HIPAA / pt rights / OSHA Flashcards

1
Q

What is HIPAA?

A
  • The health Insurance Portability and Accountability Act of 1996
  • National standards for the protection of health information
  • Went into effect in 2002
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2
Q

Who is the governing body of HIPAA

A

Department of Health and Human Services (HHS)

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3
Q

HIPPA Omnibus Rule

A
  • Extends HIPAA to cover second and third party
    businesses
  • Effective March 26, 2013
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4
Q

Who is Bound by HIPAA?

A
  • Health care providers:
  • A health plan
  • A healthcare clearinghouse
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5
Q

are office staff, students, volunteers bound by HIPAA?

A

yes

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6
Q

Should PTAs refer all requests for patient
information to the supervising PT

A

YES

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7
Q

Are billing companies and Answering services bound by HIPAA?

A

yes

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8
Q

What Type of Information is Protected under HIPAA?

A
  • Protected Health Information (PHI)
  • Any identifiable health info transmitted orally, electronically or written
  • Any form that is created or received by the health care provider regarding past, current or future health information
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9
Q

Examples of PHI:

A

○ Social security numbers
○ Health information
○ Billing information
○ Address
○ Diagnosis
○ Medical notes

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10
Q

Complying with HIPAA:

A
  • Avoid discussing patients in public
  • Utilize only the “minimum necessary”
  • Keep it “locked up”
    • Locked file cabinets
    • Password protected computers
    • Paperwork within view of others face dow when not in use
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11
Q

Releasing Patient Information must be authorized by

A

patient in writing

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12
Q

Can you disclose PHI to family member if “it is reasonable to infer from the circumstances that the patient does not object to the disclosure”

A

yes

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13
Q

True or false:

No authorization required from patient to release PHI if information is sent to Department of Health and Human Services

A

true

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14
Q

No authorization required from patient to release PHI if information is sent to involved victims of abuse

A

true

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15
Q

True or false:

No authorization required from patient to release PHI if information is required for legal proceedings, law enforcement

A

true

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16
Q

Mandated Reporting

A
  • Child Abuse
  • Domestic Violence
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17
Q

How long must records be kept in NY State Law

A
  • six years from the date of the patient’s last visit.
  • 6 years after child turns 21
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18
Q

True or false:

pt has the right to amend or correct records

A

true

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19
Q

true or false:

pt has right to request a copy of documents

A
20
Q

Failure to Comply with HIPAA is enforced by:

A
  1. Department of Health and Human Services
  2. Office of Civil Rights
21
Q

Civil Offense fine is how much $$$?

A

○ Inadvertent
○ Personal gain was not intended
Fine starting at $100

22
Q

Criminal Offense fine if information is sold, used for personal gain or malicious harm:

A
  • Knowledgeable violation:
    • $50,000 fine, 1 year imprisonment
  • $250,000 and 10 years if information is sold, used for personal gain or malicious harm
23
Q

The patient has a right to…

A
  • Safety of the equipment and provision of services
  • Refusal of services
  • Right to considerate and respectful care
  • Information on how to resolve a complaint
24
Q

What if the patient can’t exercise their rights?

A

Advanced Directives:

  • Health care proxy: friend or family member
  • Living will
  • Do Not Resuscitate (DNR)
25
Q

What is a heathcare proxy?

A

NYS Health Care Proxy Law allows someone to appoint a trusted friend or family member to make
health care decisions for you if you cannot

26
Q

Healthcare Proxy form must be completed with how many witnesses?

A

Form completed with 2 witnesses, no lawyer needed

27
Q

Proxy must be _____ yrs and not your doctor

A

>18

28
Q

When does the healthcare proxy goes into effect?

A

when an MD deems a patient cannot make decisions for themselves

29
Q

What can a Proxy Decide?

A
  • Patient makes decision on how much authority
  • Medical decisions only – not financial
  • Authority ends upon patient’s death
30
Q

What is OSHA?

A

Occupational Safety and Health Administration

  • Regulations to provide safeguards against blood borne pathogens as of 1991
31
Q

When does the OSHA mandated training must take place?

A

within 90 days

32
Q

What does the OSHA training includes?

A

○ Exposure risk
○ Exposure control plan
○ Availability of Hep B vaccine
○ Emergency procedures
○ How to handle personal protective equipment
○ Explanation of labels

33
Q

“ Reasonably anticipated skin, eye, mucous membrane, or parenteral contact with blood or other potentially infectious materials that may result from the performance of the employee’s duties.”

A

definition of Occupational Exposure

34
Q

Universal precautions states that:

A
  • Treat all bodily fluids as infectious
  • Wash hands
  • Use gloves at a mimimum
35
Q

What kills more bacteria soap or alcohol base foam?

A

alcohol base foam

36
Q

What is the order of Donning?

A
  1. Wash hands
  2. Gown
  3. Mask or respirator
  4. Eye protection
  5. Gloves (?2 pairs)
37
Q

What is the order of doffing?

A
  1. Gloves
  2. Eye protection
  3. Gown
  4. Mask or respirator
  5. Gloves (? pair 2)
  6. Wash hands
38
Q

when do you put the gloves on in donning?

A

last

39
Q

when do you remove the gloves on in doffing?

A

first

40
Q

When do pt and provider wear PPE?

A
  • Provider: when entering the room, remove before leaving
  • Patient: when leaving the room, remove uponentering
41
Q

Transmission Based Precautions Addresses 3 factors:

A
  • Source of infecting microorganism
  • Susceptible host
  • Means of transmission:
    • Contact
    • Droplet
    • Airborne
    • Protective
42
Q

What do you wear when infection spread by physical contact? Ex?

A
**Gown and gloves**
Clostridium difficile (C. Diff) , Scabies, and MRSA
43
Q

What do you wear when infection spread by droplets > 5microm? Ex?

A
  • Mask (standard mask)
  • Door to room remains closed

Paraflu, Adenovirus, RSV

44
Q

What do you wear when infection spread by droplets < 5microm? Ex?

A
  • Mask (N-95 respirator mask)
  • Door to room remains closed, negative pressure room
  • Patients may not be allowed to leave the room
  • Measles, Tuberculosis
45
Q

How much is “sufficient amount” for transmission?

A

A single drop

46
Q

What do you wear in protective isolation?

A
  • High risk for infection
  • Gown, gloves, mask
  • Patients may not be allowed to leave room
  • Severe immunecompromiseation, stem cell transplant
47
Q

If/When exposure happens

A
  • Record Keeping:
    • Sharps injury log
    • OSHA 300 log
  • Post Exposure follow up and testing:
    • Wash with soap and water
    • Blood draw
    • Hep B Vaccine and/or HIV Chemoprophylaxis
    • Follow up to 6 months