Confidentiality/Discolsure of Medical Information Flashcards
How many Titles does HIPPA have
-5
Describe Health Insurance Reform
-protects workers/families from losing coverage when they change/lose their job
Describe Administrative Simplification
-adopted national standards for electronic transactions, privacy, and security of PHI
What does Title II of HIPPA cover
-preventing health care fraud and abuse; administrative simplification/medical liability reform
T/F - Covered entities must keep track of who receives PHI and verify identities of requestor
True
T/F - Covered entities do NOT have to keep records of compliance
False - need to keep them for 6 years
What is Notice of Privacy Practices
- notice must be given to pts the first time they are seen in any medical facility
- must be posted and available upon request
When can healthcare providers share limited PHI w/o a pt’s authorization
- public health and safety
- organ donation
- health oversight (medical audits)
- judicial/administrative proceedings (workers comp. court orders)
T/F - Covered entities are requried to record and track “permitted” disclosures of PHI
False, “permitted” disclosures do NOT have to be tracked
What are the 3 types of safeguards required by HIPPA for security of PHI
- administrative (privacy policies/procedures)
- physical (door locks, security cameras)
- technical (passwords)
When can pt confidentiality be breached
- concern for safety of other persons (homicidal ideations)
- legal requirements to report certain conditions/circumstances (STDs, measles)
What are requirements to be an medically emancipated minor
- varies by state
- usually have been:
- married
- pregnant
- in armed forces
- court order in place
Describe Therapeutic Privilege
- 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
What is an Adverse Event
-harm resulting from process of medical care rather than from pt’s underlying dz
What is a Medical Error
-failure of a planned action to be completed as intended or the use of a wrong plan to achieve an aim
What is informed consent
-when important info is conveyed to pts that need to make informed decisions about their subsequent medical care
Describe Positive Obligation
-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
What is Truth Telling
need to disclose medical errors even if the info isn’t essential to informed decision making
