure PHI is kept private and establishes guidelines for patient rights to access their records, in addition to uses, disclosures, and authorizations (HHS.gov, 2013).
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What is the scenario in which patient's information be released without authorization
For treatment, healthcare operations, or payment (HIPAA Journal, 2018).
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What is disease reporting, government oversight, and legal investigations in relation to disclosure of PHI
Exceptions for the release of patient PHI (Sterling, 2015).
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What are meaningful breaches
A data breach that affects more than 500 individuals within a single jurisdiction. Media and local law enforcement may be notified as well (HIPAA Journal, 2018).
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What is a Tier 4 HIPAA violation
An employee of County Hospital has been selling celebrity PHI to the highest bidder.
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What is the HIPAA Security Rule
Sets national standards for maintaining the security of PHI through a series of technical , physical, and administrative safeguards (HHS.gov, 2013).
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What is the patient's right regarding copies of their medical records
Patients may request a copy of their medical record. A written request may be required and records released within 30 days (Agris & Spandorfer, 2016).
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What is the hospital's privacy officer
A patient has a question about the security and release of their PHI. You direct them to this individual (HIPAA Journal, 2018).
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What is the financial penalty for violating HIPAA rules
Four tiered system for healthcare organizations is based on the extent to which the organization was aware that HIPAA rules were violated. Tier 1 being unaware of violation and tier 4 being neglectful of HIPAA rules. Financial penalties range from $100 to $50,000 per violation per year with a maximum of $1.5 million per year (HIPAA Journal, 2018)
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What is a privacy violation
A nurse intern is responsible for documenting patient hygiene care on the patients he is assigned to. One of the patient's has a newly amputated limb. The nurse intern's curiosity gets the better of him and he reads the patient's H&P to learn the cause of the amputation. This is an example of what.
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What is the Breach Notification Rule
Outlines processes that must be followed in the event of a data breach (HHS.gov, 2013).
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What is emergency situations. The notice will be provided when the emergency situation has ended and it is practical to do so
Hospitals and other covered health care providers do not have to provide a notice of privacy practices under these conditions (HIPAA Journal, 2018).
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What is the frequency of employee HIPAA privacy and security training
Must be completed yearly and at the time a new employee is hired by the hospital (Agris & Spandorfer, 2016).
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Who is the Office for Civil Rights
Enforces HIPAA rules and will refer possible criminal violations of HIPAA Rules to the Department of Justice. Employees may be criminally liable for violations (Hepp, Tarraf, Birney, & Arain, 2018)
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What are Technical Safeguards
Technology and the policy and procedures for its use that protect electronic PHI and control access to it (HIPAA Journal, 2018).
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