You're right, my previous response of just calling the volunteer office directly was not the best approach. The most appropriate response is to report the patient's reasonable request to have her name removed from the directory to the head nurse or facility privacy officer, as option B stated. They would be able to ensure the request is properly documented and handled according to the facility's policies and procedures. Thank you for the feedback to help improve my understanding.
This document provides training on HIPAA privacy and security requirements. It covers two parts of HIPAA - privacy, which protects protected health information (PHI), and security, which protects electronic PHI. It defines key terms like PHI and covered entities. It outlines how PHI can be used and disclosed for treatment, payment and operations. It also reviews patient rights and the requirements for covered entities to provide privacy notices and comply with privacy rules. The document is intended to help employees understand how HIPAA affects their jobs and responsibilities for protecting patient information.
The document discusses HIPAA regulations regarding the privacy and security of protected health information (PHI). It defines key terms like covered entities, PHI, and business associates. It outlines the main components of HIPAA, including the Privacy Rule, Security Rule, exceptions to disclosure of PHI, individual rights, and penalties for noncompliance. Covered entities must implement security standards, conduct risk assessments, and have appropriate policies and workforce training to comply with HIPAA privacy and security requirements.
This document discusses patient confidentiality and the requirements of HIPAA. It outlines how HIPAA protects patient information and privacy. It reviews how patient information can be used and disclosed appropriately. It also discusses the importance of only sharing patient information with those involved in their care and of protecting patient information in all forms, including verbal, written and electronic. It stresses the importance of training, policies and procedures to ensure compliance with HIPAA and consequences for violations.
HIPAA establishes national standards to protect individuals' medical records and other personal health information. It gives patients more control over their health information and sets boundaries on how health records can be used and shared. Covered entities like health plans and healthcare providers must implement appropriate administrative, physical, and technical safeguards to secure protected health information. This includes conducting risk analyses, limiting access to authorized users, tracking access to records, training employees, and establishing security incident response plans and contingency plans to backup data and ensure business continuity.
Leading your HIPAA Compliance Culture in 2016Lance King
http://hcsiinc.com
Breaches happen every day! Why not prevent having a breach turn into a 90 day audit? This presentation helps you develop your HIPAA Privacy and HIPAA Security program.
If interested in help, many companies are a hit and run operation. From day one and every quarter of the year, HCSI guides the compliance representative through the HIPAA process of preparing for an audit. The practice will have everything an auditor would need, resulting in the audit taking minutes instead of days.
This document provides an overview of key aspects of HIPAA compliance for practice managers. It discusses the purpose and objectives of HIPAA privacy and security rules, protected health information, covered entities and business associates. It also summarizes the 2013 Omnibus Rule changes around disclosures, patient rights and business associates. Modifications to the Notice of Privacy Practices are outlined. Breach notification requirements for unsecured protected health information are summarized in 3 sentences or less.
Have you ever felt confused by HIPAA’s complex regulations? Even if you are well versed in the laws, there are still many headache inducing intricacies. In this webinar, an experienced HIPAA auditor will highlight the basics of HIPAA, its regulations, what you need to know about it, and how it may affect you, especially with a new wave of HHS audits looming. The webinar is designed for HIPAA novices and experts alike, and all questions are encouraged in this interactive session.
This document provides an overview of an organization's policies around protecting patient privacy and data security as required by HIPAA. It discusses the organization's ethical responsibilities to patients, as well as definitions of protected health information, notice of privacy practices, and information security protocols. The objectives are to ensure employees understand and comply with organizational ethics, HIPAA regulations, and data security standards to protect patient confidentiality.
This document provides training on HIPAA privacy and security requirements. It covers two parts of HIPAA - privacy, which protects protected health information (PHI), and security, which protects electronic PHI. It defines key terms like PHI and covered entities. It outlines how PHI can be used and disclosed for treatment, payment and operations. It also reviews patient rights and the requirements for covered entities to provide privacy notices and comply with privacy rules. The document is intended to help employees understand how HIPAA affects their jobs and responsibilities for protecting patient information.
The document discusses HIPAA regulations regarding the privacy and security of protected health information (PHI). It defines key terms like covered entities, PHI, and business associates. It outlines the main components of HIPAA, including the Privacy Rule, Security Rule, exceptions to disclosure of PHI, individual rights, and penalties for noncompliance. Covered entities must implement security standards, conduct risk assessments, and have appropriate policies and workforce training to comply with HIPAA privacy and security requirements.
This document discusses patient confidentiality and the requirements of HIPAA. It outlines how HIPAA protects patient information and privacy. It reviews how patient information can be used and disclosed appropriately. It also discusses the importance of only sharing patient information with those involved in their care and of protecting patient information in all forms, including verbal, written and electronic. It stresses the importance of training, policies and procedures to ensure compliance with HIPAA and consequences for violations.
HIPAA establishes national standards to protect individuals' medical records and other personal health information. It gives patients more control over their health information and sets boundaries on how health records can be used and shared. Covered entities like health plans and healthcare providers must implement appropriate administrative, physical, and technical safeguards to secure protected health information. This includes conducting risk analyses, limiting access to authorized users, tracking access to records, training employees, and establishing security incident response plans and contingency plans to backup data and ensure business continuity.
Leading your HIPAA Compliance Culture in 2016Lance King
http://hcsiinc.com
Breaches happen every day! Why not prevent having a breach turn into a 90 day audit? This presentation helps you develop your HIPAA Privacy and HIPAA Security program.
If interested in help, many companies are a hit and run operation. From day one and every quarter of the year, HCSI guides the compliance representative through the HIPAA process of preparing for an audit. The practice will have everything an auditor would need, resulting in the audit taking minutes instead of days.
This document provides an overview of key aspects of HIPAA compliance for practice managers. It discusses the purpose and objectives of HIPAA privacy and security rules, protected health information, covered entities and business associates. It also summarizes the 2013 Omnibus Rule changes around disclosures, patient rights and business associates. Modifications to the Notice of Privacy Practices are outlined. Breach notification requirements for unsecured protected health information are summarized in 3 sentences or less.
