Confidentiality/Discolsure of Medical Information Flashcards

1
Q

How many Titles does HIPPA have

A

-5

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2
Q

Describe Health Insurance Reform

A

-protects workers/families from losing coverage when they change/lose their job

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3
Q

Describe Administrative Simplification

A

-adopted national standards for electronic transactions, privacy, and security of PHI

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4
Q

What does Title II of HIPPA cover

A

-preventing health care fraud and abuse; administrative simplification/medical liability reform

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5
Q

T/F - Covered entities must keep track of who receives PHI and verify identities of requestor

A

True

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6
Q

T/F - Covered entities do NOT have to keep records of compliance

A

False - need to keep them for 6 years

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7
Q

What is Notice of Privacy Practices

A
  • notice must be given to pts the first time they are seen in any medical facility
  • must be posted and available upon request
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8
Q

When can healthcare providers share limited PHI w/o a pt’s authorization

A
  • public health and safety
  • organ donation
  • health oversight (medical audits)
  • judicial/administrative proceedings (workers comp. court orders)
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9
Q

T/F - Covered entities are requried to record and track “permitted” disclosures of PHI

A

False, “permitted” disclosures do NOT have to be tracked

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10
Q

What are the 3 types of safeguards required by HIPPA for security of PHI

A
  1. administrative (privacy policies/procedures)
  2. physical (door locks, security cameras)
  3. technical (passwords)
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11
Q

When can pt confidentiality be breached

A
  • concern for safety of other persons (homicidal ideations)

- legal requirements to report certain conditions/circumstances (STDs, measles)

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12
Q

What are requirements to be an medically emancipated minor

A
  • varies by state
  • usually have been:
  • married
  • pregnant
  • in armed forces
  • court order in place
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13
Q

Describe Therapeutic Privilege

A
  • practice of withholding pertinent medical info from pts in belief disclosure is medically contraindicated
  • info can’t be withheld indefinitely
  • should this privilege be used recommended consult w/ ethics committee/ colleagues/pt’s family
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14
Q

What is an Adverse Event

A

-harm resulting from process of medical care rather than from pt’s underlying dz

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15
Q

What is a Medical Error

A

-failure of a planned action to be completed as intended or the use of a wrong plan to achieve an aim

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16
Q

What is informed consent

A

-when important info is conveyed to pts that need to make informed decisions about their subsequent medical care

17
Q

Describe Positive Obligation

A

-obligation of providers to come forward w/ relevant info that a pt should know rather than waiting for the pt to extract the info from the pt

18
Q

What is Truth Telling

A

need to disclose medical errors even if the info isn’t essential to informed decision making