Acronyms
PHI
Names
Breach
Access
100

ROI

What is Release of Information

100

Persons name, date of birth, address and phone number's are considered form of identifiers

What is Protected Health Information (PHI)

        There are 18 PHI Identifiers

100

Chief Compliance Officer 

Who is Donnetta Horseman


100

Unauthorized access or disclosure of PHI for any reason other than treatment, payment, or healthcare operations

What is a breach

100

Treatment, payment, healthcare operations of patients medical record

What is appropriate access

200

 PHI

 What is Protected Health Information

200

Sending emails securely containing PHI externally 

What is encryption


Mimecast located within your email to send securely

200

What is the email address for the Privacy Team

200

Individual notifications must be provided without unreasonable delay and in no case later than 60 days following the date of discovery

What is Breach Notification Letter

These letters are mailed to the individual(s) with a brief description of the information that was involved in the breach.


200

Team member learns their neighbor is patient and wants to access the patients medical record.  Even though this team member is not part of the care team but is an active employee.

What is inappropriate access  

300

HIPAA  

What is the Health Insurance Portability and Accountability Act

300

When stepping away from your computer/laptop you should do what to protect the access of ePHI

What is logging off or locking my PC to secure ePHI, this includes never sharing your credentials

300

Director of Compliance

Who is Autumn Smallwood


300

           

       August 21, 1996

    "  The Daily Double"


What is the enactment date for HIPAA

The Health Insurance Portability and Accountability Act of 1996

                 

          

300

Employee is aware her co-worker is patient and is on PTO for the day.  The employee is wondering if perhaps the co-worker is scheduled for an appointment here today and views capstone to confirm

What is inappropriate access


Not part of the care team this is consider co-worker snooping.

400

TPO

What is Treatment, Payment and Healthcare Operations

This describes some of the circumstances in which covered entities are allowed to disclose patient information without the need to obtain authorization from patients.

400

Proper disposal of Protected Health Information (PHI)

What is locked Shred Bin

400

Employees, volunteers, student interns, trainees

who are team members

400
$100 to $50,000 per violation (or per record), with a maximum penalty of $1.5 million per year for violations of an identical provision. Violations can also carry criminal charges that can result in jail time

What are the minimum and maximum penalties for HIPAA violations

400

A nurse goes to lunch and another nurse assumes care of her patients. During this time, a (VIP) celebrity patient needs pain medication. The covering nurse accesses the medical record of the celebrity patient to administer as needed

What is appropriate access 

500

OCR

"The Daily Double"

What is the Office of Civil Rights

The Office for Civil Rights (OCR) ensures equal access to certain health and human services and protects the privacy and security of health information.


500

Written, oral, tattoos or electronic information (implanted device serial numbers) that identifies an individual

What are forms of Protected Health Information (PHI)


500

Privacy and Program Integrity Officer

      "The Daily Double"

Who is Shallie Bryant


500

Over 500 patients/individuals have been affected by breach

what is notifying the media

500

Team member suspects there have been several cases of COVID-19 reported on current patients and the team member is not part of the care team to any of these patients, only curious to test results

What is inappropriate access 

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