CHAPTER 4

Question 1

A patient’s right to personal privacy and confidential handling of medical records is covered under what important federal law concerned with health insurance portability?

Answer 1

HIPAA

Question 2

Explain the purpose of FERPA.

Answer 2

FERPA was enacted to:

safeguard individual privacy from the misue of federal records
provide individuals access to records concerning them that are maintained by federal agencies
establish a Privacy Protection Study Commission

Question 3

Under what circumstance can confidential cancer registry data be made available?
For marketing products to cancer patients.
To help health care institutions recruit new patients.
To provide follow up information to an approved facility.
To aid insurance companies or employers trying to determine a patient’s medical status.

Answer 3

To provide follow up information to an approved facility.

Question 4

TRUE OR FALSE: In addition to following federal and state legal requirements concerning patient confidentiality, the cancer registrar must also be aware of pertinent regulations formulated by their own institution.

Answer 4

TRUE

Question 5

Match the actions with the appropriate solutions.

Keeping data secure - Passwords, audit control
Transmission of confidential data - Data encryption
Appropriate release of data - Explicit administrative authorization
Computer failure - Automatic back up system

Answer 5

Keeping data secure - Passwords, audit control
Transmission of confidential data - Data encryption
Appropriate release of data - Explicit administrative authorization
Computer failure - Automatic back up system

Question 6

TRUE OR FALSE: A serious breach of confidentiality can result in the cancer registrar being fired.

Answer 6

TRUE

Question 7

TRUE OR FALSE: A serious breach of confidentiality can result in the facility being fined thousands of dollars.

Answer 7

TRUE

Question 8

TRUE OR FALSE: It is appropriate to access the medical records of your sister if you are concerned about her cancer treatment.

Answer 8

FALSE

Question 9

TRUE OR FALSE: Another area covered by HIPAA’s provisions includes the accuracy of record keeping.

Answer 9

TRUE

Question 10

Cancer registrars need to be concerned with confidentiality regarding:

patient information.
identity of health care professional.
identification of institution.
all of the above.

Answer 10

ALL OF THE ABOVE

Question 11

TRUE OR FALSE: The National Cancer Registrars Association adopted a Professional Practice Code of Ethics that outlines the principles professional conduct and provides members of the Association with definitive and binding guidelines of conduct.

Answer 11

TRUE

Question 12

TRUE OR FALSE: Use of the Oncology Data Specialist-Certified is reserved for those individuals who have awarded this credential.

Answer 12

TRUE

Question 13

It is unethical for the cancer registry professional to place this ahead of service.

Personal interests
Education
Material gain
Advancement

Answer 13

MATERIAL GAIN

Question 14

TRUE OR FALSE: The most serious consequence of a finding of guilt of an ethics violation is revocation of the ODS credential.

Answer 14

TRUE

Question 15

Any charges of unethical behavior or alleged violations are investigated by:
NCRA staff.
NCRA Ethics Committee.
NCRA Council on Certification.
NCRA Executive Board.

Answer 15

NCRA ETHICS COMMITTEE

Question 16

Guidelines addressed in the NCRA Professional Practice Code of Ethics are:
submission of continuing education hours.
cooperation with other professions and organizations.
HIPPA Privacy Rule.
civil versus criminal law.

Answer 16

cooperation with other professions and organizations.

Question 17

TRUE OR FALSE: Cancer registry professionals working from a remote or home office must follow the same confidentiality and privacy guidelines as when working in an employer’s office.

Answer 17

TRUE

Question 18

TRUE OR FALSE: Placing material gain ahead of service is not unethical.

Answer 18

FALSE

Question 19

TRUE OR FALSE: Honorable discharge of the Association’s responsibilities is one of the guidelines addressed in the NCRA Professional Practice Code of Ethics.

Answer 19

TRUE

Question 20

TRUE OR FALSE: The cancer registry professional has no responsibility in providing training and clinical experience to students or other professionals.

Answer 20

FALSE

Question 21

Match the actions with the appropriate guidelines.

Producing complete, accurate, and timely information
Truthfully and accurately representing Credentials, education and experience
Revocation of the CTR credential
Providing lists of patients for marketing purposes

Answer 21

Discharge of entrusted professional duties and responsibilities

Professionalism

Breach of ethical conduct sanction

Confidentiality and privacy

Question 22

Under the HIPAA Privacy Rule, patients have the right to: (check all that apply)
inspect their medical record
amend their medical record
know who has seen their record
state how they want to be contacted

Answer 22

all answers are correct

Question 23

TRUE OR FALSE: Cancer registrars must understand and adhere to the HIPAA Security Rule to responsibly work with ePHI.

Answer 23

TRUE

Question 24

TRUE OR FALSE: A cancer registrar who abstracts and reports cancer data in the service of a provider does NOT work for a covered entity.

Answer 24

FALSE

Question 25

Explain the purpose of the HITECH Act.

Answer 25

HITECH was created to encourage the implementation of electronic medical records and supporting technology in U.S. health care facilities.