Lecture 1 HIPAA Flashcards
HIPAA stands for
Health Insurance Portability and Accountability Act
Privacy Rule protects all ____ health information
identifiable
True or False. Individuals do not have the right to review and obtain a copy of their records
False. Individuals do have the right to review and obtain a copy of their records
- individuals own treatment
- payment
- advertisement
- helathcare operations
- minimum necessary protected information should be disclosed
- –which one is not a reason to disclose protected information?—
are all reasons to disclose information
except
-advertisement
_____ authorization must be obtained for the use of protected health inof such as ______
written, marketing
True or False. Hippa must be provided at the first encounter , displayed in the office
True
How many years do documentations about privacy notices, disposition, complaints and other actions must be kept for?
6 yrs
As an extern you are bound by HIPPA rules to do what two things?
- you may not access records for any reason other then patient care , treatment and payment
- you have a duty to keep the records private from members of the public
Communications and referrals (are/aren’t) considered marketing
arent
T/F you are still bound by HIPAA rules in audible conversations
- -with patients
- -with colleagues
- -elevator converstations
true
Inflammation of the eyelids ususally with redness swelling and itching describes (blepharitis/epilation)
blepharitis
Removal of hair or lashes as by electrolysis describes (blepharitis.epilation)
epilation
Screening method for gross visual field defects usisng the examiner’s eye as a fixation point adn his moving fingers as peripheral targets describes (tonometry/scotoma/visual fields/confrontation fields)
confrontation fields
measurement of intraocular pressure in millimeters of mercury (tonometry/scotoma/visual fields/confrontation fields)
tonometry
Increase in pupil size called (miosis/mydriasis)
mydriasis
Decrease in pupil size called (miosis/mydriasis)
miosis
paralysis of the ciliary muscles , eliminating accomodation (tonometry/ scotoma/cycloplegia)
cyclopegia
(hydrogel/hybrid) is a plastic used in the manufacture of contact lenses
hydrogel
- power
- base curve
- diamter
- brand
- care regimen
- disposal schedule
- wearing time
- -all describe elements of (visual acuity/contact lense prescription)
contact lens prescription
(Emmetropia/ametropia) any optical error
ametropia
(presbyopia/emmetropia/myopia) reduciton in eyes ability to focus at near from loss of elasticity of crystalline lens or loss of ciliary muscle funciton
presbyopia
decreased vision in one or both eye without detectable anatomic damage to the retina or visual pathways
(Amblyopia/organic amplyopia/funcitonal amblyopia)
amblyopia
decreased vision in one or both eye without detectable anatomic damage to the retina or visual pathways, caused by non apparent damage to visual system therapy is ineffective
(Amblyopia/organic amplyopia)
organic amblyopia
T/F functional amblyopia is called lazy eye, and can usually be cured in childhood
T
As one extraocular muscle revieves an impulse form the brain to ctonract its oppisong muslce in teh same eye receives an impulse to relax
(sherrington’s law of reciprical innervation/hering’s lay of equal innervation)
Sherringtonls law reciprocal innervation
Innervation to one extraocular muscle to contract generates an equal innervation to contract its yoke muscle sherrington’s law of reciprical innervation/hering’s lay of equal innervation)
herings law
T/F conjugate movemetn can also be se called versions
T
Innervation of muscles mnemonic
SO4LR6
(Referral /consultation) the patient goes to another doctor and wont be coming back for treatment
Referral
(Referral /consultation) pt may or may not come back to the primary care giver since it is unknown at the time the diagnoses
consultiation
____ laser that produces short pulsed energy light beam to cut perforate or grament tissue
YAG
(Aphakia/pseudophakia) state of having an intraocular lens implant that replaces the eyes natural lens
pseudoaphakia
(Aphakia/pseudophakia) absence of the eye’s crystalline lens
aphakia
Overflow of tears down teh cheek caused by a defect in teh tear drainage system (epiphora/phoria/photophobia)
epiphora
(floaters/retinal detachment/diabetic retinopathy) sereies of progressive retinal changes, includes the growth of abnormal new blood vessel and accompnay fibrous tissue neovasculartization
diabetic retinopathy
T/F you should change and clarify your notes electronically
F. you shouldn’t change anything , addendum should be added to record the change signature time and date stamped
T/F if you did not document it , it did not happen
T
What type of ink should you use in keeping records?
black
Can you use yoru own abbreviations in record keeping?
no do not use your private abbreviations
CC in record keeping means?
chief complaint
T/F a pt can vervally complete questionnaires if the patient did not or can’t complete it in the written form
T
What are the most important outcomes in the case history?
tentative diagnosis
testing strategy
differential diagnoses
1. Chief and Secondary complaints Includes the HPI 2. Vision and Ocular health Personal Family 3.. Patient information Social and Vocational history 4. Wrap up and Summary 5.. Systemic Health Includes the Review of Systems Personal Family
-put in correct order
1. Chief and Secondary complaints Includes the HPI 2. Patient information Social and Vocational history 3. Vision and Ocular health Personal Family 4. Systemic Health Includes the Review of Systems Personal Family 5. Wrap up and Summary
T/F never ask open ended questions in attaining pts case history
F. ask open ended questions
FODLARS stands for what?
Frequency, onset, duration, location, associated factors, reliefe, severity
- Additional complaints usually unrelated to chief complaint
- If they are related, they are associated with the chief complaint
- FODLARS
- The secondary complaint may become the Chief Complaint, depending on the severity of the complaint
- Ocular morbidity or mortality
Describes (primary/secondary) complaints
describes secondary complaints
What additional information do you want to ask the patient?
occupation, hobbies, avocation, hours of computer use, sport, special eye wear needs or requirements(glasses)
(Urgent/emergency) see the pt same day or next day
urgent
(urgent/emergency) see the pt same day immediately
emergency