Have you ever felt confused by HIPAA’s complex regulations? Even if you are well versed in the laws, there are still many headache inducing intricacies. In this webinar, an experienced HIPAA auditor will highlight the basics of HIPAA, its regulations, what you need to know about it, and how it may affect you, especially with a new wave of HHS audits looming. The webinar is designed for HIPAA novices and experts alike, and all questions are encouraged in this interactive session.
This document provides an overview of an organization's policies around protecting patient privacy and data security as required by HIPAA. It discusses the organization's ethical responsibilities to patients, as well as definitions of protected health information, notice of privacy practices, and information security protocols. The objectives are to ensure employees understand and comply with organizational ethics, HIPAA regulations, and data security standards to protect patient confidentiality.
While this presentation offers a rudimentary understanding of HIPAA as it relates to PHRs, its primary objective is to highlight key aspects of PHR privacy policies provided by non-covered entities (Microsoft & Google) and argue that HIPAA, after significant amendments, should be extended to them.
Hippa training for healthcare employeesaminahallen
This document discusses HIPAA privacy and confidentiality training requirements for healthcare staff. It states that all staff must receive annual training on HIPAA rules and regulations to understand patient privacy protections and the serious consequences of violating patient privacy. Staff are trained on restricting access to patient information only to those involved in their care, keeping records secure, and conducting private interviews. The document outlines penalties for HIPAA violations which range from $100 per violation for unintentional disclosure up to $250,000 and 10 years in prison for violations committed with malicious intent or personal gain. Maintaining patient privacy and confidentiality is the responsibility of all healthcare staff.
The document provides an overview of the Health Insurance Portability and Accountability Act (HIPAA) including what information it protects, the entities it covers, and requirements for things like privacy practices, consent, and authorization. Central Michigan University is described as a "hybrid entity" under HIPAA, with some departments fully covered and others only indirectly affected. The presentation aims to familiarize staff with HIPAA regulations and the university's policies and procedures for protecting health information.
HIPAA Training: Preventing Employees from Violating HIPAAjbhicks
This document discusses the importance of continuous HIPAA training for healthcare organization employees to prevent violations of patient privacy. It recommends addressing specific issues through repeated training on HIPAA rules at hire, annually, and during staff meetings using various active learning methods like exercises, simulations, and discussions. Proper training programs clearly identify HIPAA guidelines, laws, and potential consequences of non-compliance to help employees embrace privacy protocols.
The document discusses HIPAA regulations regarding patient privacy. It explains that HIPAA was passed in 1996 to set national standards for protecting patients' medical records and personal health information. Key aspects of HIPAA include defining protected health information, requiring facilities to implement privacy policies and provide privacy training, and giving patients rights over their health information including access and confidentiality. Facilities and individuals can face penalties for HIPAA violations.
This document provides an overview of HIPAA/HITECH compliance training. It begins with an introduction to the topics that will be covered, including the HIPAA foundation, major players, transactions and identifiers, privacy rule, security rule, and breach notification. It then discusses the historical facts around HIPAA, including what it stands for, when it was passed, who it applies to such as covered entities and business associates. Key aspects of HIPAA are summarized, like the administrative simplification title, electronic data interchange standards, privacy and security rules, individual rights, and breach response requirements.
HIPAA was enacted in 1996 to protect patients' health insurance and personal health information. It requires covered entities like healthcare providers, insurers, and their business partners to implement procedures to protect protected health information (PHI), such as patients' medical records. These entities must designate a privacy officer, train staff on privacy policies, and obtain patient acknowledgement of their privacy practices. HIPAA also dictates exceptions for uses of PHI, such as for treatment, payment, healthcare operations, and with patient authorization.
The document provides an overview of HIPAA privacy and security laws, including how they have been enhanced by the HITECH Act and ARRA. It defines key terms like protected health information (PHI), covered entities, business associates, and their obligations to secure PHI and comply with privacy requirements. Patients' rights to access and restrict the use of their PHI are also summarized.
The Health Insurance Portability and Accountability Act (HIPAA) was created primarily to modernize the flow of healthcare information, stipulate how Personally Identifiable Information maintained by the healthcare and healthcare insurance industries should be protected from fraud and theft, and address limitations on healthcare insurance coverage – such as portability and the coverage of individuals with pre-existing conditions.
https://www.hipaajournal.com/hipaa-training-requirements/
This document provides an overview of HIPAA regulations regarding protected health information and identifies which campus entities may be covered. It explains that health plans, health care providers that conduct electronic transactions, and health care clearinghouses are covered. It evaluates examples of health plans and providers on campuses to determine if they would be covered, such as employee insurance plans but not an on-campus student health clinic. It emphasizes analyzing the specific definitions of covered transactions and entities to accurately assess a campus's exposure and compliance requirements under HIPAA.
The document discusses HIPAA privacy and security requirements. It defines key terms like protected health information and confidentiality. HIPAA established standards to protect personal health information and privacy. It requires covered entities to implement safeguards to ensure the security and confidentiality of protected health information, whether in paper or electronic format. HIPAA also gives patients rights over their medical records and information. Covered entities must notify patients of breaches or improper disclosures as required under HIPAA and HITECH.
PowerPoint presentation from the Human Subjects Research Committee at the University of North Alabama,
in Florence, AL, concerning HIPAA policies and procedures.
The document provides an overview of how the Health Insurance Portability and Accountability Act (HIPAA) impacts medical personnel in the Air Force. It discusses the HIPAA Privacy Rule and how it affects the disclosure of protected health information, as well as key exemptions under the Military Command Authority that allow disclosure to unit commanders. The document also outlines documentation requirements under HIPAA and important privacy rights patients have, such as access to their health records and the right to request confidential communications.
A nurse wonders if she should check the records of a famous actor who came to the emergency room with his son after a car accident to see if alcohol was involved, which would be a violation of patient privacy and HIPAA regulations. Employees can face penalties ranging from $100 to $50,000 per violation or up to $1.5 million per year for willful neglect of HIPAA policies. It is the employer's responsibility to provide annual HIPAA training and ensure compliance through continued education and assessment of privacy practices.
This document provides an overview of HIPAA privacy and security training for employees at a covered entity. It discusses key topics including what constitutes protected health information (PHI) under HIPAA, how PHI can be used and disclosed, minimum necessary standards, security safeguards, breach notification requirements, and penalties for noncompliance. Employees are informed that strict compliance with HIPAA privacy and security policies is required to protect patient information.
