HIPAA and Privacy Act Training Flashcards

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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 information is shared with third parties

Before their information is included in a facility directory (correct)

Before PHI directly relevant to a person's involvement with the individual's care or payment of health care is shared with that person (correct)

Before they share their health information with family members

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

Established a national set of standards for the protection of PHI that is created, received, maintained, or transmitted in electronic media by a HIPAA covered entity (CE) or business associate (BA) (correct)

Protects electronic PHI (ePHI) (correct)

Addresses three types of safeguards - administrative, technical and physical - that must be in place to secure individuals' ePHI (correct)

None of the above

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

True (A)

The e-Government Act promotes the use of electronic government services by the public and improves the use of information technology in the government.

True (A) Signup and view all the answers

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

Within 1 hour of discovery Signup and view all the answers

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

Balances the privacy rights of individuals with the Government's need to collect and maintain information (A), Regulates how federal agencies solicit and collect personally identifiable information (PII) (B), Sets forth requirements for the maintenance, use, and disclosure of PII (C) Signup and view all the answers

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

Civil money penalties (A), Sanctions (B), Criminal penalties (C) Signup and view all the answers

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

Human error (e.g., misdirected communication containing PHI or PII) (A), Theft and intentional unauthorized access to PHI and PII (B), Lost or stolen electronic media devices or paper records containing PHI or PII (C) Signup and view all the answers

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

Availability (A), Confidentiality (B), Integrity (C) 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: (Select all that apply)

DHA Privacy Office (A), HHS Secretary (B), MTF HIPAA Privacy Officer (D) Signup and view all the answers

What are technical safeguards?

Information technology and the associated policies and procedures that are used to protect and control access to ePHI Signup and view all the answers

What is a Privacy Impact Assessment (PIA)?

An analysis of how information is handled. Signup and view all the answers

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

True (A) Signup and view all the answers

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

Log off or lock your workstation when it is unattended (A), Promptly retrieve documents containing PHI from the printer (C), Access only the minimum amount of PHI/PII necessary (D) 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: (Select all that apply)

Established appropriate administrative safeguards (A), Established appropriate physical and technical safeguards (B), Implemented the minimum necessary standard (D) 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.

True (A) 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? (Select all that apply)

Office for Civil Rights (OCR) (C) Signup and view all the answers

What are physical safeguards?

Administrative actions, and policies and procedures that are used to manage the selection, development, implementation and maintenance of security measures to protect electronic PHI (ePHI). Signup and view all the answers

Which of the following would be considered PHI? (Select all that apply)

An individual's first and last name and the medical diagnosis in a physician's progress report (B), An individual's social security number and address (C) Signup and view all the answers

The minimum necessary standard: (Select all that apply)

All of the above (D) Signup and view all the answers

What is ePHI?

ePHI is PHI that is created, received, maintained, or transmitted in electronic media by a HIPAA covered entity or business associate. Signup and view all the answers

What is information security?

The process of protecting data from unauthorized access, destruction, modification, or disruption. Signup and view all the answers

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

Confidentiality (B), Integrity (C), Availability (D) Signup and view all the answers

What is a Privacy Overlay?

The Privacy Overlay is the authoritative source of HIPAA Security Rule-specific security controls for DoD. Signup and view all the answers

What are elements of a risk analysis?

Defining the scope of the analysis, identifying and documenting potential threats, assessing existing security measures, determining possible impact, and reviewing the risk analysis periodically. Signup and view all the answers

What is a physical safeguard in the context of HIPAA?

Administrative actions, and policies and procedures that are used to manage access to areas where PHI is kept. Signup and view all the answers

The HIPAA Security Rule applies to which of the following?

PHI transmitted electronically (A) Signup and view all the answers

What are administrative safeguards?

Administrative actions, and policies and procedures that are used to manage the selection, development, implementation and maintenance of security measures to protect ePHI. Signup and view all the answers

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

Integrity (A), Availability (C), Confidentiality (D) Signup and view all the answers

Study Notes

HIPAA and Privacy Act Overview

Individuals must be given the opportunity to agree or object to their PHI being included in facility directories prior to disclosure.
The HIPAA Security Rule establishes national standards for protecting electronic PHI (ePHI) and mandates administrative, technical, and physical safeguards.

Compliance and Reporting

Covered entities must have a formal complaint process to address alleged non-compliance with HIPAA.
Breaches must be reported to the U.S. Computer Emergency Readiness Team within 1 hour of discovery.

Privacy Act Essentials

The Privacy Act balances individual privacy rights with government needs for personal data collection.
It regulates how federal agencies collect, maintain, and disclose personally identifiable information (PII).

Violations and Breach Prevention

Categories for punishing violations include criminal penalties, civil money penalties, and sanctions.
Common breach causes: theft, human error, lost or stolen devices containing PHI or PII.

Information Security Fundamentals

Core objectives of information security: confidentiality, integrity, and availability.
The minimum necessary standard limits PHI access to only what is necessary for the task at hand.

Rights and Safeguards

Individuals can request amendments to their records under the Privacy Act.
Technical safeguards encompass IT policies and procedures used to secure ePHI.

Assessments and Risk Management

Privacy Impact Assessment (PIA) analyzes how information is handled to comply with legal and regulatory standards.
Key elements of risk analysis include defining the scope of ePHI, documenting threats and vulnerabilities, and assessing current security measures.

Privacy Overlay

The Privacy Overlay provides guidance on specific security controls for ePHI within the DoD, aiding compliance with HIPAA requirements.

Responsibilities of Covered Entities

Covered entities should implement minimum necessary standards, appropriate safeguards, and maintain secure areas to prevent unauthorized access to PHI.
Administrative safeguards govern the conduct of the workforce and the management of security measures related to ePHI.

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Description

Test your knowledge on HIPAA regulations and the Privacy Act with these flashcards. This quiz focuses on key concepts regarding the use and disclosure of Protected Health Information (PHI). Perfect for trainers and learners familiarizing themselves with essential privacy practices in healthcare.

HIPAA and Privacy Act Training Flashcards

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Podcast

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)

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

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

The e-Government Act promotes the use of electronic government services by the public and improves the use of information technology in the government.

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

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

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

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

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

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

What are technical safeguards?

What is a Privacy Impact Assessment (PIA)?

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

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

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

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

Which HHS Office is charged with protecting an individual patient's health information privacy and security through the enforcement of HIPAA? (Select all that apply)

What are physical safeguards?

Which of the following would be considered PHI? (Select all that apply)

The minimum necessary standard: (Select all that apply)

What is ePHI?

What is information security?

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

What is a Privacy Overlay?

What are elements of a risk analysis?

What is a physical safeguard in the context of HIPAA?

The HIPAA Security Rule applies to which of the following?

What are administrative safeguards?

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

Study Notes

HIPAA and Privacy Act Overview

Compliance and Reporting

Privacy Act Essentials

Violations and Breach Prevention

Information Security Fundamentals

Rights and Safeguards

Assessments and Risk Management

Privacy Overlay

Responsibilities of Covered Entities

Studying That Suits You

Description

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