Patient Care and EKGs (HIPPA Compliance) Flashcards
(28 cards)
What does HIPPA stand for?
Health Insurance Portability and Accountability Act
What are the three primary goals of HIPPA?
- To provide privacy standards to protect patients’ confidential health information and medical records
- To make it easier for people to keep their insurance when their employment situation changes
- To help the healthcare industry reduce administrative costs
What are the five main sections (titles) of HIPPA?
Title I: Portability Title II: Administrative Simplification Title III: Medical Savings Accounts Title IV: Group Health Insurance Requirements Title V: Revenue Offsets
What is covered under Title I: Portability in HIPPA?
Title I: Portability allows people to keep their health insurance when they lose or change jobs and limits exclusions for pre-existing medical conditions.
What is covered under Title II: Administrative Simplification in HIPPA?
Title II: Administrative Simplification includes the privacy rule, and uniform standards for transmitting and maintaining healthcare information. It also includes the Enforcement Rule which outlines compliance, investigation, and monetary penalties for violating HIPPA.
What is covered under Title III: Medical Savings Accounts in HIPPA?
Title III: Medical Savings Accounts provides for deductions for medical insurance.
What is covered under Title IV: Group Health Insurance Requirements in HIPPA?
Title IV: Group Health Insurance Requirements establishes rules for group health plans, including those related to continuing coverage and pre-existing conditions.
What is covered under Title V: Revenue Offsets in HIPPA?
Title V: Revenue Offsets regulates company-owned life insurance policies and addresses revenue offsets.
Which types of health care providers must be HIPAA compliant?
Pharmacists, Dentists, Doctors, and much more
What does PHI stand for?
Protected Health Information
What is Protected Health Information?
Any identifying information especially that which is tied to personal health information.
Violations of the Health Insurance Portability and Accountability Act (HIPAA) can result which kind of penalties?
Fines up to $1.5 million and up to 10 years in jail
Health Information Management roles involve the _____.
Management of all patient records in the facility
What are the areas of concern in determining the outcome of penalties in HIPAA violations?
Was there intent, could this have been avoided, was the breach corrected?
Breaches of the records of over 500 patients must be immediately reported to whom?
The Secretary of Department of Health and Human Services
What does the right to treatment entail?
Providing treatment that has a reasonable chance to succeed
Mary’s psychologist discusses her problems with Mary’s husband without her permission. Mary’s psychologist has violated which patient right?
confidentiality
Craig is a psychologist who believes that he can cure schizophrenia by making his clients drink hot water and lemon, despite the fact that there’s no scientific evidence that it works. He provides no other treatment; he only treats his patients with hot water and lemon. Which patient right is he violating?
right to treatment
What are the three elements of informed consent?
Disclosure – You must explain the treatment and its effects
Lack of coercion – You cannot force a patient to agree to the treatment.
Competency – If the patient is a minor or is in some way not competent to give consent, you must gain it from a parent or guardian.
What are the three rights of patients / mental health patients?
Confidentiality
Right to Treatment
Informed Consent
How is a health care worker-patient relationship different from a relationship between friends?
A relationship between friends is social. A relationship between health care workers and patients is therapeutic and requires professional boundaries.
What are the two types of communication used between provider and patient?
verbal and non-verbal
What is non-verbal communication?
Communication sent and received through body language, eye contact, and intonation.
What is a therapeutic relationship?
A relationship in which the patient is at the center of the relatioship
