Questions and Answers
How are audit trails used in the EHR environment?
Audit trails track every access to data, logging the individual's name, date, time, and action taken.
What should policies and procedures related to privacy comply with?
HIPAA security standards and implementation specifications.
What does control access to protected health information involve?
Identifying which employees should have access to what data.
What is the need and process of risk analysis?
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What is a password management plan?
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What are common threats encountered when using HIT?
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What is access control?
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What are administrative safeguards?
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What is an audit trail?
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How is authentication defined?
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What is authorization in healthcare?
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What are biometrics?
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What is a breach?
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What is breach notification?
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What is encryption?
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What does a firewall do?
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What does HIPAA stand for?
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What is the Office of Civil Rights?
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What is a password?
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What does a physical safeguard refer to?
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What is the Privacy Rule under HIPAA?
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What is protected health information?
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What is risk analysis?
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What does the Security Rule state?
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What are technical safeguards?
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Explain privacy, security, and confidentiality in HIT settings.
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Study Notes
EHR Environment and Audit Trails
- Audit trails log all data access, including user identity, date, time, and action taken (e.g., modifications, deletions).
- System administrators review audit trails to detect suspicious behavior and abnormal system usage.
Privacy Policies and Compliance
- Organizations must develop and implement policies to comply with HIPAA security standards and requirements.
Access Control to Protected Health Information
- Proper identification of employee access to sensitive data is essential for managing protected health information.
Risk Analysis Process
- Organizations must implement security measures to mitigate risks; a comprehensive risk assessment identifies security threats, vulnerabilities, and likelihood of incidents.
Password Management
- Regular mandatory password changes are necessary to enhance security protocols.
Common Threats in Health Information Technology (HIT)
- Threats include unauthorized access, theft, improper disposal of data, loss of devices, and hacking incidents.
Access Control Measures
- Access controls ensure that only individuals with legitimate needs can view or modify documents.
Administrative Safeguards
- Policies and procedures in healthcare facilities aim to protect patient health information through established security measures.
Technical Safeguard: Audit Trails
- Audit trails function as a technical safeguard, maintaining logs of system access identity, date, and time.
Authentication Methods
- Authentication confirms the identity of the health record entry author, utilizing handwritten or electronic signatures, or initials.
Patient Authorization
- Authorization represents a patient's consent for the release of protected health information.
Use of Biometrics
- Biometrics, including fingerprints and retinal scans, validate user identity for system access.
Breach Definition
- A breach refers to any infraction or violation of laws regarding health information.
Breach Notification Requirements
- HIPAA mandates notifying affected parties when their protected health information is involved in a security breach.
Encryption as a Safeguard
- Encryption transforms readable text into a coded format to protect against unauthorized access, particularly during electronic information transmission.
Firewall Functionality
- Firewalls act as security barriers, preventing unauthorized access to computer networks.
Overview of HIPAA
- HIPAA (1996) focuses on health insurance coverage protection for individuals and the standardization of healthcare information systems, enforcing privacy and access rules.
Office of Civil Rights Role
- This federal agency ensures civil rights laws are followed, enforcing HIPAA privacy and security regulations within healthcare.
Password Definition
- A password is a string of characters used to authenticate a user’s identity when accessing a system.
Physical Safeguards
- Physical safeguards include infrastructure and environmental protections for electronic health information and its storage systems.
HIPAA Privacy Rule
- The Privacy Rule grants patients specific rights related to their protected health information.
Definition of Protected Health Information
- Protected health information consists of individual identifiable health data regulated under HIPAA.
Security Rule of HIPAA
- The Security Rule mandates administrative, technical, and physical measures to protect health information in healthcare facilities.
Technical Safeguards Overview
- HIPAA requires technical measures to ensure data protection, encompassing access controls, audit functions, integrity checks, authentication, and secure transmissions.
Privacy, Security, and Confidentiality in HIT
- Privacy allows patient control over information; confidentiality restricts access to authorized individuals; security encompasses safeguards ensuring confidentiality, including administrative, physical, and technical measures like unique login credentials.
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Test your knowledge on audit trails in the EHR environment with these flashcards for HIMT 1135. This quiz helps reinforce your understanding of how audit trails function and their importance in tracking data access and system behavior. Perfect for preparing for your assessments in health information management.