The document provides an overview of GBMC's HIPAA compliance program and training. It discusses the HIPAA privacy rule's requirements regarding protected health information, patient rights, notice of privacy practices, privacy policies, and the privacy officer. It also covers the HIPAA security rule and topics that will be addressed in the training, including electronic protected health information, user identity, password management, security policies, and the security officer.
This document summarizes the key aspects of the Health Insurance Portability and Accountability Act (HIPAA) regulations regarding patient privacy and the handling of protected health information. It notes that HIPAA was passed as a federal law in 1996 and outlines regulations to protect individuals' health information privacy and ensure security of electronic personal data transfers. The document then discusses how health information is used by various medical professionals and entities involved in patient care and lists some examples. It also provides an overview of the objectives of HIPAA, patients' rights to their information, and consequences for violations.
The document discusses the importance of patient privacy and the HIPAA Privacy Rule. It defines protected health information (PHI) and outlines how PHI can be disclosed and used properly according to the Privacy Rule. Covered entities must protect PHI by only accessing and sharing the minimum necessary information to do their jobs and taking steps to keep information private. Violations of the Privacy Rule can result in fines.
This document provides an overview of HIPAA privacy rules and how they affect employees. It outlines the goals of HIPAA training which are to increase knowledge of protected health information, enhance awareness of individual roles in complying with HIPAA, provide reporting responsibilities for violations, and protect patient privacy. Key aspects of HIPAA covered include what information is protected, penalties for non-compliance, and individual rights to privacy of health records. The conclusion emphasizes that HIPAA compliance is required for healthcare businesses and shifts power to consumers regarding their personal health information.
This document provides an overview of HIPAA privacy rules and how they affect employees. It outlines the goals of HIPAA training which are to increase knowledge of protected health information, enhance awareness of individual roles in complying with HIPAA, provide reporting responsibilities for violations, and protect patient privacy. Key aspects of HIPAA covered include what information is protected, penalties for non-compliance, and individual rights to privacy of health records. Compliance is important to avoid penalties, denied insurance claims, and loss of accreditation. HIPAA requirements establish national standards to protect sensitive patient information and ensure its appropriate use.
HIPAA Boot Camp: A Step-by-Step Guide to Achieving ComplianceConference Panel
Join our HIPAA Boot Camp Webinar for healthcare practitioners and employees to learn the essentials of HIPAA laws and requirements upon initial employment and practice in the healthcare industry. Discover how to navigate the implementation of HIPAA mandates for medical records privacy, ensuring compliance with federal regulations protecting Protected Health Information. Stay up-to-date with new HIPAA rules through regular training and updates, as mandated by HIPAA itself. Don't miss this opportunity to enhance your understanding of HIPAA and safeguard patient privacy. Register for our HIPAA Boot Camp Webinar today!
Register,
https://conferencepanel.com/conference/hipaa-boot-camp-the-basics-of-exactly-what-you-need-to-know
The document discusses new guidelines around patient confidentiality and HIPAA compliance. It outlines new rights for patients, tighter definitions of violations, and increased emphasis on audits, sanctions, and fines for non-compliance. Any healthcare provider that electronically stores or transmits medical records must comply with HIPAA regulations, which help ensure privacy and consistent standards for documentation and handling of medical information. The document provides guidance on proper use, disclosure, and safeguarding of protected health information.
While this presentation offers a rudimentary understanding of HIPAA as it relates to PHRs, its primary objective is to highlight key aspects of PHR privacy policies provided by non-covered entities (Microsoft & Google) and argue that HIPAA, after significant amendments, should be extended to them.
Hippa training for healthcare employeesaminahallen
This document discusses HIPAA privacy and confidentiality training requirements for healthcare staff. It states that all staff must receive annual training on HIPAA rules and regulations to understand patient privacy protections and the serious consequences of violating patient privacy. Staff are trained on restricting access to patient information only to those involved in their care, keeping records secure, and conducting private interviews. The document outlines penalties for HIPAA violations which range from $100 per violation for unintentional disclosure up to $250,000 and 10 years in prison for violations committed with malicious intent or personal gain. Maintaining patient privacy and confidentiality is the responsibility of all healthcare staff.
The document provides an overview of the Health Insurance Portability and Accountability Act (HIPAA) including what information it protects, the entities it covers, and requirements for things like privacy practices, consent, and authorization. Central Michigan University is described as a "hybrid entity" under HIPAA, with some departments fully covered and others only indirectly affected. The presentation aims to familiarize staff with HIPAA regulations and the university's policies and procedures for protecting health information.
HIPAA Training: Preventing Employees from Violating HIPAAjbhicks
This document discusses the importance of continuous HIPAA training for healthcare organization employees to prevent violations of patient privacy. It recommends addressing specific issues through repeated training on HIPAA rules at hire, annually, and during staff meetings using various active learning methods like exercises, simulations, and discussions. Proper training programs clearly identify HIPAA guidelines, laws, and potential consequences of non-compliance to help employees embrace privacy protocols.
The document discusses HIPAA regulations regarding patient privacy. It explains that HIPAA was passed in 1996 to set national standards for protecting patients' medical records and personal health information. Key aspects of HIPAA include defining protected health information, requiring facilities to implement privacy policies and provide privacy training, and giving patients rights over their health information including access and confidentiality. Facilities and individuals can face penalties for HIPAA violations.
This document provides an overview of HIPAA/HITECH compliance training. It begins with an introduction to the topics that will be covered, including the HIPAA foundation, major players, transactions and identifiers, privacy rule, security rule, and breach notification. It then discusses the historical facts around HIPAA, including what it stands for, when it was passed, who it applies to such as covered entities and business associates. Key aspects of HIPAA are summarized, like the administrative simplification title, electronic data interchange standards, privacy and security rules, individual rights, and breach response requirements.
HIPAA was enacted in 1996 to protect patients' health insurance and personal health information. It requires covered entities like healthcare providers, insurers, and their business partners to implement procedures to protect protected health information (PHI), such as patients' medical records. These entities must designate a privacy officer, train staff on privacy policies, and obtain patient acknowledgement of their privacy practices. HIPAA also dictates exceptions for uses of PHI, such as for treatment, payment, healthcare operations, and with patient authorization.
