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101
100

Provides a framework for establishment of nationwide protection of pt confidentiality, security of electronic systems, and standards/requirements for electronic transmission of health information.

What is HIPAA?

100

Attempting to de-identify a Pts photograph does not negate Grady’s policy that the pt must _____ to usage of their information or image for purposes other than treatment, payment and/or health care operation  

What is consent?

100

Unauthorized access to EMR is a common HIPAA violation. It doesn't matter if the  N O O S P G N I happens because of curiosity or if someone wants to leak PHI. Any form of  N O O S P G N I   involving PHI is a violation.

What is snooping?

100

A C Y P R I   is the foundation of HIPAA & the underlying principle that determines how and when we can use or disclose PHI.

What is privacy?

200

Encounter/visit documentation, Lab results, Appt dates/times, Invoices, Radiology films, & H&Ps?


What is protected health information?

200

Minimum Necessary Rule – Staff acting on behalf of GHS are permitted to access PHI only on a

 _ _ _ _-to-_ _ _ _ for carrying out their job duties.


What is need-to-know?

200

Attachments to an email that contains PHI should be encrypted by typing    

E S C U E R   

in the Subject line.

What is Secure?

200

You have the responsibility to keep all PHI private; therefore, you cannot reveal that information to anyone without the pt's  T N E S C O N.

What is consent?

300

Do not    C C A E S S     pt information via any media – electronic or paper without a job related need to know.

What is access? 

300

Z___  t_______ means that an employee’s employment will be terminated if that employee intentionally accesses, uses, or discloses PHI for a purpose not related to their duties.  


 

What is a zero tolerance?

300

Always encrypt email that contains PHI. The information should only include the 

I M N I M U M   C E N E S S A R Y    PHI for treatment, payment, or health care operations.  

What is the minimum necessary?  

300

You have a responsibility to secure any 

O N C F I D E N T I L A information related to a pt. You are also expected to safeguard information from misuse.

What is confidential?

400

The OCR settled a case with a dermatology practice for $300K when it discovered the practice disposed of empty specimen containers with PHI in an unsecured garbage bin. 

What is improper disposal of PHI?

400

H _ _ _ _   A _ _ _ _   Trai_  tracks the moment the patients’ EMR are accessed.


What is a HIPAA Audit Trail?

400

_____ messaging, whether through secure or unsecured messaging may not be used as a method to communicate pt orders.


What is text messaging?

400

HIPAA gives pts rights that must be respected. One of these rights is: 

Trust that _ _ _ will be transmitted with the appropriate restrictions and safeguards

What is PHI?

500

When surveyors select pts who have gone through a variety of services and trace compliance along the pt's journey through the hospital.


What is tracer methodology?

500

Posting on Snapchat a pt singing a Christmas carol without written consent.


What is a HIPAA violation?

500

Grady’s Compliance Department 

(404) 616-2118

http://grady.alertline.com


What are ways to report HIPAA violations?

500

 Pt privacy rights and/or HIPAA may be violated by any communication/posting that can reasonably be used to    f y i d e n t i  pts by its content or context.



What is identify?