HIPAA and Privacy Act Training -JKO Exam 2022

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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 [Show More]

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