The document provides an overview of HIPAA privacy and security laws, including how they have been enhanced by the HITECH Act and ARRA. It defines key terms like protected health information (PHI), covered entities, business associates, and their obligations to secure PHI and comply with privacy requirements. Patients' rights to access and restrict the use of their PHI are also summarized.
The Health Insurance Portability and Accountability Act (HIPAA) was created primarily to modernize the flow of healthcare information, stipulate how Personally Identifiable Information maintained by the healthcare and healthcare insurance industries should be protected from fraud and theft, and address limitations on healthcare insurance coverage – such as portability and the coverage of individuals with pre-existing conditions.
https://www.hipaajournal.com/hipaa-training-requirements/
This document provides an overview of HIPAA regulations regarding protected health information and identifies which campus entities may be covered. It explains that health plans, health care providers that conduct electronic transactions, and health care clearinghouses are covered. It evaluates examples of health plans and providers on campuses to determine if they would be covered, such as employee insurance plans but not an on-campus student health clinic. It emphasizes analyzing the specific definitions of covered transactions and entities to accurately assess a campus's exposure and compliance requirements under HIPAA.
The document discusses HIPAA privacy and security requirements. It defines key terms like protected health information and confidentiality. HIPAA established standards to protect personal health information and privacy. It requires covered entities to implement safeguards to ensure the security and confidentiality of protected health information, whether in paper or electronic format. HIPAA also gives patients rights over their medical records and information. Covered entities must notify patients of breaches or improper disclosures as required under HIPAA and HITECH.
PowerPoint presentation from the Human Subjects Research Committee at the University of North Alabama,
in Florence, AL, concerning HIPAA policies and procedures.
The document provides an overview of how the Health Insurance Portability and Accountability Act (HIPAA) impacts medical personnel in the Air Force. It discusses the HIPAA Privacy Rule and how it affects the disclosure of protected health information, as well as key exemptions under the Military Command Authority that allow disclosure to unit commanders. The document also outlines documentation requirements under HIPAA and important privacy rights patients have, such as access to their health records and the right to request confidential communications.
A nurse wonders if she should check the records of a famous actor who came to the emergency room with his son after a car accident to see if alcohol was involved, which would be a violation of patient privacy and HIPAA regulations. Employees can face penalties ranging from $100 to $50,000 per violation or up to $1.5 million per year for willful neglect of HIPAA policies. It is the employer's responsibility to provide annual HIPAA training and ensure compliance through continued education and assessment of privacy practices.
This document provides an overview of HIPAA privacy and security training for employees at a covered entity. It discusses key topics including what constitutes protected health information (PHI) under HIPAA, how PHI can be used and disclosed, minimum necessary standards, security safeguards, breach notification requirements, and penalties for noncompliance. Employees are informed that strict compliance with HIPAA privacy and security policies is required to protect patient information.
The document provides an overview of GBMC's HIPAA compliance program and training. It discusses the HIPAA privacy rule's requirements regarding protected health information, patient rights, notice of privacy practices, privacy policies, and the privacy officer. It also covers the HIPAA security rule and topics that will be addressed in the training, including electronic protected health information, user identity, password management, security policies, and the security officer.
This document summarizes the key aspects of the Health Insurance Portability and Accountability Act (HIPAA) regulations regarding patient privacy and the handling of protected health information. It notes that HIPAA was passed as a federal law in 1996 and outlines regulations to protect individuals' health information privacy and ensure security of electronic personal data transfers. The document then discusses how health information is used by various medical professionals and entities involved in patient care and lists some examples. It also provides an overview of the objectives of HIPAA, patients' rights to their information, and consequences for violations.
The document discusses the importance of patient privacy and the HIPAA Privacy Rule. It defines protected health information (PHI) and outlines how PHI can be disclosed and used properly according to the Privacy Rule. Covered entities must protect PHI by only accessing and sharing the minimum necessary information to do their jobs and taking steps to keep information private. Violations of the Privacy Rule can result in fines.
This document provides an overview of HIPAA privacy rules and how they affect employees. It outlines the goals of HIPAA training which are to increase knowledge of protected health information, enhance awareness of individual roles in complying with HIPAA, provide reporting responsibilities for violations, and protect patient privacy. Key aspects of HIPAA covered include what information is protected, penalties for non-compliance, and individual rights to privacy of health records. The conclusion emphasizes that HIPAA compliance is required for healthcare businesses and shifts power to consumers regarding their personal health information.
This document provides an overview of HIPAA privacy rules and how they affect employees. It outlines the goals of HIPAA training which are to increase knowledge of protected health information, enhance awareness of individual roles in complying with HIPAA, provide reporting responsibilities for violations, and protect patient privacy. Key aspects of HIPAA covered include what information is protected, penalties for non-compliance, and individual rights to privacy of health records. Compliance is important to avoid penalties, denied insurance claims, and loss of accreditation. HIPAA requirements establish national standards to protect sensitive patient information and ensure its appropriate use.
HIPAA Boot Camp: A Step-by-Step Guide to Achieving ComplianceConference Panel
Join our HIPAA Boot Camp Webinar for healthcare practitioners and employees to learn the essentials of HIPAA laws and requirements upon initial employment and practice in the healthcare industry. Discover how to navigate the implementation of HIPAA mandates for medical records privacy, ensuring compliance with federal regulations protecting Protected Health Information. Stay up-to-date with new HIPAA rules through regular training and updates, as mandated by HIPAA itself. Don't miss this opportunity to enhance your understanding of HIPAA and safeguard patient privacy. Register for our HIPAA Boot Camp Webinar today!
Register,
https://conferencepanel.com/conference/hipaa-boot-camp-the-basics-of-exactly-what-you-need-to-know
The document discusses new guidelines around patient confidentiality and HIPAA compliance. It outlines new rights for patients, tighter definitions of violations, and increased emphasis on audits, sanctions, and fines for non-compliance. Any healthcare provider that electronically stores or transmits medical records must comply with HIPAA regulations, which help ensure privacy and consistent standards for documentation and handling of medical information. The document provides guidance on proper use, disclosure, and safeguarding of protected health information.
