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Unit 3

QuestionAnswer
What is privacy? Freedom from unauthorized intrusion.
What amendments establish the right to privacy? First, Third, Fourth, Fifth, Ninth, and Fourteenth Amendments.
What should information collected and stored about individuals be limited to? What is necessary to carry out the functions of the business or government agency collecting the information.
Who should have access to collected personal information? Employees who must use the information in performing their jobs.
Can personal information be released outside the organization without permission? No.
What should a person know about information being collected about them? The person should know the information is being collected and have the opportunity to check it for accuracy.
What is confidentiality? The act of holding information in confidence, not to be released to unauthorized individuals.
What is privileged communication? Information held confidential within a protected relationship.
When can a nurse access patient information? When it is necessary.
What should be obtained to maintain confidentiality? Signed consent.
What judgments should be avoided when maintaining patient confidentiality? Judgments about patients' morals.
Is financial information confidential? Yes.
What should you avoid doing on the phone when others are around? Using the patient's name.
What precaution should be taken when leaving messages on voicemail? Use caution.
How should patient information be handled around other patients or visitors? Keep patient information out of sight.
What exceptions to disclosure should be made? Only legal exceptions.
When may confidentiality be waived for an employment medical examination? When a third party requests the medical examination and that party pays the physician's fee.
When may confidentiality be waived during a lawsuit? When patient records are subpoenaed.
When may confidentiality be waived by the patient? When a waiver has been signed by the patient agreeing to the release.
What is HIPAA Standard 1? Transactions and Code Sets.
What is HIPAA Standard 2? Privacy Rule.
What is HIPAA Standard 3? Security Rule.
What is HIPAA Standard 4? National Identifier Standards.
What must be protected against unauthorized disclosure under the HIPAA Privacy Rule? Protected health information, or PHI.
In what forms must PHI be protected? Spoken, written, and electronic form.
What health conditions are considered PHI? Past, present, or future physical or mental health conditions.
Is documentation of the provision of health care PHI? Yes.
Is information about payment for health care PHI? Yes, including past, present, or future payment for the provision of health care.
What are covered entities? Health care providers who conduct administrative and financial transactions in electronic form.
Who is included under covered entities? Employees, volunteers, trainees, and all others under the control of the entity.
What are business associates? Individuals or organizations that provide functions, activities, or services on behalf of covered entities involving access to, use of, or disclosure of protected health information.
What disclosures to patients are permitted under HIPAA? Disclosures to patients.
For what purposes may patient information be used or disclosed? Treatment, payment, or health care operations.
What may covered entities receive for treatment, payment, or health care operations? Patient information.
What does use and disclosure with an opportunity to agree or object involve? Informal permission that clearly allows the individual to agree or object.
What are incidental uses and disclosures? Reasonable precautions between health care providers.
How many national priorities are included under public interest and benefit activities? 12 national priorities.
What is a limited data set used for? Research.
What is removed from a limited data set? Specific, direct identifiers.
What does HIPAA's Security Rule establish requirements for? Maintaining the security of electronic health records.
What two areas of electronic health records must be secured? Transmission and storage.
What may happen if an organization is found to be noncompliant with the Security Rule? Substantial fines.
What does HITECH stand for? Healthcare Information Technology for Economic and Clinical Health Act.
What did the HITECH rule strengthen? Privacy and security protections.
What must covered entities implement to protect PHI? Safeguards.
What must covered entities ensure regarding PHI? Confidentiality, integrity, and availability of all PHI they create, receive, maintain, or transmit.
What threats must covered entities identify and protect against? Reasonably anticipated threats to the security or integrity of the information.
What impermissible activities must covered entities protect against? Reasonably anticipated, impermissible uses or disclosures.
Who must covered entities ensure complies with security requirements? Their workforce.
What is a breach? An impermissible use or disclosure of a patient's record by a covered entity.
When does a breach require notification of the media? When more than 500 records are breached.
