HIPAA and Privacy Act Overview
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Questions and Answers

In which of the following circumstances must an individual be given the opportunity to agree or object to the use and disclosure of their PHI? (Select all that apply)

  • Before their PHI is shared with a third party
  • Before their information is included in a facility directory (correct)
  • Before PHI relevant to their care is shared (correct)
  • Before discussing their PHI in public

    • Which of the following statements about the HIPAA Security Rule are true? (Select all that apply)

  • It governs the protection of ePHI
  • It provides a framework for managing risks
  • It requires covered entities to implement safeguards
  • All of the above (correct)

    • A covered entity (CE) must have an established complaint process.

    True

    The e-Government Act promotes the use of electronic government services by the public.

    <p>True</p> Signup and view all the answers

    When must a breach be reported to the U.S. Computer Emergency Readiness Team?

    <p>Within 1 hour of discovery</p> Signup and view all the answers

    Which of the following statements about the Privacy Act are true? (Select all that apply)

    <p>All of the above</p> Signup and view all the answers

    What of the following are categories for punishing violations of federal health care laws? (Select all that apply)

    <p>All of the above</p> Signup and view all the answers

    Which of the following are common causes of breaches? (Select all that apply)

    <p>All of the above</p> Signup and view all the answers

    Which of the following are fundamental objectives of information security? (Select all that apply)

    <p>All of the above</p> Signup and view all the answers

    If an individual believes that a DoD covered entity (CE) is not complying with HIPAA, he or she may file a complaint with the:

    <p>All of the above</p> Signup and view all the answers

    Technical safeguards are:

    <p>Information technology and associated policies used to protect ePHI</p> Signup and view all the answers

    A Privacy Impact Assessment (PIA) is an analysis of how information is handled:

    <p>All of the above</p> Signup and view all the answers

    A breach as defined by the DoD is broader than a HIPAA breach.

    <p>True</p> Signup and view all the answers

    Which of the following are breach prevention best practices? (Select all that apply)

    <p>All of the above</p> Signup and view all the answers

    An incidental use or disclosure is not a violation of the HIPAA Privacy Rule if the covered entity (CE) has:

    <p>All of the above</p> Signup and view all the answers

    Under the Privacy Act, individuals have the right to request amendments of their records contained in a system of records.

    <p>True</p> Signup and view all the answers

    Which HHS Office is charged with protecting an individual patient's health information privacy and security through the enforcement of HIPAA?

    <p>Office for Civil Rights (OCR)</p> Signup and view all the answers

    Physical safeguards are:

    <p>Measures to protect information systems from unauthorized intrusion</p> Signup and view all the answers

    Which of the following would be considered PHI?

    <p>An individual's first and last name and the medical diagnosis in a physician's progress report</p> Signup and view all the answers

    The minimum necessary standard:

    <p>All of the above</p> Signup and view all the answers

    Under HIPAA, a covered entity (CE) is defined as:

    <p>All of the above</p> Signup and view all the answers

    "Use" is defined under HIPAA as the release of information containing PHI outside of the covered entity (CE).

    <p>False</p> Signup and view all the answers

    The HIPAA Security Rule applies to which of the following?

    <p>PHI transmitted electronically</p> Signup and view all the answers

    Administrative safeguards are:

    <p>Policies to protect electronic PHI and manage workforce conduct</p> Signup and view all the answers

    Which of the following are examples of personally identifiable information (PII)? (Select all that apply)

    <p>All of the above</p> Signup and view all the answers

    The HIPAA Privacy Rule applies to which of the following? (Select all that apply)

    <p>All of the above</p> Signup and view all the answers

    A Systems of Records Notice (SORN) serves as a notice to the public about a system of records and must: (Select all that apply)

    <p>All of the above</p> Signup and view all the answers

    Under the Privacy Act, individuals have the right to request amendments of their records contained in a system of records.

    <p>True</p> Signup and view all the answers

    HIPAA provides individuals with the right to request an accounting of disclosures of their PHI.