The document discusses new guidelines around patient confidentiality and HIPAA compliance. It outlines new rights for patients, tighter definitions of violations, and increased emphasis on audits, sanctions, and fines for non-compliance. Any healthcare provider that electronically stores or transmits medical records must comply with HIPAA regulations, which help ensure privacy and consistent standards for documentation and handling of medical information. The document provides guidance on proper use, disclosure, and safeguarding of protected health information.
The document discusses new guidelines around patient confidentiality and HIPAA compliance. It outlines new rights for patients, tighter definitions of violations, and increased emphasis on audits, sanctions, and fines for non-compliance. Any healthcare provider that electronically stores or transmits medical records must comply with HIPAA regulations, which help ensure privacy and consistent standards for documentation and handling of medical information. The document provides guidance on proper use, disclosure, and safeguarding of protected health information.
The document provides an overview of the steps startups need to take to achieve HIPAA compliance when working with health systems and protected health information. It discusses the key rules under HIPAA including the Privacy Rule, Security Rule, and Breach Notification Rule. It outlines a high-level roadmap for startups to become HIPAA compliant which involves developing an understanding of HIPAA, embedding it into operations, documenting efforts, and ultimately conducting a self-assessment and audit. The document aims to prepare entrepreneurs to address the compliance concerns of health systems regarding data security and privacy.
Marc etienne week1 discussion2 presentationMarcEtienne6
The document discusses HIPAA training requirements for healthcare providers and staff. It explains that the Health Insurance Portability and Accountability Act (HIPAA) was enacted in 1996 to establish privacy standards for protected health information (PHI) and requires covered entities like healthcare providers to provide annual HIPAA training and certification to their workforce. Unauthorized disclosure of PHI is considered a HIPAA violation which can result in civil penalties such as fines or criminal penalties like imprisonment depending on the nature and intent of the violation.
HIPAA establishes rules for protecting patient privacy and health information. It applies to covered entities like health plans, providers, and clearinghouses. Business associates of these entities must also comply. Protected health information includes identifiable patient information. Patients have rights to access and restrict use of their information. Covered entities must notify patients of these privacy practices and face penalties for violations like impermissible disclosures or breaches of private health information. Maintaining privacy and security of patient data is important to avoid penalties or consequences.
HIPAA establishes rules for protecting patient privacy and health information. It applies to covered entities like health plans, providers, and clearinghouses. Business associates of these entities must also comply. Protected health information includes identifiable patient information. Patients have rights to access and restrict use of their information. Covered entities must notify patients of these privacy practices and face penalties for violations or impermissible breaches of protected health information. Maintaining privacy and avoiding breaches requires secure practices like password protection and limiting unauthorized access to patient records.
This document provides an overview of HIPAA compliance requirements for healthcare startups selling to health systems. It discusses how health systems prioritize compliance and security above all else. The presenter, Jim Anfield, will prepare entrepreneurs on how to effectively communicate that their solutions meet HIPAA compliance and security standards to facilitate partnerships with health systems. He will cover common pitfalls in these discussions and provide insights on achieving HIPAA compliance.
The document provides training on the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule. It discusses what protected health information (PHI) is and the rules around using and disclosing PHI. Key points include:
- PHI is individually identifiable health information that is protected by HIPAA.
- PHI can generally be used or disclosed for treatment, payment, and healthcare operations without patient authorization. Other uses require authorization or fall under other exceptions.
- The Privacy Rule establishes patient rights regarding access to and restrictions on use of their PHI, and requires covered entities to implement privacy protections and provide privacy training to staff. Non-compliance can result in civil and criminal penalties.
This presentation discusses how to comply with HIPAA and HITECH privacy laws. Learn key terms such as Protected Health Information, the Privacy Rule and the Security Rule as well as major changes brought by HIPAA and HITECH.
HIPPA-Health Insurance Portability and Accountability ActHarshit Trivedi
This document provides an overview of the Health Insurance Portability and Accountability Act (HIPAA). It discusses the objectives of HIPAA, which are to improve portability and continuity of health insurance, prevent healthcare fraud and abuse, and simplify administration of health insurance. It outlines the key areas covered by HIPAA: insurance portability, fraud enforcement, and administrative simplification. The document also discusses HIPAA regulations around protected health information, privacy laws, audits of access to medical records, and penalties for non-compliance.
health insurance portability and accountability act.pptxamartya2087
This document discusses new requirements for clinical studies under HIPAA. It provides an overview of HIPAA, including its goals of ensuring portability of health insurance and protecting privacy and security of patient health information. Key points include that HIPAA establishes standards for privacy of health information, electronic data interchange, and security of electronic protected health information. It also outlines requirements for clinical studies regarding informed consent, authorization of use or disclosure of protected health information, and institutional or privacy board review and waivers.
The document provides an introduction to the Health Insurance Portability and Accountability Act (HIPAA) for health care professionals. It discusses key aspects of HIPAA including protecting patient health information, permitted uses and disclosures of protected health information, and patients' rights to control their health information. The document emphasizes the importance of keeping patient information private and only accessing it when necessary to perform one's job. Violations can result in civil and criminal penalties.
This document provides an overview of the HIPAA guidelines for protecting patient confidentiality and handling protected health information. It discusses the new omnibus rule which tightens the definition of violations and increases emphasis on compliance, audits, and penalties. It outlines the rules for minimum necessary disclosure of PHI, only using PHI for treatment, payment and operations, and getting patient consent for other uses. Steps for safeguarding PHI include not removing it from the office, using caution when faxing, keeping workstations secure, and asking if unsure.
The document discusses the importance of maintaining patient confidentiality for nurses. It outlines that confidentiality is a patient's right to have their private medical information kept private. The Health Insurance Portability and Accountability Act (HIPAA) provides legal protections for personal health information and gives patients rights over their data. The document also discusses the penalties for violating HIPAA and provides tips for nurses to protect patient confidentiality in their daily work.
HIPAA regulations were designed to protect individuals' privacy and ensure security of personal health information. Only those with a "need-to-know" should have access to a patient's protected health information. All reasonable steps must be taken to prevent unauthorized access to or disclosure of PHI, such as not discussing PHI in public areas and logging out of computers with PHI. Violations of HIPAA regulations can result in legal penalties like fines and imprisonment or professional consequences like disciplinary action.
