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?
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?
Which of the following statements about the HIPAA Security Rule are true?
Which of the following statements about the HIPAA Security Rule are true?
A covered entity (CE) must have an established complaint process.
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 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.
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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?
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Which of the following statements about the Privacy Act are true?
Which of the following statements about the Privacy Act are true?
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What of the following are categories for punishing violations of federal health care laws?
What of the following are categories for punishing violations of federal health care laws?
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Which of the following are common causes of breaches?
Which of the following are common causes of breaches?
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Which of the following are fundamental objectives of information security?
Which of the following are fundamental objectives of information security?
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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:
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What are technical safeguards?
What are technical safeguards?
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What is a Privacy Impact Assessment (PIA)?
What is a Privacy Impact Assessment (PIA)?
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Which of the following would be considered PHI?
Which of the following would be considered PHI?
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The minimum necessary standard:
The minimum necessary standard:
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What is ePHI?
What is ePHI?
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What is information security?
What is information security?
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What are the fundamental objectives of information security?
What are the fundamental objectives of information security?
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What is the Privacy Overlay?
What is the Privacy Overlay?
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What elements are included in a risk analysis?
What elements are included in a risk analysis?
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What are administrative safeguards?
What are administrative safeguards?
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Study Notes
HIPAA and Privacy Act Overview
- PHI (Protected Health Information) requires opportunity for individual agreement before inclusion in facility directories.
- The HIPAA Security Rule establishes national standards for electronic protection of PHI for covered entities (CEs) and business associates (BAs).
- Compliance with HIPAA necessitates an established complaint process by covered entities.
Privacy and Information Security
- The e-Government Act enhances electronic government services and information technology usage.
- Breaches must be reported to the U.S. Computer Emergency Readiness Team within one hour of discovery.
- The Privacy Act balances individual privacy rights with government information collection needs while regulating federal agencies in handling personally identifiable information (PII).
Violations and Best Practices
- Violations of federal health care laws can incur criminal, civil money penalties, and sanctions.
- Common causes of breaches include theft, human error, and lost/stolen devices containing PHI or PII.
- Information security objectives focus on confidentiality, integrity, and availability of data.
Privacy Impact Assessment (PIA)
- A PIA analyzes information handling to ensure compliance with legal and regulatory privacy standards.
- It evaluates risks associated with collecting and maintaining identifiable information in electronic systems and suggests protections to mitigate privacy risks.
Breach Definitions and Prevention
- Department of Defense (DoD) defines breaches differently from HIPAA/HHS definitions, encompassing broader scenarios.
- Best practices for breach prevention include accessing only necessary PHI, logging off unattended workstations, and retrieving documents promptly from printers.
Safeguards and Standards
- Technical safeguards involve IT and associated policies for protecting electronic PHI (ePHI).
- Physical safeguards protect ePHI from environmental hazards and unauthorized access.
- The Minimum Necessary Standard limits PHI use to the lowest amount necessary for intended purposes, with certain exceptions for providers or patient disclosures.
Information Security Essentials
- ePHI is defined as PHI created, received, maintained, or transmitted electronically.
- Information security ensures protection against unauthorized access, destruction, or modification of data.
- Risk analysis elements include defining scope, identifying threats and vulnerabilities, assessing security measures, and documenting potential impacts to ePHI.
Administrative Safeguards
- Administrative safeguards consist of actions, policies, and procedures for managing security measures and workforce conduct concerning ePHI.
- Secure access control measures are mandated under HIPAA for areas housing PHI to prevent breaches.
Objectives of Information Security
- Core objectives include maintaining confidentiality, ensuring data integrity, and promoting availability of electronic information.
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Description
Test your knowledge on HIPAA regulations and the Privacy Act with these flashcards. This quiz covers key concepts and circumstances regarding the use and disclosure of Protected Health Information (PHI). Prepare to ensure compliance in your workplace.
