Patient Care and EKGs (HIPPA Compliance)

Question 1

What does HIPPA stand for?

Answer 1

Health Insurance Portability and Accountability Act

Question 2

What are the three primary goals of HIPPA?

Answer 2

1. To provide privacy standards to protect patients’ confidential health information and medical records
2. To make it easier for people to keep their insurance when their employment situation changes
3. To help the healthcare industry reduce administrative costs

Question 3

What are the five main sections (titles) of HIPPA?

Answer 3

Title I: Portability 
Title II: Administrative Simplification
Title III: Medical Savings Accounts
Title IV: Group Health Insurance Requirements
Title V: Revenue Offsets

Question 4

What is covered under Title I: Portability in HIPPA?

Answer 4

Title I: Portability allows people to keep their health insurance when they lose or change jobs and limits exclusions for pre-existing medical conditions.

Question 5

What is covered under Title II: Administrative Simplification in HIPPA?

Answer 5

Title II: Administrative Simplification includes the privacy rule, and uniform standards for transmitting and maintaining healthcare information. It also includes the Enforcement Rule which outlines compliance, investigation, and monetary penalties for violating HIPPA.

Question 6

What is covered under Title III: Medical Savings Accounts in HIPPA?

Answer 6

Title III: Medical Savings Accounts provides for deductions for medical insurance.

Question 7

What is covered under Title IV: Group Health Insurance Requirements in HIPPA?

Answer 7

Title IV: Group Health Insurance Requirements establishes rules for group health plans, including those related to continuing coverage and pre-existing conditions.

Question 8

What is covered under Title V: Revenue Offsets in HIPPA?

Answer 8

Title V: Revenue Offsets regulates company-owned life insurance policies and addresses revenue offsets.

Question 9

Which types of health care providers must be HIPAA compliant?

Answer 9

Pharmacists, Dentists, Doctors, and much more

Question 10

What does PHI stand for?

Answer 10

Protected Health Information

Question 11

What is Protected Health Information?

Answer 11

Any identifying information especially that which is tied to personal health information.

Question 12

Violations of the Health Insurance Portability and Accountability Act (HIPAA) can result which kind of penalties?

Answer 12

Fines up to $1.5 million and up to 10 years in jail

Question 13

Health Information Management roles involve the _____.

Answer 13

Management of all patient records in the facility

Question 14

What are the areas of concern in determining the outcome of penalties in HIPAA violations?

Answer 14

Was there intent, could this have been avoided, was the breach corrected?

Question 15

Breaches of the records of over 500 patients must be immediately reported to whom?

Answer 15

The Secretary of Department of Health and Human Services

Question 16

What does the right to treatment entail?

Answer 16

Providing treatment that has a reasonable chance to succeed

Question 17

Mary’s psychologist discusses her problems with Mary’s husband without her permission. Mary’s psychologist has violated which patient right?

Answer 17

confidentiality

Question 18

Craig is a psychologist who believes that he can cure schizophrenia by making his clients drink hot water and lemon, despite the fact that there’s no scientific evidence that it works. He provides no other treatment; he only treats his patients with hot water and lemon. Which patient right is he violating?

Answer 18

right to treatment

Question 19

What are the three elements of informed consent?

Answer 19

Disclosure – You must explain the treatment and its effects
Lack of coercion – You cannot force a patient to agree to the treatment.
Competency – If the patient is a minor or is in some way not competent to give consent, you must gain it from a parent or guardian.

Question 20

What are the three rights of patients / mental health patients?

Answer 20

Confidentiality
Right to Treatment
Informed Consent

Question 21

How is a health care worker-patient relationship different from a relationship between friends?

Answer 21

A relationship between friends is social. A relationship between health care workers and patients is therapeutic and requires professional boundaries.

Question 22

What are the two types of communication used between provider and patient?

Answer 22

verbal and non-verbal

Question 23

What is non-verbal communication?

Answer 23

Communication sent and received through body language, eye contact, and intonation.

Question 24

What is a therapeutic relationship?

Answer 24

A relationship in which the patient is at the center of the relatioship

Question 25

What is congruent communication?

Answer 25

communication when a person’s non-verbal and verbal signals are aligned

Question 26

What is non-congruent communication?

Answer 26

communication when a person’s non-verbal and verbal signals are not aligned

Question 27

What are the three domains of learning that could affect therapeutic communication between provider and patient?

Answer 27

1) Cognitive: mental skills (Knowledge)
2) Affective: growth in feelings or emotional areas (Attitude)
3) Psychomotor: manual or physical skills (Skills)

Question 28

What are the different techniques that can be employed to ensure effective therapeutic communication?

Answer 28

Using silence
Proving broad openings
Offering general leads
Making observations
Paraphrasing 
Clarifying Information
Sharing empathy
Humor