HIPAA is a federal law that protects individuals' privacy and security of personal health information. The law applies to students in all settings, including at school, clinical sites, and home. It outlines 7 patient rights regarding their health information and restricts sharing of personal information without permission. Students must protect privacy and confidentiality by only sharing protected health information with those who have a need to know in their role.
You're right, my previous response of just calling the volunteer office directly was not the best approach. The most appropriate response is to report the patient's reasonable request to have her name removed from the directory to the head nurse or facility privacy officer, as option B stated. They would be able to ensure the request is properly documented and handled according to the facility's policies and procedures. Thank you for the feedback to help improve my understanding.
HIPAA is a federal law that protects individuals' privacy and security of personal health information. The law applies to students in all settings, including at school, clinical sites, and home. It establishes 7 patient rights regarding their health information and differentiates those who have a "need to know" from others. Students must properly use equipment, discard papers, and avoid identifying patients to ensure compliance with HIPAA and protect patients' privacy. Violating HIPAA can result in legal and professional consequences.
You're right, my previous response of just calling the volunteer office directly was not the best approach. The most appropriate response is to report the patient's reasonable request to have her name removed from the directory to the head nurse or facility privacy officer, as option B stated. They would be able to ensure the request is properly documented and handled according to the facility's policies and procedures. Thank you for the feedback to help improve my understanding.
HIPAA regulations were designed to protect individuals' privacy and confidentiality rights regarding their personal health information and assure security when information is electronically transferred. The presented document discusses how HIPAA applies to students and their role, outlining the seven patient privacy rights, appropriate use of equipment to transmit data, identifying patients' information in papers, and consequences for violations. It provides an overview of key aspects of HIPAA for healthcare students.
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Threats to mobile devices are more prevalent and increasing in scope and complexity. Users of mobile devices desire to take full advantage of the features
available on those devices, but many of the features provide convenience and capability but sacrifice security. This best practices guide outlines steps the users can take to better protect personal devices and information.
1. HIPAA
Health Insurance Portability and Accountability Act
• Federal law passed by Congress in 1996
• Regulations promulgated by the Dept of Health
and Human Services
• Guidelines implemented in April, 2003
What part do students play in implementing HIPAA?
How does this law affect your student role?
Click ‘Slide Show’ and View Show’
Begin Program
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2. HIPAA regulations were designed to:
1) protect individuals’ rights to privacy and
confidentiality
and
2) assure the security of electronic transfer of
personal information
The first, protecting privacy and confidentiality
rights, is the subject of this instructional program.
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3. Health information is used by multiple agents in the
course of a single episode with a health problem.
Below are some of the agencies and individuals who
may handle health information. You could, no doubt,
add several more.
• Admitting clerks • Transport techs
• Caregivers from the • Respiratory therapists
ED to the morgue • Billing clerks
• Physical therapists • Insurance agents/clerks
• Nutritionists • School teachers/nurses
• Lab personnel • Home health personnel
• Receptionists in • Medical records clerks
MD offices • Website managers
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4. HIPAA applies to us all--in all settings. That
means at school, at home, on the shuttle
buses, as well as the hospitals and clinics.
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5. Objectives
• After completing this program you will be able to:
– Discuss the general concepts of HIPAA guidelines
– Adapt HIPAA guidelines for the various settings in
which you might practice throughout the curriculum
– Discuss the seven patient/client rights regarding his/her
health information
– Differentiate individuals who have a ‘need to know’
from those who don’t. This determines those with
whom you can discuss protected health information
– Discuss application of HIPAA to the student role
– List legal, professional, and academic consequences of
violating HIPAA rules
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6. Why HIPAA??
• Genetic advancements - as more is known about our
genetic predisposition to diseases, HIPAA will ensure that,
for example, an individual is not denied insurance because
the company knows that she may eventually develop MS.
• Marketing - as information is more easily captured
concerning, for example, the prescriptions we purchase,
HIPAA is designed to prevent marketing of unsolicited
products or services based on harvested marketing data.
• Technology - as information is quickly and sometimes
loosely moved around networks, HIPAA standards will
hold violators accountable for accidental or intentional
‘interception’ of protected health information (PHI).
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7. Why HIPAA?
• An Atlanta truck driver lost his job in early 1998 after his
employer learned from his insurance company that he had
sought treatment for a drinking problem.
• The late tennis star Arthur Ashe’s positive HIV status was
disclosed by a healthcare worker and published by a
newspaper without his permission.
• Tammy Wynette’s medical records were sold to National
Enquirer by a hospital employee for $2,610.
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8. When and How Often do I need to be
Certified?
• The law requires that we comply with the regulations
and adhere to agency guidelines.
• The ‘certificate of compliance’ you will receive upon
the completion of this program will be sufficient
until new or updated policies are developed by the
Dept. of Health and Human Services.
• Be aware that individual agencies may have unique
HIPAA policies, and it is your responsibility to know
and implement those policies.
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9. What Objectives do the Privacy
Regulations Accomplish for Patients?
• Give patients more control over their health information.
• Set boundaries on the use and disclosure of health records.
• Establish appropriate safeguards for all people who participate
in or are associated with the provision of healthcare to ensure
that they honor patients’ rights to privacy of their PHI.
• Hold violators accountable through civil and criminal
penalties.
• Strike a balance when public responsibility requires disclosure
of some forms of data--for example, to protect public health.
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10. With HIPAA we now have new terms
and abbreviations to learn!!
• Protected Health Information (PHI) or Protected Medical Information
(PMI) This is any data about the patient that would tend to identify the
individual: name, hospital #, SSN, diagnosis, lab results, past or current
photos, etc, etc.
• Privacy Officer (PO) Each facility will have an employee who is
responsible for implementing and enforcing this law. Some may have one
over a multi-facility network (Seton) others one at each site (St. David’s
Partnership). As a nursing student this individual (after your instructor or
preceptor) could be your point of information regarding HIPAA.
• Covered Entity (CE) This includes any health plan, healthcare provider,
agency that processes claims, and any company that subcontracts with
them are covered by this law.