Who must also be notified when more than 500 records are breached? The patients affected by the breach.
What organization has maintained a database of PHI breaches since 2009? HHS Office for Civil Rights, or OCR.
Must business associates follow breach notification guidelines? Yes.
What may result from breaches? Substantial fines.
What is an example of a PHI breach? A stolen laptop with PHI.
What does the Medicare Fraud Strike Force do? Combines federal, state, and local law enforcement to find and prosecute fraud and abuse.
Is fraudulent spending always separated from total health care dollars? No.
What is happening to health care fraud according to the notes? Fraud continues to increase.
Is health care fraud always detected? No, fraud is often undetected.
What does the Federal False Claims Act allow individuals to do? Bring civil actions on behalf of the federal government for false claims.
What Latin term is commonly applied to the Federal False Claims Act? Qui tam.
What may whistleblowers receive? A share of court
What does the Federal Anti Kickback Law prohibit?
What are possible punishments for violating the Federal Anti Kickback Law?
What does the Stark Law restrict? Physicians or members of their immediate family with a financial interest from referring patients to entities owned by the physician.
What programs does the Stark Law apply to? Medicare and Medicaid programs.
What does the Criminal Health Care Fraud Statute prohibit? Knowingly or willingly executing or attempting to execute a scheme to defraud any health care program.
What else does the Criminal Health Care Fraud Statute prohibit? Obtaining money or property under the control of a health care benefit program by false pretenses, representations, or promises.
What are vital statistics used to assess? Population trends and needs.
What information is included in vital statistics? Live births, deaths, fetal deaths or induced abortions, and changes in an individual's civil status.
Who uses vital statistic information? Educational institutions, governmental agencies, research scientists, private industries, and other organizations and individuals.
What are educational institutions? Organizations dedicated to providing structured learning experiences and education to individuals of various ages, including schools, colleges, and universities.
What are governmental agencies? Specialized organizations created by governments to administer laws, provide public services, and manage specific functions on behalf of the state and its citizens.
What are research scientists? Professionals who conduct experiments and studies to expand knowledge in a specific scientific field and apply findings to solve problems or develop new technologies.
What are private industries? Businesses and organizations owned, managed, and operated by individuals, groups, or companies rather than the government, with the primary goal of generating profit.
How should entries on birth and death forms be completed? Type or print all entries.
Should any entries on birth and death forms be left blank? No.
What should be avoided when completing birth and death forms? Corrections and erasures.
Where should signatures be provided on birth and death forms? Where requested.
What documents should be filed with state registrars? Originals only.
What should be verified when recording names? Spelling of names.
Should abbreviations be used on birth and death forms? No.
Where should problems with birth and death forms be referred? State officials.
What information about the cause of death is included on a death certificate? Disease, injury, and/or complication that caused death.
What information about the time of death is included on a death certificate? Date and time of death.
What location information is included on a death certificate? Place of death.
What pregnancy information may be included on a death certificate? Pregnancy in female death.
What autopsy information is included on a death certificate? Whether an autopsy was performed.
What deaths may be subject to autopsy? Deaths possibly due to criminal causes.
Is an unattended death subject to autopsy? Yes.
When may a death with an undetermined cause be subject to autopsy? When the cause is undetermined by the physician.
What suspicious deaths may be subject to autopsy? Violent or otherwise suspicious deaths.
What is forensic medicine? A division of medicine that incorporates law and medicine and involves medical issues or medical proof at trials having to do with malpractice, crimes, and accidents.
From what amendment are public health functions inferred? The 10th Amendment of the U.S. Constitution.
What is federalism? Sharing of power among national, state, and local governments.
What do public health statutes help guarantee? The health and well
What unsanitary conditions can public health statutes guard against? Unsanitary conditions in public facilities.
What establishments can be inspected under public health statutes? Establishments where food and drink are processed and sold.
