The Health Insurance Portability and Accountability Act (HIPAA):
- protects health insurance coverage for workers and their families when they change or lose their job
- requires national standards for electronic health care transactions
- addresses security and privacy of health data
- all of the above
38 U.S.C. 7332 deals with confidentially of patient medical record information related to:
- drug abuse, sexually transmitted diseases, and tuberculosis
- HIV/AIDS status
- drug abuse, alcoholism, infection with the HIV virus, and sickle cell anemia
- mental illness, HIV status, drug and alcohol abuse
The Privacy Act limits the collection of information about individuals to that which is legally relevant and necessary.
- True
- False
Patients, for the most part, may gain access to any information pertaining to them that is contained in any system of records.
- True
- False
If the patient wants access to their record, they must provide in writing a valid reason for wanting to see their record.
- True
- False
A patient is being transferred to contract nursing home for further care. The nursing home may be provided with individually identifiable healthcare information for the purposes of providing medical care to the patient that will be housed in its facility.
- True
- False
Signed authorizations for release of information are considered invalid if there is no expiration date.
- True
- False
Disclosure of individually identifiable health information to an outside healthcare provider (physician, hospital, nursing home) even for treatment purposes requires a written authorization by the patient.
- True
- False
HIV, drug abuse, alcoholism, and sickle cell anemia can be declared to insurance carriers for collection of the cost of medicare without written authorization of the patient.
- True
- False
A violation of the HIPAA laws can include a fine of $50,000 and up to one year in jail.
- True
- False
You are leaving your clinical unit when someone stops you in the hallway to ask if you know what room a patient is in. You have this information because your preceptor was actually consulted to see him. What should you do?
- Escort the visitor to the room
- Tell the person that he cannot have visitors
- Tell her to check at the information desk
- Pretend like you did not hear the person
A patient is admitted to the ER in respiratory distress. He is quickly intubated and given sedative agents. His daughter arrives at his bedside 3 hours later and is demanding information about his current condition. You would:
- Apologize and tell her that due to HIPAA and his privacy, you cannot release any information without his consent
- Tell her that she must provide legal documents proving that she is his next of kin.
- Use professional judgment to release only necessary information.
- Wait until the patient is fully conscious & get his consent.
The spouse of your patient approaches you in the hallway to inquire more about her husband’s condition. Earlier this morning, the patient stated that he did not want information shared with anyone in his family. You should:
- Give the wife the minimum necessary information about her husband
- Tell her that you are unable to share information about his health care.
- Enter the patient’s room and ask him if it is okay.
- Tell his wife, but make her promise to keep the information private.
It is your last day at your pediatric clinical site and you are saying goodbye to all of your favorite patients. You take a picture on your phone of a few of the patients posing together and later post it to your private blog as an illustration of your last day. Since your blog is private and can only be accessed by those who know the URL, you are not in violation of HIPAA regulations.
- True
- False
You see one of your colleagues at lunch and she tells you about an interesting case that she observed in the ICU. After lunch you decide to go upstairs to the ICU and access the patient’s medical records to enhance your learning experience. Because it is for educational purposes, this access of information is okay.
- True
- False
Norms can be described as the rules of behavior which are appropriate or inappropriate for a particular cultural group.
- True
- False
**This program has been adapted with permission of the Greater Los Angeles Veterans Administration Medical Center