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11. And more new terms and
abbreviations to learn!!
• Release/Disclosure These are terms used in describing the
release of PHI to other CEs for TPO, treatment. payment, or
health care operations.
• Accounting of Disclosure (AOD) The patient has the right to
have an AODs for his PHI or PMI.
• Directory This is CE’s census or list of patients used by
volunteers and operators to direct visitors.
Different agencies may have other terms they use to
communicate HIPAA policies. You will need to keep alert
to these instances to comply with the spirit of the law.
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12. The next few slides will present the
basic principles of HIPAA as it applies
to the student role:
• The seven rights in the HIPAA privacy guidelines
• Using equipment--computers, printers, fax, and similar
machines to transmit patient data
• Identifying patients/clients PHI in school papers
• Discarding or destroying papers containing patient PHI
• Communicating privacy questions/concerns in the agency
• Describing the consequences of violating HIPAA guidelines
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13. What are the Seven Patient Rights Regarding
Privacy of PHI (Protected Health Information)
Individuals have the right to:
• Receive notice of an agency’s privacy practices.
• Know that an agency will use its PHI ONLY for
treatment, payment, operations (TPO), certain
other permitted uses and uses as required by law
• Consent to and control the use and disclosure of
their PHI.
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14. Seven Rights…continued
• Access their protected health information (PHI),
except for psychotherapy notes (they might be
charged for copies)
• Request amendment or addendum to their PHI
(not always granted)
• Receive accountings of disclosures
• File privacy complaints to agency officer
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15. HIPAA Restricts Sharing PHI
Personal information cannot be released to individuals
or companies interested in marketing ventures, without
the patient’s written permission. For example:
– Names of patients on antihypertensive drugs cannot be
released to a company marketing nutritional products to
lower blood pressure.
– Names and addresses of pregnant women cannot be
provided to infant formula companies.
– Contact information of previous patients cannot be used
to raise money for a hospital building campaign.
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16. How do students assure patients’ rights
to privacy and confidentiality?
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17. Who has Access to PHI?
The ‘Need-to-Know’ Principle
PHI should be shared with as few individuals as
needed to ensure patient care and then only to the
extent demanded by the individual’s role.
For example, the nursing assistant ‘needs to know’
only the facts concerning the patient’s current
admission.
As a nursing student, you will discuss PHI only as it
applies to your education or your patient’s care.
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18. Protecting your patient’s PHI
• Take all reasonable steps to make sure that
individuals without the ‘need to know’ do not
overhear conversations about PHI.
• DO NOT conduct discussion about PHI in
elevators or cafeterias.
• Do not let others see your computer screen while
you are working. Be sure to log out when done
with any computer file.
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19. Protecting your patient’s PHI
When preparing care plans or other course required
documents take extra care to:
• identify the patient/client by initials only
• use other demographic data only to the extent necessary
to identify the patient and his/her needs to the instructor.
• protect the computer screen, PDA, clip board, or notes
from other individuals who don’t have a ‘need to know’
• protect your printer output from others who don’t have a
‘need to know’
• protect your floppy/zip/CD-ROM/PDA from loss
• consider using Webspace to save your documents
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20. Protecting your patient’s PHI
In the student role you are NOT to photoduplicate or
fax patient documents in the process of working with
your patient’s PHI. As an employee of an agency
you must use the agencies’ security procedures to
transmit PHI.
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21. Destroying PHI/PMI
DO NOT put notes
with PHI/PMI in the
trash or paper
recycle cans.
A paper shredder is
available in the
Learning Center for
these materials.
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22. Consequences of HIPAA Violations
In addition to federal laws, failure to comply with
HIPAA also violates
• Nursing’s Code of Ethics
• Texas Board of Nurse Examiners Standards of
Practice
• School of Nursing’s academic and scholarly
policies
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23. Potential Consequences of
HIPAA Violations
Legal consequences
• Civil or criminal penalties
• Fines plus imprisonment
Professional consequences:
• Disciplinary action by the Board of Nurse Examiners
Academic consequences:
• Reprimands
• Loss of points toward grade or failure of course
• Dismissal from School of Nursing
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24. Application of HIPAA to Common
Situations Facing Nursing Students
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25. Resisting the Need to Share PHI—Honoring
the Patient’s right to Privacy
Johnny, an active 4 year old, breaks his arm
after falling from a climbing form at his
daycare. As the nursing student caring for him
after the casting, you know that he is HIV
positive. Your daughter attends the same
daycare. You alert some of the other moms at
that center.
What’s wrong with this scenario?
Who in this setting has a ‘need to know’ the
HIV status of this child?
Formulate your answer
Next
then click the button
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26. Sharing this information with the other parents is a
violation of the HIPAA statute--ensuring the
child’s/family’s right to privacy and confidentiality.
The other parents did not ‘need to know’ this
information. Really, nobody has the ‘need to know.’
A good action on your part as a registered nurse (or
student nurse) would be to look into the day care’s
first aid policies and help them develop policies that
observe universal precautions in the care of all
children and staff. This should be done even if you
didn’t know that one of the children were HIV
positive
Next Scenario
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27. Found PHI
While working a 3-11 shift in the city/county health
clinic, you see some patient data in the trash can. What
should you do?
Click on the best response
• Remove it and take it to the document shredder.
• Report it to the Agency’s HIPAA officer.
• Call the toll-free number and make an anonymous violation repo
• Report it to your instructor or preceptor.
Next Scenario
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28. No, this is not the best response. You will want to protect
the PHI better than this.
Try Again
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29. Well…this is an option, but maybe over-kill at this stage.
You should either tell your instructor or preceptor (tell the
head nurse or unit manager only if your instructor or
preceptor are not available). They will see that the
individual responsible gets further education.
Try Again
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30. Yes, this is the best option. You should either tell your
instructor or preceptor (tell the head nurse or unit manager
only if your instructor or preceptor are not available).
They will see that the individual responsible gets further
education.
Next Scenario
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31. No, this is not the best response. You’re thinking in the
correct direction, but you don’t want to stick your hand
into any hospital trash can. You will want to tie up this bag,
label it, and get someone to take it to a shredder. As a
nursing student your best action would be to discuss with
your instructor or preceptor.