    <p>True</p> Signup and view all the answers

    If an individual believes that a DoD covered entity (CE) is not complying with HIPAA, he or she may file a complaint with the:

    <p>All of the above</p> Signup and view all the answers

    The HIPAA Privacy Rule permits use or disclosure of a patient's PHI in accordance with an individual's authorization that: (Select all that apply)

    <p>Includes core elements and required statements</p> Signup and view all the answers

    Which of the following is NOT electronic PHI (ePHI)?

    <p>Health information stored on paper in a file cabinet</p> Signup and view all the answers

    Which of the following are true statements about limited data sets? (Select all that apply)

    <p>All of the above</p> Signup and view all the answers

    Study Notes

    HIPAA and Privacy Act Key Points

    • Individuals must be given the opportunity to agree or object to PHI sharing before information relevant to their care or payment is disclosed and prior to inclusion in a facility directory.

    • All statements regarding the HIPAA Security Rule are valid, emphasizing its comprehensive nature in protecting electronic health information.

    • Covered entities (CEs) are required to establish a complaint process for privacy violations.

    • The e-Government Act enhances public access to electronic government services and improves IT usage within government frameworks.

    • Breaches of sensitive information must be reported to the U.S. Computer Emergency Readiness Team within one hour of discovery.

    • All assertions regarding the Privacy Act hold true, highlighting its broad scope in safeguarding personal information.

    • Categories for punishing violations of federal health care laws encompass multiple aspects, including fines and penalties.

    • Breaches can stem from varied causes, including improper disposal of information and unauthorized access.

    • Information security's fundamental objectives include confidentiality, integrity, and availability of data.

    • Individuals suspecting compliance issues with HIPAA by DoD CEs can file complaints with various relevant authorities.

    • Technical safeguards refer to IT measures and policies protecting ePHI, focusing on controlled access and data integrity.

    • A Privacy Impact Assessment (PIA) evaluates how personal information is managed within an organization.

    • DoD defines a breach more broadly compared to the HIPAA definitions, encompassing a wider range of situations.

    • Best practices for breach prevention include regular training and security assessments.

    • Incidental uses or disclosures of PHI do not violate the HIPAA Privacy Rule when CEs implement reasonable safeguards.

    • Under the Privacy Act, individuals can request amendments to their records maintained in a system of records.

    • The Office for Civil Rights (OCR) within HHS is responsible for enforcing HIPAA-related patient privacy and security.

    • Physical safeguards include policies protecting electronic information systems from environmental hazards and unauthorized intrusion.

    • PHI is exemplified by an individual's name combined with any medical diagnosis or information.

    • The minimum necessary standard ensures that only essential information is disclosed for medical purposes.

    • A covered entity is defined by multiple factors, including its role in healthcare operations and handling of PHI.

    • "Use" under HIPAA specifies internal access to PHI, contrasting with "disclosure," which involves sharing outside the entity.

    • The HIPAA Security Rule is applicable mainly to electronically transmitted PHI, ensuring its protection during electronic interactions.

    • Administrative safeguards encompass policies and procedures setting rules for security measures, focusing on workforce training and conduct regarding ePHI.

    • Personally identifiable information (PII) includes various identifying attributes such as names, social security numbers, and addresses.

    • The HIPAA Privacy Rule applies to various entities and situations, ensuring comprehensive protection for personal health information.

    • A Systems of Records Notice (SORN) informs the public about specific systems managing personal information and must include necessary disclosures.

    • HIPAA grants individuals the right to request an accounting of disclosures concerning their PHI.

    • The HIPAA Privacy Rule allows for the disclosure of a patient's PHI only with proper authorization, which must include specified core elements and be signed by the patient.

    • Notably, health information stored on paper in a file cabinet does not qualify as electronic PHI (ePHI).

    • All statements about limited data sets are affirmed as true, recognizing their importance in healthcare data management.

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    Description

    Test your knowledge on the key points of HIPAA and the Privacy Act. This quiz covers important aspects such as patient rights, security rules, and breach reporting requirements. Understand how these laws protect sensitive health information and personal data.

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