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Flashcards in Midterm Deck (52):
1

What 3 covered entities must comply w/ HIPAA?

1.) All health care plans

2.) All health care clearing houses

3.) A health care provider transmitting any health information in electronic form

2

Refers to the rights of an individual to limit the use and disclosure of ALL protected health information.

Privacy

3

Refers to the obligations of covered entities to safeguard protected health info from improper use of disclosure, especially electronically transmitted or stored information

Security

4

Release, transfer, provision of access to, or divulging of info outside the entity holding the info.

Disclosure

5

Sharing, employment, application, utilization, examination, or analysis of individually identifiable info w/in an entity

Use

6

Employees, volunteers, trainees, and other persons whose conduct, in the performance of work, is under the direct control of such entity.

Workforce

7

A person or entity that performs a function that requires the creation, use or disclosure of PHI on behalf of a CE but is not considered part of the workforce

Business associate

8

The physical premises and interior and exterior of a building.

Facility

9

The attempted or successful unauthorized access, use, disclosure, modification, or destruction of information or interference w/ system operations in an information system.

Security incident

10

An electronic computing device; for example, a laptop or desktop computer, or any other device that performs similar functions, and environment

Workstation

11

Software designed to damage or disrupt a system; for example, a virus or a worm

Malicious software

12

Any information, including demographic info, collected from an individual that:
--A.) is created or received by a healthcare provider
--B.) relates to the past, present or future health conditions

Protected health information

13

Are employment records of covered entity or FERPA covered by Protected Health Information?

No

14

Information which does not identify the individual or that which the covered entity has no reasonable basis to believe can be used to identify the individual

De-identified PHI

15

Minimum necessary to accomplish the intended purpose of the use, disclosure, or request.

Minimum necessary

16

Can an individual request an accounting of health info disclosures?

Yes

17

Can an individual request an amendment to health info?

Yes

18

Can an individual request to inspect and copy health info?

Yes

19

Can an individual request restrictions on disclosures?

Yes

20

Can an individual complain to the covered entity and to DHHS?

Yes

21

How long does a provider have till to comply w/ a patients request?

30 days

22

Are covered entities required to have written agreements for contracts w/ their business associates?

Yes

23

Who should be able to see PHI material?

Only those who are authorized to see it

24

Who should be able to hear PHI info?

Only those who are authorized to hear it

25

Who should be able to share PHI info?

Only those who are authorized to receive it

26

What is the fine per day for each unmet compliance standard?

$100/day

27

What is the penalty for knowingly disclosing health info for improper use of to unauthorized entities?

$50,000 + 1 year in prison

28

What is the penalty for obtaining health information under false pretense?

$100,000 + 5 years in prison

29

What is the penalty for using health info to sell, transfer, or use for commercial advantage, personal gain or malicious harm?

$250,000 + 10 years in prison

30

The capacity to obtain, process, understand basic health info and services.

Health literacy

31

The National Assessment of Adult Literacy assesses what 2 academic skills?

Reading and math

32

What % of adults were identified as having serious limitations in health literacy skills?

36%

33

What is the goal of Healthy People 2020?

Improve health communication/health literacy

34

What was the goal of the Joint Commission (1993)?

Patients must be given information they understand

35

What are 7 tips for clinicians?

--Use plain language
--Limit info to 3 key points
--Be specific and concrete
--Demonstrate
--Repeat/summarize
--Teach-back
--Be positive

36

What are the 5 Universal Responses to Stress?

--Blamed
--Placated
--Computer
--Distractor
--Leveler

37

Which Universal Responses to Stress is this?
--uses accusatory "you" statements, sarcasm, put-downs, expressions of superiority, and loaded words intended to start fights?

The Blamer

38

Which Universal Responses to Stress is this?
--Has a hard time getting to the point and in making decisions
--Says "Yes" when he/she really means "No"

The Placator

39

Which Universal Responses to Stress is this?
--Doesn't want his feelings known and resists discussing them when asked

The Computer

40

Which Universal Responses to Stress is this?
--Jumps from one mode to the other, following urges about what he wants to say

The Distractor

41

Which Universal Responses to Stress is this?
--Communicates w/ a sincere yet direct approach to manage conflict in stressful situations

The Leveler

42

The clinician's duty to maintain boundaries comes from what 3 origins?

--Professional
--Ethical/moral
--Legal

43

Define the expected and accepted psychological, physical, and social distance between practitioners and patients?

Boundaries

44

Boundaries are derived from what 3 things?

--Ethical treatise
--Cultural morality
--Jurisprudence

45

Represents a harmful crossing or transgression of a boundary?

Boundary violation

46

How much space is considered for a comfortable business relationship?

4 feet

47

How much space is considered for a comfortable social relationship?

3 feet

48

How much space is considered intimate and can be threatening, especially if face-to-face?

1 foot

49

Who sets the professional boundaries?

The patient

50

One reason doctors are held to higher standards is the "????" Nature of the doctor-patient relationship.

Fiduciary nature

51

The patient normally establishes the boundaries - but there are 3 exceptions....

--The flirtatious patient
--The predatory patient
--Patients w/ unrealistic expectations/perceptions of the doctor

52

Documentation must support the _____, ______, and ____ of services are reasonable and consistent w/ the standards of practice?

Type, frequency, and duration