Try Again
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32. No, this is not the best response. This is NOT a good way
to win friends for you or the School! Unless you are
finding consistent HIPAA violations that after reporting
are not being corrected, let the agency have a shot at re-
educating its staff OR STUDENTS.
Try Again
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33. Your Best Friend
You work on the neuro unit at the public hospital. You
were able to convince your best friend to move to Austin
and work with you. In the cafeteria, she begins telling
you about this handsome guy that was just admitted to
her unit after a bad car wreck. She continues to tell you
some of the gory details including ‘driving while
intoxicated’ (DWI). What should you do?
Click on the best response
• Remind her of HIPAA and tell her that you shouldn’t discuss
• Ask her how old he is.
• Tell her to get his phone number from the chart.
• Call the agencies/networks privacy official.
• Report her to her head nurse
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34. No, this is not the best response. Did you say she was your
best friend? Unless she is consistently violating a
patient’s rights to protect his/her PHI, you will want to
help each other when you slip.
Try Again
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35. Really now!!! I am going to get the Agency’s HIPAA
Officer after the both of you!
Try Again
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36. Yes, this is a good option. Help her recall her
responsibilities to the patient’s right to
confidentiality and privacy.
Next Scenario
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37. Patient’s Question
While assisting Mrs. Johnson with her bath, she tells you
that she would like remove her name from the patient
data that the volunteers have at the reception desk. Is this
a reasonable request? What would you do with this
request? Click on the best response
• Not reasonable; this information must be at the info desk for
• Reasonable; report it to the head nurse or the floor/agency pr
• Not reasonable; help her understand that it is a protected by t
• Reasonable; call the volunteer office and have her removed f
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38. Yes, this is the correct response. Recall that HIPAA
gives patients/clients the right (right #3) to control the
use and disclosure of their PHI. It is within her rights
to have her name removed from the list. Furthermore,
most agencies have special forms for this.
Next Scenario
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39. Correct, BUT report it and let the right person take
care of the details. Most agencies will have special
forms for this. The best response is ‘B’
Try Again
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40. No, this is a reasonable request. Recall that HIPAA gives
patients the right (right #3) to direct use and disclosure of
their PHI. It is within her rights to have her name
removed from the list. Most agencies will have special
forms for this.
Try Again
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41. Consulting Physician Calls
You are the nursing student caring for Mr. Sanchez. His
physician has called in several consultants to assist with
his care. One of the physicians, Dr Han, a neurologist,
calls to get some information about Mr. Sanchez. Can
you release information to her? Click on the best response
• No, she is going to have to come in to be identified.
• Her request would need to be forwarded to the unit manager.
• No, she should be instructed to contact Mr. Sanchez’ primary
• After obtaining sufficient info to know that it is Dr. Han, you
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42. No, this is not the correct response. After instituting
reasonable safeguards that it is Dr. Han, you should give
her the information that she requests. Recall that PHI
can be shared with other caregivers for TPO (treatment,
payment, & agency operation) without getting additional
approval from the patient.
Try Again
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43. Yes, this is the correct response. It is not a violation of
HIPAA if you institute reasonable assurances to protect
the security of the patient information and then disclose
to another person who has a ‘need to know.’ Recall
that PHI can be shared with other caregivers for TPO
(treatment, payment, & agency operation) without
getting additional approval from the patient.
Next Scenario
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44. Patient’s Spouse Wants to Read the Chart
Your patient, Ms Johnson, has confided in you that she and her
husband have been having marital problems. One day while she is
at x-ray, her husband asks to see the chart. You think that she
might not want him to see it, but you’re not exactly sure how to
handle the situation. What would you as the nursing student do?
Click on the best response
• Let him see it.
• Refer the request to your instructor or preceptor.
• Tell him no, that the chart belongs to his wife.
• Delay him, saying that there is nothing in her chart of interes
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45. No, this is not the correct response. You recall that the
patient has the right to decide how her PHI can be
disclosed. As a student, any question about HIPAA or
how to deal with patients or their families should be
referred to your faculty or preceptor.
Try Again
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46. Well…you’re right, but as a student you might want to
consult with your instructor or preceptor before dealing
with the patient’s husband.
Try Again
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47. Yes, this is the correct response. It is always the best
policy that as a student you refer your questions to your
instructor or preceptor. In emergencies, if they aren’t
available, speak to the head nurse or unit manager.
Next Scenario
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48. A FINAL REVIEW
Answer the following true-false questions
To Start
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49. Patients have a right to see their chart?
Select your answer
True False
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60. No, that’s not right. Do you need to review?
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61. As a nursing student questions or concerns about
HIPAA policies or infractions should be directed
to your instructor or preceptor.
True False
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62. You’re right! You can also talk with the
agency’s privacy officer, but as a nursing
student it is best to check with your faculty
or preceptor first.
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63. No, that’s not right. Do you need to review?
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64. Personal digital assistants (PDAs), clipboards,
floppy disks, zip disks and CD-ROMs used for
storing PMI, careplans, process recordings, or
patient assessments forms must be protected as we
protect the patient’s chart?
True False
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65. You’re right!
Any format that contains PHI needs your
special attention.
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66. No, that’s not right. Do you need to review?
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67. Complying with HIPAA guidelines is an important
part of a healthcare provider’s role. As a nursing
student, failure to comply can result in academic,
professional, civil, or criminal consequences.
True False
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69. No, that’s not right. Do you need to review?
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70. The University of Texas at Austin
School of Nursing
HIPAA Supplemental Training for Health Care Settings
Today’s Date:07/19/12
Your Name Printed
I have completed this HIPAA training program. I understand the basic provisions
of the law and agree to do my part to ensure the patients’ rights of privacy and
confidentiality. Furthermore, I understand the consequences of failing to do so.
Your Signature and EID Number
TO PRINT THE CERTIFICATE: Press the Escape key to get out of this program. Next go to
‘file’ and ‘print.’ Make sure that you are printing only the CURRENT SLIDE, that you are
printing in the slide mode, and then click on OK.’
Fill in the blanks and deliver the certificate to the box on the Students Affairs receptionist’s desk.
As a student you will need to redo HIPAA training each academic year.
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