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HIPAA Privacy and Security Training Part 2

Healthcare20 CardsCreated 4 months ago

This deck covers key concepts and regulations related to HIPAA, including privacy and security measures, breach prevention, and individual rights under the Privacy Act.

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Which of the following are common causes of breaches?

-Theft and intentional unauthorized access to PHI and personally identifiable information (PII)
-Human error (e.g. misdirected communication containing PHI or PII)
-Lost or stolen electronic media devices or paper records containing PHI or PII
-All of the above (correct)

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Key Terms

Term
Definition

Which of the following are common causes of breaches?

-Theft and intentional unauthorized access to PHI and personally identifiable information (PII)
-Human error (e.g. misdirected communication con...

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

-To ensure handling conforms to applicable legal, regulatory, and policy requirements regarding privacy
- To determine the risks and effects of ...

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

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

A health plan
A health care clearinghouse
A health care provider engaged in standard electronic transactions covered by HIPAA
All of the 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 (correct)

What of the following are categories for punishing violations of federal health care laws?

Criminal penalties
Civil money penalties
Sanctions
All of the above (correct)

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HIPAA Privacy and Security Training Part 2
TermDefinition

Which of the following are common causes of breaches?

-Theft and intentional unauthorized access to PHI and personally identifiable information (PII)
-Human error (e.g. misdirected communication containing PHI or PII)
-Lost or stolen electronic media devices or paper records containing PHI or PII
-All of the above (correct)

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

-To ensure handling conforms to applicable legal, regulatory, and policy requirements regarding privacy
- To determine the risks and effects of collecting, maintaining and disseminating information in identifiable form in an electronic information system
-To examine and evaluate protections and alternative processes for handling information to mitigate potential privacy risks
-All of the above (correct)

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

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

A health plan
A health care clearinghouse
A health care provider engaged in standard electronic transactions covered by HIPAA
All of the above (correct)

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 (correct)

What of the following are categories for punishing violations of federal health care laws?

Criminal penalties
Civil money penalties
Sanctions
All of the above (correct)

Technical safeguards are:

-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). These safeguards also outline how to manage the conduct of the workforce in relation to the protection of ePHI
- Physical measures, including policies and procedures that are used to protect electronic information systems and related buildings and equipment, from natural and environmental hazards, and unauthorized intrusion
- Information technology and the associated policies and procedures that are used to protect and control access to ePHI (correct)
-None of the above

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

-Implemented the minimum necessary standard
-Established appropriate administrative safeguards
-Established appropriate physical and technical safeguards
-All of the above (correct)

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

The HIPAA Security Rule applies to which of the following:

-PHI transmitted orally
-PHI on paper
- PHI transmitted electronically (correct)
-All of the above

Which of the following are breach prevention best practices?

-Access only the minimum amount of PHI/personally identifiable information (PII) necessary
-Logoff or lock your workstation when it is unattended
- Promptly retrieve documents containing PHI/PHI from the printer
-All of this above (correct)

Which of the following are examples of personally identifiable information (PII)?

-Social Security number
- Home address
-Telephone
- All of the above (correct)

HIPAA provides individuals with the right to request an accounting of disclosures of their PHI.
True (correct)

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

-DHA Privacy Office
-HHS Secretary
-MTF HIPAA Privacy Officer
- All of the above (correct)

The minimum necessary standard:

-Limits uses, disclosures, and requests for PHI to the minimum necessary amount of PHI needed to carry out the intended purposes of the use or disclosure
-Does not apply to exchanges between providers treating a patient
- Does not apply to uses or disclosures made to the individual or pursuant to the individual's authorization
- All of the above (correct)

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

-Within 1 hour of discovery (correct)
- Within 24 hours of discovery
-Within 48 hours of discovery
-Within 72 hours of discovery

Administrative safeguards are:

- 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). These safeguards also outline how to manage the conduct of the workforce in relation to the protection of ePHI (correct)
- Physical measures, including policies and procedures that are used to protect electronic information systems and related buildings and equipment, from natural and environmental hazards, and unauthorized intrusion
- Information technology and the associated policies and procedures that are used to protect and control access to ePHI
- None of the above

A breach as defined by the DoD is broader than a HIPAA breach (or breach defined by HHS).
True (correct)

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

- Office of Medicare Hearings and Appeals (OMHA)
- Office for Civil Rights (OCR) (correct)
- Office of the National Coordinator for Health Information Technology (ONC)
- None of the above

Physical safeguards are:

- 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). These safeguards also outline how to manage the conduct of the workforce in relation to the protection of ePHI
- Physical measures, including policies and procedures that are used to protect electronic information systems and related buildings and equipment, from natural and environmental hazards, and unauthorized intrusion (correct)
- Information technology and the associated policies and procedures that are used to protect and control access to ePHI
- None of the above