What pests may public health authorities exterminate? Pests and vermin that can spread disease.
What environmental resource can public health authorities check? Water quality.
What can public health authorities establish for certain diseases? Measures of control.
Who may be required to file certain reports for the protection of citizens? Physicians, school nurses, and other health care workers.
What may states require during infectious disease outbreaks? Investigations.
What can states require as a condition for school entry? Childhood vaccinations.
What cigarette related activity can states prohibit around schools or areas where children congregate?
What smoking regulations may states establish? Smoking bans or restrictions.
What can states do to individuals who have certain infectious diseases? Involuntarily detain or quarantine them.
What may states do with property to contain the threat of toxic substances? Seize and/or destroy the property.
What does the CDC provide? A variety of protective and safety services and education.
What does the CDC analyze? Data to determine solutions for disease threats.
What is an example of a CDC service? Notifying the public of food poisoning outbreaks.
Who determines which diseases are reportable? Each state.
When are sexually transmitted diseases reported? When diagnosed.
Who may receive HIV notification? Past and present sexual partners or needle
For whom is communicable disease reporting more stringent? Patients who work with the public.
What are examples of reportable diseases listed in the notes? Mumps, pertussis, poliomyelitis, and rabies.
What federal law addresses vaccine legal liability? National Childhood Vaccine Injury Act of 1986.
What does VICP stand for? National Vaccine Injury Compensation Program.
What does SEPPA stand for? Smallpox Emergency Personnel Protection Act.
What vaccines and boosters are listed under vaccine legal liability? COVID
What date must be documented when administering a vaccine? Date the vaccine was administered.
What manufacturer information must be documented when administering a vaccine? Vaccine manufacturer.
What identifying number must be documented for a vaccine? Vaccine lot number.
What health care provider information must be documented when administering a vaccine? Name, address, and title of the health care provider who administered the vaccine.
What does VAERS stand for? Vaccine Adverse Events Reporting System.
What events should be reported to VAERS according to the notes? Any event listed in the Vaccine Injury Table.
What manufacturer listed events should be reported to VAERS?
What injuries are listed as reportable? Assault and rape.
What forms of domestic violence are listed? Child abuse, spousal abuse, and elder abuse.
What are physical signs of abuse? Unexplained fractures, repeated injuries, burns with unusual shapes, friction burns, bite marks, malnutrition or dehydration, and possible sexual abuse.
What are behavioral signs of abuse? Illogical explanation for injuries, frequently changing physicians, and changes in appetite.
What does FDA stand for? Food and Drug Administration.
What department is the FDA part of? Department of Health and Human Services.
What does the FDA do with prescription drugs? Tests and approves prescription drugs.
What does DEA stand for? Drug Enforcement Administration.
What department is the DEA part of? U.S. Department of Justice.
What does the DEA regulate? Sale and use of drugs.
How many categories of drugs does the Controlled Substances Act provide? Five schedules.
What are the drug schedules based on? Potential for abuse.
What is Schedule 1? No currently accepted medical use.
What are examples of Schedule 1 drugs? Heroin and LSD.
What is Schedule 2? High potential for abuse and follows strict rules.
What are examples of Schedule 2 drugs? Morphine and oxycodone.
What is Schedule 3? Moderate to low potential for physical and psychological dependence.
What is an example of a Schedule 3 drug? Ketamine.
What is Schedule 4? Low potential for abuse and low risk of dependence.
What is an example of a Schedule 4 drug? Benzodiazepines.
What is Schedule 5? Lower potential for abuse than Schedule 4 drugs.
What is an example of a Schedule 5 drug? Cough syrups with codeine.
According to the November 2021 notes, how many states had laws allowing medical marijuana? 37 states.
According to the November 2021 notes, where was recreational marijuana allowed? 18 states, two territories, and D.C.
Are marijuana laws the same in every state? No, each state has different laws.
Created by: user-1990156
 

 



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