In which of the following circumstances must an individual be given the opportunity to agree or object to the use and disclosure of their PHI? - ANSWER A and C (answer)
a). Before their information is included in a fa
...
In which of the following circumstances must an individual be given the opportunity to agree or object to the use and disclosure of their PHI? - ANSWER A and C (answer)
a). Before their information is included in a facility directory
b). Before PHI directly relevant to a person's involvement with the individual's care or payment of health care is shared with that person
Which of the following statements about the HIPAA Security Rule are true? - ANSWER All of the above (answer)
a). Established a national set of standards for the protection of PHI that is created, received, maintained, or transmitted in electronic media by a HIPAA covered entity (CE) or business associate (BA)
b). Protects electronic PHI (ePHI)
c). Addresses three types of safeguards - administrative, technical and physical - that must be in place to secure individuals' ePHI
A covered entity (CE) must have an established complaint process. - ANSWER True
The e-Government Act promotes the use of electronic government services by the public and improves the use of information technology in the government. - ANSWER True
(CORECT)
When must a breach be reported to the U.S. Computer Emergency Readiness Team? - ANSWER Within 1 hour of discovery
Which of the following statements about the Privacy Act are true? - ANSWER All of the above (answer)
a). Balances the privacy rights of individuals with the Government's need to collect and maintain information
b). Regulates how federal agencies solicit and collect personally identifiable information (PII)
c). Sets forth requirements for the maintenance, use, and disclosure of PII
What of the following are categories for punishing violations of federal health care laws? - ANSWER All of the above (answer)
Criminal penalties
Civil money penalties
Sanctions
Which of the following are common causes of breaches? - ANSWER All of the above (answer)
Theft and intentional unauthorized access to PHI and personally identifiable information (PII)
Human error (e.g. misdirected communication containing PHI or PII)
Lost or stolen electronic media devices or paper records containing PHI or PII
Which of the following are fundamental objectives of information security? - ANSWER All of the above (answer)
Confidentiality
Integrity
Availability
If an individual believes that a DoD covered entity (CE) is not complying with HIPAA, he or she may file a complaint with the: - ANSWER All of the above (answer)
DHA Privacy Office
HHS Secretary
MTF HIPAA Privacy Officer
Technical safeguards are: - ANSWER Information technology and the associated policies and procedures that are used to protect and control access to ePHI
A Privacy Impact Assessment (PIA) is an analysis of how information is handled: - ANSWER Physical measures, including policies and procedures that are used to protect electronic information systems and related buildings and equipment, from natural and environmental hazards, and unauthorized intrusion
(correct)
A Privacy Impact Assessment (PIA) is an analysis of how information is handled: - ANSWER All of the above
To ensure handling conforms to applicable legal, regulatory, and policy requirements regarding privacy
To determine the risks and effects of collecting, maintaining and disseminating information in identifiable form in an electronic information system
To examine and evaluate protections and alternative processes for handling information to mitigate potential privacy risks
A breach as defined by the DoD is broader than a HIPAA breach (or breach defined by HHS). - ANSWER True
Which of the following are breach prevention best practices? - ANSWER All of this above (answer)
Access only the minimum amount of PHI/personally identifiable information (PII) necessary
Logoff or lock your workstation when it is unattended
Promptly retrieve documents containing PHI/PHI from the printer
An incidental use or disclosure is not a violation of the HIPAA Privacy Rule if the covered entity (CE) has: - ANSWER All of the above (answer)
Implemented the minimum necessary standard
Established appropriate administrative safeguards
Established appropriate physical and technical safeguards
Under the Privacy Act, individuals have the right to request amendments of their records contained in a system of records. - ANSWER True
Which HHS Office is charged with protecting an individual patient's health information privacy and security through the enforcement of HIPAA? - ANSWER -Office of Medicare Hearings and Appeals (OMHA)
(CORRECT)
Challenge exam:
-Office for Civil Rights (OCR)
Physical safeguards are: - ANSWER -Administrative actions, and policies and procedures that are used to manage the selection, development, implementation and maintenance of security measures to protect electronic PHI (ePHI). These safeguards also outline how to manage the conduct of the workforce in relation to the protection of ePHI
Challenge exam:
-Physical measures, including policies and procedures that are used to protect electronic information systems and related buildings and equipment, from natural and environmental hazards, and unauthorized intrusion
Which of the following would be considered PHI? - ANSWER An individual's first and last name and the medical diagnosis in a physician's progress report
The minimum necessary standard: - ANSWER All of the above (ANSWER)
Limits uses, disclosures, and requests for PHI to the minimum necessary amount of PHI needed to carry out the intended purposes of the use or disclosure
Does not apply to exchanges between providers treating a patient
Does not apply to uses or disclosures made to the individual or pursuant to the individual's authorization
ePHI - ANSWER ePHI is PHI that is created, received, maintained, or transmitted in electronic media by a HIPAA CE or BA.
Information security: - ANSWER the process of protecting data from unauthorized access, destruction, modification, or disruption
Fundamental objectives of information security: - ANSWER Confidentiality
## Integrity
## Availability
Privacy Overlay - ANSWER The Privacy Overlay is the authoritative source of HIPAA Security Rule-specific security controls for DoD and includes supporting guidance to complement overall system security. It is intended to help information systems security engineers, authorizing officials, and privacy officials select reasonable and appropriate protections for ePHI that satisfy current policy requirements.
Elements of a risk analysis include: - ANSWER Defining the scope of the analysis to include all ePHI the CE creates, receives, maintains and transmits, and documenting where the ePHI is located
Identifying and documenting reasonably anticipated and potential threats specific to the CE's operating environment and vulnerabilities which, if exploited by a threat, would create a risk of an inappropriate use or disclosure of ePHI
Assessing existing security measures
Determining and documenting the potential impact and risk to the confidentiality, integrity and availability of ePHI
Periodically reviewing and updating the risk analysis
physical safeguard in the form of an access control to a secure area of the Valley Forge MTF. - ANSWER Pursuant to the HIPAA Security Rule, covered entities must maintain secure access (for example, facility door locks) in areas where PHI is located. Allowing an unidentified individual to bypass a security entrance in this scenario violates the HIPAA Security Rule and exposes the MTF and its patients to a potential breach situation.
The HIPAA Security Rule applies to which of the following: - ANSWER C. PHI transmitted electronically
Administrative safeguards are: - ANSWER A. Administrative actions, and policies and procedures that are used to manage the selection, development, implementation and maintenance of security measures to protect electronic PHI (ePHI). These safeguards also outline how to manage the conduct of the workforce in relation to the protection of ePHI
Select the best answer. Which of the following are fundamental objectives of information security? - ANSWER Confidentiality
B. Integrity
C. Availability
D. All of the above
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