Privacy and Confidentiality of Electronic Information

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Which of the following healthcare providers are considered a first line of defense in the prevention of unauthorized use of electronic client health information? ​ compliance officers​ security analysts​ admission clerks​ nurses

nurses ---------------- The first line of defense is dependent on healthcare providers who have access to electronic information due to their provider role. Nurses are considered a first line of defense. Ways to mitigate risk include logging off email after several minutes of inactivity, using two-factor authentication to gain access to information systems, and having competencies on a regular basis that are focused on ways to maintain safe, private and confidential health information. Admission clerks, security analysts and compliance officers are not healthcare providers; however, they work in health care organizations. ​

_______ is a method of confirming the identity of a user, process, or device (often as a prerequisite) to allow access to resources in an information system. ____________ is a method of converting an original message of regular text into an encoded text. ​ Verification Authentication

Authentication Verification

Which of the following is used to establish a healthcare professional's identity to gain electronic access to a system? Select all that apply. Fingerprint recognition Patient room number PIN (Private Identification Number) Password Patient name Last four digits of your social security number

Fingerprint recognition PIN (Private Identification Number) Password Last four digits of your social security number --------------------------- The process for establishing your identity to gain access to a system is typically two-steps after identifying your username or email. There are many different identifiers used, but some common ones include a password, private identification number (PIN), fingerprint, or even the last four digits of the user's social security number. Things that are not used include patient name or patient room number as these are available to anyone on the floor.​

Identify the type of identification detection system (IDS) used to help safeguard client information. ​ ___________ monitors traffic from all devices going in and out of the network, looking for patterns and abnormal behaviors upon which a warning is sent.​ __________________ monitors system data and looks for malicious activity on an individual host; taking snapshots and if they change over time an alert is raised. ​

Network-based IDS (NIDS) Host-based IDS (HIDS

Which of the following statements is the key to preserving privacy and confidentiality of electronic information?​ Only nurses have access to information.​ Only administrators have access to information. ​ Only authorized individuals have access to information. ​ Only primary care providers have access to information. ​

Only authorized individuals have access to information. ​ -------------------------------- The key to preserving privacy and confidentiality is making sure that only authorized individuals have access to information. It is not limited to nurses, primary care providers, or administrators.

Which type of technology is used to measure and compare data using electronic health information? biometrics cloud computing​ advanced analytics​ artificial intelligence​

advanced analytics​ ---------------------------- Advanced analytics are used in domains; from electronic health records (EHRs) to imaging and diagnostics, remote monitoring, drug discovery, billing and fraud prevention. The other options are not within the private domain of advanced analytics. ​

A nurse resides in a small community where a recent post on her social media page stated, "Look what I am doing this Saturday night, taking care of my old boyfriend who was driving while intoxicated." Which of the following statements is the most accurate? No violation of confidentiality as a client name was not provided.​ No violation of privacy as a client name was not provided.​ No violation of privacy or confidentiality as no client name was provided.​ Violation of privacy and confidentiality due to client unique circumstance. ​

Violation of privacy and confidentiality due to client unique circumstance. ​ -------------------------------- This is a violation of client privacy and confidentiality, even though the client was never identified by name. The client could be identified by date, past relationship with the nurse, and timing of the car accident. ​​

The Health Information Technology for Economic and Clinical Health (HITECH) Act affected the Health Insurance Portability and Accountability Act's (HIPAA) privacy and security rules in which of the following ways?​ decreased notification requirements in the event of a security breach of health information limited guidance about how to secure health information by the U.S. Department of Health & Human Services strengthened the privacy rule enforcement improved client rights in knowing who accessed their health information ​

improved client rights in knowing who accessed their health information ​ ------------------------------ The HITECH Act affected HIPAA's privacy and security rules as it relates to the privacy and confidentiality of electronic information by providing annual guidance about how to secure health information by the U.S. Department of Health & Human Services (USDHHS); enhanced notification requirements in the event of a security breach of health information; strengthened HIPAA enforcement and improved client rights in knowing who accessed their health information. ​

The nurse is discussing the privacy and confidentiality of electronic information with a group of nursing students. Which of the following statements is good e-mail security practice? "I will need to use two-factor authentication to access the hospital computer."​ "I will download software if it is sent to my hospital email."​ "I will use hospital computers like my personal computer."​ "I will click on links or open attachments in emails."​

"I will need to use two-factor authentication to access the hospital computer."​ ------------------------------- According to the Federal Trade Commission (2013), measures to help prevent email security breaches include: Use unique passwords and change them frequently. Safeguard usernames and passwords. Utilize two-factor authentication. Don't click on links or open attachments in emails unless you know who sent it and what it is. Download software only from trusted sites. Public computers are not to be treated like personal computers. ​

