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)
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)
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.
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.
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?
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)
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)
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 common causes of breaches? (Select all that apply)
Which of the following are fundamental objectives of information security? (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)
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 are technical safeguards?
What is a Privacy Impact Assessment (PIA)?
What is a Privacy Impact Assessment (PIA)?
A breach as defined by the DoD is broader than a HIPAA breach.
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)
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)
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.
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)
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?
What are physical safeguards?
Which of the following would be considered PHI? (Select all that apply)
Which of the following would be considered PHI? (Select all that apply)
The minimum necessary standard: (Select all that apply)
The minimum necessary standard: (Select all that apply)
What is ePHI?
What is ePHI?
What is information security?
What is information security?
Which of the following are fundamental objectives of information security? (Select all that apply)
Which of the following are fundamental objectives of information security? (Select all that apply)
What is a Privacy Overlay?
What is a Privacy Overlay?
What are elements of a risk analysis?
What are elements of a risk analysis?
What is a physical safeguard in the context of HIPAA?
What is a physical safeguard in the context of HIPAA?
The HIPAA Security Rule applies to which of the following?
The HIPAA Security Rule applies to which of the following?
What are administrative safeguards?
What are administrative safeguards?
Which of the following are fundamental objectives of information security? (Select all that apply)
Which of the following are fundamental objectives of information security? (Select all that apply)
Flashcards
PHI Directory Consent
PHI Directory Consent
Individuals can agree or object to their PHI being included in facility directories before disclosure.
HIPAA Security Rule
HIPAA Security Rule
National standards for protecting electronic PHI, including administrative, technical, and physical safeguards.
HIPAA Complaint Process
HIPAA Complaint Process
A formal process for addressing alleged HIPAA non-compliance.
Breach Reporting Timeframe
Breach Reporting Timeframe
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Privacy Act Purpose
Privacy Act Purpose
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Privacy Act Scope
Privacy Act Scope
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HIPAA Violation Categories
HIPAA Violation Categories
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Common Breach Causes
Common Breach Causes
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Information Security Objectives
Information Security Objectives
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Minimum Necessary Standard
Minimum Necessary Standard
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Privacy Act Amendment Right
Privacy Act Amendment Right
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Technical Safeguards
Technical Safeguards
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Privacy Impact Assessment (PIA)
Privacy Impact Assessment (PIA)
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Risk Analysis Elements
Risk Analysis Elements
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Privacy Overlay
Privacy Overlay
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Entity Security Actions
Entity Security Actions
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Administrative Safeguards
Administrative Safeguards
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Confidentiality
Confidentiality
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Integrity
Integrity
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Availability
Availability
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Personally Identifiable Information (PII)
Personally Identifiable Information (PII)
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PHI
PHI
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Electronic Protected Health Information (ePHI)
Electronic Protected Health Information (ePHI)
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Covered Entities
Covered Entities
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HIPAA Breach
HIPAA Breach
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Information Security
Information Security
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Breach Response Plan
Breach Response Plan
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Risk Analysis
Risk Analysis
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Information Sysytem Monitoring
Information Sysytem Monitoring
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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.
