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29 Cards in this Set
- Front
- Back
- 3rd side (hint)
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What is PHI? |
Protected health information; individually identifiable health information transmitted by a covered entity, used or disclosed for treatment |
Includes: name, geographic information, vehicle information, any device ID #, photo, SSN, DOB, date of discharge or admission |
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What is the policy for disclosures? |
Only provide the minimum necessary disclosures to others on a need-to-know basis |
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What do patients have rights to? |
-To put restrictions on uses and disclosures from their medical record -To request their medical record with a valid ID -To request an amendment to their medical record -To not be included in a facility's directory -To confidential communication |
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When was the HIPAA federal statute passed? |
August 1996 |
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When were the HIPAA privacy rules passed? |
April 2001 |
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When was the HIPAA security section added? |
February 2003 |
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What is the purpose of HIPAA? |
To assure health insurance portability, protect privacy and security of an individual's health information, and simplify administration of healthcare financial and administrative transactions |
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What is a notice of privacy practice? |
A notice telling the patient what we will and will not do with their protected health information; this must be given to every patient |
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What official must you appoint for notice of privacy practice? |
A privacy official must be appointed to an organization to deal with a facility's privacy issues |
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What is a best practice regarding patient authorizations? |
It is always best to get patient authorizations before sending medical record information anywhere |
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What is T,P,O? |
-Treatment, payment, and operations -These are the circumstances under which we do have to have patient authorization to send their medical record information to those who need it |
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What are all healthcare facilities required to have for security? |
Reasonable safeguards |
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What happens if HIPAA is breached with intent? |
The person who committed the violation will be arrested and sent to a correctional facility. |
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What happens when HIPAA is breached without intent? |
The person who violated HIPAA and the hospital could be sued and heavily fined. |
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What is a medical record? |
Documentation of a patient's illness, symptoms, diagnosis, and treatment |
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What is the Privacy Act of 1974? |
It was enacted to safeguard individual privacy from misuse of federal records, to give individuals access to records concerning themselves that are maintained by federal agencies, and to establish a Privacy Protection Safety Commission |
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When can physicians withhold a patient's medical record? |
If they believe that the patient could harm themselves or others by receiving the information |
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What are some advantages of electronic medical records? |
-reduces costs -retrieves patient information -improves productivity and quality -supports clinical research -education -computer assisted diagnosis and treatment -telecommunications -assists in the decision-making process |
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What are disadvantages to electronic medical records? |
-increased risk of lost confidentiality and unauthorized disclosure of information -technology crime and related illegal activities -increase to cyber crime -costs to protect networks and critical infrastructure from cyber-based threatsa |
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Medical records must stay up-to-date. |
True |
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Where must records normally be kept? |
In a central location |
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What happens when medical records are under legal scrutiny? |
They are removed from their normal spot centrally-located and put in a safe, or in the case of electronic medical records, placed in a blocked entry place on the desktop |
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What is informed consent? |
A voluntary agreement by a person who possesses sufficient mental capacity to make an intelligent choice to allow something proposed by another to be performed on himself or herself |
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Express consent can take what 2 forms? |
A verbal agreement or a written document authorizing medical care (better) |
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What is implied consent? |
Determined by some act or silence, which raises presumption that consent has been authorized |
Generally applicable to emergency situations |
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Who is responsible for obtaining informed consent? |
The physician |
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What is statutory consent? |
States have adopted legislation allowing emergency care, thus eliminating the need for written consent |
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What is judicial consent? |
May be necessary in those instances where there is concern as to the absence or legality of consent |
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How do you prove lack of consent? |
A reasonable prudent person in the patient's position would not have undergone the treatment if fully informed |
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