According to the Federal Trade Commission (2013), there are measures to help prevent email security breaches. Which of the following statements from a nursing student is concerning the instructor?​ "I will need to use two-factor authentication."​ "I will not click on links or open attachments in emails unless I know who sent it and what it is."​ "I need to safeguard my username and password."​ "I will use a unique password and do not need to change it."​

"I will use a unique password and do not need to change it."​ ------------------------------ Use unique passwords and they have to be changed frequently. According to the Federal Trade Commission (2013), measures to help prevent email security breaches include: unique passwords and change frequently Safeguard usernames and passwords two-factor authentication don't click on links or open attachments in emails unless you know who sent them and what it is download software only from trusted sites public computers are not to be treated like personal computers ​

Fill in the blank with these Advanced analytics____________Artificial intelligence (AI) Biometrics Cloud Computing___________Edge computing Internet of things (IoT) ___ can use prediction tools to provide personalized healthcare treatment options.​ ___ measuring information using domains, such as electronic health records (EHRs) and imaging.​ ___ physical objects that are embedded with sensors, software, and other technologies for the purpose of connecting and exchanging data with other devices and systems.​ ___ data storage closer to the location where it is needed, to improve response times where there is limited or no connectivity to a centralized location. ​ ___ data is gathered and processed in a centralized location, usually in a data center with remote access capabilities.​

Artificial intelligence (AI) Advanced analytics Internet of things (IoT) Edge computing Cloud computing -----------------------

Which of the following maps diseases and uses prediction tools to provide personalized healthcare treatment options?​ cloud computing​ biometrics artificial intelligence​ analytics

artificial intelligence --------------------------- Artificial intelligence (AI) can map diseases and use prediction tools that provide personalized healthcare treatment options. The other options are not characteristics of AI. ​

Which of the following identification systems (IDS) safeguards client information by mitigating an attack based upon predefined formulas? ​ intrusion prevention system (IPS)​ institutional prevention system (IPS)​ host-based IDS (HIDS)​ network-based IDS (NIDS)​

intrusion prevention system (IPS)​ ------------------------------- An Intrusion Prevention System (IPS), not institutional, works with a detection system to mitigate an attack based upon predefined formulas. Network-based IDS (NIDS) monitors traffic from all devices going in and out of the network. NIDS performs analysis on the traffic, looking for patterns and abnormal behaviors upon which a warning is sent. Host-based IDS (HIDS) monitors system data and looks for malicious activity on an individual host. HIDS can take snapshots, and if they change over time maliciously, an alert is raised. A HIDS analyzes the changes in operating system files, logs, etc. ​

Which of the following security features are implemented to protect the privacy and confidentiality of electronic information? Select all that apply.​ user-based access controls​ user IDs and weak passwords​ auditing functions​ backup and recovery routines​ auto time-out​

user-based access controls​ auditing functions​ backup and recovery routines​ auto time-out​ ----------------------------- Security features may include: ePHI encryption, auditing functions, backup and recovery routines, unique user IDs and strong (not weak) passwords, role- or user-based access controls, auto time-out, emergency access, and amendments and accounting of disclosures.​

Ways to protect the privacy and confidentiality of electronic health information is enhanced by which of the following? Select all that apply. using two factor authentication​ lifetime electronic health records use user access based on role-based privileges adding a biometrics identifier changing passwords at set intervals

using two factor authentication​ user access based on role-based privileges adding a biometrics identifier changing passwords at set intervals ------------------------------------ The process of controlling access begins with identifying who can see what type of information. Basic standards for privacy and confidentiality include requiring passwords that are changed at set intervals, setting a minimum number of characters, and two-factor authentication. Many organizations take a two-tier approach to authentication, by checking two factors, particularly over multiple devices. For example, using an authenticator mobile application. Adding a biometric identifier, like palm, finger, retina, or face recognition can increase the level of privacy and confidentiality. The user's access is based on preestablished, role-based privileges. Lifetime use does not apply.​

Which of the following ways are privacy and confidentiality of electronic health information enhanced? Select all that apply.​ Assign usernames and passwords.​ Give user access based on role-based privileges. ​ Add one-factor authentication.​ Change passwords at set intervals. Add a fingerprint reader.​

Assign usernames and passwords.​ Give user access based on role-based privileges. ​ Change passwords at set intervals. Add a fingerprint reader.​ ------------------------------ The privacy and confidentiality of electronic health information is enhanced by changing passwords at set intervals, limiting user access based on role-based privileges, and adding two-factor authentication, not one-factor. Assigning usernames and passwords is also essential. Fingerprint readers are often used as well.​


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