Podcast
Questions and Answers
Which of the following are common causes of breaches?
Which of the following are common causes of breaches?
- Option 1
- Option 2
- Option 3
- All of the above (correct)
A Privacy Impact Assessment (PIA) is an analysis of how information is handled:
A Privacy Impact Assessment (PIA) is an analysis of how information is handled:
- Option 1
- Option 2
- Option 3
- All of the above (correct)
Under the Privacy Act, individuals have the right to request amendments of their records contained in a system of records.
Under the Privacy Act, individuals have the right to request amendments of their records contained in a system of records.
True (A)
Under HIPAA, a covered entity (CE) is defined as:
Under HIPAA, a covered entity (CE) is defined as:
The e-Government Act promotes the use of electronic government services by the public and improves the use of information technology in the government.
The e-Government Act promotes the use of electronic government services by the public and improves the use of information technology in the government.
Which of the following are categories for punishing violations of federal health care laws?
Which of the following are categories for punishing violations of federal health care laws?
What are technical safeguards?
What are technical safeguards?
An incidental use or disclosure is not a violation of the HIPAA Privacy Rule if the covered entity (CE) has:
An incidental use or disclosure is not a violation of the HIPAA Privacy Rule if the covered entity (CE) has:
A covered entity (CE) must have an established complaint process.
A covered entity (CE) must have an established complaint process.
The HIPAA Security Rule applies to which of the following?
The HIPAA Security Rule applies to which of the following?
Which of the following are breach prevention best practices?
Which of the following are breach prevention best practices?
Which of the following are examples of personally identifiable information (PII)?
Which of the following are examples of personally identifiable information (PII)?
HIPAA provides individuals with the right to request an accounting of disclosures of their PHI.
HIPAA provides individuals with the right to request an accounting of disclosures of their PHI.
If an individual believes that a DoD covered entity (CE) is not complying with HIPAA, he or she may file a complaint with the:
If an individual believes that a DoD covered entity (CE) is not complying with HIPAA, he or she may file a complaint with the:
The minimum necessary standard:
The minimum necessary standard:
When must a breach be reported to the U.S. Computer Emergency Readiness Team?
When must a breach be reported to the U.S. Computer Emergency Readiness Team?
What are administrative safeguards?
What are administrative safeguards?
A breach as defined by the DoD is broader than a HIPAA breach (or breach defined by HHS).
A breach as defined by the DoD is broader than a HIPAA breach (or breach defined by HHS).
Which HHS Office is charged with protecting an individual patient's health information privacy and security through the enforcement of HIPAA?
Which HHS Office is charged with protecting an individual patient's health information privacy and security through the enforcement of HIPAA?
What are physical safeguards?
What are physical safeguards?
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Study Notes
Causes of Breaches
- Common causes of breaches encompass various factors, indicating a critical need for vigilance in protecting health information.
Privacy Impact Assessment (PIA)
- A PIA analyzes the handling of information, ensuring compliance with privacy regulations.
Right to Amend Records
- Under the Privacy Act, individuals possess the right to request amendments to records in a system of records, enhancing personal agency over their information.
Definition of Covered Entity (CE)
- A covered entity refers to organizations that are subject to HIPAA regulations, including healthcare providers, health plans, and healthcare clearinghouses.
e-Government Act
- The e-Government Act promotes improved public access to electronic government services and enhances information technology usage in government operations.
Categories for Violating Federal Health Care Laws
- Punishments for violations of federal health care laws can fall into various categories aimed at enforcing compliance.
Technical Safeguards
- Technical safeguards involve technology and procedures designed to safeguard electronic Protected Health Information (ePHI) and control its access.
Incidental Use or Disclosure
- An incidental use or disclosure does not violate the HIPAA Privacy Rule if the covered entity implements reasonable safeguards.
Established Complaint Process
- Covered entities must have a complaint process in place to address concerns regarding compliance with privacy regulations.
HIPAA Security Rule
- The HIPAA Security Rule specifically applies to the electronic transmission of Protected Health Information (PHI).
Breach Prevention Best Practices
- Best practices for breach prevention include implementing comprehensive security measures across all operations related to health information.
Personally Identifiable Information (PII)
- Examples of PII encompass various data that can be used to identify an individual, underscoring the importance of protecting such information.
Accounting of Disclosures
- HIPAA grants individuals the right to request an accounting of disclosures concerning their Protected Health Information.
Filing Complaints
- Individuals suspecting non-compliance with HIPAA by a DoD covered entity can file a complaint with established authorities.
Minimum Necessary Standard
- The minimum necessary standard emphasizes limiting the access and disclosure of PHI to only what is essential.
Reporting Breaches
- Breaches must be reported to the U.S. Computer Emergency Readiness Team within one hour of their discovery to ensure timely response.
Administrative Safeguards
- Administrative safeguards include policies and procedures for managing security measures and workforce conduct related to ePHI protection.
Definition of a Breach
- The Department of Defense defines a breach more broadly than HIPAA, indicating the necessity for more stringent security measures.
HHS Office for Civil Rights (OCR)
- The Office for Civil Rights is responsible for ensuring the privacy and security of individual health information through HIPAA enforcement.
Physical Safeguards
- Physical safeguards refer to protective measures for electronic information systems and their environments against hazards and unauthorized access.
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