HIPAA Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

HIPAA rules were invented to…

A
  • …primarily make it easier to transfer insurances, to improve competition in the health sector.
  • …balance between improving the flow of information while protecting the privacy of patients.
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2
Q

HIPAA Enshrines Several Patient Rights such as…

A
  • …Request access to health info.
  • …Request to amend their health info.
  • …Request restrictions to information sharing
  • …Request accountability of disclosures.
  • …Transfer their information to other providers.
  • …Ensure that providers have taken electronic security measures to stop disclosures.
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3
Q

HIPAA Rules Require Us To…

A
  • …treat all things we learn about patients as confidential
    -We can’t tell anyone else, even the patient outside of bona fide contact.
    -Provide more control to patients over their personal health information
    -Investigated and punished by DHHS - Office of Civil Rights.
    Punish those who misuse patient information by imposing criminal & civil penalties
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4
Q

What is the penalty for a HIPAA Violation

A

10 years jail time, 1.5 million dollar fine, per disclosure.

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5
Q

In HIPAA Laws mean:

A
  • You can’t talk about patients/athletes outside of the classroom with anyone.
    -Student Trainers should only access the medical information that is needed for their job/clinical laboratory experience.
  • We need athlete’s parents/guardians to give permission before we can give information to others on their behalf.
  • Keep medical records in a secure place-both paper & electronic
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6
Q

When can you talk about patients?

A
  • Continuity of Care
  • Operational Needs
  • Training
  • Billing and Business Operations

you MUST make sure that you cannot reasonably be overheard and that your conversation is in a private place. If you do not take due care to make sure you are not overheard and the information is released you are guilty of a breach

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7
Q

What is considered Continuity of Care?

A
  • Hand offs to EMS
  • Hand offs to other trainers or coaches
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8
Q

What is considered Operational Needs?

A
  • Reports to Coaches
  • Deployment of trainers
  • Reports to Administrators
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9
Q

What is considered Training - QA/QI

A
  • Developing New Protocols
  • Classroom discussion to learn about treatments
  • Review of treatments that were done for an athletes
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10
Q

What is considered Business and Billing Operations?

A
  • Insurance Reports to Health Secretary
  • Reports to the athlete’s health insurance (Leave this to Administration)
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11
Q

What is PHI?

A

Protected Health Information is any identifying information, including diagnosis, that a reasonable person would be able to use to identify a person beyond gender and state.
Thus, you should only be able to figure out that it was a “female in Iowa” or a “male in Colorado.”

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12
Q

What is the goal of Quality Assurance?

A

QA
Focus: Finding and Fixing Errors
Partners: Training Staff
Activities: Reviewing Charts
Outcomes: Improve Care

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13
Q

What is the goal of Quality Improvement?

A

Focus: Preventing Errors
Partners: Administration
Activities: Reviewing Protocols
Outcomes: Improve Care

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14
Q

What are the rules for HIPAA regarding electronics?

A

> You should have a unique password-don’t share with others

> Do not access information on yourself, your family, your friends, staff, or any other person.

> You have a duty to report any breach of confidentiality to your supervising adult.
-Remember most computer systems can track all access to records.
-Inappropriate access is punishable by federal and state law.

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15
Q

Who are the supervising adults for HIPAA purposes? When may you use others instead of Navarro?

A

Superintendent Stout
Principal Hill
Vice-Principal Sanchez
Vice-Principal Crosson
Nurse Keenan
Coach Logue
Coach Navarro
Supervisors at the District Office

Use Navarro as a first contact point. Use others if he is unable to be reached for 96 hours.

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16
Q

Negligence is…

A

Malfeasance; wrongdoing
Misfeasance: transgressing
Nonfeasance: failure to perform an act that is required by law.

17
Q

Negligence must prove the five components:

A
  • Duty to Care
  • Breach of the Duty
  • Cause in Fact
  • Proximate Cause
  • Monetizable Damages